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AMERICAN SOCIETY OF ECHOCARDIOGRAPHY NEWS Continuing Education and Meeting Calendar The American Society of Echocardiography recognizes courses as a supplement to formal training in an established echocardiographic laboratory. For more information about a course, please call the number listed with the course. To appear in the Continuing Education and Meeting Calendar, the title, sponsor, director, place, and contact telephone number for a course should be sent to ASE, 4101 Lake Boone Trail, Suite 201, Raleigh, NC 27607. 1991 December 11-13 Interpretation and Treatment of Cardiac Arrhythmias. American College of Cardiology. Philadelphia, Pennsylvania. Program Directors: Leonard S. Dreifus, MD, FACC, Eric L. Michel- son, MD, FACC, and Yoshio Watanabe, MD, FACe. (800)253-4636. In Maryland, (301)897- 2695. December 13-15 Advances in Heart Disease. American College of Cardiology. San Francisco, California. Program Di- rector: Elliot Rapaport, MD, FACe. (800)253- 4636. In Maryland, (301)897-2695. December 13-15 24th Annual New York Cardiovascular Sympo- sium. American College of Cardiology. New York, New York. Program Director: Valentin Fuster, MD, FACe. (800)253-4636. In Maryland, (301)897- 2695. December 27-30 Clinical Cardiology. University of Wisconsin, Con- tinuing Medical Education, and Sinai-Samaritan Medical Center, Milwaukee, Wisconsin. Marriott World Center, Orlando, Florida. Contact: Sarah As- lakson, Continuing Medical Education. (608)263- 2856. 1992 January Echocardiography I and II. New York University Medical Center's School of Ultrasound. New York, New York. Contact: Continuing Education Coor- dinator Kerry Weinberg or Program Director Trudy Dubinsky. (212)263-6644. 22A January 6-10 Principles and Instruments (Diagnostic Ultra- sound). Center for Medical Ultrasound, Bowman Gray School of Medicine. Winston-Salem, North Carolina. (800)277-7654 or (919)748-4505. January 8-10 Advanced Echocardiography: Case Studies and Concepts. American College of Cardiology Learn- ing Center. Bethesda, Maryland. Program Directors: Arthur E. Weyman, MD, FACC, and James D. Thomas, MD, FACe. (800)253-4636, ext. 653. In Maryland, (301)897-2653. January 13-17 The 23rd Annual Cardiovascular Conference at Snowmass. American College of Cardiology. Snow- mass, Colorado. Program Directors: John H. K. Vogel, MD, FACC, and Bruce e. Paton, MD, FACe. (800)253-4636. In Maryland, (301)897- 2695. January 19-21 Medical and Surgical Advances in the Care of Adults with Congenital Heart Disease. American College of Cardiology. San Diego, California. Pro- gram Directors: David J. Sahn, MD, FACC, Samuel Kaplan, MD, FACC, and Ralph Shabetai, MD, FACe. (800)253-4636. In Maryland, (301)897- 2695. January 23-25 Clinical Nuclear Cardiology: Case Review with the Experts. American College of Cardiology. Los Angeles, California. Program Directors: Daniel S. Berman, MD, FACC, and Jamshid Maddahi, MD, FACe. (800)253-4636. In Maryland, (301)897- 2695. November-December 1991
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Page 1: Continuing Education and Meeting Calendar

AMERICAN SOCIETY OF ECHOCARDIOGRAPHY NEWS

Continuing Education and Meeting Calendar

The American Society of Echocardiography recognizes courses as a supplement to formal training in an established echocardiographic laboratory. For more information about a course, please call the number listed with the course. To appear in the Continuing Education and Meeting Calendar, the title, sponsor, director, place, and contact telephone number for a course should be sent to ASE, 4101 Lake Boone Trail, Suite 201, Raleigh, NC 27607.

1991

December 11-13 Interpretation and Treatment of Cardiac Arrhythmias. American College of Cardiology. Philadelphia, Pennsylvania. Program Directors: Leonard S. Dreifus, MD, FACC, Eric L. Michel­son, MD, FACC, and Yoshio Watanabe, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

December 13-15 Advances in Heart Disease. American College of Cardiology. San Francisco, California. Program Di­rector: Elliot Rapaport, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

December 13-15 24th Annual New York Cardiovascular Sympo­sium. American College of Cardiology. New York, New York. Program Director: Valentin Fuster, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

December 27-30 Clinical Cardiology. University of Wisconsin, Con­tinuing Medical Education, and Sinai-Samaritan Medical Center, Milwaukee, Wisconsin. Marriott World Center, Orlando, Florida. Contact: Sarah As­lakson, Continuing Medical Education. (608)263-2856.

1992

January Echocardiography I and II. New York University Medical Center's School of Ultrasound. New York, New York. Contact: Continuing Education Coor­dinator Kerry Weinberg or Program Director Trudy Dubinsky. (212)263-6644.

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January 6-10

Principles and Instruments (Diagnostic Ultra­sound). Center for Medical Ultrasound, Bowman Gray School of Medicine. Winston-Salem, North Carolina. (800)277-7654 or (919)748-4505.

January 8-10 Advanced Echocardiography: Case Studies and Concepts. American College of Cardiology Learn­ing Center. Bethesda, Maryland. Program Directors: Arthur E. Weyman, MD, FACC, and James D. Thomas, MD, FACe. (800)253-4636, ext. 653. In Maryland, (301)897-2653.

January 13-17 The 23rd Annual Cardiovascular Conference at Snowmass. American College of Cardiology. Snow­mass, Colorado. Program Directors: John H. K. Vogel, MD, FACC, and Bruce e. Paton, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

January 19-21 Medical and Surgical Advances in the Care of Adults with Congenital Heart Disease. American College of Cardiology. San Diego, California. Pro­gram Directors: David J. Sahn, MD, FACC, Samuel Kaplan, MD, FACC, and Ralph Shabetai, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

January 23-25 Clinical Nuclear Cardiology: Case Review with the Experts. American College of Cardiology. Los Angeles, California. Program Directors: Daniel S. Berman, MD, FACC, and Jamshid Maddahi, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

November-December 1991

Page 2: Continuing Education and Meeting Calendar

January 31-February 2 The 11th Annual Perspectives on New Diagnostic and Therapeutic Techniques in Clinical Cardiol­ogy. American College of Cardiology. Walt Disney World, Florida. Program Directors: C. Richard Conti, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

February 3-5 Cardiovascular Conference at Snowshoe. Ameri­can College of Cardiology. Snowshoe, West Vir­ginia. Program Director: William H. Carter, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

February 3-7 Echo Hawaii. American College of Cardiology. Focus on Transesophageal echo, Stress/Digital echo, Doppler Hemodynamics, Intravascular/In­traop echo, Adult Congenital Heart Disease, Tissue Characterization and 3-D echo. Maui, Hawaii. Pro­gram Directors: A. Jamil Tajik, MD, FACC, and James F. Seward, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

February 10-14 The 7th Annual Cardiovascular Conference at Hawaii. American College of Cardiology. Kohala Coast, Hawaii. Program Director: John H. K. Vogel, MD, FACC. (800)253-4636. In Maryland, (301)897-2695.

February 10-14

Echocardiography. Center for Medical Ultrasound, Bowman Gray School of Medicine. Winston-Salem, North Carolina. (800)277-7654 or (919)748-4505.

February 12-15 Cardiovascular Conference at Snowbird. Ameri­can College of Cardiology. New diagnostic and ther­apeutic applications in contemporary cardiology. Snowbird, Utah. Program Directors: Jeffrey L. Anderson, MD, FACC, and Arthur D. Hagan, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

February 14-16 The 4th Annual Advances in Diagnostic and Ther­apeutic Cardiac Catheterization. American College of Cardiology. Orlando, Florida. Progran1 Director: Carl J. Pepine, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

November-December 1991

March 7-10 State-of-the-Art Echocardiography: Color Flow Imaging, Transesophageal Echo, Doppler He­modynamics, Vascular/Intravascular Echo, Dig­ital, and Stress Echo. American College of Car­diology. Tucson, Arizona. Program Directors: A. Jamil Tajik, MD, FACC, and James B. Seward, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

March 16-19 Cardiovascular Conference at Lake Louise. American College of Cardiology. Lake Louise, Alberta, Canada. Program Directors: W. Peter Klinke, MD, FACC, and J. Wayne Warnica, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

March 23-25 Advanced Echocardiography, Doppler and Color Flow Techniques-1992. American College of Cardiology Learning Center. Bethesda, Maryland. Program Director: Pravin M. Shah, MD, FACe. (800)253-4636, ext. 653. In Maryland, (301)897-2653.

March 26-27 Transesophageal Echocardiography: Demonstra­tion of Technique, Image Orientation, and Inter­pretation of Single and Biplane TEE. American College of Cardiology Learning Center. Bethesda, Maryland, Program Director: Pravin M. Shah, MD, FACe. (800)253-4636, ext. 653. In Maryland, (301)897-2653.

March 30-April 1 Echocardiography for the Sonographer: 2-D/Doppler, Color Flow Imaging, TEE and Stress Echo-Practical Review. American College of Cardiology Learning Center. Bethesda, Maryland. Program Directors: A. Jamil Tajik, MD, FACC, and Barbara A. Nichols, BS, RN, ROCS. (800)253-4636, ext. 653. In Maryland, (301)897-2653.

March 30-April 3, 1992 Principles and Instruments. Center for Medical Ul­trasound, Bowman Gray School of Medicine. Win­ston-Salem, North Carolina. (800)277-7654 or (919)748-4505.

April 12-16 American College of Cardiology 41st Annual Sci­entific Session. Dallas, Texas. (800)253-4636. In Maryland, (301)897-2693.

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Page 3: Continuing Education and Meeting Calendar

April 23-24

Third Biannual Symposium in Echocardiography. University of Wisconsin Medical School. Milwaukee, Wisconsin. Program Director: Rami A. Gal, MD. Inquiries: Jean Kaiserling, course coordinator. (414)283-7690.

May 3-6

Update Workshop in Echocardiography. Indiana University. Indianapolis, Indiana. Program Director: Harvey Feigenbaum, MD. (317)274-3841.

May 4-8

Echocardiography. Center for Medical Ultrasound, Bowman Gray School of Medicine. Winston-Salem, North Carolina. (800)277-7654 or (919)748-4505.

May 7-9 Two-D/Doppler and Color Flow Imaging: A Clinical Review with Emphasis on TEE, Stress Echo and Doppler Hemodynamics. American Col­lege of Cardiology Learning Center. Bethesda, Mary­land. Program Directors: A. Jamil Tajik, MD, FACC, and James B. Seward, MD, FACe. (800)253-4636, ext. 653. In Maryland, (301)897-2653.

May 13-15 Clinical Auscultation of the Heart. American Col­lege of Cardiology. Washington, D.e. Program Di­rectors: W. Proctor Harvey, MD, FACC, James A. Ronan Jr., MD, FACC, and John F. Stapleton, MD. (800)253-4636. In Maryland, (301)897-2695.

May 18-22

Consultant's Course in Cardiology. American Col­lege of Cardiology. New York, New York. Program Directors: Richard Gorlin, MD, FACC, Louis E. Teichholz, MD, FACC, and Simon Dack, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

May 27-30

16th Annual Update: Cardiology for the Primary Physician During Spoleto Festival USA 1992. American College of Cardiology. Charleston, South Carolina. Program Directors: Peter e. Gazes, MD, FACC, and James F. Spann Jr., MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

June 3-6 Advanced Echocardiography and Doppler Ultra­sound 1992. American College of Cardiology. San Diego, California. Program Director: Pravin M. Shah, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

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June 14-19 Two Dimensional Echocardiography and Cardiac Doppler: 8th Annual Core Curriculum and Self­Assessment. American College of Cardiology. Lake Buena Vista, Florida. Anthony N. DeMaria, MD, FACC, and Arthur D. Hagan, MD, FACe. (800)253-4636. In Maryland, (301)897-2695.

ON-GOING COURSES

The Miriam Hospital School of Cardiac Ultra­sound. Hospital-based school in cardiac ultrasound. For more information, contact Clinical Director Pamela Harrigan, The Miriam Hospital School of Cardiac Ultrasound, 164 Summit Ave., Providence, RI02906. (401)331-8500, ext. 4131.

Technicians and Physicians Workshop in Car­diac Ultrasound. Owen R. Brown, Director. For more information, call (503)244-4854. Courses:

• Color Cardiac Doppler. December 16-17, Ft. Lauderdale, Florida.

• Introduction to Carotid Ultrasound. Decem­ber 17-19, Ft. Lauderdale, Florida.

• Standard Cardiac Doppler. December 13-15, Ft. Lauderdale, Florida.

JRC-DMS-APPROVED SCHOOLS FOR ECHO CARDIOGRAPHY TRAINING

Academic Sponsors

Bellevue Community College. Diagnostic Ultra­sound Technology, Health Sciences Division­B243, 3000 Landerholm Circle, SE, Bellevue, WA 98009-2037, Beverly Skinner, RDMS, Di­rector.

Community College of Allegheny County. Diagnostic Medical Sonography Progranl, Boyce Campus, 595 Beatty Road, Monroeville, PA 15146, Lynn Gigan­det, BA, RDMS, Director.

Loma Linda University. Medical Sonography Program, School of Allied Health Professions, Loma Linda, CA 92350, Marie DeLange, RT, RDMS, Director.

Seattle University. Diagnostic Ultrasound Tech­nology Program, Twelfth and East Columbia, Se­attle, WA 98122, Andrea Skelly, BS, RDMS, Di­rector.

University of Oklahoma. Ultrasound Program, Health Sciences Center, College of Allied Health,

November-December 1991

Page 4: Continuing Education and Meeting Calendar

PO Box 26901, Oklahoma City, OK 73190, Jean Lea Spitz, MPH, RDMS, Director.

Weber State College. Diagnostic Medical Sonog­raphy Program, 3750 Harrison Blvd., Ogden, UT 84408, Jane A. Van Valkenburg, PhD, Di­rector.

Bn;gen Community College. Diagnostic Medical Sonography Program, 400 Paramus Road, Paramus NJ 07652-7178, Carole E. Schanel, MEd, RDMS, Director.

Broward Community College. Diagnostic Medical Sonography Program, Central Campus-Center of Health Science Education, 3501 S.E. Davie Road, Davie, FL 33314, Sharon Calton, MS, RDMS, Di­rector.

Pitt Community College. Diagnostic Medical So­nography Program, P.O. Drawer 7007, Greenville, NC 27834-4297, Jessica M. Davis, BS, RDMS, Di­rector.

State University of New York Health Sciences Center at Brooklyn. College of Health Related Professions, Diagnostic Medical Sonography Program, 450 Clarkson Ave., Brooklyn, NY 11203, Mimi Berman­Sandler, PhD, RDMS, Director.

Hospital Sponsors

Jackson Memorial Medical Center. Diagnostic Med­ical Sonography Program, 1611 NW 12th Ave., Mi­ami, FL 33136, Joseph Schnetzer, BS, RDMS, Di­rector.

New York University Medical Center. Diagnos­tic Medical Sonography Program, 550 First Ave., New York, NY 10016, Trudy Dubinsky, BS, RDMS, Director.

University of Wisconsin Hospital and Clinics. School of Diagnostic Medical Sonography, 600 Highland Ave., Madison, WI 53792, John Parks, RT, RDMS, Director.

Proprietary Sponsor

Maryland Institute of Ultrasound Technology, Inc. Diagnostic Medical Sonography Program, Lower Level, 2947 St. Paul Street, Baltimore, MD 21218. Diana Kawai, BS, RDMS, Director.

CAHEA ACCREDITED PROGRAMS FOR CARDIOVASCULAR TECHNOLOGY

Grossmont College. (Accredited in invasive, non­invasive, and peripheral vascular). 8800 Grossmont College Drive, El Cajon, CA 92020-1799. Rick Kirby, CVT, MA, Director.

November-December 1991

Spokane Community College. North 1810 Greene Street, MS 2150, Spokane, WA 99207. Dennis K. Carney, AS, RCVT, Noninvasive Program Director, and J. Wesley Todd, VS, RCVT, Invasive Program Director.

PRECEPTORSHIP TRAINING PROGRAMS*

Division of Diagnostic Ultrasound, Thomas Jefferson University, Philadelphia, Pennsylvania. Educational programs are offered on an ongoing ba­sis and cover varying time periods. Participants may choose from one or more weekly courses, the 5-week series, or the individually customized preceptor pro­grams that last a week or longer. Contact: Education Coordinator, Division of Diagnostic Ultrasound, Thomas Jefferson University Hospital, 7 Main, Philadelphia, PA 19107. Telephone: (215)955-4867.

Echocardiography Laboratory, University Hos­pital, University of Washington, Seattle, Wash­ington. Directors: Alan S. Pearlman, MD, and Carolyn L. Janko Gardner, RDMS. Training in Doppler and two-dimensional echocardiography. $600/week. Contact: Carolyn L. Janko Gardner, RDMS, Supervisor, Echo Laboratory, Division of Cardiology, RG-22, University of Washing­ton, Seattle, WA 98195. Telephone: (206)548-4257.

Cardiac Ultrasound Laboratory, Likoff Cardio­vascular Institute, Hahnemann University, Phil­adelphia, Pennsylvania. Directors: K. Chandrase­karan, MD, and John Ross, RCPT. "Hands-on" training in M-mode, two-dimensional, and Doppler echocardiography with a variety of systems for the physician and technologist. $625/ week. Contact: Catherine Coin, Cardiac Ultrasound Laboratory, Hahnemann University Hospital, 230 Broad and Vine, Philadelphia, PA 19102-1192. Telephone: (215)448-8258.

Non-Invasive Cardiac Laboratory, Tufts Univer­sity, New England Medical Center Hospitals, Bos­ton, Massachusetts. Directors: Natesa G. Pandian, MD, and Marjory Caldeira. "Hands-on" experience, didactics, teaching tapes, and reading sessions in Doppler echocardiography, color Doppler echo­cardiography, and two-dimensional echocardiogra­phy. Exercise echocardiography and contrast echo­cardiography. $500/week for both physicians and technologists. Contact: Natesa G. Pandian, MD,

*Preceptorship Training Program information is published in the JOURNAL as a service to members.

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Page 5: Continuing Education and Meeting Calendar

New England Medical Center, Box 32, Boston, MA 02111. Telephone: (617)956-6151.

Cardiovascular Imaging and Training Center, State University of New York, Health Science Cen­ter at Syracuse, Syracuse, New York. Directors: George W. Lighty, Jr., MD, PhD, and Christo­pher L. Hare, BS. Training in Doppler and two­dimensional echocardiography. Multiple laboratories and instruments. $500/week. Contact: Christopher L. Hare, BS, Echocardiology Laboratory, Depart­ment of Medicine, SUNY Health Science Center, 750 East Adams St., Syracuse, NY 13210. Tele­phone: (315)473-4262.

Echocardiography Laboratory, Duke University Medical Center, Durham, North Carolina. Direc­tors: Joseph Kisslo, MD, and David Adams, RCPT, RDMS. "Hands-on" training in two-dimensional, Doppler, and color flow echocardiography, includ­ing transesophageal and intraoperative images. Two hundred to 250 patients a week. $600 I week. Con­tact: Peggy Rudd, Box 3818, Duke University Medical Center, Durham, NC 27710. Telephone: (919)684-6398.

Echocardiography and Non-invasive Hemody­namics Laboratory, University of Rochester Med­ical Center, Rochester, New York. Director: Rich­ard S. Meltzer, MD. Chief sonographer and admin­istrator: Mark N. Allen, BA, BS, RDCS. Training in M-mode, two-dimensional, conventional, and color flow Doppler, transesophageal and stress echocardiography. Preceptorships individualized to suit particular training needs. Multiple types of equipment. Didactic sessions, extensive teaching tapes, and text library available. Cost: $100 I day or $400 I week, Monday-Friday. Contact: Mark N. Allen, Cardiology, Box 679, University of Rochester Medical Center, Rochester, NY 14642. (716)275-8218.

Echocardiography Laboratory, Temple Univer­sity, Philadelphia, Pennsylvania. Director: John P. Panidis, MD. "Hands-on" experience and training in two-dimensional, Doppler, and color flow echocar­diography. Individualized program to suit particular training needs. $500/week for physicians and tech­nologists. Contact: Ray Gonzales, Non-invasive Car­diac Laboratory, Temple University Hospital, Broad and Tioga Streets, Philadelphia, PA 19140. Tele­phone: (215)221-7096.

26A

University of Alabama School of Medicine and UAB Division of Continuing Medical Education, Birmingham, Alabama. Director: Navin C. Nanda, MD. Faculty: Navin C. Nanda, MD, Frederick Helmcke, MD, Pohoey Fan, Sally Moos. Preceptor­ship Training Programs in Color Doppler, Conven­tional Doppler, 2D and Transesophageal echocar­diography. Emphasizes latest theory, technique, and practice, including transesophageal echocardiogra­phy with particular emphasis on Doppler color flow mapping in normal and pathological states. Monday­Friday. $500/week. Contact: Preceptorship Pro­gram, UAB Heart Station SWB/S102, Birming­ham, AL 35294. (205)934-2300 or (205)934-8256.

University of Massachusetts Medical Center, Worcester, Massachusetts. Directors: Linda A. Pape, MD, and Andrea M. Sweeney, BS, RDCS. For car­diac sonographers. Adult and pediatric echocardi­ography. Didactic lectures, case reviews, interpretive sessions, clinical pathologic observation, continuous wave and color flow imaging, contrast echocardi­ography, and transesophageal echocardiography; ex­tensive video tape library. $100/day, $500/week. Contact: Andrea Sweeney, U-Mass Medical Cen­ter, 55 Lake Ave. North, Worcester, MA 01605. (508)856-3465.

Pediatric Echocardiography Laboratory, Uni­versity of California, Los Angeles, Los Angeles, California. Directors: Roberta G. Williams, MD, Yasser Al Khatib, MD, and Ah-Lin Wong, RDMS. State-of-the-art in pediatric echocardiography. B­mode color, hands-on, one-on-one didactics in a stimulating atmosphere. Segmental approach to most complex congenital heart disease. $500/week. Con­tact: Ah-Lin Wong, Pediatric Echocardiography Laboratory, Division of Cardiodiagnostics, Rm. B2-337, MDCC, UCLA, Los Angeles, CA 90024-1752. Telephone: (213)825-8953 or (213)206-4129.

St. Louis University School of Medicine, St. Louis, Missouri. M-mode, two-dimensional, color flow and conventional Doppler echocardiography. Sessions range from three days to one week. Accept beginners through advanced students who want to learn or perfect current techniques. Prices vary. Contact: Kathleen Habermehl, St. Louis University School of Medicine, P.O. Box 15250, St. Louis, Missouri 63110-0250. Telephone: (314)577-8897.

November-December 1991

Page 6: Continuing Education and Meeting Calendar

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Page 7: Continuing Education and Meeting Calendar

~I\rnedcan Society of Echocardiography - New Member Application _____ $50.00 Technician/Medical Student/Fellow $65.00 Physician, Physical Scientist, Ph.D.

($25.00 a year of your dues IS allocated for your subscription to the Journal of the American Society of Echocardiography)

Name Last

Degree: M.D. ____ _ Ph.D. ____ _ B.S. ___ _

First

Other

Preferred Title: Dr. ____ _ Mr. ____ _ Mrs. ____ _ Ms. ____ _

----- $20.00 Surcharge for members outside United States and Mexico. Dues must be paid in U.S. currency.

Middle

~~M.A~re-~~~eUE~~ThreeUM~------------~ln-s7ti~W~t7io-n-----------------------------

Street

BusinessTelephone ___________________________ ~~--------~~--------~--------City State Zip

Home Address: Street

City State Zip

Preferred address for mailings: Home ____ _ Business ____ _

Please make check payable to: American Society of Echocardiography Expiration date ______ _

For American Express payment: Card no. ______ _ Signature _______________________ _

QUESTIONNAIRE Queslionnaire MUST be compleled in order 10 become a member in Ihe Sociely. The dala are only for slatistical purposes and do NOT influence the applicant's eligibility for membership.

o PHYSICIAN o TECHNOLOGIST o PHYSICAL SCIENTIST

TO BE COMPLETED BY PHYSICIAN ONLY

Discipline: o Cardiologist o Pediatrician o Nuclear Medicine o Family Practitioner o Pediatric Cardiologist o Radiologist

o Internist o Other _________________________________________________ _

TO BE COMPLETED BY PHYSICAL SCIENTIST ONLY

Works with clinician DYes ONo Works for commercial company 0 Yes o No

Duration of interest in echocardiography: 0 Fewer than 6 months o 6-12 months 0 1-3 years 0 Over 3 years

TO BE COMPLETED BY TECHNOLOGIST ONLY

MemberSDMS DYes ONo Member of Cardiopulmonary Technologists DYes ONo Member of Cardiovascular Technologists DYes 0 No

Member of other technological group DYes o No If yes, which group?

Background before echocardiographic experience: o High school graduate 0 College degree 0 Registered Nurse o Radiology technologist 0 Medical technologist 0 Cardiopulmonary technologist

o Cardiovascular technologist D Prior experience with other cardiovascular tests o Prior experience with other ultrasound tests

Echocardiographic examinations supervised by: o Cardiologist o Family practitioner 0 Pediatrician o Pediatric cardiologist 0 Radiologist

o Nuclear medicine 0 Other --------------------------------------------------

TO BE COMPLETED BY PHYSICIANS AND TECHNOLOGISTS ONLY

ECHOCARDIOGRAPHIC TRAINING: 0 No formal training; 0 On the job training; 0 Formal instruction or part of fellowship reSidency training; 0 Fewer than 3 months;

o 3-6 months; 0 Over 6 months. POSTGRADUATE COURSE, DURATION OF COURSE: 0 None; 0 Fewer than 2 days; 0 2-4 days; 0 1 week; 0 Over 1 week. TYPE OF COURSE:

o Lectures only; 0 Lectures and Practical. VISITS TO ESTABLISHED LABORATORIES: 0 None; 0 Fewer than 1 week; 0 1-4 weeks; 0 Over 4 weeks. ECHOCARDIOGRAPHIC

EXPERIENCES: 0 None; 0 Fewer than 6 months; 0 6-12 months; 0 1-3 years; 0 Over 3 years. EXAMINATIONS CURRENTLY PERFORMED AND/OR INTERPRETED: 0 None;

o Fewer than 5 per week; 0 5-10 per week; 0 10-20 per week; 0 Over 20 per week. ARE YOU INVOLVED WITH ANY ECHOCARDIOGRAPHIC RESEARCH: 0 Yes; 0 No.

HOSPITAL AFFILIATION, TYPE OF INSTITUTION: 0 Private; 0 Veterans Administration; 0 University; 0 City or County; 0 Other. SIZE OF INSTITUTION: 0 Fewer than 200 beds;

o 200-400 beds; 0 400-600 beds; 0 Over 600 beds. LOCATION OF ECHOCARDIOGRAPHIC LABORATORY: 0 Cardiology section; 0 Nuclear medicine; 0 Pediatric cardiology;

o Private office; 0 Radiology department; 0 Ultrasound department. TYPE OF PATIENTS EXAMINED BY ECHOCARDIOGRAPHY: 0 Adults; 0 Children; 0 Infants; 0 Fetal;

o All of the above. HOW MANY FELLOWS/TRAINEES/TECHNICIANS WORK IN YOUR LABORATORY: 0 None; 0 One; 0 2-3; 0 3-5; 0 Over 5.

Page 8: Continuing Education and Meeting Calendar

CORPORATE AFFILIATE MEMBERS

Acuson, Inc. Advanced Technology Laboratories, Inc. American Echo, Inc. Berlex Laboratories, Inc. Biosound Inc. Corometrics Medical Systems, Inc. General Electric Medical Systems Group

November-December 1991

Hewlett-Packard Company Interspec Inc. Mallinckrodt Cardiology Molecular Biosystems Nova Microsonics Sayreville Cardiac Laboratory Siemens Corporation Toshiba America Medical Systems, Inc.

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