Long School of Medicine
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Advanced Cardiac Point-of-care Ultrasound Workshop

Objectives
  1. Familiarize learners with clinical applications of advanced cardiac POCUS for acutely ill patients.
  2. Practice acquiring advanced cardiac POCUS views on normal live models.
  3. Practice interpreting normal and abnormal images from advanced cardiac POCUS exams.
Target Audience
  1. 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. 
  2. Physicians preparing for the Advanced Critical Care Echocardiography board exam offered by the National Board of Echocardiography.
Faculty
Paul MayoTaro MinamiMark Foster
Mangala NarasimhanHenry Mayo-MalaskyNick Villalobos
Harald SauthoffJoel ChoNilam Soni
Gisela BanauchKevin Proud Erik Manninen
Tanping WongAmik Sodhi 
Agenda
Pre-course Work
October 2024

Pre-course Test & Survey 

  • Knowledge Test (no skills test)
  • Provider survey
October 2024

Pre-course Lectures:  View previously recorded lectures online.

  1. Welcome and Normal TTE
  2. Diastolic Function
  3. Adult TTE Protocol
  4. Doppler Pitfalls & Knobology
  5. LV systolic Function
  6. RV Function & Right-sided Valvular Disease
  7. Volume Status & Fluid Responsiveness
  8. Left-sided Valvular Heart Disease (Parts 1 and 2)
  9. Aorta & Great Vessels
  10.  Congenital Heart Disease in Adults
  11.  Cardiac Masses, Devices, and Foreign Bodies
  12.  Introduction to TEE
  13.  Pericardial Disease
 

Recommended Reading for TTE:

1. LV & RV Function, PA pressures
2. Review of Doppler
3. Advanced CCE part 1
4. Advanced CCE part 2
5. Diastolic Function
6. ACCE Pitfalls
7. Cor Pulmonale
8. Cardiac Tamponade
9. TEE Overview
10. Respiratory Failure

Recommended Reading for TEE:

  1. Indications and background of Critical Care TEU
  2. Hemodynamics using TEU
  3. Hemodynamics in Mechanical Circulatory Support
  4. Valvular disease, replacement, MCS
  5. Pericardial disease and diastolic dysfunction
  6. Resuscitative TEU
  7. Normal variants and artifact
  8. Procedural guidance, ECMO, MCS
  9. TEU limitations and guidance
  10. Respiratory Failure, Aortic disease
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)

  • Welcome (15min) – Nilam Soni
    • Course overview
    • Objectives
  • Lecture: Normal transthoracic echocardiography demo (45 min) – Nilam Soni
    • Parasternal, apical, subcostal, and other views
    • Protocol for advanced cardiac POCUS exam
  • Lecture: LV systolic function (60 min) – Taro Minami
    • EF/CO
    • Segmental wall motion abnormalities
    • Cases
  • Discussion: Summary and Questions & Answers (15 min)
November 19, 2024
2:00pm – 4:15pm CT

Week 2 – Tuesday, November 19, 2024– 2:00pm – 4:15pm CT (2.25 hours CME credit)

  • Lecture: Knobology and Doppler Echocardiography (60min) – Harald Sauthoff
    • Advanced image optimization
    • Doppler physics and knobology
    • Pitfalls
  • Lecture: Mitral Valvular Disease (60min) – Nilam Soni
    • Mitral regurgitation and stenosis
    • Cases
  • Discussion: Summary and Questions & Answers (15 min) 
December 10, 2024 
2:00pm – 4:15pm CT

Week 3 – Tuesday, December 10, 2024 – 2:00pm – 4:15pm CT (2.25 hours CME credit)

  • Lecture: Aortic Valvular Disease (60min) – Nick Villalobos
    • Aortic regurgitation and stenosis 
    • Cases
  • Lecture: RV function & Right-sided Valvular Disease (60 min) – Mangala Narasimhan
    • TAPSE, S', RV size
    • Tricuspid & Pulmonic regurgitation
    • Cases
  • Discussion: Summary and Questions & Answers (15 min) 
December 17, 2024 
2:00pm – 4:15pm CT

Week 4 – Tuesday, December 17, 2024 – 2:00pm – 4:15pm CT (2.25 hours CME credit)

  • Lecture: LV diastolic function (60min) – Scott Millington 
    • Categorization of diastolic dysfunction
    • Estimation of LAP
    • Cases
  • Lecture: Pericardial diseases (60 min) – Paul Mayo
    • Pericardial effusion & tamponade
    • Cases
  • Discussion: Summary and Questions & Answers (15 min) 
January 14, 2025 
2:00pm – 4:15pm CT

Week 5 – Tuesday, January 14, 2025 – 2:00pm – 4:15pm CT (2.25 hours CME credit)

  • Lecture: Congenital Heart Disease in Adults (30min) – Mangala Narasimhan
  • Lecture: Cardiac Masses, Devices, and Foreign Bodies (60min) – Harald Sauthoff
    • Intracardiac masses – mass vs. thrombus vs. vegetation
    • LV assist devices, ECMO cannulas, lines
  • Lecture: Cardiac Cases (30min) – Harald Sauthoff
  • Discussion: Summary and Questions & Answers (15 min) 
January 21, 2025 
2:00pm – 4:15pm CT

Week 6 – Tuesday, January 21, 2025 – 2:00pm – 4:15pm CT (2.25 hours CME credit)

  • Lecture: Introduction to Transesophageal Echo (60 min) – Paul Mayo
    • Probe and image orientation
    • Protocol for goal-directed TEE
    • Cases
  • Lecture: Volume Status & Fluid Responsiveness (60min) – Paul Mayo
    • Cases
  • Discussion: Summary and Questions & Answers (15 min) 
Live Hand-on Scanning
Feb 1-2, 2025 in Austin

DAY 1

7:00 – 7:30Breakfast
7:30 – 7:40Welcome & Course Overview - Nilam Soni
7:40 – 8:00Lecture: Protocol & Views of Advanced Cardiac POCUS Exam - Nilam Soni
8:00 – 8:10Divide into 3 Groups
 Group AGroup BGroup 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) - Paul Mayo
8:50 – 8:55Rotate Groups A & B & C
8:55 – 9:35Hands-on 1: Advanced Cardiac POCUS Exam       
(40 min)		Image Interpretation 1: Shock Cases 
(40 min) - Paul Mayo		Hands-on 1: Advanced Cardiac POCUS Exam    
(40 min)
9:35 – 9:40Rotate Groups A & B & C
9:40 – 10:20Image Interpretation 1: Shock Cases 
(40 min) - Paul Mayo		Hands-on 1: Advanced Cardiac POCUS Exam    
(40 min)		Hands-on 1: Advanced Cardiac POCUS Exam       
(40 min)
10:20 – 10:30Break (10 min)
10:30 – 10:35                     Divide into 3 Groups
 Group AGroup BGroup 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) - Gisela Banauch
11:10 – 11:15            Rotate Groups A & B & C
11:15 – 11:50Hands-on 2: Advanced Cardiac POCUS Exam       
(35 min)		Image Interpretation 2: Cardiac Cases 
(35 min) - Gisela Banauch		Hands-on 2: Advanced Cardiac POCUS Exam    
(35 min)
11:50 – 11:55Rotate Groups A & B & C
11:55 – 12:30Image Interpretation 2: Cardiac Cases 
(35 min) - Gisela Banauch		Hands-on 2: Advanced Cardiac POCUS Exam    
(35 min)		Hands-on 2: Advanced Cardiac POCUS Exam       
(35 min)
12:30 – 1:30Lunch
Lecture: Advanced Cardiac Cases (30 min) - Greg Mints
1:30 – 1:35Divide into 3 Groups
 Group AGroup BGroup C
1:35 – 2:10Hands-on 3: Advanced Cardiac POCUS Exam    
(35 min)		Hands-on 3: Advanced Cardiac POCUS Exam       
(35 min)		Image Interpretation 3: Cardiac Cases 
(35 min) - Harald Sauthoff
2:10 – 2:15Rotate Groups A & B & C
2:15 – 2:50Hands-on 3: Advanced Cardiac POCUS Exam       
(35 min)		Image Interpretation 3: Cardiac Cases 
(35 min) - Harald Sauthoff		Hands-on 3: Advanced Cardiac POCUS Exam    
(35 min)
2:50 – 2:55Rotate Groups A & B & C
2:55 – 3:30Image Interpretation 3: Cardiac Cases 
(35 min) - Harald Sauthoff		Hands-on 3: Advanced Cardiac POCUS Exam    
(35 min)		Hands-on 3: Advanced Cardiac POCUS Exam       
(35 min)
3:30 – 3:45Break (15 min) 
3:45 – 4:30Lecture: Advanced Cardiac POCUS Cases - Taro Minami
4:30 – 5:15Lecture: Pearls & Pitfalls of Advanced Cardiac POCUS - Nilan Soni

DAY 2

7:00 – 7:30Breakfast
7:30 – 8:30Lecture: Venous Doppler Ultrasound (60 min) - VExUS protocol, Assessment of IJV/FV - Ria Dancel
8:30 – 8:35Divide into 3 Groups
 Group AGroup BGroup C
8:35 – 9:05                       Hands-on 4: Venous Doppler Ultrasound Exam    
(30 min)		Hands-on 4: Venous Doppler Ultrasound Exam    
(30 min)		Image Interpretation 4: Venous US Cases 
(30 min) - Ria Dancel 
9:05 – 9:10Rotate Groups A & B & C
9:10 – 9:40Hands-on 4: Venous Doppler Ultrasound Exam    
(30 min)		Image Interpretation 4: Venous US Cases 
(30 min) - Ria Dancel 		Hands-on 4: Venous Doppler Ultrasound Exam    
(30 min)
9:40 – 9:45Rotate Groups A & B & C
9:45 – 10:15       Image Interpretation 4: Venous US Cases 
(30 min) - Ria Dancel 		Hands-on 4: Venous Doppler Ultrasound Exam    
(30 min)		Hands-on 4: Venous Doppler Ultrasound Exam    
(30 min)
10:15 – 10:25Break (10 min)
10:25 – 11:00Review: Cardiac Valve Assessment (35 min) - TV (TR; measurement of PASP), PV (measurement of PADP, mPAP), MV (MR, MS; measurement E/e'), AV (AR, AS) - Nilan Soni
11:00 – 11:05Divide into 3 Groups
 Group AGroup BGroup C
11:05 – 11:35                       Hands-on 5: Review Advanced Cardiac POCUS Exam    
(30 min)		Hands-on 5: Review Advanced Cardiac POCUS Exam    
(30 min)		Image Interpretation 5: Review Cases Cases 
(30 min) - Joel Cho
11:35 – 11:40Rotate Groups A & B & C
11:40 – 12:10   Hands-on 5: Review Advanced Cardiac POCUS Exam
(30 min)		Image Interpretation 5: Review Cases Cases
(30 min) - Joel Cho		Hands-on 5: Review Advanced Cardiac POCUS Exam
(30 min)
12:10 – 12:15Rotate Groups A & B & C
12:15 – 12:45                                        Image Interpretation 5: Review Cases Cases
(30 min) - Joel Cho		Hands-on 5: Review Advanced Cardiac POCUS Exam
(30 min)		Hands-on 5: Review Advanced Cardiac POCUS Exam
(30 min)
12:45 – 1:45Lunch
Lecture: Multi-system POCUS Cases (30 min) - Kevin Proud
1:45 – 2:00Questions & Answers (15 min) - Nilan Soni + All Faculty
2:00 – 3:30Post-Course Knowledge & Skills Assessment
 Group AGroup BGroup C
 Post-Course Skills Assessment
(25 min)		Post-Course Knowledge Exam Part 1
(25 min)		Post-Course Knowledge Exam Part 2 
(25 min) 
 Post-Course Knowledge Exam Part 1
(25 min)		Post-Course Knowledge Exam Part 2 
(25 min) 		Post-Course Skills Assessment
(25 min)
 Post-Course Knowledge Exam Part 2 
(25 min) 		Post-Course Skills Assessment
(25 min)		Post-Course Knowledge Exam Part 1
(25 min)
3:30 – 4:00Review Post-course Knowledge Assessment (30 min) - Nilan Soni
4:00Adjourn
5:15 – 5:30Wrap-up: Questions & Answers - All Faculty

 

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.