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SEPTEMBER 20 – 23, 2012 | RENAISSANCE CHICAGO HOTEL | CHICAGO, ILLINOIS NEW Heart Rhythm Board Review On Demand: available online exclusively to attendees! BOARD REVIEW COURSE Clinical Cardiac Electrophysiology & ABIM CCEP Recertification Prep Course COURSE DIRECTORS N.A. Mark Estes III, MD, FHRS, CCDS | David E. Haines, MD, FHRS Register today at www.HRSonline.org/Education Register by August 27, 2012 to lock in early registration rates! The Heart Rhythm Society’s Annual Board Review Course is the preferred resource for physicians seeking a comprehensive review of content focused on preparation for the American Board of Internal Medicine (ABIM) certification and recertification examinations in Clinical Cardiac Electrophysiology (CCEP). Led by internationally recognized faculty members, many of whom have served on the ABIM CCEP test writing committee, the course provides first-hand expert guidance on the essential exam areas. For those not preparing for the exam, this course is an excellent update and overview of cardiac electrophysiology. COURSE HIGHLIGHTS j Eight workshops with ABIM CCEP board format questions using audience response system j 15 lectures with content focused on ABIM CCEP board preparation j Session on “Strategies for Success: Preparing for the Boards” jContent areas feature topics in: asic cardiac and –B Intracardiac electrophysiology harmacology of –P anti-arrhythmic drugs oninvasive testing –N for arrhythmias trial and other –A supraventricular tachycardias atheter ablation –C – Implantable cardioverter defibrillators ardiac pacing –C WHO SHOULD ATTEND? jEP Fellows jClinical Cardiac EPs jDirectors of EP Labs jCardiologists jMDs taking the ABIM CCEP Board Certification Exam jMDs taking the ABIM CCEP Recertification Exam LEARNING OBJECTIVES Upon completion of this educational activity, you will be able to: j Describe the current guidelines related to evaluation and management of patients with cardiac rhythm disturbances j Describe the role of electrophysiologic testing in managing patients with bradyarrhythmias and tachyarrhythmias j Identify the advantages and limitations of diagnostic electrophysiologic methods j Identify the role of pharmacologic and non-pharmacologic therapies for the treatment of arrhythmias j Recognize the basic electrophysiology and genetics of inherited conditions associated with cardiac arrhythmias j Interpret complex electrophysiologic and electrocardiographic tracings j Interpret stored electrograms from pacemakers and ICDs COURSE DIRECTORS COURSE FACULTY David L. Hayes, MD, FHRS, CCDS N.A. Mark Estes Ill, MD, FHRS, CCDS Michael J. Ackerman, MD, Ph.D. Professor of Medicine Chair, Division of Cardiovascular Diseases Mayo Clinic, Cardiology Department Rochester, MN Professor of Medicine Tufts University School of Medicine Director, Cardiac Arrhythmia Service Tufts-New England Medical Center Boston, MA David E. Haines, MD, FHRS Chairman, Cardiovascular Medicine Beaumont Heart Center William Beaumont Hospital Royal Oak, MI Join our internationally recognized expert faculty, many of whom have served on the ABIM CCEP test writing committee, and enhance your exam preparations. “Excellent question format. Lectures were very focused, to the point, and just what you need for the Boards.” — H. Hreibe Pediatric Cardiologist Mayo Clinic College of Medicine Rochester, MN Mark E. Anderson, MD, Ph.D., FHRS Professor of Medicine and Physiology Head, Department of Internal Medicine Associate Director, Cardiovascular Research Center University of Iowa Carver College of Medicine Iowa City, IA David J. Callans, MD, FHRS Professor of Medicine University of Pennsylvania School of Medicine Philadelphia, PA John P. DiMarco, MD, Ph.D., FHRS Professor of Medicine Director, Cardiac Electrophysiology Lab University of Virginia Health System Charlottesville, VA Kenneth A. Ellenbogen, MD, FHRS Professor of Medicine Director, Cardiac Electrophysiology and Pacemaker Laboratory Medical College of Virginia Richmond, VA Francis E. Marchlinski, MD, FHRS Professor of Medicine University of Pennsylvania School of Medicine Director of Cardiac Electrophysiology University of Pennsylvania Health System Philadelphia, PA Gregory F. Michaud, MD, FHRS Director, Brigham and Women’s Hospital Center for Advanced Management of Atrial Fibrillation Boston, MA Fred Morady, MD Professor of Medicine Director, Clinical Cardiac Electrophysiology Lab University of Michigan Health System Ann Arbor, MI William G. Stevenson, MD, FHRS Arrhythmia Service, Brigham and Women’s Hospital Professor of Medicine Harvard Medical School Boston, MA COURSE FORMAT This course features didactic lectures supplemented with case-based workshops utilizing an audience response system (ARS) to facilitate an interactive learning session and in-depth coverage of exam content areas. Test your decision-making skills in real time as you respond to questions using the ARS and receive immediate feedback on your decisions. For more information and to register online, visit www.HRSonline.org/Education 2012 BOARD REVIEW COURSE IN CLINICAL CARDIAC ELECTROPHYSIOLOGY Note: Presentation and faculty subject to change Thursday, September 20, 2012 Friday, September 21, 2012 Noon-8:30 p.m. Registration Open 7:00-8:00 a.m. CONTINENTAL BREAKFAST (provided) 2:00-4:00 p.m. ABIM CCEP Recertification Prep Course 8:00-8:30 a.m. Basic Electrophysiology Principles for the Clinician: Part II 5:00-5:15 p.m. Welcome, Overview of Course, and Introduction to Audience Response System 8:30-10:00 a.m. Workshop #2: Arrhythmia Case Studies 10:00-10:10 a.m. COFFEE BREAK j Session I: Basic and Clinical Electrophysiology 5:15-6:00 p.m. SA and AV Node, His-Purkinje System: Clinical Assessment, Anatomic and Autonomic Aspects, and Treatment 6:00-7:00 p.m. Basic Electrophysiology Principles for the Clinician: Part I 7:00-7:10 p.m. BREAK (DINNER PICK-UP) 7:10-8:40 p.m. WORKING DINNER Workshop #1: Electrocardiographic/Electrophysiologic Correlations 10:10-11:10 a.m. Inherited Ion Channelopathies j Session II: Supraventricular Tachycardia/WPW Syndrome 11:10 a.m.-12:10 p.m. Techniques of Differentiating SVT Mechanisms: Part I 12:10-1:15 p.m. LUNCH 1:15-2:00 p.m. Techniques of Differentiating SVT Mechanisms: Part II 2:00-3:30 p.m. Workshop #3: SVT Mechanisms/Maneuvers 3:30-4:30 p.m. Catheter Ablation of Atrial Tachycardia and Atrial Flutter 4:30-4:45 p.m. COFFEE BREAK 4:45-5:30 p.m. Catheter Ablation of Accessory Pathways 5:30-6:00 p.m. Catheter Ablation of AV Nodal Reentant Tachycardia For more information and to register online, visit www.HRSonline.org/Education Saturday, September 22, 2012 Sunday, September 23, 2012 7:00-8:00 a.m. CONTINENTAL BREAKFAST 7:00-8:00 a.m. CONTINENTAL BREAKFAST j Session III: Atrial Fibrillation and Ventricular Tachycardia j Session IV: Cardiac Pacing and Defibrillation 8:00-8:30 a.m. Mechanisms, Pharmacologic, and Non-pharmacologic Treatment of Atrial Fibrillation 8:30-10:00 a.m. Workshop #4: SVT/WPW Cases 10:00-10:15 a.m. COFFEE BREAK 10:15-10:45 a.m. Ventricular Tachycardia: Scar-Related and Unique Forms, Mapping, and Entertainment 10:45 a.m.-12:15 p.m. Workshop #5: SVT and WCT unknowns 12:15-1:30 p.m. LUNCH 1:30-2:00 p.m. Basic Concepts and Engineering Aspects of Cardiac Pacing; Elective Replacement Indicators and Timing Cycles 2:00-3:30 p.m. Workshop #6: Electrocardiographic/Electrophysiological Correlations 3:30-4:00 p.m. Rate-Modulated Pacing, Proper Selection of Devices and Leads, Controversies, Indications for Pacing, Pacemaker Follow up, and Troubleshooting 4:00-4:15 p.m. COFFEE BREAK 4:15-5:00 p.m. Pharmacokinetics, Pharmacodynamics, Pharmacogenetics, and Clinical Electrophysiology of Anti-arrhythmic Drugs Part I 5:00-5:30 p.m. Pharmacokinetics, Pharmacodynamics, Pharmacogenetics, and Clinical Electrophysiology of Anti-arrhythmic Drugs Part II 5:30-6:00 p.m. Strategies for Success: Preparing for the Boards/Review of BRC Pretest 8:00-8:45 a.m. Risk Stratification and Therapy for Sudden Cardiac Death: Implications from Clinical Trials and Indications for ICDs 8:45-9:45 a.m. Workshop #7: Pacemaker/ICD and Unknowns Arrhythmia Case Studies 9:45-10:30 a.m. ICDs: Evaluations and Troubleshooting 10:30-10:45 a.m. COFFEE BREAK 10:45-11:45 a.m. Workshop #8: Arrhythmia Case Studies 11:45 a.m.-Noon Concluding Remarks / Course Adjourns GENERAL INFORMATION AMERICAN BOARD OF INTERNAL MEDICINE (ABIM) EXAMINATION The ABIM will be administering certification and recertification examinations in Clinical Cardiac Electrophysiology (CCEP) on October 25, 2012. For information on the certification or recertification examinations, please contact the ABIM at (800) 441-2246 or (215) 446-3500 or visit www.abim.org. ABIM MODULE SESSION The 2012 Board Review Course will utilize the ABIM SelfEvaluation Module B3-L, Version 11 – 1 for Thursday’s ABIM CCEP Recertification Prep Course. The ABIM Learning Session is intended to provide educational enrichment to complement ABIM’s Medical Knowledge Modules. The modules help physicians update their knowledge of recent advances that have affected clinical practice in specific certification areas. Led by ABIM Board Certified faculty, participants of this Maintenance of Certification (MOC) Learning Session will develop group consensus answers to the questions in the module, facilitating the completion of the ABIM CCEP Medical Knowledge Module. ACCREDITATION STATEMENT The Heart Rhythm Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. AMA CREDIT DESIGNATION STATEMENT The Heart Rhythm Society designates this live activity for a maximum of 26.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The AMA has determined that physicians not licensed in the United States who participate in this CME activity are eligible for AMA PRA Category 1 Credits™. INTRODUCING HEART RHYTHM BOARD REVIEW ON DEMAND! For the first time, the Heart Rhythm Society is pleased to offer the 2012 Board Review Course in Cardiac Electrophysiology in a digital format to its attendees. Heart Rhythm Board Review On Demand delivers video presentations with slides and fully synchronized audio allowing the opportunity to re-review critical components likely needed for successful completion of the board certification examination, all from the convenience of your own computer. With Heart Rhythm Board Review On Demand, sessions become available online 24 hours after the live presentation has concluded, DISCLOSURE OF FACULTY’S COMMERCIAL RELATIONSHIP(S) It is the policy of the Heart Rhythm Society to ensure balance, independent objectivity, and scientific rigor in all its certified educational activities. Everyone involved in the planning and participation of continuing medical education activities is required to disclose any real or apparent conflict of interest related to the content of his/her presentations and also disclose discussions of unlabeled/unapproved uses of drugs or devices during his/her presentations. In accordance with the ACCME’s Standards for Commercial Support of Continuing Medical Education, all faculty and planning partners must disclose any financial relationship(s) or other relationship(s) held within the past 12 months. The Heart Rhythm Society implements a mechanism to identify and resolve all conflicts of interest prior to delivering the educational activity to learners. Detailed disclosure information will be made available prior to the activity and in the activity slides. MEMBER REGISTRATION REQUIREMENTS To receive the member rate you must be a member in good standing at the time of registration. All non-members must register at the nonmember rate. To apply for membership, please visit www.HRSonline.org/Join. Anyone applying for membership with the Heart Rhythm Society during the Board Review Course registration period must complete his/her application packet and be approved by the Society prior to registering for the course. The Society will not reimburse the difference between the member and nonmember rates for attendees who register prior to membership approval. CANCELLATION/REFUND POLICY All requests for cancellation of your registration for the Board Review Course and/or the ABIM CCEP Recertification Prep Course must be made in written format and received at IECi by August 27, 2012. A $75.00 processing fee will be withheld. Course registration fees are non-refundable for cancellations received after August 27, 2012. There is no refund for “no-shows.” Written cancellations should be faxed to (208) 979-7777 or sent via e-mail to [email protected]. so you can continue preparing for your boards right away! Additional features of Heart Rhythm Board Review Course on Demand include: · Compact USB drive for complete access offline · Mobile streaming for most mobile devices, including iPad, iPhone, and Android devices* · MP3 downloads for convenient on-the-go audio *Android 4.0 and higher REGISTRATION/COURSE FEES The Board Review Course only registration fees include all sessions, workshops, and course materials for the main course, as well as a dinner on Thursday, September 20, and continental breakfasts and lunches September 21– 23. You may register for the ABIM Recertification Module Session only if desired or at a discounted rate should you register for both the Board Review Course and ABIM Recertification Module Session. PAYMENT POLICY The Heart Rhythm Society’s registration and housing vendor, IECi, will process and accept the following credit cards: American Express, VISA, and MasterCard. Checks submitted must be drawn on a U.S. bank in U.S. dollars and made payable to the Heart Rhythm Society. The registrant pays all fees or charges connected with payment. Please note: •All registration information must be complete in order to be processed. •Registration forms may be reproduced. •Wire/bank transfers are not accepted. HOTEL RESERVATIONS A block of rooms has been reserved at the Renaissance Hotel at the special meeting rate of $234.00 plus applicable tax (15.4%) per night (single/double). The first-come, first-served special rate is available until August 27, 2012, after which, rooms will be offered on a space and rate available basis. Hotel reservations must be made through one of the registration options offered by the Heart Rhythm Society. A one night room and tax deposit is required to secure your reservation and is refundable up until 72 hours prior to your arrival date. If you cancel your hotel reservation within 72 hours of arrival or if you are a “no-show,” a one night room and tax penalty will apply. This hotel is a non-smoking facility. In the unlikely event that the course is cancelled, the Heart Rhythm Society is responsible only for full refund of the registration fee and not for transportation, hotel accommodations, or any miscellaneous expenses. For more information and to register online, visit www.HRSonline.org/Education Registration and Housing Form Heart Rhythm Society Board Review Course in Clinical Cardiac Electrophysiology REGISTRATION FEE CATEGORIES Early Through August 27 Course Only Course and ABIM Recertification Module Session ABIM Recertification Module Only After August 27 Course Only Course and ABIM Recertification Module Session ABIM Recertification Module Only Board Review Course On Demand** **One (1) per paid registrant only. September 20 – 23, 2012 Renaissance Chicago Hotel Chicago, Illinois Members ❑ $ 1,240 ❑ $ 1,370 ❑ $ 225 Members ❑ $ 1,340 ❑ $ 1,470 ❑ $ 325 Members ❑ $ 325 Non-Members ❑ $ 1,440 ❑ $ 1,625 ❑ $ 350 Non-Members ❑ $ 1,540 ❑ $ 1,725 ❑ $ 450 Non-Members ❑ $ 425 FOR MORE INFORMATION AND TO REGISTER ONLINE, VISIT WWW.HRSONLINE.ORG/EDUCATION/COURSES/BOARDREVIEW Arrival: _______/_______/_______ Departure: _______/_______/_______ ROOM TYPE ❑ Single Occupancy (1 person) HOUSING RESERVATION $234 Sgl/Dbl Renaissance Chicago Hotel + applicable taxes (15.4%) ❑ Double Occupancy (2 people) Sharing a room with _____________________________________________________ ❑ Check here if you do not require accommodations SPECIAL REQUESTS DIETARY NEEDS ❑ Smoking ❑ King ❑ No special meals required ❑ ADA Accessible ❑ Kosher ❑ Two Beds REGISTER ONLINE: ❑ Vegetarian www.HRSonline.org/Education/ Courses/BoardReview PAYMENT INFORMATION Checks/money orders for registration fees must be U.S. funds drawn on a U.S. bank. OR MAIL your completed form with payment to: Heart Rhythm Society, c/o IECi Brickyard Office Park 84 Sherman Street, Cambridge, MA 02140 Total amount enclosed $ __________________ ❑ Check enclosed – payable to Heart Rhythm Society. (Please remember to include $270.04 for one night’s room and tax — required hotel deposit.) ❑ Credit Card (please select credit card type) ❑ MasterCard ❑ VISA ❑ AMEX FAX (208) 979-7777 QUESTIONS? Email reghousing@ internationaleventconnection.com OR CALL (617) 864-1114 Credit Card No. _________________________________________________________ Exp. Date _________________________Security Code _________________________ (Please ensure expiration date is beyond September 2012.) I agree to the Terms and Conditions outlined in this brochure. Holder Name___________________________________________________________________________________________________________________ Signature______________________________________________________________________________________________________________________ REGISTRANT PROFILE *Required Fields Contact Information Customer ID Number (If Known) _____________________________________________________________________________________________________ Prefix: ____ First Name*:_________________________ Middle Initial:_____ Last Name*: ______________________________ Suffix (Jr., Sr., etc.):________ Degree* (Enter N/A if not applicable): _________________________________________ Job Title*:_______________________________________________ Company or Institution: _________________________________________________ Address Type: Business or Home*: ____________________________ Street Address*:___________________________________________________________________________________________________________________ Address Line 2: __________________________________________________________________________________________________________________ City*:______________________________________________________ State/Province*:________________________Zip/Postal Code*: ________________ Country*: _______________________________________________________________________________________________________________________ Phone*: _______________________________ Mobile Phone: _______________________________ Fax: ______________________________ (country code/city code/number) (country code/city code/number) (country code/city code/number) E-mail*:__________________________________________________________________________________________________________________________ Date of Birth*: _________/__________/____________ Gender*: ❑ Male ❑ Female ❑ Choose Not to Reply REGISTRATION INFORMATION CONTINUED ON FOLLOWING PAGES REGISTRANT PROFILE (*required field) 1. How did you find out about this course?* q E-mail announcement q Printed brochure/Advance Program q Journal advertisement q Heart Rhythm Society website q Colleague q Other, please specify: _______________________ 2. Primary Occupation* q Physician q Nurse/Nurse Practitioner q Technician/Technologist q Engineer q Sales/ Marketing/Product Development q Educator q Manager/Administrator q Training: Medical Student/Intern/Resident q Training: Fellow-in-Training q Hospitalist q Scientist q Physician Assistant q Retired q Other, please specify: _______________________ 3. Primary Area of Practice/Specialty* q Pediatric Cardiology q Surgery q Clinical Cardiology q Basic Research Science q Heart Failure q Translational Research Science q Clinical Research Science q Clinical Electrophysiology q Interventional Cardiology q Hypertrophic Cardiomyopathy q Pediatric EP q Other, please specify: _______________________ 4. Secondary Area of Practice/Specialty* q Pediatric Cardiology q Surgery q Clinical Cardiology q Basic Research Science q Heart Failure q Translational Research Science q Clinical Research Science q Clinical Electrophysiology q Interventional Cardiology q Hypertrophic Cardiomyopathy q Pediatric EP q Other, please specify: _______________________ q Not applicable 5. Primary Work Environment* q EP Private Practice q Hospital (Non-Academic) q Industry q Academic Setting q Multi-Discipline Cardiology Private Practice q Health Maintenance/Preferred Provider Organization q Veterans Administration q Association For more information and to register online, visit www.HRSonline.org/Education BOARD REVIEW COURSE 2012 – PRE-COURSE QUESTIONNAIRE (*required field) As we look forward to the 2012 Board Review Course, the Society would like to learn briefly about your goals for this course along with your current knowledge level on the course material. Your feedback on these questions is imperative for planning effective educational opportunities in the future. Are you planning to take the ABIM Clinical Cardiac EP Exam on October 25, 2012? q Yes q No If yes, for: q Certification q Recertification Which of the following, if any, are among the goals you would like to achieve from your experience at the Heart Rhythm Society’s 2012 Board Review Course: q Gain knowledge about a subject in which I currently have a specific interest or focus q Gain knowledge about a subject with which I’m not currently familiar q Meet a particular person or number of persons I don’t currently know personally q See and spend time with a particular person or number of persons with whom I’m currently acquainted (e.g., colleagues, old friends) q Ensure that I get exposure to others in the field who are important to me q Learn more about new drugs, equipment, products and/or services in which I currently have an interest q Learn about drugs, equipment, products and/or services with which I’m not currently familiar How well would you rate your knowledge in the following areas on a scale of 1 – 3 with 1 = highly knowledgeable, 2 = somewhat knowledgeable and 3 = little to no knowledge?* Current guidelines related to evaluation and management of patients with cardiac rhythm disturbances 1 23 Electrophysiologic testing in patients with bradyarrhythmias and tachyarrhythmias 1 23 Advantages and limitations of diagnostic electrophysiologic methods 1 23 Use of pharmacologic and non-pharmacologic therapies in treatment of arrhythmias 1 23 Interpretation of complex electrophysiologic and electrocardiographic tracings 1 23 Interpretation of electrograms from pacemakers and ICDs 1 23 How do you prefer to receive your course materials? q USB Drive q In print Do you plan to stay in the host conference hotel, the Renaissance Chicago, at $234 Sgl/Dbl? q Yes q No If no, q I plan to stay with family and/or friends q I plan to stay in alternative hotel accommodations for cost reasons q I plan to stay in alternative hotel accommodations for hotel brand loyalty reasons q I plan to stay in alternative accommodations as a matter of preference q Other (please specify): ____________________________ __________________________________________________ Thank you for sharing your time and thoughts. The Society will follow up with you after the course to obtain feedback on your experience by asking you to complete a similar survey at the conclusion of the course. 1400 K Street, NW | Suite 500 | Washington, DC 20005 | USA Board Review Course in Clinical Cardiac Electrophysiology September 20 – 23, 2012 Chicago, IL, USA www.HRSonline.org DISCLAIMER The Board Review Course provides a forum for the open exchange and discussion of research results and scientific advancements in the field of cardiovascular pacing and electrophysiology; however, the Society makes no representation or warranty as to the truth, originality, or accuracy of the information presented at the Board Review Course or in materials distributed in connection with it. Nor are the views expressed by the individual speakers necessarily the views of the Society. The Heart Rhythm Society supports the ACCME’s policy on evidence-based content and encourages faculty to adhere to these standards when planning a presentation.