perioperative transesophageal echocardiography and echo boards review

11
Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care and Pain Medicine Harvard Medical School Department of Continuing Education Perioperative Transesophageal Echocardiography and Echo Boards Review (Basic & Advanced) Saturday - Tuesday September 29 - October 2, 2012 The Fairmont Copley Plaza Hotel Boston, MA Course Director: Feroze Mahmood, MD Co-Directors: Peter Panzica, MD Adam Lerner, MD Douglas Shook, MD - Mitral Valve Symposium - Three-Dimensional Echocardiography Symposium - Ultrasound for Regional & Vascular Access - Live Porcine Dissection - Comprehensive Basic & Advanced Echo Boards Review © President and Fellows of Harvard College

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Page 1: Perioperative Transesophageal Echocardiography and Echo Boards Review

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CCoouurrssee DDiirreeccttoorr:: FFeerroozzee MMaahhmmoooodd,, MMDD

Co-Directors:

Peter Panzica, MD • Adam Lerner, MD • Douglas Shook, MD

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Page 2: Perioperative Transesophageal Echocardiography and Echo Boards Review

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CCOOUURRSSEE LLOOCCAATTIIOONN::All sessions for this course will be held at The Fairmont Copley Plaza Hotel, 138 St. JamesAvenue, Boston, MA 02116 (Telephone: 617-267-5300 or 800-441-1414) Fax: 617-375-9648

CCOOUURRSSEE DDEESSCCRRIIPPTTIIOONN::This course is designed to benefit practicing clinicians who want a comprehensive review of thebasic echocardiographic anatomy of the heart and intermediate level practitioners who want tohave an update on the latest echocardiographic techniques. Teaching methods includes didacticlectures, panel discussions, question and answers, problems solving, demonstrations, games hands-on skills stations, case review and feedback using an audience response system. This activity isdesigned to address the lack of knowledge and competence for those who have received noadvance training in this area; and lack of performance for those who have the basic skills buthave not had the opportunity for the hands-on training, which will expand their capabilities ofprobe manipulations during high risk surgeries.

Clinicians planning on taking the Echo Boards exam for Special Competence in Perioperative TEEas well as clinicians planning on taking the “Basic TEE Exam” can enroll in the “Echo BoardsReview” session, which will include a review of echo questions as well as video clips, followed bya simulated echo boards exam. The NBE, its officers and directors have no involvement withthe Echo Boards Review portion of this course or the simulated exam.

TTAARRGGEETT AAUUDDIIEENNCCEE::Participants attending the Perioperative Transesophageal Echocardiography (PTEE) course arephysician based, with a specialty in anesthesiology and cardiology. Participants come from with-in the continental US and as far away as Canada, New Zealand, Saudi Arabia, Turkey and theUnited Kingdom.

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LLEEAARRNNIINNGG OOBBJJEECCTTIIVVEESS::Upon completion of this course, participants will be able to:

- Evaluate the basics of comprehensive intraoperative echo examination, valvular assessmentand 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

AACCCCOOMMMMOODDAATTIIOONNSS//TTRRAAVVEELL::A limited number of rooms have been reserved at Fairmont Copley Plaza (Telephonen: 617-267-5300 or 800-441-1414) until SSeepptteemmbbeerr 1100,, 22001122. Please specify that you are enrolled in thiscourse 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/perioperative2012. Please do not purchase non-refundable airline ticket(s) until you have received an email fromour office confirming your paid registration. For airline reservations contact the HMS Travel Desk tollfree 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.

Page 3: Perioperative Transesophageal Echocardiography and Echo Boards Review

HHAARRVVAARRDD MMEEDDIICCAALL SSCCHHOOOOLL CCOOUURRSSEE FFAACCUULLTTYY

CCoouurrssee DDiirreeccttoorr:: FFeerroozzee MMaahhmmoooodd,, MMDD,, BBeetthh IIssrraaeell DDeeaaccoonneessss MMeeddiiccaall CCeenntteerr

CCoo--DDiirreeccttoorrss:: AAddaamm LLeerrnneerr,, MMDD,, BBeetthh IIssrraaeell DDeeaaccoonneessss MMeeddiiccaall CCeenntteerrPPeetteerr PPaannzziiccaa,, MMDD,, BBeetthh IIssrraaeell DDeeaaccoonneessss MMeeddiiccaall CCeenntteerrDDoouuggllaass SShhooookk,, MMDD,, BBrriigghhaamm aanndd WWoommeenn’’ss HHoossppiittaall

HHAARRVVAARRDD MMEEDDIICCAALL SSCCHHOOOOLL CCOOUURRSSEE DDIIRREECCTTOORRSS

GGUUEESSTT FFAACCUULLTTYYAArrtthhuurr BBeerrtt,, MMDDProfessor, Clinical Professor Surgery(Anesthesiology) Department of Bio Med SurgeryBrown University, Providence, RI

AAllbbeerrtt CChheeuunngg,, MMDDProfessor of Anesthesia, Department ofAnesthesia, University of Pennsylvania Schoolof Medicine, Philadelphia, PA. Co-Director, Cardiothoracic Surgery andAnesthesia Clinical Research Group, University of Pennsylvania, Philadelphia, PA

GGrreegggg SS.. HHaarrttmmaann,, MMDDProfessor of Anesthesiology, DartmouthMedical School, Lebanon, NHDirector of Cardiac Anesthesia, DartmouthHitchcock Medical Center, Lebanon, NH

KKaayy LLeeiissssnneerr,, MMDD VABoston Medical CenterWest Roxbury, MA

GG.. BBuurrkkhhaarrdd MMaacckkeennssoonn,, MMDD,, PPhhDDAssociate Professor of Anesthesiology, Duke Univeristy Medical School, Durham, NC

AAnnddrreeww MMaassllooww,, MMDDClinical Associate Professor in Anesthesiology, Brown University, Providence, RIStaff Anesthesiologist, Department ofAnesthesiology, Rhode Island Hospital,Providence, RI

AAlliinnaa NNiiccooaarraa,, MMDDAssistant Professor Anesthesiology, Duke University Medical School, Durham, NC

AAtthheennaa PPooppppaass,, MMDDAssistant Professor of Medicine,Brown Medical SchoolDirector, Echocardiography Laboratory, Rhode Island Hospital, Providence, RI

BBEETTHH IISSRRAAEELL DDEEAACCOONNEESSSS MMEEDDIICCAALL CCEENNTTEERR

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

BBRRIIGGHHAAMM AANNDD WWOOMMEENN’’SS HHOOSSPPIITTAALL

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

CCHHIILLDDRREENN’’SS HHOOSSPPIITTAALL BBOOSSTTOONN

James DiNardo, MD

MMAASSSSAACCHHUUSSEETTTTSS GGEENNEERRAALL HHOOSSPPIITTAALL

Michael Fitzsimons, MD

Scott Strekenbach, MD

Page 4: Perioperative Transesophageal Echocardiography and Echo Boards Review

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

● 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

CCoouurrssee DDiirreeccttoorr:: Feroze Mahmood, MD

VVIISSIITT OOUURR WWEEBBSSIITTEE:: www.cme.hms.harvard.edu/courses/perioperative

Contact Ronald Mayes at (617) 667-5039 or [email protected] for more

information.

Reference course number 03324122

Echo Preceptorship

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Page 5: Perioperative Transesophageal Echocardiography and Echo Boards Review

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Page 6: Perioperative Transesophageal Echocardiography and Echo Boards Review

SSAATTUURRDDAAYY,, SSEEPPTTEEMMBBEERR 2299,, 22001122

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6:15-8:00pm || PPhhiilliipp HHeessss,, MMDD

DDeessccrriippttiioonn:: 11.. Phantom Models for Vascular Access and Nerve Blocks22.. Live Models for Anatomical Display33.. Hands-On Experience with Multiple Stations

and Ultrasound Systems44.. Equipment Overview and Image Optimization

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

Sugantha Sundar, MD, Sajid Shahul, MD

PPHHYYSSIICCSS WWOORRKKSSHHOOPPHandouts/Questions/Answers (Interactive) MMooddeerraattoorr || FFeerroozzee MMaahhmmoooodd,, MMDD

4:15-6:15pm || GGrreegggg HHaarrttmmaann,, MMDD

DDeessccrriippttiioonn:: 11.. A Detailed Review of the Ultrasound Physics22.. Principles of Ultrasound Beam Formation and Propagation33.. Image Formation and Artifacts 44.. Interactive with Board Review Questions and Answers 55.. Handouts and Discussions

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BBAASSIICC RREEVVIIEEWW

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

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

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

8:00-8:30 Comprehensive Intraoperative TEE Exam | John Pawlowski, MD, PhD

8:30-9:00 Imaging Optimization and Knobology | Gregg Hartman, MD

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

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

99::4455--1100::0000 BBrreeaakk

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

10:30-11:00 Right Ventricular Function Assessment | Kay Leissner, MD

11:00-11:30 Assessment of Mitral Valve Anatomy | Lauren Cornella, MD

1111::3300--1111::4455 BBrreeaakk

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

11::0000--22::0000 LLuunncchh ((oonn yyoouurr oowwnn))

LLIIVVEE PPOORRCCIINNEE DDIISSSSEECCTTIIOONN SSppeeaakkeerr || DDoouuggllaass SShhooookk,, MMDD

22::0000--44::0000 PPOORRCCIINNEE DDIISSSSEECCTTIIOONN

- One Heart per Person- Detailed Overview of the Anatomy- Valvular Anatomy and Echocardiographic

CorrelationFFaaccuullttyy:: John Fox, MD, Lauren Cornella, MD, Charles Nyman, MD

Andrea Worthington, BA, Kerry Wilusz, BA

44::0000--44::1155 BBrreeaakk

Page 7: Perioperative Transesophageal Echocardiography and Echo Boards Review

SSUUNNDDAAYY,, SSEEPPTTEEMMBBEERR 3300,, 22001122

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AAOORRTTIICC VVAALLVVEE SSYYMMPPOOSSIIUUMM MMooddeerraattoorr | Feroze Mahmood, MD

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

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

8:00-8:30 Aortic Valve Repair - Role of TEE | Amanda Fox, MD

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

9:00-9:15 Questions and Answers MMooddeerraattoorr | Feroze Mahmood, MD

99::1155--99::3300 BBrreeaakk

MMIISSCCEELLLLAANNEEOOUUSS PPRREESSEENNTTAATTIIOONNSS

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

10:00-10:30 TEE and Congenital Heart Disease | James DiNardo, MD

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

11:00-11:30 Assessment of Diastolic Function | Feroze Mahmood, MD

11:30-11:45 Questions and Answers MMooddeerraattoorr | Adam Lerner, MD

1111::4455--11::0000 LLuunncchh ((oonn yyoouurr oowwnn))

MMIITTRRAALL VVAALLVVEE SSYYMMPPOOSSIIUUMM MMooddeerraattoorr || DDoouuggllaass SShhooookk,, MMDDAA sseerriieess ooff pprreesseennttaattiioonnss bbyy AAnneesstthheessiioollooggiissttss aanndd CCaarrddiioollooggiissttss,, FFoolllloowweedd bbyy cchhaalllleennggiinngg ccaassee pprreesseennttaattiioonnss aanndd lliivveellyy ddiissccuussssiioonn wwiitthh SSuurrggeeoonnss

1:00-1:30 Echocardiographic Anatomy of Mitral Valve | J. Daniel Muehlschlegel, MD

1:30-2:00 Surgeon’s Expectations from TEE for PlanningMitral Valve Repair | Kamal Khabbaz, MD

2:00-2:30 Echocardiographic Assessment of Suitability for Repair | Feroze Mahmood, MD

22::3300--22::4455 BBrreeaakk

2:45-3:15 Echocardiographic Assessment of Repaired Mitral Valve | Andrew Maslow, MD

3:15-3:45 Ischemic Mitral Regurgitation | Albert Cheung, MD

3:45-4:45 Mitral Valve Case Presentations Jennifer McSweeney, MD

Bala Subramaniam, MD

Surgical Panel Kamal Khabbaz, MDPrem Shekhar, MD

44::4455--55::0000 BBrreeaakk

EECCHHOO BBOOAARRDDSS RREEVVIIEEWW -- SSEESSSSIIOONN IIHHeemmooddyynnaammiiccss

SSEEPPTTEEMMBBEERR 3300TTHH 55::0000--88::0000 PPMM

MMooddeerraattoorrss:: Feroze Mahmood, MD, Peter Panzica, MD, Adam Lerner, MD, John Mitchell, MD, Omair Shakil, MD, Jayant Jainandusing, MD

11.. Overview of Basic Hemodynamic Principles

22.. Calculations and Formulae

33.. Interactive, Questions, Answers and Discussions

44.. Calculations and Handouts will be provided for the Workshop

Page 8: Perioperative Transesophageal Echocardiography and Echo Boards Review

MMOONNDDAAYY,, OOCCTTOOBBEERR 11,, 22001122

BBAASSIICC -- AADDVVAANNCCEEDD SSYYMMPPOOSSIIAA

66::3300--77::0000aamm BBRREEAAKKFFAASSTT

IINNTTRRAAOOPPEERRAATTIIVVEE EECCHHOOCCAARRDDIIOOGGRRAAPPHHIICC CCHHAALLLLEENNGGEESS MMooddeerraattoorr | Peter Panzica, MD

7:00-7:30 Unanticipated Aortic Stenosis | Feroze Mahmood, MD

7:30-8:00 Unanticipated Mitral Regurgitation | Albert Cheung, MD

8:00-8:30 Unanticipated Tricuspid Regurgitation | Alina Nicoara, MD

8:30-9:00 High Prosthetic Valvular Gradients | Andrew Maslow, MD

9:00-9:30 Challenging Case Presentation | Peter Panzica, MD

99::3300--99::4455 BBrreeaakk

AAOORRTTAA AANNDD IINNTTRRAA--CCAARRDDIIAACC MMAASSSSEESS

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

10:15-10:45 TEE and Endovascular Stenting Procedures | Alina Nicoara, MD

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

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

11:45-12:15 Questions and Answers MMooddeerraattoorr | John Pawlowski, MD, PhD

1122::1155--11::3300 LLuunncchh ((oonn yyoouurr oowwnn))

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DDIIDDAACCTTIICC CCOOMMPPOONNEENNTT

2:30-3:30 Current Status of 3-D Echocardiography and Principles of Image Acquisition | Feroze Mahmood, MD

| G. Burkhard Mackenson, MD, PhD

HHAANNDDSS--OONN WWOORRKKSSHHOOPP

3:30-4:45 11.. Multiple Stations with Models and Ultrasound Systems and Instructors 22.. Audience will be able to perform Knobology, Image Optimization

and Analysis 33.. Mitral and Aortic Valve Geometric Analysis 44.. LV and RV Reconstruction

MMooddeerraattoorrss:: Douglas Shook, MD, Feroze Mahmood, MD, Andrew Maslow, MD, Jayant Jainandusing, MD

44::4455--55::0000 BBrreeaakk

1:30-2:30pm EECCHHOO JJEEOOPPAARRDDYY MMooddeerraattoorrss | Andrew Maslow, MD| Peter Panzica, MD

11.. Game Style Format 22.. Echo Related Questions33.. Audience Participation44.. Prizes

Page 9: Perioperative Transesophageal Echocardiography and Echo Boards Review

66::3300--77::0000aamm BBRREEAAKKFFAASSTT

7:00-9:30 CCoommpplleexx CCaassee PPrreesseennttaattiioonnss aanndd MMooddeerraattoorr || AAnnddrreeww MMaassllooww,, MMDDDDiissccuussssiioonn

Participants: Andrew Maslow, MD, John Fox, MD, Adam Lerner, MD, Kay Leissner, MD, Scott Strekenbach, MD, SenthilnathanVenkatachalaam, MD, Kamal Khabbaz, MDPrem Shekhar, MD

99::3300--1100::0000 BBrreeaakk

TTUUEESSDDAAYY,, OOCCTTOOBBEERR 22,, 22001122

EECCHHOO BBOOAARRDDSS RREEVVIIEEWW -- SSEESSSSIIOONN IIIIIIMMoocckk EExxaamm

OOCCTTOOBBEERR 22NNDD 1100::0000--44::0000 PPMM

FFaaccuuttllyy:: Feroze Mahmood, MDPeter Panzica, MDAdam Lerner, MDRobina Matyal, MD

FFOORRMMAATT::

11.. Detailed Overview of the Exam Content and Format of the Examination2. Exam Taking Strategies 33.. Recomended Texts and Resources 44.. Explanation of the Audience Response System

MMOOCCKK EEXXAAMM:: (Lunch will be provided during the session at 11 am)

1100::0000––1122::4455ppmm11.. Video-Based Exam - 60 Minutes22.. Written Exam - 60 Minutes33.. Interactive Explanations - 60 Minutes

1122::4455--11::0000 BBrreeaakk

IINNTTEERRAACCTTIIVVEE EEXXAAMM RREEVVIIEEWW::

11::0000––44::0000ppmm11.. Audience Response System22.. Questions and Explanations33.. Interactive Discussions

44::0000ppmm Concluding Remarks and Adjourn | Feroze Mahmood, MD

EECCHHOO BBOOAARRDDSS RREEVVIIEEWW -- SSEESSSSIIOONN IIIIHHEEMMOODDYYNNAAMMIICCSS

OOCCTTOOBBEERR 11SSTT 55::0000--88::0000 PPMM

FFaaccuullttyy:: Feroze Mahmood, MDPeter Panzica, MDRobina Matyal, MDAdam Lerner, MDOmair Shakil, MD

OOBBJJEECCTTIIVVEESS::

11.. Mock Exam2. Audience Response System 33.. Interactive Discussions 44.. Video and Text-Based Questions5. Questions Will Cover Basic Concepts of Echocardiography (Physics, Hemodynamics,

Normal and Abnormal Anatomy)

Program changes/substitutions may be made without notice.

Page 10: Perioperative Transesophageal Echocardiography and Echo Boards Review

ACCREDITATION:The Harvard Medical School is accredited by the Accreditation Council for Continuing MedicalEducation 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 ofGraduate 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 makepayable 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. Telephoneor fax registration is not accepted. Registration with cash payment is not permitted. Uponreceipt of your paid registration an email confirmation from the HMS-DCE office will be sentto you. Be sure to include an email address that you check frequently. Your email address isused 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: [email protected].

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 foundat 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 withcommercial entities so that HMS may identify and resolve any conflicts of interest prior to theactivity. These disclosures will be provided in the activity materials along with disclosure of anycommercial support received for the activity. Additionally, faculty members have beeninstructed to disclose any limitations of data and unlabeled or investigational uses of productsduring their presentations.

REFUND POLICY: A handling fee of $60 is deducted for cancellation. Refund requests must be received by postalmail, email or fax one week prior to the course. No refunds will be made thereafter.

PPeerriiooppeerraattiivvee TTrraannsseessoopphhaaggeeaall EEcchhooccaarrddiiooggrraapphhyy

aanndd EEcchhoo BBooaarrddss RReevviieeww SSeepptteemmbbeerr 2299 -- OOccttoobbeerr 22,, 22001122

Page 11: Perioperative Transesophageal Echocardiography and Echo Boards Review

CChhoooossee YYoouurr FFeeee:: Course Only Course & Echo Boards Review

Physicians m $1230 (USD) m $1490 (USD)

Residents/Fellows in Training m $830 (USD) m $865 (USD)

Allied Health Professionals m $830 (USD) m $865 (USD)

AAllll FFiieellddss RReeqquuiirreedd.. PPlleeaassee PPrriinntt CClleeaarrllyy::

_______________________________________________________________________First Name Middle Initial Last Name

_______________________________________________________________________Street Address

_______________________________________________________________________City State/Province Zip/Postal Code

_______________________________________________________________________Country

_______________________________________________________________________Daytime Phone Fax Number

PPlleeaassee nnoottee:: Your email address is used for critical information about the course including: registration, confirmation, evaluation and

certificate. Please be sure to include an email address you check daily or frequently.

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

Continuing Education programs.

_______________________________________________________________________Profession Degree

_______________________________________________________________________Primary Specialty (Physicians Only) Board Certified? m Yes m No

Professional School Attended (Physicians Only)

m Harvard Medical School m U.S. Medical School m International Year of Graduation_____________

Source Code: A WEB X Z Z Z:Online Registrants: Add the first three

characters of the source code found here °

PPeerriiooppeerraattiivvee TTrraannsseessoopphhaaggeeaall EEcchhooccaarrddiiooggrraapphhyy

aanndd EEcchhoo BBooaarrddss RReevviieeww CCllaassss ##332211228888

m YES m NO Do you plan on attending the Regional Anesthesia and Vascular Workshop

on Saturday, September, 29th from 6:15-8:00pm?

September 29-October 2, 2012