mayo cardiovascular review course for cardiology boards and recertification; pre-course session -...

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17 TH ANNUAL Mayo Cardiovascular Review Course for Cardiology Boards and Recertification Mayo School of Continuous Professional Development September 29 – October 4th, 2012 Mayo Civic Center – Exhibit Hall Rochester, Minnesota Course Directors Steve R. Ommen, M.D. Rick A. Nishimura, M.D. In this patient with a systolic murmur and EF 62%, what is the major pathophysiologic abnormality? A. Increased wall stress, increased preload B. Decreased afterload, decreased preload C. Decreased wall stress, increased preload D. Increased afterload, normal preload E. Don’t know - better come to course http://www.mayo.edu/cme/cvbr2012 PRE-COURSE SESSION Echo Focus Session – September 28th & 29th, 2012 BONUS FEATURE Register for the course and receive access to online content that will test your knowledge and identify gaps in preparation for the exam.

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Page 1: Mayo Cardiovascular Review Course for Cardiology Boards and Recertification; Pre-Course Session - Echo Focus

17TH AnnuAl Mayo Cardiovascular Review Course for Cardiology Boards and Recertification

Mayo School of Continuous Professional Development

September 29 – October 4th, 2012

Mayo Civic Center – Exhibit HallRochester, Minnesota

Course Directors Steve R. Ommen, M.D. Rick A. Nishimura, M.D.

In this patient with a systolic murmur and EF 62%, what is the major pathophysiologic abnormality?

A. Increased wall stress, increased preload

B. Decreased afterload, decreased preload

C. Decreased wall stress, increased preload

D. Increased afterload, normal preload

E. Don’t know - better come to course

http://www.mayo.edu/cme/cvbr2012

PRE-COURSE SESSION

Echo Focus Session – September 28th & 29th, 2012

BONUS FEATURERegister for the course and receive access to online content that will test your knowledge and identify gaps in preparation for the exam.

Page 2: Mayo Cardiovascular Review Course for Cardiology Boards and Recertification; Pre-Course Session - Echo Focus

Location17th Annual Mayo Cardiovascular Review Course for Cardiology Boards and Recertification (CVBR) will be held at the Mayo Civic Center, 30 Civic Center Drive SE, Rochester, Minnesota. The Civic Center is located within a few blocks of downtown hotels and is joined by a skyway system.

RegistrationRegister On-Line at: http://www.mayo.edu/cme/cvbr2012. The registration fee includes tuition, course syllabus, daily continental breakfast, refreshment breaks, lunch and dinner. This course has sold out in the past, and the size of conference room facilities may necessitate closing registration; therefore, early registration is strongly advised. A letter of confirmation will be sent by email upon receipt of payment and completed registration. Registrations not accompanied by full payment will not be accepted. Please present the confirmation letter when checking in at the meeting registration desk.

To view the program schedule, visit: http://www.mayo.edu/cme/cvbr2012

Cancellation PolicyIf registration must be canceled, a refund of the tuition less a $75 administrative fee for CVBR and $25 for the Echo Focus Session will be made when written notification is received by the Division of Cardiovascular Diseases before September 14, 2012 ([email protected]). After September 14, 2012, no refunds can be made due to advance commitments and guarantees. Canceled registrations are non-transferable.

Mayo School of CPD and the Division of Cardiovascular Diseases reserves the right to cancel or

postpone any course due to unforeseen circumstances. In the unlikely event Mayo School of CPD must cancel or postpone this course, Mayo School of CPD will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

Lodging AccommodationsA block of guestrooms will be held at the following hotels until September 6, 2012.

Kahler Grand Hotel 20 Second Avenue SW Room Rate - $95/$132 Single Double 800-533-1655, 507-282-2581

Bridgestreet Broadway Plaza 15 First Street SE Room Rate - $152 one-bedroom/ $182 two-bedroom/night 1-507-424-4200

Kahler Inn and Suites Nine Third Avenue NW Standard Room $89 Single/Double 800-533-1655, 507-289-8646

Hilton Garden Inn 225 South Broadway Room Rate - $112 Single/Double 507-285-1234

Double Tree Hotel 150 South Broadway Room Rate - $129 Single/Double 800-333-3333, 507-281-8000

Rochester Marriott Hotel 101 1st Avenue SW Room Rate - $162 Single/Double 877-623-7775, 507-280-6000

When making your lodging reservations, please identify yourself as a participant in the “Mayo Cardiology Board Review”. Early reservations at the hotel of your choice are recommended.

Page 3: Mayo Cardiovascular Review Course for Cardiology Boards and Recertification; Pre-Course Session - Echo Focus

ParkingParking is available in hotel, city, and Mayo patient/visitor ramps. The cost for parking is not included in the registration fee. For more information on parking, visit the Rochester Convention and Visitors Bureau at www.RochesterCVB.org.

Check-InEarly check-in – Thursday, September 27, 2012 6:00 p.m. – 8:00 p.m.

Check-In begins Friday, September 28, 2012 6:30 a.m.

The meeting registration desk will be located in the North Lobby at the Mayo Civic Center.

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

College of Medicine, Mayo Clinic, designates this educational activity for a maximum of:

Mayo Cardiovascular Review Course for Cardiology Boards and Recertification-Session I = 46.00

Mayo Cardiovascular Review Course for Cardiology Boards and Recertification-Session II = 46.50

Echo Focus Session = 11.50

AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Intended AudienceThis course is intended for cardiologists, cardiovascular fellows and general internists.

Course DescriptionMayo Cardiovascular Review Course for Cardiology Boards and Recertification will provide the internist and cardiologist with an overview of all aspects of cardiovascular medicine. Well-known experts in each field will give in-depth didactics on state-of-the-art subjects in cardiovascular medicine. Each lecture will be followed by a multiple question and answer session with an audience response system. Although this course is designed specifically to prepare the cardiovascular specialist for the Cardiovascular Boards, it will also provide the internist or practicing cardiologist with an update on the latest knowledge and advances in cardiovascular medicine.

There will be special sessions for both those taking the CV Board Certification Examination, including lectures on board-taking hints, pharmacology, statistics, cardiovascular hemodynamics and molecular biology. There will be a special session focused on ECG and Image Coding.

For those who are undergoing re-certification, a special session will be held of which the ABIM knowledge modules will be presented in an interactive educational format.

Page 4: Mayo Cardiovascular Review Course for Cardiology Boards and Recertification; Pre-Course Session - Echo Focus

Course Learning ObjectivesUpon conclusion of this program, participants should be able to:

• Interpret EKG and EP tracings.

• Evaluate the patient with adult congenital heart disease.

• Interpret echocardiographic images.

• Analyze hemodynamic catheterization traces.

• Apply basic cardiovascular physiology to patient care.

• Diagnose and treat the patient with acute coronary symptoms.

• Evaluate the patient with heart failure.

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

Course Registration FeeCardiovascular Board Review Course tuition is $998.00. The Cardiovascular Board Review has sold out in the past. The size of conference room facilities may necessitate closing registration; therefore, early registration is strongly advised.

Question And Answer SessionsThis review course will incorporate the use of an instantaneous audience response system which simulates the board examination. Speakers will present multiple choice questions to the audience. Participants’ collective responses will be shown on the screen at the front of the room. Responses will indicate what percentage of participants answered correctly and indicate topic areas needing further discussion or review.

Online Course ContentCourse attendees will receive access to a password protected interactive website that features:

• 2011 Course presentations for review prior to the 2012 course

• 2012 Course presentations for review post-course

Meet The ExpertCourse participants will have opportunities to network with experts from the Mayo Clinic cardiology specialty practices and clinics, including surgeons. These physicians will be available at scheduled times for case discussions and specific patient questions.

Social EventsAttendees are invited to attend to two complimentary receptions. A welcome reception will be held Sunday, September 30th and a farewell reception which will be held Wednesday, October 4th. Locations will be available upon arrival at the course.

Page 5: Mayo Cardiovascular Review Course for Cardiology Boards and Recertification; Pre-Course Session - Echo Focus

Faculty Course Director(s) Rick A. Nishimura, M.D. Steve R. Ommen, M.D.

Mayo Faculty

Michael J. Ackerman, M.D., Ph.D. Samuel J. Asirvatham, M.D. Larry M. Baddour, M.D. Gregory W. Barsness, M.D. Barry A. Borlaug, M.D. Peter A. Brady, M.D. John F. Bresnahan, M.D. Charles J. Bruce, M.D. Allison Cabalka, M.D. Alfredo L. Clavell, M.D. Heidi M. Connolly, M.D. Leslie Cooper, M.D. Raul E. Espinosa, M.D. Robert P. Frantz, M.D. Paul A. Friedman, M.D. Thomas C. Gerber, M.D., Ph.D. Martha Grogan, M.D. Rajiv Gulati, M.D., Ph.D

Stephen C. Hammill, M.D. Todd Hurst, M.D. Michael J. Hogan, M.D. Garvan C. Kane, M.D., Ph.D. Kyle W. Klarich, M.D. Amir Lerman, M.D. Sunil V. Mankad, M.D. Robert D. McBane, M.D. Robert B. McCully, M.D. Thomas M. Munger, M.D. Joseph G. Murphy, M.D. Rick A. Nishimura, M.D. Steve R. Ommen, M.D. Naveen L. Pereira, M.D. Brian D. Powell, M.D. Abhiram Prasad, M.D Margaret M. Redfield, M.D. Charanjit S. Rihal M.D. Win-Kuang Shen, M.D. Robert D. Simari, M.D. Paul Sorajja, M.D. Henry H. Ting, M.D. Carole A. Warnes, M.D. Phillip M. Young, M.D.

Page 6: Mayo Cardiovascular Review Course for Cardiology Boards and Recertification; Pre-Course Session - Echo Focus

Program ScheduleSATURDAY, SEPTEMBER 29, 2012

Optional Pre-Course Session

Special Board Review Session

7:00 a.m. Continental Breakfast

7:45 a.m. How to Ace the Cardiovascular Boards

8:40 a.m. Multiple Choice Questions – Pre-Test

9:35 a.m. Refreshment Break

10:05 a.m. Statistics for the Cardiovascular Boards

11:00 a.m. Basic Principles of Cardiovascular Pharmacology

11:55 a.m. Luncheon

Official Start of the Course

12:40 p.m. Welcome

12:50 p.m. Introduction to the Course

Myocardial, Pericardial and Vascular Disease

1:00 p.m. The Cardiomyopathies

1:35 p.m. Test Questions

1:55 p.m. Diseases of the Aorta and Peripheral Arteries

2:30 p.m. Test Questions

2:50 p.m. Refreshment Break

3:20 p.m. Veins and Lymphatics

3:55 p.m. Test Questions

4:15 p.m. Pericardial Disease

4:50 p.m. Test Questions

5:10 p.m. Dinner Break

6:30 p.m. Special Evening Session:

Cardiology Basics for Boards: Ventricular Function

7:30 p.m. Day Adjourns

SUNDAY, SEPTEMBER 30, 2012

Coronary Artery Disease: Acute and Chronic

7:00 a.m. Continental Breakfast

8:00 a.m. Mechanism of Atherosclerosis: Coronary Physiology and Endothelial Function

8:35 a.m. Test Questions

8:55 a.m. Risk Factors for Development of Coronary Artery Disease: Strategies for Primary and Secondary Prevention

9:30 a.m. Test Questions

9:50 a.m. Refreshment Break

10:20 a.m. Risk Stratification for Coronary Artery Disease: Chronic CAD, Post-ACS, and Pre-operative Evaluation

10:55 a.m. Test Questions

11:15 a.m. Revascularization for Chronic Coronary Disease

11:50 a.m. Test Questions

12:10 p.m. Luncheon

1:00 p.m. Acute Coronary Syndromes: Reperfusion Strategies

1:35 p.m. Test Questions

1:55 p.m. STEMI: Adjunctive Management Strategies

2:30 p.m. Test Questions

2:50 p.m. Refreshment Break

3:20 p.m. NSTEMI: Adjunctive Management Strategies

4:05 p.m. Test Questions

4:25 p.m. Mechanical Complications of Acute Myocardial Infarction

Page 7: Mayo Cardiovascular Review Course for Cardiology Boards and Recertification; Pre-Course Session - Echo Focus

5:00 p.m. Test Questions

5:20 p.m. Special Evening Session:

CT MRI Imaging Cases – Test Your Knowledge

6:30 p.m. Welcome Reception

MONDAY, OCTOBER 1, 2012

The Electrical System of the Heart (Electrocardiography, Arrhythmia, Electrophysiology Testing, Drugs)

7:00 a.m. Continental Breakfast

8:00 a.m. Electrocardiography: Bundle Branch Block and Atrioventricular Block

9:00 a.m. Electrocardiography: Hypertrophy and Myocardial Infarction

10:00 a.m. Refreshment Break

10:30 a.m. Intracardiac Tracings

11:00 a.m. Test Questions

11:15 a.m. The Cardiac Channelopathies (LQT, Brugada)

11:45 a.m. Test Questions

12:00 noon Luncheon (Optional: Meet the Experts)

12:45 p.m. Atrial Fibrillation (Bottom line treatment for maintaining sinus rhythm, rate control and stroke prevention)

1:15 p.m. Test Questions

1:30 p.m. Supraventricular Arrhythmias

2:00 p.m. Test Questions

2:15 p.m. Ventricular Arrhythmias

2:35 p.m. Test Questions

2:50 p.m. Refreshment Break

3:20 p.m. ICD – Indications and Basic Troubleshooting

3:40 p.m. Test Questions

3:55 p.m. Pacemakers & Cardiac Resynchronization Therapy

4:20 p.m. Test Questions

4:35 p.m. Antiarrhythmic Agents

5:05 p.m. Test Questions

5:20 p.m. Buffet Dinner

6:30 p.m. Special Evening Session: EP Mock Test: Putting It All Together

7:30 p.m. Day Adjourns

TUESDAY, OCTOBER 2, 2012

Congenital Heart Disease, Pregnancy in Heart Disease and Pulmonary Hypertension

7:00 a.m. Continental Breakfast

8:00 a.m. Congenital Heart Disease: Part 1: Simple

8:35 a.m. Test Questions

8:55 a.m. Congenital Heart Disease: Part 2: Complex

9:40 a.m. Test Questions

9:55 a.m. Refreshment Break

10:20 a.m. Pregnancy and the Heart

10:55 a.m. Test Questions

11:15 a.m. Pulmonary Hypertension

11:50 p.m. Test Questions

12:10 p.m Luncheon

Valvular Heart Disease

1:00 p.m. The Physical Exam

1:35 p.m. Test Questions

1:55 p.m. Valvular Stenosis

2:30 p.m. Test Questions

2:50 p.m. Refreshment Break

3:20 p.m. Valvular Stenosis

3:55 p.m. Test Questions

4:15 p.m. Prosthetics Valves and Other Forms of Valve Disease

4:50 p.m. Test Questions

5:10 p.m. Dinner

6:30 p.m. Hemodynamics

7:30 p.m. Day Adjourns

Page 8: Mayo Cardiovascular Review Course for Cardiology Boards and Recertification; Pre-Course Session - Echo Focus

WEDNESDAY, OCTOBER 3, 2012

Diabetes, HTN, IE and Carotid and Renal Vascular Disease

7:00 a.m. Continental Breakfast

8:00 a.m. Diabetes and the Heart

8:35 a.m. Test Questions

8:55 a.m. Hypertension

9:30 a.m. Test Questions: Hypertension

9:50 a.m. Refreshment Break

10:20 a.m. Infective Endocarditis

10:55 a.m. Test Questions

11:15 a.m. Carotid and Renal Vascular Disease

11:50 a.m. Test Questions

12:10 p.m. Luncheon (Optional: Meet the Experts)

Optional Sessions:

1:00 p.m. – 6:00 p.m.

Optional Session 1: ABIM Medical Knowledge Modules (Intended for Recertification and General CV Review)

Presentation Hall

1:00 – 3:15 Cardiovascular Disease, 2011 Update

3:15 – 3:45 Break

3:45 - 6:00 Cardiovascular Disease, 2012 Update

1:00 p.m. – 6:30 p.m.

Optional Session 2: ECG, Angiography and Echocardiography Coding for the Board Exam

Exhibit Hall

7:30 p.m. Farewell Reception/Dinner

Nathan Landow Atrium, Subway Level of the Gonda Building

THURSDAY, OCTOBER 4, 2012

Heart Failure

7:00 a.m. Continental Breakfast

8:00 a.m. Systolic Heart Failure: Etiology, Pathophysiology and Clinical Evaluation

8:35 a.m. Test Questions

8:55 a.m. Medical Treatment of Chronic Stable and Acute Decompensated Systolic Heart Failure

9:30 a.m. Test Questions

9:50 a.m. Refreshment Break

10:20 a.m. Cardiac Device and Replacement Therapy (Transplant)

10:55 a.m. Test Questions

11:15 a.m. Diastolic Heart Failure

11:50 a.m. Test Questions

12:10 p.m. Lunch

1:00 p.m. Review and Post-test

2:30 p.m. Course Adjourns

Page 9: Mayo Cardiovascular Review Course for Cardiology Boards and Recertification; Pre-Course Session - Echo Focus

Echo Focus Session (Concurrent)Friday, September 28 – Saturday, September 29, 2012

Intended AudienceThis course is intended for cardiologists, cardiovascular fellows and general internists.

Echo Focus Session DescriptionThe Focus Session on Echocardiography is a full day and a half session running partially concurrent with the Mayo Cardiovascular Board Review Course for Cardiology Boards and Recertification. The session is geared towards cardiology fellows and practicing cardiologists with basic knowledge of Echocardiography. The session will be entirely based on echocardiography cases and cover the following areas: doppler hemodynamics, evaluation of systolic and diastolic function, coronary artery disease, valvular heart diseases, cardiomyopathies, pericardial disease, cardiac conditions due to systemic diseases, echocardiography in heart failure, transesophageal echocardiography, tissue Doppler and strain imaging and evaluation of mechanical dyssynchrony for CRT. Use of echocardiography in clinical patient management will be emphasized.

Echo Focus Session ObjectivesAt the conclusion of this session, the participants should be able to:

• Utilize Echo and Doppler information for management of patients with various cardiovascular conditions.

• Identify new echocardiographic modalities for clinical use such as tissue Doppler and strain imaging.

• Recognize common and unusual cardiovascular conditions confidently by echocardiography.

Echo Focus Session Registration FeeFor participants also attending the Cardiovascular Review Course for Cardiology Boards and Recertification, the Focus Session tuition is $99.

Faculty Course Director(s) Nasser Ammash, M.D. Kyle W. Klarich, M.D. Jae K. Oh, M.D.

Mayo Faculty Niti R. Aggarwal, M.D. Daniel D. Borgeson, M.D. Frank Cetta, Jr., M.D. Thais E. Coutinho, M.D. Raul Espinosa, M.D. Nowell M. Fine, M.D. William K. Freeman, M.D. Tom Foley, M.D. Kyle W. Klarich, M.D. Susan H. Kwon, M.D. Grace Lin, M.D. Joseph F. Maalouf, M.D. Hector Michelena, M.D. Sharon L. Mulvagh, M.D. Vuyisile T. Nkomo, M.D. Adelaide M. Olson, M.D., Ph.D. Steve R. Ommen, M.D. Patricia A. Pellikka, M.D. Tyler J. Peterson, M.D. Sabrina Phillips, M.D. Sorin V. Pislaru, M.D., Ph.D. Peter C. Spittell, M.D. Hector R. Villarraga, M.D.

Page 10: Mayo Cardiovascular Review Course for Cardiology Boards and Recertification; Pre-Course Session - Echo Focus

EchoFocus Session September 28-29, 2012

FRIDAY SEPTEMBER 28, 2012

Basic Echo: Systolic and Diastolic Function Analysis

7:00 a.m. Breakfast

7:20 a.m. Intro – Welcome

7:30 a.m. M-Mode – (Color M-mode + Basic Board Review Type)

8:00 a.m. LV Systolic Function and Strain Imaging

8:30 a.m. Doppler Hemodynamics

9:00 a.m. LV Diastolic Function

9:30 a.m. BREAK

Assessment of Valvular Heart Disease

10:00 a.m. Valvular Regurgitation

10:30 a.m. Valvular Stenotic Lesions

11:00 a.m. Tricuspid & Pulmonary Valves – Acquired & Congenital

11:30 a.m. Prosthetic Valves

12:00 p.m. TEE and Endocarditis

12:30 p.m. LUNCH

Assessment of Cardiomyopathies

1:30 p.m. Cardiomyopathy – Restrictive

2:00 p.m. Dilated Cardiomyopathy and LVAD

2:30 p.m. RV Function – Pressure Assessment

3:00 p.m. Constrictive Pericarditis

3:30 p.m. BREAK

Assessment of Ischemic Heart Disease

4:00 p.m. Echo & Ischemic Heart Disease: MI – Complications

4:30 p.m. Stress Echo: Role, Risk & Appropriateness

5:00 p.m. Contrast Echo: What You Need to Know

5:30 pm Interesting Cases from Mayo Faculty:

SATURDAY, SEPTEMBER 29, 2012

7:30 a.m. Breakfast

Special Topics in Echocardiography

8:00 a.m. Simple Congenital

8:30 a.m. Complex Congenital

9:00 a.m. Masses in the Heart

9:30 a.m. Diseases of the Aorta, Dilated Aorta & Atheroma

10:00 a.m. BREAK

10:30 a.m. Cases in Boards Style

12:00 noon ADJOURN

Additional Board Review Courses

Echocardiography Review Course for Boards and Recertification

June 2 - 5, 2012

Phillips Hall, Mayo Clinic, Rochester, Minnesota

Electrophysiology Board Review for Boards and Recertification

September 28 - 30, 2012

Leighton Auditorium, Siebens Building, Rochester, Minnesota

Interventional Cardiology Board Review

October 12 - 14, 2012

Mayo Civic Center, Rochester, Minnesota

Page 11: Mayo Cardiovascular Review Course for Cardiology Boards and Recertification; Pre-Course Session - Echo Focus

Registration

Available online at: http://www.mayo.edu/cme/cvbr2012

Mayo Clinic Division of Cardiology has recently implemented an online conference registration system. If this is your first time using the online system, you will need to create a profile and login account.

Register by entering the url: http://www.mayo.edu/cme/cvbr2012 and click on Register Now. The system will step you through the profile and login process. An email address is required upon registration.

A letter of confirmation will be forwarded to this address upon receipt of payment and submitted registration. Present this letter of confirmation when checking in at the meeting registration desk.

The registration fee includes tuition, electronic course syllabus, continental breakfasts, break refreshments, lunch and dinner.

Registration Fees

Cardiovascular Review for Cardiology Boards and Recertification (CVBR) September 29 – October 4, 2012

$998

Syllabus: Paper copy, available only to CVBR registrants $100

Mayo Clinic Cardiology: Concise Textbook, Fourth Edition (new edition) $87.50

Echo Focus Session *

September 28 - 29, 2012 $ 99

with purchase of CVBR Tuition

*Attendees of the Echo Focus Session are encouraged to attend the full session on Saturday morning, September 29th, 2012. The optional lectures for CVBR, held at the same time, will be recorded and available online for viewing after the course. The Echo Focus Session is not recorded.

For additional information, contact: Cardiovascular Continuing Education 200 First Street SW - Gonda 6 Rochester, MN 55905 E-mail: [email protected] Phone: 800-283-6296 or 507-266-0677 Website: www.mayo.edu/cme/cardiovascular-diseases

Page 12: Mayo Cardiovascular Review Course for Cardiology Boards and Recertification; Pre-Course Session - Echo Focus

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