Long School of Medicine

Advanced Cardiac Point-of-care Ultrasound Workshop

February 12-13, 2026

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 SodhiRia Dancel
Gigi LiuGregory MintsKreegan Reierson
Scott Millington  

Agenda
Pre-course Work

October 2025

Pre-course Test & Survey 

  • Knowledge Test (no skills test)
  • Provider survey
October 2025

Pre-course Lectures:  View previously recorded lectures online (13 CME hours)

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

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 11, 2025 
2:00pm – 4:15pm CT          

Week 1 – Tuesday, November 11, 2025 – 2:00pm – 4:15pm CT 

(Note: twice monthly sessions will be on Tuesday afternoons and recorded if missed)

  • Welcome (15min) – Nilam Soni
    • Course overview
    • Objectives
  • Break (10min)
  • Lecture: LV Systolic Function Cases & Images (45 min) – Taro Minami
    • EF/CO
    • Segmental wall motion abnormalities
    • Cases
  • Wrap-up: Summary and Questions & Answers (5 min)
November 18, 2025
2:00pm – 4:15pm CT

Week 2 – Tuesday, November 18, 2025– 2:00pm – 4:15pm CT 

  • Discussion: Questions & Answers (5 min)
  • Lecture: Knobology and Doppler Questions & Cases (60min) – Harald Sauthoff
    • Advanced image optimization
    • Doppler physics and knobology
    • Pitfalls
  • Break (10min)
  • Lecture: LV Diastolic Function Cases & Images (60min) – Scott Millington
    • Categorization of diastolic dysfunction
    • Estimation of LAP
    • Cases
December 9, 2025 
2:00pm – 4:15pm CT

Week 3 – Tuesday, December 9, 2025 – 2:00pm – 4:15pm CT 

  • Discussion: Summary and Questions & Answers (5 min)
  • Lecture: Mitral Valve Cases & Images (60min) – Nilam Soni
    • Mitral regurgitation and stenosis
    • Cases
  • Break (10min)
  • Lecture: Aortic Valve Cases & Images (60 min)
    • Aortic regurgitation and stenosis
    • Cases
December 16, 2025 
2:00pm – 4:15pm CT

Week 4 – Tuesday, December 16, 2025 – 2:00pm – 4:15pm CT 

  • Discussion: Summary and Questions & Answers (5 min)
  • Lecture: RV, Tricuspid and Pulmonic Valve Cases & Images (50min) – Mangala Narasimhan
    • TAPSE, S', RV size
    • Tricuspid & Pulmonic regurgitation
    • Cases
  • Break (10min)
  • Lecture: Congenital Heart Diseases Cases & Images (30 min) – Mangala Narasimhan
  • Lecture: Venous Doppler Ultrasound (40min) - Ria Dancel 
January 13, 2026 
2:00pm – 4:15pm CT

Week 5 – Tuesday, January 13, 2026 – 2:00pm – 4:15pm CT 

  • Discussion: Summary and Questions & Answers (5 min)
  • Lecture: Pericardial Disease Cases & Images (60min) – Paul Mayo
    • Pericardial effusion & tamponade
    • Cases
  • Break (10min)
  • Lecture: Volume Status & Fluid Responsiveness Cases & Images (60min) – Paul Mayo
    • Cases
January 20, 2026 
2:00pm – 4:15pm CT

Week 6 – Tuesday, January 20, 2026 – 2:00pm – 4:15pm CT 

  • Discussion: Summary and Questions & Answers (5 min)
  • Lecture: Transesophageal Echo Cases & Images (50 min) – Kevin Proud
    • Probe and image orientation
    • Protocol for goal-directed TEE
    • Cases
  • Break (10min)
  • Lecture: Cardiac Masses, Devices, and Foreign Bodies (60min) – Harald Sauthoff
    • Intracardiac masses - mass vs. thrombus vs. vegetation
    • LV assist devices, ECMO cannulas, lines
  • Wrap-up: Summary and Questions & Answers (10 min)
February 12-13, 2026 
7:30am – 5:00pm CT 
Week 7 – Thursday, February 12-13, 2026 - Hands-on Scanning Workshop in Austin
7:30am - 5:00pm CT - Day 1
7:30am - 4:00pm CT - Day 2
Live Hand-on Scanning
Feb 12-13, 2026 in Austin

DAY 1

7:00 – 7:30Breakfast
7:30 – 7:40Welcome & Course Overview (10min) - Nilam Soni
7:40 – 8:00Lecture: Protocol & Views of Advanced Cardiac POCUS Exam (20min) - 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
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 – 5:00Lecture: Advanced Cardiac Cases - Greg Mints
5:00 – 5:30Lecture: Pearls & Pitfalls of Advanced Cardiac POCUS - Nilam Soni

DAY 2

7:00 – 7:30Breakfast
7:30 – 8:15Lecture: Venous Doppler Ultrasound (45min) - VExUS protocol, Assessment of IJV/FV - Ria Dancel
8:15– 8:20Divide into 3 Groups
 Group AGroup BGroup C
8:20– 8:50                       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 
8:50 – 8:55Rotate Groups A & B & C
8:55 – 9:25Hands-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)
9:25– 9:30Rotate Groups A & B & C
9:30– 10:00       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)
10:00– 10:10Break (10 min)
10:10– 10:50Review: Cardiac Valve Assessment (35 min) - TV (TR; measurement of PASP), PV (measurement of PADP, mPAP), MV (MR, MS; measurement E/e'), AV (AR, AS) - Nilam Soni
10:50 – 10:55Divide into 3 Groups
 Group AGroup BGroup C
10:55 – 11:25                       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
11:25 – 11:30Rotate Groups A & B & C
11:30 – 12:00   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)
12:00 – 12:05Rotate Groups A & B & C
12:05 – 12:35                                        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)
12:35 – 1:15Lunch
1:15 – 1:30Questions & Answers (15 min) - Nilam Soni + All Faculty
 Post-Course Knowledge & Skills Assessment
 Group AGroup BGroup C
1:30– 2:00Post-Course Skills Assessment
(25 min)
Post-Course Knowledge Exam Part 1
(25 min)
Post-Course Knowledge Exam Part 2 
(25 min) 
2:00 – 2:30Post-Course Knowledge Exam Part 1
(25 min)
Post-Course Knowledge Exam Part 2 
(25 min) 
Post-Course Skills Assessment
(25 min)
2:30 – 3:00Post-Course Knowledge Exam Part 2 
(25 min) 
Post-Course Skills Assessment
(25 min)
Post-Course Knowledge Exam Part 1
(25 min)
3:00 – 3:45Review Post-course Knowledge Assessment (30 min) - Nilam Soni
3:45 - 4:00Wrap-up: Questions & Answers - All Faculty
4:00Adjourn

 

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 12-13, 2026.
  • 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 $2,195 (includes pre-course work, online sessions, and 2 days of hands-on scanning practice in Austin on Feb 12-13, 2026)
  • Registration Link: Advanced Cardiac POCUS Course
  • Trainees: Medical students, residents, and fellows can receive a discounted rate of $1,995 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
  • Groups: Discounted pricing is available for groups with ≥5 registrants coming from the same institution or medical practice. Please email krellenstein@uthscsa.edu if you have a group of ≥5 registrants.
  • 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.