7TH Annual Perioperative Transesophageal ... - CME

Harvard Medical School 

Department of 

Continuing Education 

Beth Israel Deaconess 

Medical Center 

Department of Anesthesia, 

Critical Care and Pain Medicine 

7TH Annual Perioperative 

Transesophageal Echocardiography 

and Echo Boards Review 

(Basic & Advanced) 

October 2 - 5, 2010 

- 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

7TH ANNUAL PERIOPERATIVE TRANSESOPHAGEAL 

ECHOCARDIOGRAPHY AND ECHO BOARDS REVIEW 

COURSE DESCRIPTION: 

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. 

WHO SHOULD ATTEND: 

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. 

Course learning objectives include: 

- Participants will learn techniques to perform a comprehensive intraoperative exam 

- Participants will learn anatomy of the heart through hands-on porcine heart dissection 

- There will be a detailed discussion on challenging cases and diagnostic dilemmas 

- Comprehensive review of multiple choice questions 

COURSE LOCATION: 

The Fairmont Copley Plaza Hotel 

138 St. James Avenue 

Boston, MA 02116 

Telephone: 617-267-5300/800-441-1414 

Fax: 617-375-9648 

Hotel rooms in Boston are limited. You are urged to make your reservations early. A 

limited number of rooms have been reserved at The Fairmont Copley Plaza Hotel (617-267- 

5300 or 1-800-441-1414) until September 10, 2010. Please specify that you are enrolled in 

this course to receive a reduced room rate of $289 Single/Double. A map of Boston listing 

local hotels will be sent with your confirmation of enrollment. For additional housing 

assistance, please call Boston Reservations at (617) 332-4199. 

For information on reduced airfare, call HMS Travel Desk toll free 1(877) 4-HARVMD) 

1-877-442-7863 Monday - Friday, 9AM to 8PM (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 Women’s Hospital 

GUEST FACULTY 

Gerard Aurigemma, MD 

Professor of Medicine, 

University of Massachusetts 

Director, Noninvasive Cardiology, 

University of Massachusetts, 

Worcester, MA 

Arthur Bert, MD 

Professor, Clinical Professor Surgery 

(Anesthesiology) 

Department of Bio Med Surgery 

Brown University, Providence, RI 

Tommy Burch, MD 

Assistant Professor, Cardiothoracic Anesthesia 

Medical University of South Carolina, 

Charleston, SC 

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 

University 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 

Athena Poppas, MD 

Assistant Professor of Medicine, 

Brown Medical School 

Director, Echocardiography Laboratory, 

Rhode Island Hospital, Providence, RI 

Nikolaos Skubas, MD 

Weill Cornell Medical College 

New York, NY 

HARVARD MEDICAL SCHOOL COURSE FACULTY 

BBEETTHH IISSRRAAEELL DDEEAACCOONNEESSSS MMEEDDIICCAALL CCEENNTTEERR 

Ruma Bose, MD 

Robert Hagberg, MD 

Philip E. Hess, MD 

Kamal Khabbaz, MD 

Robina Matyal, MD 

John Mitchell, MD 

John Pawlowski, MD, PhD 

Frank Sellke, MD 

Sajid Shahul, MD 

Marc Shnider, MD 

Brett Simon, MD, PhD 

Balachundhar Subramaniam, MD 

Sugantha Sundar, MD 

Senthilnathan Venkatachalam, MD 

Madhav Swaminathan, MD 

Associate Professor Anesthesiology, 

Duke University Medical School, Durham, NC 

Director, Perioperative Echocardiography, 

Duke University Medical Center, Durham, NC 

BBRRIIGGHHAAMM AANNDD WWOOMMEENN’’SS HHOOSSPPIITTAALL 

Julie Bertozzi, BS 

Lauren Cornella, MD 

Amanda Fox, MD 

John Fox, MD 

Andrew Locke, BS 

Annette Mizuguchi, MD, PhD 

J. Daniel Muehlschlegel, MD 

Prem Shekar, MD 

Stanton Shernan, MD 

MMAASSSSAACCHHUUSSEETTTTSS GGEENNEERRAALL HHOOSSPPIITTAALL 

Mark Adams, RDCS 

Michael Fitzsimons, MD 

Scott Strekenbach, MD

Also 

Offered 

Five-Day Observation in the Operating Room 

Problem-Based Learning Discussions 

Probe Manipulation and Handling 

Image Acquisition and Optimization 

Echo Boards Review 

Presented by: 

Training in Perioperative Transesophageal 

Echocardiography Live Cases and 

Now with the TEE Simulator 

Harvard 

Medical 

School 

Training in Perioperative Transesophageal Echocardiography 

● Offered one week a month 

● 40 AMA PRA Category 1 Credits 

● Maximum two participants per week 

● Real-time decision making in the operating room 

Course Director: Feroze Mahmood, MD 

Co-Directors: Peter Panzica, MD 

Balachundar Subramaniam, MD 

VISIT OUR WEBSITE: www.cme.hms.harvard.edu/courses/pte 

for more information or contact Ronald Mayes @ (617) 667-5039 

or rmayes@bidmc.harvard.edu 

Echo Preceptorship

www.cme.hms.harv ard.edu/courses/tee

SATURDAY, OCTOBER 2, 2010 

BASIC DAY 

6:00-7:15am Registration & Continental Breakfast 

7:15-7:30 Welcome & Introductory Remarks Feroze Mahmood, MD 

Brett Simon, MD, PhD 

7:30-8:00 TEE Imaging Planes and Orientation | Gregg Hartman, MD 

8:00-8:30 Comprehensive Intraoperative Echo Examination | Albert Cheung, MD 

8:30-9:00 Image Optimization and Knobology | Mark Adams, RDCS 

9:00-9:30 Artifacts and Pitfalls | Gregg Hartman, MD 

9:30-9:45 Questions and Answers MMooddeerraattoorr | Feroze Mahmood, MD 

9:45-10:00 BBrreeaakk aanndd DDiissppllaayy 

10:00-10:30 Systolic Function Assessment | Michael Fitzsimons, MD 

10:30-11:00 Assessment of Mitral Regurgitation | Albert Cheung, MD 

11:00-11:30 Right Ventricular Function | Kay Leissner, MD 


11:45-12:15pm Aortic Valve Assessment | Amanda Fox, MD 

12:15-12:45 Tricuspid and Pulmonary Valves | Arthur Bert, MD 

12:45-1:00 Questions and Answers MMooddeerraattoorr | Peter Panzica, MD 

1:00-2:00 LLuunncchh oonn yyoouurr oowwnn 

LIVE PORCINE DISSECTION MMooddeerraattoorrss | JJoohhnn FFooxx,, MMDD 

| DDoouuggllaass SShhooookk,, MMDD 

2:00-4:30 PORCINE DISSECTION 

- One Heart per Person JJoohhnn FFooxx,, MMDD 

- Detailed Overview of Anatomy AAnnddrreeww LLoocckkee,, BBSS 

- Valvular Anatomy and Echocardiographic 

Correlations JJuulliiee BBeerrttoozzzzii,, BBSS 

LLaauurreenn CCoorrnneellllaa,, MMDD 

4:30-4:45 BBrreeaakk 

PHYSICS WORKSHOP 

Handouts/Questions/Answers (Interactive) | FFeerroozzee MMaahhmmoooodd,, MMDD 

4:45-6:15pm 

HANDS–ON REGIONAL AND VASCULAR ACCESS 

WORKSHOP WWoorrkksshhoopp DDiirreeccttoorr | MMaarrcc SShhnniiddeerr,, MMDD 

6:15-8:15pm | PPhhiilliipp HHeessss,, MMDD 

Description: 1. Phantom Models for Vascular Access 

2. Phantom Models for Nerve Blocks 

3. Live Models for Anatomical Display 

4. Hands-On Experience on Multiple Stations 

5. Image Optimization and Equipment Overview 

Pre-registration 

is Required 

Faculty: Balachundhar Subramaniam, MD, Robina Matyal, MD, Ruma Bose, MD, 

Sugantha Sundar, MD, Marc Shnider, MD, Sajid Shahul, MD

SUNDAY, OCTOBER 3, 2010 

6:00-7:00am BBRREEAAKKFFAASSTT 

AORTIC VALVE SYMPOSIUM MMooddeerraattoorr | John Pawlowski, MD 

7:00-7:30 Unanticipated Aortic Stenosis | Adam Lerner, MD 

7:30-8:00 Aortic Regurgitation | Athena Poppas, MD 

8:00-8:30 Aortic Valve Repair | Robert Hagberg, MD 

8:30-9:00 Aortic Valve Case - Presentation and Discussion | John Mitchell, MD 

9:00-9:15 Questions, Answers and Discussion 


MISCELLANEOUS PRESENTATIONS 

9:30-10:00 Prosthetic Valve Assessment | Scott Strekenbach, MD 

10:00-10:30 TEE and Congenital Heart Disease | Tommy Burch, MD 

10:30-11:00 Pericardial Disease | Peter Panzica, MD 

11:00-11:15 Questions and Discussion MMooddeerraattoorr | Adam Lerner, MD 

TEE TRAINING AND CERTIFICATION 

11:15-12:15 | GGrreegggg HHaarrttmmaann,, MMDD 

12:15-1:15 Lunch on your own 

MITRAL VALVE SYMPOSIUM MMooddeerraattoorr | PPeetteerr PPaannzziiccaa,, MMDD 

AA sseerriieess ooff pprreesseennttaattiioonnss bbyy AAnneesstthheessiioollooggiissttss aanndd CCaarrddiioollooggiissttss,, 

FFoolllloowweedd bbyy cchhaalllleennggiinngg ccaassee pprreesseennttaattiioonnss aanndd lliivveellyy ddiissccuussssiioonn wwiitthh SSuurrggeeoonnss 

1:15-1:45 Echocardiographic Anatomy of Mitral Valve | Douglas Shook, MD 

1:45-2:15 Surgeon’s Expectations from TEE for Mitral 

Valve Repair | Kamal Khabbaz, MD 

2:15-2:45 Assessment of Mitral Valve for Suitability for 

Repair | Feroze Mahmood, MD 


3:00-3:30 Echocardiographic Assessment of a Repaired 

Mitral Valve | Andrew Maslow, MD 

3:30-4:00 Ischemic Mitral Regurgitation-Assessment 

in the Operating Room | Stanton Shernan, MD 

4:00-5:00 Mitral Valve Case Presentations J. Daniel Muehlschlegel, MD 

Bala Subramaniam, MD 

Surgical Panel Robert Hagberg, MD 

Kamal Khabbaz, MD 

Frank Sellke, MD 

5:00 CCoonncclluuddiinngg RReemmaarrkkss | Prem Shekar, MD 

ECHO BOARDS REVIEW - SESSION I 

Hemodynamics 

OCTOBER 3RD 5:00-8:00 PM 

Moderators: Feroze Mahmood, MD, Peter Panzica, MD 

Faculty: Kevin Cumminsford, MD, John Mitchell, MD, John Pawlowski, MD, PhD

MONDAY, OCTOBER 4, 2010 


DIASTOLIC FUNCTION SYMPOSIUM MMooddeerraattoorr | Douglas Shook, MD 

7:00-7:30 Diastolic Function Assessment - 

Cardiologist’s Perspective | Gerard Aurigemma, MD 

7:30-8:00 Diastolic Function Assessment - 

Anesthesiologist’s Perspective | Madhav Swaminathan, MD 

8:00-8:30 Doppler Tissue Imaging - | Nikolaos Skubas, MD 

8:30-9:00 Strain and Strain Rate Imaging - An Introduction | Madhav Swaminathan, MD 

9:00-9:30 Case Presentation and Discussion | Gerard Aurigemma, MD 


AORTA AND INTRACARDIAC MASSES 

9:45-10:15 Echocardiographic Assessment of Aortic Dissection | Albert Cheung, MD 

10:15-10:45 TEE and Endovascular Aortic Stenting Procedures | Madhav Swaminathan, MD 

10:45-11:15 Intracardiac Masses | Peter Panzica, MD 

11:15-11:45 Epicardial Echocardiography | John Fox, MD 

11:45-12:15pm Questions and Discussion MMooddeerraattoorr | John Pawlowski, MD 

12:15-1:30 LLuunncchh oonn yyoouurr oowwnn 

1:30-2:30pm ECHO JEOPARDY Peter Panzica, MD 


Game Style Format 

Echo Questions 

Audience Participation 

Prizes 

PERIOPERATIVE THREE-DIMENSIONAL 

ECHOCARDIOGRAPHY SYMPOSIUM 

MMooddeerraattoorr | Peter Panzica, MD 

2:30-3:00 Current Status of Three-Dimensional 

Echocardiography in the OR | Stanton Shernan, MD 

3:00-3:30 Three-Dimensional Echocardiography: 

Principles and Technical 

Considerations | Feroze Mahmood, MD 


3:45-4:15 Three-Dimensional Anatomy Mitral Valve: 

New Insights into Scallop Identification | G. Burkhard Mackenson, MD 

4:15-5:00 Case Presentations | G. Burkhard Mackenson, MD 

5:00 AAddjjoouurrnn

Moderators: Feroze Mahmood, MD 

Kay Leissner, MD 

Faculty: Robina Matyal, MD 

Sajid Shahul, MD 

Balachundhar Subramaniam,MD 

TUESDAY, OCTOBER 5, 2010 


7:00-9:30 Challenging Case Presentations and MMooddeerraattoorr | AAnnddrreeww MMaassllooww,, MMDD 

Discussion 

Participants: John Fox, MD, Albert Cheung, MD, Scott Streckenbach, MD, 

Adam Lerner, MD, Kay Leissner, MD, Senthilnathan Venkatachalam, MD, 

Robert Hagberg, MD, Kamal Khabbaz, MD 

9:30 CCoonncclluuddiinngg RReemmaarrkkss | Feroze Mahmood, MD 

Moderators: Feroze Mahmood, MD 

Peter Panzica, MD 

John Pawlowski, MD 


OBJECTIVES: 

ECHO BOARDS REVIEW - SESSION III 

Basic/Advanced 

OCTOBER 5TH 10:00-4:00 PM 

1. Explanation of the format of the Echo Boards Exam 

2. Comprehensive review of the exam content outline with multiple choice questions and 

explanations 

3. Have the attendees take a simulated echo board examination, which will consist of video 

clips as well as theoretical questions 

Part–I: 

Audience Response System and Statistics | Sugantha Sundar, MD 

Question and Answers/Explanations Robina Matyal, MD 

10:00–10:15am Exam Overview | Feroze Mahmood, MD 

10:15–12:15pm Board Questions & Explanations Feroze Mahmood, MD 

John Pawlowski, MD 

12:15–1:30pm Boxed Lunch Provided 

Part–II: 

1:30–3:30pm Simulated Echo Exam 

3:30–4:00pm Explanation and Answers 

ECHO BOARDS REVIEW - SESSION II 

MOCK EXAM 

OCTOBER 4TH 5:00-8:00 PM 

OBJECTIVES: 

1. Video Exam 

2. Exam overview with faculty 

3. Mock Exam with written questions and answers 

4. Interactive discussions 

(Participants will be provided with individual calculators/handouts for this portion of the exam) 

4:00pm Concluding Remarks and Adjourn

7th Annual Perioperative Transesophageal Echocardiography 

and Echo Boards Review October 2 - 5, 2010 

Register early, space is limited. All foreign payments must be made by a draft on a United States 

Bank or by Visa or MasterCard. If paying by check, please make payable to Harvard Medical School 

and mail with completed registration form to Harvard Medical School - Department of Continuing 

Education, P.O. Box 825, Boston, MA 02117-0825. If paying by credit card, please register online at 

www.cme.hms.harvard.edu/courses/tee. Telephone or mail-in registration with credit card payment 

is not accepted. Inquiries should be directed to the above address, made by phone: 617-384-8600, 

Monday-Friday, 10 AM to 4 PM (EST), or by e-mail: hms-cme@hms.harvard.edu. Upon receipt of your 

registration form an email confirmation from the HMS-DCE office will be sent to you. Therefore, 

be sure to include an email address that you check daily/frequently. Your email address is used for 

critical information about the course including: registration confirmation, course evaluation and 

certificate. 

REFUND POLICY: A handling fee of $60 is deducted for cancellation. Refund requests must be 

received by mail or fax one week prior to the course. No refunds will be made thereafter. 

REGISTRATION INFORMATION: 

Physicians - Course Only $990 (USD), Course & Echo Boards Review $1250 (USD) 

Residents*/Fellows in Training* - Course Only $590 (USD), Course & Echo Boards Review $625 (USD) 

Allied Health Professionals - Course Only $590 (USD), Course & Echo Boards Review $625 (USD) 

ACCREDITATION: 

Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education 

(ACCME) to provide continuing medical education for physicians. 

Harvard Medical School designates this educational activity for a maximum of the following AMA PRA 

Category 1 Credit(s) TM : 

Course Only: 26.75 

Optional Evening Physics Workshop and Hands-On Regional and Vascular Workshop: 

(Saturday, October 2) 3.5 

Echo Boards Review: 10.75 

Physicians should only claim credit commensurate with the extent of their participation in the activity. 

The American Medical Association has determined that physicians not licensed in the US who participate 

in the CME activity are eligible for AMA PRA Category 1 Credit(s).

✄ 

7th Annual Perioperative Transesophageal Echocardiography and Echo Boards Review Class #301288 

Choose Your Fee: Course Only Course & Echo Boards Review 

Physicians $990 (USD) $1250 (USD) 

Residents*/Fellows in Training* $590 (USD) $625 (USD) 

Allied Health Professionals $590 (USD) $625 (USD) 

*A letter of verification from Department Chair must accompany registration form for a reduced fee. 

YES! I will attend NO, I will not attend the optional Physics Workshop and Hands-On 

Regional and Vascular Workshop on Saturday, October 2, from 4:45 PM - 8:15 PM. 

(Pre-registration is required.) 

All Fields Required. Please Print Clearly: 

_______________________________________________________________________ 

First Name Middle Initial Last Name 

_______________________________________________________________________ 

Degree 

_______________________________________________________________________ 

Street Address City State/Province Zip/Postal Code 

_______________________________________________________________________ 

Country Daytime Phone Fax Number 

_______________________________________________________________________ 

Email Address Upon receipt of your registration form an email confirmation from the HMS-DCE office will be sent to you. Therefore, be sure to 

include an email address that you check daily/frequently. Your email address is used for critical information about the course 

including: registration confirmation, course evaluation and certificate. 

Please check if you wish to be excluded from receiving email notices of future Harvard Medical School - Department of 

Continuing Education programs. 

_______________________________________________________________________ 

Professional School Attend Year of Graduation Board Certified? Yes No 

_______________________________________________________________________ 

Primary Specialty (Physicians Only) Organization Affiliation 

PAYMENT INFORMATION: 

If paying by check, please make payable to Harvard Medical School and mail to: 

Harvard Medical School - Department of Continuing Education 

P.O. Box 825, Boston, MA 02117-0825 

If paying by credit card, telephone, fax or mail-in registrations are not accepted. Please register online at: 

Online Registrants: Add the first three 

characters of the source code found here 

www.cme.hms.harvard.edu/courses/tee 

Source Code: A WEB B C D E X Z

7TH Annual Perioperative Transesophageal ... - CME

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