Basic to Advanced Echocardiography from the Blue Ridge Mountains of Asheville

Basic to Advanced Echo

Basic to Advanced Echocardiography from the Blue Ridge Mountains of Asheville

Course Director(s):
Fletcher A. Miller, Jr., M.D.
Roger L. Click, M.D., Ph.D.
Naser M. Ammash, M.D.
Pamela R. Burgess, RDCS, RDMS, RVT

The Omni Grove Park Inn, Asheville, NC

5/17/2017 - 5/20/2017

Overview

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The course will begin with a discussion of echocardiographic assessment of left and right ventricular function, including presentations on diastolic function and strain imaging for assessing myocardial function.  We will then discuss a broad range of disease states for which echocardiography is useful, including ischemic heart disease, valvular heart disease, pericardial disease, and cardiomyopathies.  The presentations will include basic concepts as well as advanced techniques including 3-D imaging and strain imaging.  Throughout the course many cases will be presented. 

Unique Features:

  • Faculty members are clinical sonographers and echocardiologists
  • Easy access to faculty members during the entire conference
  • Afternoon on pediatric/adult congenital echocardiography
  • Lab accreditation (IAC Echocardiography)
  • Live scanning hands-on
  • Presentations involving multimodality imaging

COURSE OBJECTIVES
Upon conclusion of this program, participants should be able to:

  • Apply Doppler principles and hemodynamics to the assessment of valvular heart disease, including systematic assessment of prosthetic valves
  • Use 2-D, DopPler strain methods to assess myocardial function
  • Illustrate the appropriate use of echo Doppler in myocardial and pericardial disease
  • Recognize the utility of echocardiography TEE including 3-D in the interventional practice
  • Integrate the application of echocardiography in heart failure and the treatment
  • Recognize clinical applications of stress echocardiography

Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

INTENDED AUDIENCE
This course is intended for adult cardiologists, cardiac sonographers, cardiology fellows, surgeons, anesthesiologists, and those who have basic experience and knowledge of echocardiography.  This course is designed to further advance their experience in clinical application of echocardiography.

Agenda

Tuesday, May 16, 2017

6:00-7:00 pm Pre-registration - Heritage Foyer


Wednesday, May 17, 2017

7:00 am Registration and Continental Breakfast - Heritage Foyer
7:30 am Welcome
Roger Click, M.D., Ph.D.

FUNDAMENTALS
Dr. Roger Click, presiding

7:40 am Cases - Teasers
Drs. Miller, Click, and Ammash
8:00 am Assessment of LV Systolic Function in 2017
Barry Karon, M.D.
8:30 am Diastolic Function Updates
Fletcher Miller, Jr., M.D.
9:00 am Real or Echo Artifact?
Frederick Kremkau, Ph.D. and Pam Burgess, RDCS, RDMS, RVT
9:30 am RV Function in 2017
Garvan Kane, M.D., Ph.D.
10:00 am Panel Discussion
Drs. Karon, Miller, Kremkau, and Kane; Dr. Click, moderator
10:45 am Challenging Cases for Assessment of Pulmonary Pressures
Michael Cullen, M.D.
11:00 am Echo in Congestive Heart Failure: When and Why
Barry Karon, M.D.
11:30 am Echo in Restrictive Cardiomyopathies
Naser Ammash, M.D.
12:00 pm Challenging Heart Failure Case
Lori Blauwet, M.D.
12:15 pm Panel Discussion
Drs. Cullen, Karon, Ammash, and Blauwet; Dr. Click, moderator
12:30 pm Lunch - Heritage C

ECHO FOR MYOCARDIAL AND PERICARDIAL DISEASE
Dr. Fletcher Miller, Jr., presiding

1:30 pm Echo Assessment of HCM
Hari Chaliki, M.D.
2:00 pm Cardiac Constriction
Barry Karon, M.D.
2:30 pm Strain for Myocardial Diseases
Fletcher Miller, Jr., M.D.
3:00 pm Panel Discussion
Drs. Chaliki and Karon; Dr. Miller, moderator
3:15 pm Refreshment Break

PARELLEL SESSIONS
SONOGRAPHER SESSION (Foyer)

3:45 pm Sonographer Hands-On
Ms. Burgess, Ms. Harper, and Ms. Klug
5:00 pm Adjourn

TEE (Main Ballroom)

3:45 pm TEE for Source of Embolism Cases
Roger Click, M.D., Ph.D.
4:15 pm TEE for Endocarditis Cases
Jeremy Thaden, M.D.
4:45 pm Questions and Answers
5:00 pm Adjourn
6:00-7:00 pm Welcome Reception - Skyline Room, Mountainview Terrace, Sammons Wing, 8th Floor
Attendees, guests, and faculty invited.


Thursday, May 18, 2017

7:00 am Continental Breakfast - Heritage Foyer

ISCHEMIC HEART DISEASE/AORTIC DISEASE
Dr. Naser Ammash, presiding

7:30 am Contrast Echocardiography
Thomas Ryan, M.D.
8:00 am Cases in Exercise and Pharmacologic Stress Echo for Coronary Disease
Michael Cullen, M.D.
8:30 am Echo for Acute Coronary Syndromes and Cases
Roger Click, M.D., Ph.D.
9:30 am Panel Discussion
Drs. Ryan, Cullen, and Click; Dr. Ammash, moderator
10:00 am Refreshment Break
10:30 am Surprises in Stress Echo - Good and Bad
Thomas Ryan, M.D.
11:00 am Multimodality Imaging for Acute Aortic Syndromes
Crystal Bonnichsen, M.D.
11:30 am Value of Echo vs CT in Coronary Artery Anomalies
Naser Ammash, M.D.
12:00 pm Panel Discussion
Drs. Ryan and Bonnichsen; Dr. Ammash, moderator
12:30 pm Adjourn for the afternoon.

IAC ECHOCARDIOGRAPHY ACCREDITATION WORKSHOP
Bring your laptop to work on your application.

Ms. Beverly Gorman (Sr. Director, IAC) and Ms. Pamela Burgess

3:00 pm Welcome
Ms. Gorman and Ms. Burgess
3:05 pm Brief overview of the IAC Echocardiography history and information regarding the structure of IAC
  • Why is was created, history.
  • Purpose of accreditation, what it is, what it is not.
  • Who is sponsoring organization are and their role.
  • IAC Echocardiography Board of Directors and their responsibility.
  • About the standards, basis for the program, minimum standards.
  • Company mission - improving health care through accreditation.
  • Reimbursement - what the IAC does and doesn't do.
3:40 pm

Steps to earning accreditation, reaccreditation

  • Gather information - what is needed to complete the application.
  • Internal self-assessment - what it is and how to perform, using the standards as their guide (attendees are encouraged to bring their policies, protocols). Tips and questions answered on how to review.
  • Case study requirements - how many, what pathology, how to pick cases (what if it's not a perfect case?), final reports (how to review).
  • Sample documents.
4:30 pm Dinner Break
4:45 pm

Quality Improvement

  • What it is, detailed discussion on the required QI measures (what they are, how much is required, and how often).
  • QI tool - if used, meets the requirements, view webcast. Used for audits.
  • QI meetings, what should be discussed, how many, who needs to attend, meeting minutes.
5:30 pm The online application - overview of the application, questions, and attachments
5:45 pm Pre-submission check - what it is and what it isn't
5:50 pm Final submission, what happens next
6:00 pm

Application decisions

  • What they are and what they do if delayed.
  • Decision letters and application review findings.
6:20 pm How your lab should run on a daily basis
6:30 pm Resources - overview of the website, samples, On Demand, live webinars
6:40 pm Closing Q&A
7:00 pm Adjourn


Friday, May 19, 2017

7:00 am Continental Breakfast - Heritage Foyer

ECHO FOR VALVE DISEASE
Dr. Roger Click, presiding

7:30 am Echo for Aortic Stenosis: How To
Fletcher Miller, Jr., M.D.
8:00 am Low Output Low Gradient Aortic Stenosis
Hari Chaliki, M.D.
8:30 am Echo for Aortic Regurgitation
Thomas Ryan, M.D.
9:00 am Echo for Right-Sided Valves
Garvan Kane, M.D., Ph.D.
9:30 am Panel Discussion
Drs. Miller, Chaliki, Ryan, and Kane; Dr. Click, moderator
10:00 am Refreshment Break
10:30 am Echo for Mitral Regurgitation: How To Quantify
Lori Blauwet, M.D.
11:00 am 3-D/TEE for Mitral Valve Interventions
Jeremy Thaden, M.D.
11:30 am Cases in Stress Echo for Hemodynamic Assessment
Garvan Kane, M.D., Ph.D.
12:00 pm Panel Discussion
Drs. Blauwet, Thaden, and Kane; Dr. Click, moderator
12:30 pm Lunch - Heritage C

PARELLEL SESSIONS
CONGENITAL HEART DISEASE (Main Ballroom)

Dr. Naser Ammash, presiding

1:30 pm Echocardiography in the Evaluation of RV Enlargement. Where Is That Shunt?
Naser Ammash, M.D.
2:00 pm Echo in Postop Simple Congenital Heart Disease
Crystal Bonnichsen, M.D.
2:30 pm Interventional Echo for Congenital Heart Disease
Allison Cabalka, M.D.
3:00 pm Panel Discussion
Drs. Bonnichsen and Cabalka; Dr. Ammash, moderator
3:30 pm Adjourn

TEE SIMULATOR (Foyer)
Dr. Fletcher Miller, Ms. Klug, and Ms. Harper

1:30 pm TEE Simulator
3:30 pm Adjourn


Saturday, May 20, 2017

7:00 am Continental Breakfast - Heritage Foyer

MORE VALVULAR AND SPECIAL TOPICS
Dr. Roger Click, presiding

7:30 am Echo for Aortic Prostheses
Jeremy Thaden, M.D.
8:00 am

Echo for TAVR: Pre and Post

Hari Chaliki, M.D.

8:30 am Echo for Mitral Prostheses
Lori Blauwet, M.D.
9:00 am Cardiac Masses
Roger Click, M.D., Ph.D.
9:30 am Panel Discussion
Drs. Thaden, Chaliki, and Blauwet; Dr. Click, moderator
9:45 am Refreshment Break
10:00 am Case Competition: You Be The Judge!
Dr. Thomas Ryan, moderator
Drs. Bonnichsen, Cullen, Pollak, Kremkau, Karon, and Cabalka, and Ms. Burgess
11:45 am Adjourn

PRINTABLE PROGRAM

Faculty

Directors: 
Fletcher Miller, Jr., M.D.
Roger Click, M.D., Ph.D.
Naser Ammash, M.D.
Pamela Burgess, RDCS, RDMS, RVT

Mayo Faculty:
Lori Blauwet, M.D.
Crystal Bonnichsen, M.D.
Allison Cabalka, M.D.
Hari Chaliki, M.D.
Michael Cullen, M.D.
Regina Harper, RDCS
Garvan Kane, M.D., Ph.D.
Barry Karon, M.D.
Rebecca Klug, RDCS
Jeremy Thaden, M.D.

Guest Faculty:
Beverly Gorman, RDCS
Frederick Kremkau, Ph.D.
Thomas Ryan, M.D.


FACULTY DISCLOSURE
As a provider accredited by ACCME, Mayo Clinic College of Medicine and Science (Mayo School of Continuous Professional Development) must ensure balance, objectivity, and scientific rigor in its education activities. Course directors, planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclosure all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put into place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

NATIONAL PHYSICIAN PAYMENT TRANSPARENCY PROGRAM
Mayo Clinic College of Medicine complies with the requirements of the National Physician Payment Transparency Program OPEN PAYMENTS (Physician Payment Sunshine Act).

Credit

Mayo Clinic College of Medicine and Science is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 26.25 AMA PRA Category 1 CreditsTMPhysicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Professionals
A certificate of attendance will be provided to other health care professionals for requesting credit in accordance with state nursing boards, specialty societies, or other professional associations.

Attendees should ensure in advance that their credentialing or licensing organization accepts AMA PRA Category 1 CreditsTM from the sponsor of this activity.


MOC
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 26.25 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Participation information will be shared with ABIM through PARS.

Pricing

MD, PhD, DO, PharmD $750
Fellow, Resident, RN, NP, PA, Sonographer $565

The registration fee includes tuition, electronic course syllabus, continental breakfasts, break refreshments, lunch, and reception. Although it is not Mayo Clinic Cardiovascular CME (CV CME) policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. Enrollment for this program is limited.

CANCELLATION POLICY
If you cancel your participation in this course, your registration fee, less a $75 administration fee, will be refunded when written notification is received by Mayo Clinic CV CME before May 3, 2017 (email: cvcme@mayo.edu). No refunds will be made on or after May 3, 2017. Canceled registrations are non-transferable.

NO SHOW POLICY
This course is intended to be a live learning experience. If you do not attend this course on-site as a live learner, you will not be allowed access to the materials/lectures during or after the course. No refunds will be given for no-show registrants.

Mayo Clinic CV CME reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo Clinic CV CME must cancel or postpone this course, Mayo Clinic CV CME will refund the registration fee, but is not responsible for any relates costs, charges, or expenses to participants, including fees assessed by airlines/travel/lodging agencies.

Lodging

Guest rooms have been reserved for attendees and their guests with special course rates at The Omni Grove Park Inn. In order to receive the group rate, reservations must be made before the room block is filled or before the expiration date of Monday, April 17, 2017, whichever comes first. Reservations will be taken after this date based on space and rate availability.

The Omni Grove Park Inn
290 Macon Avenue
Asheville, NC 28804

Group Rate: $249
Group Code: ECHO
Online Reservations
Phone Reservations: 800-438-5800

Lodging arrangements are the sole responsibility of the individual registrant.

Mayo Clinic CV CME is not responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the registrant.

TRAVEL INFORMATION
Asheville Regional Airport (AVL) is the recommended airport for arrival. Taxi or rental car is recommended mode of transportation from the airport. The hotel is located approximately 20 minutes from the airport.

Travel arrangements are the sole responsibility of the individual registrant.

Commercial Support

At the time of posting, a complete listing of commercial supports (financial or in-kind) was not available. Appropriate acknowledgement will be given to all supporters at the time of the meeting.

EXHIBIT OPPORTUNITIES
This course offers the opportunity for commercial companies to interact with health care providers and highlight their products and services. If you are interested in exhibit space during this course, please contact Sheila Fick. Exhibits will be available for viewing at all scheduled breaks.

Refer a Patient

Arizona: 866-629-6362

Florida: 800-634-1417

Minnesota: 800-533-1564


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