Objectives
- Familiarize learners with clinical applications of advanced cardiac POCUS for acutely ill patients.
- Practice acquiring advanced cardiac POCUS views on normal live models.
- Practice interpreting normal and abnormal images from advanced cardiac POCUS exams.
Target Audience
- Physicians proficient in basic cardiac ultrasound seeking training in advanced cardiac applications, including quantitative and semi-quantitative assessments of right and left ventricular function and valvular heart disease.
- Physicians preparing for the Advanced Critical Care Echocardiography board exam offered by the National Board of Echocardiography.
Faculty
| Paul Mayo | Taro Minami | Mark Foster |
| Mangala Narasimhan | Henry Mayo-Malasky | Nick Villalobos |
| Harald Sauthoff | Joel Cho | Nilam Soni |
| Gisela Banauch | Kevin Proud | Erik Manninen |
| Tanping Wong | Amik Sodhi |
Agenda
Pre-course Work |
| October 2024 | Pre-course Test & Survey
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| October 2024 | Pre-course Lectures: View previously recorded lectures online.
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Recommended Reading for TTE: 1. LV & RV Function, PA pressures Recommended Reading for TEE:
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Live Online Sessions |
| November 12, 2024 2:00pm – 4:15pm CT | Week 1 – Tuesday, November 12, 2024 – 2:00pm – 4:15pm CT (2.25 hours CME credit) (Note: twice monthly sessions will be on Tuesday afternoons and recorded if missed)
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| November 19, 2024 2:00pm – 4:15pm CT | Week 2 – Tuesday, November 19, 2024– 2:00pm – 4:15pm CT (2.25 hours CME credit)
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| December 10, 2024 2:00pm – 4:15pm CT | Week 3 – Tuesday, December 10, 2024 – 2:00pm – 4:15pm CT (2.25 hours CME credit)
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| December 17, 2024 2:00pm – 4:15pm CT | Week 4 – Tuesday, December 17, 2024 – 2:00pm – 4:15pm CT (2.25 hours CME credit)
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| January 14, 2025 2:00pm – 4:15pm CT | Week 5 – Tuesday, January 14, 2025 – 2:00pm – 4:15pm CT (2.25 hours CME credit)
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| January 21, 2025 2:00pm – 4:15pm CT | Week 6 – Tuesday, January 21, 2025 – 2:00pm – 4:15pm CT (2.25 hours CME credit)
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Live Hand-on Scanning |
DAY 1 | |||
| 7:00 – 7:30 | Breakfast | ||
| 7:30 – 7:40 | Welcome & Course Overview - Nilam Soni | ||
| 7:40 – 8:00 | Lecture: Protocol & Views of Advanced Cardiac POCUS Exam - Nilam Soni | ||
| 8:00 – 8:10 | Divide into 3 Groups | ||
| Group A | Group B | Group C | |
| 8:10 – 8:50 | Hands-on 1: Advanced Cardiac POCUS Exam (40 min) | Hands-on 1: Advanced Cardiac POCUS Exam (40 min) | Image Interpretation 1: Shock Cases (40 min) |
| 8:50 – 8:55 | Rotate Groups A & B & C | ||
| 8:55 – 9:35 | Hands-on 1: Advanced Cardiac POCUS Exam (40 min) | Image Interpretation 1: Shock Cases (40 min) | Hands-on 1: Advanced Cardiac POCUS Exam (40 min) |
| 9:35 – 9:40 | Rotate Groups A & B & C | ||
| 9:40 – 10:20 | Image Interpretation 1: Shock Cases (40 min) | Hands-on 1: Advanced Cardiac POCUS Exam (40 min) | Hands-on 1: Advanced Cardiac POCUS Exam (40 min) |
| 10:20 – 10:30 | Break (10 min) | ||
| 10:30 – 10:35 | Divide into 3 Groups | ||
| Group A | Group B | Group C | |
| 10:35 – 11:10 | Hands-on 2: Advanced Cardiac POCUS Exam (35 min) | Hands-on 2: Advanced Cardiac POCUS Exam (35 min) | Image Interpretation 2: Cardiac Cases (35 min) |
| 11:10 – 11:15 | Rotate Groups A & B & C | ||
| 11:15 – 11:50 | Hands-on 2: Advanced Cardiac POCUS Exam (35 min) | Image Interpretation 2: Cardiac Cases (35 min) | Hands-on 2: Advanced Cardiac POCUS Exam (35 min) |
| 11:50 – 11:55 | Rotate Groups A & B & C | ||
| 11:55 – 12:30 | Image Interpretation 2: Cardiac Cases (35 min) | Hands-on 2: Advanced Cardiac POCUS Exam (35 min) | Hands-on 2: Advanced Cardiac POCUS Exam (35 min) |
| 12:30 – 1:30 | Lunch | ||
| 1:30 – 1:35 | Divide into 3 Groups | ||
| Group A | Group B | Group C | |
| 1:35 – 2:10 | Hands-on 3: Advanced Cardiac POCUS Exam (35 min) | Hands-on 3: Advanced Cardiac POCUS Exam (35 min) | Image Interpretation 3: Cardiac Cases (35 min) |
| 2:10 – 2:15 | Rotate Groups A & B & C | ||
| 2:15 – 2:50 | Hands-on 3: Advanced Cardiac POCUS Exam (35 min) | Image Interpretation 3: Cardiac Cases (35 min) | Hands-on 3: Advanced Cardiac POCUS Exam (35 min) |
| 2:50 – 2:55 | Rotate Groups A & B & C | ||
| 2:55 – 3:30 | Image Interpretation 3: Cardiac Cases (35 min) | Hands-on 3: Advanced Cardiac POCUS Exam (35 min) | Hands-on 3: Advanced Cardiac POCUS Exam (35 min) |
| 3:30 – 3:45 | Break (15 min) | ||
| 3:45 – 4:30 | Lecture: Advanced Cardiac POCUS Cases | ||
| 4:30 – 5:15 | Lecture: Pearls & Pitfalls of Advanced Cardiac POCUS | ||
| 5:15 – 5:30 | Wrap-up: Questions & Answers – All Faculty | ||
| 5:30 | Adjourn | ||
DAY 2 | ||
| 7:30 | Breakfast | |
| 7:30 – 7:40 | Overview of Day 2 - Nilam Soni | |
| 7:40 – 7:45 | Divide into TTE & TEE Groups | |
| TTE Group | TEE Group | |
| 7:45 – 8:25 | Hands-on: Cardiac Valve Assessment (40min) -TV (TR; measurement of PASP) -PV (measurement of PADP, mPAP) -MV (MR, MS; measurement lateral E/e’) -AV (AR, AS) | Lecture: Critical Care Transesophageal Ultrasound -Protocol for goal-directed TEU in ICU -Indications, Training, and Pitfalls (40 min) |
| 8:25 – 8:30 | Rotate Groups from Hands-on vs. Lecture | |
| 8:30 – 9:30 | Lecture: Venous Doppler Ultrasound (60min) -VExUS protocol -Assessment of IJV, FV | Hands-on: -Equipment check do’s and don’ts (30 min) -Basic TEE Protocol (30 min) |
| 9:30 – 9:40 | Break (10 min) | |
| 9:40 – 10:40 | Hands-on: Venous Doppler Ultrasound -VExUS protocol -Assessment of IJV, FV | Lecture: Rescue & Resuscitative TEE (30 min) -Advanced image optimization -Doppler physics and knobology -Cases Hands-on: Rescue Cases/Intubation Simulation (30 min) |
| 10:40 – 10:45 | Rotate Groups from Hands-on vs. Lecture | |
| 10:45 – 11:45 | Lecture 2: Review of Advanced Cardiac POCUS Applications (60 min) -Evaluation of LV and RV function (SV,CO) -Valvular assessment -Diastolic function -Pericardial effusion -Venous congestion | Lecture: TEE Hemodynamics (30min) -SVC, VTI, VexUS, interventricular Interdependence -Shock assessment -Procedural guidance -Cases Hands-on: TEE Hemodynamics & Procedures (30 min) |
| 11:45 – 12:45 | Lunch Lecture: Multi-system POCUS Cases (30min) | Lunch Lecture: Procedural Guidance with TEE (30min) |
| 12:45 – 12:50 | Divide into TTE & TEE Groups | |
| 12:50 – 1:50 | Hands-on: Review Advanced Cardiac POCUS -Measurement of PASP, PADP -Evaluation of LV and RV function (SV,CO) -Valvular assessment -Diastolic function -Venous congestion | Lecture: Perioperative Complications (30min) -Valves, displacements, monitoring -Congenital heart disease -Emergencies and hemodynamics Hands-on: Mechanical Circulatory Support and ECMO cannulation (30 min) |
| 1:50 – 2:00 | Break (10 min) & Reconvene in Salon C | |
| 2:00 – 3:15 | Post-Course Knowledge & Skills Assessment Post-course Knowledge Exam (45 min) | |
| 3:15 – 3:45 | Review Post-course Knowledge Assessment (30min) - Nilam Soni | |
| 3:45 – 4:00 | Wrap-up and Questions & Answers (15min) - Nilam Soni + All Faculty | |
| 4:00 | Adjourn | |
Registration:
Required Experience:
- Clinicians registering for the course must be proficient in basic cardiac POCUS with mastery in acquiring parasternal long- and short-axis, apical 4-chamber, subcostal 4-chamber and IVC views.
- Hybrid course structure requires pre-course reading, viewing of lectures, participation in online lectures/discussions on Tuesday afternoons (full agenda above), and 2 days of in-person, hands-on scanning in Austin at the AT&T Hotel and Conference Center on February 1-2, 2025.
- If you are interested but unsure if you have the required experience, please email Kathryn Krellenstein with a brief description of your past cardiac POCUS training: krellenstein@uthscsa.edu
Registration Fees:
- Total course cost is $2,625 (includes pre-course work, online sessions, and 2 days of hands-on scanning practice in Austin on Feb 1-2, 2025)
- Registration Link: Advanced Cardiac Point-of-Care Ultrasound Workshop 2025
- Trainees: Medical students, residents, and fellows can receive a discounted rate of $2,475 after sending the following items to krellenstein@uthscsa.edu.
1. Name of medical school or residency/fellowship training program
2. Name of dean of students or program director
3. Email address of dean or program director - Course Credits: Up to 42.0 AMA PRA Category 1 Credit and 42.0 points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
- Mailing List: To be added to our mailing list for future courses, please complete the Course Participant Form.
Cancellation:
- Course registration is non-transferable and may not be applied toward future UT Health San Antonio CME courses. Partial refunds of 75% of the course registration will be provided for cancellations 60 days prior to the course. Partial refunds of 50% of the course registration will be provided for cancellations 30 days prior to the course. Partial refunds of 25% of the course registration will be provided for cancellations 14 days prior to the course. No refunds will be provided for cancellations less than 14 days or for no-shows.
- Those who have last minute cancelations due to unforeseen circumstances or Acts of God (illness, canceled flights/ weather related, major family emergencies, etc.) will have the option of a 50% reimbursement of registration funds or a one-time transfer of your registration to our next POCUS CME Workshop.