BBeetthh IIssrraaeell DDeeaaccoonneessss MMeeddiiccaall CCeenntteerrDDeeppaarrttmmeenntt ooff AAnneesstthheessiiaa,,

CCrriittiiccaall CCaarree aanndd PPaaiinn MMeeddiicciinnee

HHaarrvvaarrdd MMeeddiiccaall SScchhoooollDDeeppaarrttmmeenntt ooff CCoonnttiinnuuiinngg EEdduuccaattiioonn

1100tthh AAnnnnuuaall PPeerriiooppeerraattiivvee TTrraannsseessoopphhaaggeeaall EEcchhooccaarrddiiooggrraapphhyy

aanndd EEcchhoo BBooaarrddss RReevviieewwAA CCaassee--BBaasseedd AApppprrooaacchh

FFrriiddaayy -- SSuunnddaayy SSeepptteemmbbeerr 2277 -- 2299,, 22001133

TThhee FFaaiirrmmoonntt CCoopplleeyy PPllaazzaa HHootteell •• BBoossttoonn,, MMAA

CCoouurrssee DDiirreeccttoorr:: FFeerroozzee MMaahhmmoooodd,, MMDD

Co-Directors:

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

The F

airm

ont

Cople

y P

laza

Hote

l •

Bost

on, M

A

-- MMiittrraall VVaallvvee SSyymmppoossiiuumm

-- TThhrreeee--DDiimmeennssiioonnaall EEcchhooccaarrddiiooggrraapphhyy SSyymmppoossiiuumm

-- PPeerrccuuttaanneeoouuss IInntteerrvveennttiioonnss && EEcchhooccaarrddiiooggrraapphhyy

-- LLiivvee PPoorrcciinnee DDiisssseeccttiioonn

-- CCoommpprreehheennssiivvee BBaassiicc && AAddvvaanncceedd EEcchhoo BBooaarrddss RReevviieeww©

Pres

ident

and

Fell

ows o

f Har

vard

Coll

ege

1100TTHH AANNNNUUAALL PPEERRIIOOPPEERRAATTIIVVEE TTRRAANNSSEESSOOPPHHAAGGEEAALL

EECCHHOOCCAARRDDIIOOGGRRAAPPHHYY AANNDD EECCHHOO BBOOAARRDDSS RREEVVIIEEWW

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, hands-on skillsstations, case review and feedback using an audience response system. This activity is designedto address the lack of knowledge and competence for those who have received no advance train-ing in this area; and lack of performance for those who have the basic skills but have not hadthe opportunity for the hands-on training, which will expand their capabilities of probe manipu-lations 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.

©Pr

eside

nt a

nd F

ellow

s of H

arva

rd C

olleg

e

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- Learn the application of echo data in the clinical context

AACCCCOOMMMMOODDAATTIIOONNSS//TTRRAAVVEELL::A limited number of rooms have been reserved at Fairmont Copley Plaza (Telephone: 617-267-5300 or 800-441-1414) until SSeepptteemmbbeerr 66,, 22001133. Please specify that you are enrolled in thiscourse to receive a reduced room rate of $309 Single/Double (Moderate and Fairmont Rooms).Hotel arrangements can also be made online at: https://resweb.passkey.com/go/perioperative2013. 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.

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 FFAACCUULLTTYYRReemmccoo BBeerrggmmaann,, MMDD Anesthesiologist, Fellow of Intensive CareDepartment of Critical CareUniversity Medical Center GroningenGroningen, The Netherlands

AArrtthhuurr 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

JJaayyaanntt SS.. JJaaiinnaanndduunnssiinngg,, MMDDCardiac AnesthesiologistDepartment of Anesthesia and Pain MedicineUniversity Medical Center GroningenGroningen, The Netherlands

HHaann KKiimm,, MMDDLecturer in AnesthesiaUniversity of Toronto, Staff AnesthesiologistSt. Michael’s HospitalToronto, Ontario, Canada

GG.. BBuurrkkhhaarrdd MMaacckkeennssoonn,, MMDD,, PPhhDD,, FFAASSEEUWMedicine Research & Education Endowed Professor in Anesthesiology,Adjunct Professor of MedicineUniversity of WashingtonChief, Division of CardiothoracicAnesthesiologyUWMedicine Regional Heart CenterSeattle, WA

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

AAlleexxaannddeerr MMiittttnnaacchhtt,, MMDDAssociate Professor of Anesthesiology, Icahn School of Medicine @ Mount SinaiDirector of Pediatric Cardiac Anesthesia,The Mount Sinai Medical Center,New York, NY

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

Kamal Khabbaz, MD

David C. Liu, MD

Robina Matyal, MD

John Mitchell, MD

Mario Montealegre, MD

Sajid Shahul, MD

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

Tommy Burch, MD

TTrraaiinniinngg iinn PPeerriiooppeerraattiivvee TTrraannsseessoopphhaaggeeaall EEcchhooccaarrddiiooggrraapphhyy

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 DDiirreeccttoorrss:: Feroze Mahmood, MD / Robina Matyal, MD

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

Contact Ronald Mayes at (617) 667-5039 or rmayes@bidmc.harvard.edu for more

information.

Reference course number 3344122

Echo Preceptorship

AAllssoo

OOffffeerreedd

FFRRIIDDAAYY,, SSEEPPTTEEMMBBEERR 2277,, 22001133

EECCHHOO BBOOAARRDDSS RREEVVIIEEWW -- SSEESSSSIIOONN IIPPhhyyssiiccss aanndd HHeemmooddyynnaammiiccss WWoorrkksshhoopp

SSEEPPTTEEMMBBEERR 2277TTHH 33::0000--55::0000 PPMM

MMooddeerraattoorrss:: Feroze Mahmood, MD, Han Kim, MD, Remco Bergman, MD, Robina Matyal, MD,Gregg Hartman, MD

11.. A detailed and interactive review of the principles of echocardiographicphysics, image formation, artifacts, Doppler and hemodynamic equations

22.. Audience interactions

33.. Questions and Calculations

44.. Discussion with faculty

55::0000--55::3300 BBrreeaakk

BBAASSIICC RREEVVIIEEWW

11:00-12:00pm Registration

LLIIVVEE PPOORRCCIINNEE DDIISSSSEECCTTIIOONN SSppeeaakkeerr DDoouuggllaass SShhooookk,, MMDDLLaauurreenn CCoorrnneellllaa,, MMDD

1122::0000--22::3300 PPOORRCCIINNEE DDIISSSSEECCTTIIOONN

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

CorrelationFFaaccuullttyy:: John Fox, MD, Charles Nyman, MD, Jennifer McSweeney, MD,

Andrea Worthington, BA, Kerry Wilusz, BA

22::3300--33::0000 BBrreeaakk

HHAANNDDSS––OONN TTEEEE SSIIMMUULLAATTIIOONN WWOORRKKSSHHOOPPMMuullttiippllee ssiimmuullaattoorr ssttaattiioonnss wwiitthh hhaannddss--oonn pprraaccttiiccee

5:30-7:30

DDeessccrriippttiioonn:: 11.. Multiple simulators with normal and abnormal anatomy22.. Interactive33.. Faculty Input44.. Metrics for performance assessment

FFaaccuullttyy:: Robina Matyal, MD, Han Kim, MD, Remco Bergman, MD, Lauren Cornella, MD,

Bilal Chaudry, MD, Jayant Jainandunsing, MD

SSAATTUURRDDAAYY,, SSEEPPTTEEMMBBEERR 2288,, 22001133

FFOOCCUUSSEEDD CCLLIINNIICCAALL SSYYMMPPOOSSIIAA

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

AAOORRTTIICC VVAALLVVEE SSYYMMPPOOSSIIUUMM MMooddeerraattoorr | Feroze Mahmood, MD

7:00-7:30 Aortic Stenosis–Echocardiographic Assessment | Amanda Fox, MD

7:30-8:00 Aortic Regurgitation–Echocardiographic Assessment | John Mitchell, MD

8:00-8:30 Low Gradient Aortic Stenosis – Intraoperative Assessment | Adam Lerner, MD

8:30-9:00 Aortic Valve Repair–Role of Echocardiography | Athena Poppas, MD

9:00-9:15 Case Presentation & Questions MMooddeerraattoorr | John Mitchell, MD

99::1155--99::3300 BBrreeaakk

MMIITTRRAALL VVAALLVVEE SSYYMMPPOOSSIIUUMM MMooddeerraattoorr || DDoouuggllaass SShhooookk,, MMDD

9:30-10:00 Echocardiographic Assessment for Suitability for Repair | J. Daniel Muehlschegel, MD

10:00-10:30 Surgical Expectations for TEE for Repair | Kamal Khabbaz, MD

10:30-11:00 Ischemic Mitral Regurgitation – Intraoperative Perspective | Albert Cheung, MD

11:00-11:30 Assessment of a Repaired Mitral Valve | Andrew Maslow, MD

11:30-12:15 Mitral Valve Case Presentation – Panel Discussion Bala Subramaniam, MD

Jennifer McSweeney, MD

Surgical Prem Shekar, MD

Kamal Khabbaz, MD

David C. Liu, MD

1122::1155--11::1155 LLuunncchh ((OOnn yyoouurr oowwnn))

CCLLIINNIICCAALL CCHHAALLLLEENNGGEESS MMooddeerraattoorr || AAddaamm LLeerrnneerr,, MMDD

1:15-1:45 Tricuspid Valve – Intraoperative Perspective | Arthur Bert, MD

1:45-2:15 Adult Congenital Heart Disease and TEE | Tommy Burch, MD

2:15-2:45 TEE and Pericardial Disease | Peter Panzica, MD

2:45-3:15 Practical Assessment of Diastolic Function and Dysfunction | Alina Nicoara, MD

3:15-3:45 Prosthetic Valve Assessment | Alexander Mittnacht, MD

3:45-4:00 BBrreeaakk

EECCHHOOCCAARRDDIIOOGGRRAAPPHHYY AANNDD PPEERRCCUUTTAANNEEOOUUSS IINNTTEERRVVEENNTTIIOONNSS((SSaappiieenn && AAoorrttiicc VVaallvveess)) MMooddeerraattoorr || Feroze Mahmood, MD

4:00-4:30 Percutaneous Aortic Valves - Introduction | Jeffrey Popma, MD

4:30-5:00 Echocardiographic Approach to Percutaneous Aortic Valve | Sugantha Sundar, MD

5:00-5:30 Interventional Echocardiography in the Cath and EP Lab | Charles Nyman, MD

5:30-6:00 BBrreeaakk

EECCHHOO BBOOAARRDDSS RREEVVIIEEWW -- SSEESSSSIIOONN IIIIIIMMoocckk EExxaamm

SSEEPPTTEEMMBBEERR 2299TTHH 1122::3300--44::0000 PPMM

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

FFOORRMMAATT::

11.. Echo Boards Style Multiple Choice Questions2. Audience Response System2. Discussion with faculty and overview of concepts

44::0000 Adjourn

SSAATTUURRDDAAYY,, SSEEPPTTEEMMBBEERR 2288,, 22001133 ccoonntt’’dd

EECCHHOO BBOOAARRDDSS RREEVVIIEEWW -- SSEESSSSIIOONN IIIIIINNTTEERRAACCTTIIVVEE EEXXAAMM

SSEEPPTTEEMMBBEERR 2288TTHH 66::0000--88::0000 PPMM

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

OOBBJJEECCTTIIVVEESS::

11.. Echo Boards Style Multiple Choice Questions 2. Audience Response System 33.. Discussion with faculty and overview of concepts

Program changes/substitutions may be made without notice.

BBAASSIICC -- AADDVVAANNCCEEDD SSYYMMPPOOSSIIAA

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

TTHHRREEEE--DDIIMMEENNSSIIOONNAALLEECCHHOOCCAARRDDIIOOGGRRAAPPHHYY SSYYMMPPOOSSIIUUMM

MMooddeerraattoorr | Adam Lerner, MD

7:00-7:30 Overview of three-dimensional echocardiography | G. Burkhard Mackensen, MD

7:30-8:00 Available Technologies – Potentials and Limitations | Feroze Mahmood, MD

8:00-8:30 Clinical Cases – When 3D makes a difference | G. Burkhard Mackensen, MD

8:30-8:45 Questions and Comments

88::4455--99::0000 BBrreeaakk

CClliinniiccaall CCaasseess ++ DDiissccuussssiioonn MMoodduullee MMooddeerraattoorr | Andrew Maslow, MD

9:00-11:30 Challenging case presentations from faculty with input for surgeons, cardiologists and anesthesiologists.

Audience participation FFaaccuullttyy:: John Fox, MD, Prem Shekar, MD, Burkhard Mackenson, MD, PhD, FASE, Adam Lerner, MD,

Kamal Khabbaz, MD, David C. Liu, MD

1111::3300--1122::3300 LLuunncchh

SSUUNNDDAAYY,, SSEEPPTTEEMMBBEERR 2299,, 22001133

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

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: hms-cme@hms.harvard.edu.

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.

1100tthh AAnnnnuuaall PPeerriiooppeerraattiivvee TTrraannsseessoopphhaaggeeaall EEcchhooccaarrddiiooggrraapphhyyaanndd EEcchhoo BBooaarrddss RReevviieeww SSeepptteemmbbeerr 2277 -- 2299,, 22001133

✄

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: WEBA B X Z Z Z:Online Registrants: Add the first three

characters of the source code found here °

1100tthh AAnnnnuuaall PPeerriiooppeerraattiivvee TTrraannsseessoopphhaaggeeaall EEcchhooccaarrddiiooggrraapphhyy aanndd EEcchhoo BBooaarrddss RReevviieeww CCllaassss ##333311228888

✄

September 27-29, 2013