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Division of Cardiology<br />

Johns <strong>Hopkins</strong> Bayview Medical Center<br />

Presents<br />

Cardiac CT<br />

Practicum:<br />

The Total Experience<br />

An intensive five-day course designed<br />

to accomplish Level II or Level III<br />

competency in interpretation of<br />

cardiac CTA as recommended by the<br />

American College of Cardiology and<br />

American Heart Association<br />

One of the longest running<br />

Cardiac CT training courses<br />

Activity Directors:<br />

David E. Bush, MD<br />

Edward P. Shapiro, MD<br />

INCLUDES<br />

• Reduced Tuition<br />

• Johns <strong>Hopkins</strong> quality (#1)<br />

• Everything needed for board eligibility<br />

• All requirements for Level II or<br />

advancing to Level III<br />

• Free two day refresher reading session<br />

• Remote access to Johns <strong>Hopkins</strong><br />

workstations for three months


Description<br />

Who Should Attend<br />

This activity is intended for<br />

physicians including cardiologists,<br />

radiologists, and nuclear specialists<br />

who are currently in practice or<br />

are in a fellowship, seeking Level<br />

II competency training. For those<br />

who have already qualified for Level<br />

II, this added experience will meet<br />

the case requirements for Level III.<br />

The activity is held monthly at the Johns <strong>Hopkins</strong> Bayview Medical<br />

Center in Baltimore, Maryland, in a multimedia classroom constructed<br />

specifically for the learner’s needs. This is a workstation-based<br />

training activity, designed to meet American College of Cardiology/<br />

American Heart Association Level II and III requirements. Each<br />

participant has their own workstation to use throughout the activity<br />

and receives personal attention and instruction by the activity faculty.<br />

A workstation, which projects to the front of the room, is used by<br />

instructors to demonstrate various aspects of CT interpretation. After<br />

receiving training on the use of the workstation, a case library of over<br />

150 cases selected to demonstrate the variety of pathology, which can<br />

be evaluated by CT (coronary disease, bypass grafts, stents, anomalies,<br />

cardiomyopathies, EP, pericardial disease, cardiac tumors) is reviewed.<br />

A minimum of 100 cases is reviewed during the five days of the activity.<br />

Twenty hours of didactic instruction is included through lectures<br />

and reading materials, which will cover topics of patient selection,<br />

preparation, radiation, contrast, cardiac anatomy, assessment of cardiac<br />

function, cardiac pathology, etc. Members of the Johns <strong>Hopkins</strong> faculty<br />

and guest faculty will present these topics. Participants will take a quiz<br />

to confirm understanding of these materials.<br />

The requirement for observation of the acquisition of 50 studies<br />

is satisfied by utilizing a combination of onsite observation of<br />

approximately 25 studies supplemented by interactive observation of<br />

approximately 25 studies performed offsite and viewed by interactive<br />

video link. Participants will have the opportunity to ask questions during<br />

acquisition of the studies (i.e., patient selection, use of beta blockers) and<br />

to observe the steps in obtaining the scan by direct observation of the<br />

scanner console. The 50 scans that were acquired during the week of the<br />

activity are anonymized and participants will interpret these studies on<br />

their own time following the five days of onsite training. After faculty<br />

review of the participants’ interpretation of these 50 studies and the<br />

other elements of the activity, a certificate documenting completion of<br />

Level II and III requirements will be issued.<br />

Cardiac CT Practicum: The Total Experience<br />

Objectives<br />

After attending this activity, the participant will demonstrate the<br />

ability to:<br />

1) Choose patients appropriate for this imaging modality<br />

2) Prepare patients to obtain optimal study results<br />

3) Optimize image reconstruction for cardiac analyses<br />

4) Use 3D workstation to visualize all aspects of cardiac anatomy<br />

5) Assess extent of coronary atherosclerosis and evaluate LV function.<br />

ACCREDITATION STATEMENT<br />

The Johns <strong>Hopkins</strong> University School of Medicine is accredited by the<br />

Accreditation Council for Continuing Medical Education to provide<br />

continuing medical education for physicians.<br />

CREDIT DESIGNATION STATEMENT<br />

The Johns <strong>Hopkins</strong> University School of Medicine designates this<br />

live activity for a maximum of 41 AMA PRA Category 1 Credits TM .<br />

Physicians should claim only the credit commensurate with the extent<br />

of their participation in the activity.<br />

POLICY ON SPEAKER AND PROVIDER DISCLOSURE<br />

It is the policy of the Johns <strong>Hopkins</strong> University School of Medicine<br />

that the speaker and provider disclose real or apparent conflicts of<br />

interest relating to the topics of this educational activity, and also<br />

disclose discussions of unlabeled/unapproved uses of drugs or devices<br />

during their presentation(s). The Johns <strong>Hopkins</strong> University School of<br />

Medicine O<strong>CME</strong> has established policies in place that will identify and<br />

resolve all conflicts of interest prior to this educational activity. Detailed<br />

disclosure will be made in the activity handout materials.<br />

TO ENHANCE YOUR LEARNING EXPERIENCE<br />

Physicians who have completed our Level II or Level III training activity<br />

are invited back to Baltimore to participate in our activity entitled<br />

“Continuing Experience in Cardiac CT: Maintaining Competency at<br />

Level 2/3”, one time, at no additional charge. This activity is conducted<br />

approximately three times per year and is designated specifically for<br />

those who have already completed Level II or III training. The activity<br />

includes mentored reading of 50 cases covering a range of findings, with<br />

clinical correlation. Major new findings in cardiac CT and advanced<br />

topics are also discussed. Participants have found this two-day session<br />

to be useful as a refresher, and to satisfy the requirement to read at least<br />

50 cases per year to maintain qualifications or achieve board eligibility.


Lecture Topics<br />

(This schedule is subject to change)<br />

Overview Cardiac CT. ....................David E. Bush, MD<br />

10 Steps ................................David E. Bush, MD<br />

Use of the 3D Workstation ................. Paul S. Hees, MD<br />

Post-Processing ..........................David E. Bush, MD<br />

Non-Obstructive Plaque. ...............Edward P. Shapiro, MD<br />

IV Contrast .......................... Jeffrey A. Brinker, MD<br />

Coronary Calcium ................. Roger S. Blumenthal, MD,<br />

. . . . . . . . . . . . . . . .Erin D. Michos, MD, MHS, Wendy S. Post, MD<br />

Beta Blockers ........................Edward P. Shapiro, MD<br />

Radiation. .......................Mahadevappa Mahesh, PhD<br />

CT vs Gold Standard ...................Armin A. Zadeh, MD<br />

CT Artifacts ..........................Irfan S. Shafique, MD<br />

Stents and Bypass Grafts ..................David E. Bush, MD<br />

Anomalous Coronaries. ................Edward P. Shapiro, MD<br />

CT Viability and Perfusion ..............Richard George, MD,<br />

. . . . . . . . . . . . . . . . . . Albert C. Lardo, PhD, João Lima, MD, MBA<br />

Non-Cardiac Findings ..................Irfan S. Shafique, MD<br />

Coding and Reimbursement ............Edward P. Shapiro, MD<br />

Contrast and Dose Modulation. ..........Armin A. Zadeh, MD<br />

Clinical Vignettes ..................... Jeffrey A. Brinker, MD<br />

Emergency Room Applications . . . . . . . . . . .Charles S. White, MD<br />

EP Applications .........................David E. Bush, MD<br />

Appropriateness Criteria .................David E. Bush, MD,<br />

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Edward P. Shapiro, MD<br />

The Johns <strong>Hopkins</strong> University School of Medicine takes responsibility for the<br />

content, quality and scientific integrity of this <strong>CME</strong> activity.<br />

m Other Important Information<br />

Speakers<br />

Activity Directors<br />

David E. Bush, MD<br />

Associate Professor of Medicine<br />

Johns <strong>Hopkins</strong> University School of Medicine<br />

Edward P. Shapiro, MD<br />

Professor of Medicine<br />

Johns <strong>Hopkins</strong> University School of Medicine<br />

Johns <strong>Hopkins</strong> Speakers<br />

Roger S. Blumenthal, MD<br />

Professor of Medicine<br />

Jeffrey A. Brinker, MD<br />

Professor of Medicine<br />

Paul S. Hees, PhD<br />

Lecturer in Medicine<br />

Richard George, MD<br />

Assistant Professor of Medicine<br />

Albert C. Lardo, PhD<br />

Associate Professor of Medicine<br />

João Lima, MD, MBA<br />

Professor of Medicine<br />

Mahadevappa Mahesh, PhD<br />

Associate Professor of Radiology and Radiological Sciences<br />

Chief Physicist<br />

Erin D. Michos, MD, MHS<br />

Assistant Professor of Medicine<br />

Wendy S. Post, MD<br />

Associate Professor of Medicine<br />

Armin A. Zadeh, MD<br />

Assistant Professor of Medicine<br />

Guest Speakers<br />

Irfan S. Shafique, MD<br />

Director, Dedicated Imaging<br />

Baltimore, Maryland<br />

There is a learning curve that must be overcome to master cardiac CT, and the amount of material to<br />

be covered is large. Therefore, these days will be long (8:30 a.m. - 7:30 p.m. on Monday, Tuesday, and<br />

Thursday and 8:30 a.m. - 5:00 p.m. on Wednesday and Friday), and it is expected that participants<br />

will be present for the entire week. Breakfast and lunch will be provided on-site. An evening event,<br />

which will include dinner, will be arranged on Wednesday during the course. These meals and events<br />

are included with the registration fee. A small office will be available for making and receiving phone<br />

calls, and sending and receiving emails and faxes, etc.<br />

Charles S. White, MD<br />

Professor of Radiology<br />

University of Maryland School of Medicine<br />

Baltimore, Maryland<br />

Endorsed by the Society of Cardiovascular<br />

Computed Tomography, the professional society<br />

devoted exclusively to cardiovascular CT


General Information<br />

m Location<br />

Johns <strong>Hopkins</strong> Bayview Medical Center<br />

4940 Eastern Avenue, Baltimore, Maryland 21224<br />

Conveniently located off Interstate 895, the Johns <strong>Hopkins</strong> Bayview<br />

Medical Center is the site of the meeting. Directions to campus parking<br />

will be sent with your confirmation notice, or visit our website to access this<br />

information, www.<strong>Hopkins</strong><strong>CME</strong>.edu. Handicapped parking is available.<br />

Johns <strong>Hopkins</strong> is smoke-free.<br />

m Registration<br />

The select dates below are available by appointment only. Registration<br />

is accepted on a first payment-received basis. Please call Susan Orr at<br />

(410) 550-0845 or e-mail sorr@jhmi.edu to check availability and make<br />

your reservation.<br />

m 2012<br />

July 23-27 November 12-16<br />

September 10-14<br />

m 2013<br />

January 7-11 April 8-12<br />

February 11-15 May 13-17<br />

March 4-8 June 10-14<br />

m Why THIS course?<br />

• The longest running course, with consistently excellent reviews from<br />

attendees<br />

• The only university-based course currently available<br />

• Johns <strong>Hopkins</strong> <strong>CME</strong> credits<br />

• Continuous close supervision by and interaction with senior Johns<br />

<strong>Hopkins</strong> faculty<br />

• All lectures by University faculty<br />

• New CTA applications<br />

• All prior students available for references<br />

• One student per workstation<br />

• Remote access to JHU workstation from your home or office for three<br />

months<br />

• Special evening event<br />

• Free two-day refresher activity<br />

m References<br />

The names of previous participants in this activity, who may be contacted as<br />

references, are available upon request.<br />

m Activity Evaluation<br />

An activity evaluation form will be available to attendees to evaluate<br />

each session and each speaker’s presentation, as well as to identify future<br />

educational needs.<br />

m Outcomes Survey<br />

An outcomes survey will be sent to all physician attendees within three<br />

months post activity to assist us in determining what impact this activity<br />

had on the attendee’s practice.<br />

m Americans with Disabilities Act<br />

The Johns <strong>Hopkins</strong> University School of Medicine fully complies with the<br />

legal requirements of the ADA and the rules and regulations thereof. Please<br />

notify us if you have any special needs.<br />

m Emergency Calls<br />

During the days of this activity only, direct emergency calls to Dr. Edward<br />

Shapiro, (410) 550-0849. Messages will be delivered to participants.<br />

m Registration Fees:<br />

Registration Cut-Off Date: Five days prior to start of activity<br />

Methods of Payment: Payment by check or credit card must accompany the<br />

registration form prior to the activity. On-site payments by credit card only.<br />

Foreign payments must be by credit card or with a U.S. Dollar World Money<br />

Order. The registration fee includes instructional materials, continental<br />

breakfasts, refreshment breaks and lunches.<br />

Physicians .............................................$ 5,995<br />

Residents*/Fellows*/Allied Health Professionals . . . . . . . . . . . . . . . $ 2,997<br />

*with verification of status<br />

You will receive a confirmation by e-mail if you have provided your e-mail<br />

address. Otherwise confirmation will be sent by mail. If you have not<br />

received it five days before the activity, please call (410) 502-9634 to confirm<br />

that you are registered. A certificate of attendance will be sent by 45 days<br />

after the activity to the e-mail address you provide on the registration form.<br />

m Late Fee and Refund Policy<br />

Cancellation policy: Space availability is very limited. A $50 late fee applies<br />

to registrations received after 5:00 p.m. EST five calendar days prior to<br />

the activity starting date. Tuition will be refunded for cancellation greater<br />

than four weeks prior to the first day of the activity, less a $50 handling<br />

fee. Cancellations between four and two weeks prior to the first day of the<br />

activity are subject to a 50% penalty, and those within two weeks prior to the<br />

first day of the activity, a 100% penalty. No refunds will be made thereafter.<br />

Refund requests must be received by fax or mail. Transfer of registration to<br />

another Johns <strong>Hopkins</strong> conference in lieu of cancellation is not possible.<br />

The Johns <strong>Hopkins</strong> University reserves the right to cancel or postpone<br />

any activity due to unforeseen circumstances. In this event, the University<br />

will refund the registration fee but is not responsible for travel expenses.<br />

Additionally, we reserve the right to change the venue to a comparable venue.<br />

Under such circumstances, registrants will be notified as soon as possible.<br />

m Social Event<br />

A social event is planned for Wednesday evening. Details will be provided<br />

with your confirmation notice.<br />

m Hotel and Travel Information<br />

Participants are responsible for making their own travel and lodging<br />

arrangements. A list of recommended hotels will be provided with your<br />

confirmation notice and is available online. Please call Susan Orr at (410)<br />

550-0845 for suggestions about hotels for the specific week that you<br />

are interested in, as clustering of participants may allow us to arrange<br />

complimentary transportation to and from Johns <strong>Hopkins</strong> Bayview Medical<br />

Center each day.<br />

m To Register or For Further Information<br />

For General Information or to check available dates (410) 550-0845<br />

Register by Fax (after confirmation of date availability) (866) 510-7088<br />

Confirmation/Certificates (410) 502-9634<br />

E-mail the Office of <strong>CME</strong> cmenet@jhmi.edu<br />

Please see our website at www.jhucardiacct.org.


Overall Past Activity Evaluation Summary<br />

Statistics are based on all returned responses (99% response rate).<br />

Please evaluate this<br />

activity as a whole:<br />

What our attendees have had to say!<br />

m “Great course! Great balance of lectures and case studies”<br />

m “Excellent course in every aspect!!”<br />

m “ Absolutely phenomenal course. Enjoyed every minute of this course. Drs.<br />

Shapiro and Bush are absolutely great, friendly and made this week a fun<br />

filled learning experience.”<br />

m “ Excellent experience. Integration of clinical scenarios into reading of<br />

scans really elevated the experience ‘to the next level’.”<br />

m “ Excellent course. Very impressive program. Dedication and commitment to<br />

teaching really shows! Thank you very much.”<br />

m “ Drs. Bush and Shapiro truly represent the best that JHU has to offer in<br />

terms of their combined clinical and scientific expertise...the big plus<br />

was that they made us all feel like old friends by the end of the week long<br />

course.”<br />

m “ Very enjoyable course. Looking forward to review course in a year’s<br />

time.”<br />

m “ This course was amazing compared to the ACC/CCT practicum and cost<br />

about the same, but gave you Level II requirements as opposed to Level I<br />

for the ACC course.”<br />

m “ I’ve been going to courses for 25 years and this may be one of the best I<br />

have attended. Thank you for all the time and effort put into this courseit<br />

is greatly appreciated.”<br />

m “ Excellent course. Will be my top recommended Cardiac CT Training for<br />

others interested in training.”<br />

m “ Excellent course. I was very impressed by the very active involvement<br />

of the staff lectures and interactive sessions were excellent indeed!<br />

Excellent teaching by Dr. Bush and Dr. Shapiro.”<br />

m “ Overall this was a well-organized, excellent targeted course. All<br />

instructors were great – available for questions, very open! Thanks!”<br />

m “ Excellent course with level 3 readers with you at all times. It would be hard to<br />

imagine any course that is comparable to take a non experienced individual to<br />

such a good level of training in one week.”<br />

m “ This is the best course I’ve ever attended. Thank you very much!”<br />

m “ Outstanding in all aspects!”<br />

Excellent Very<br />

Good<br />

m “ Excellent five day practicum, extremely well worth the cost!”<br />

m “ I truly enjoyed the program-training for CT has been one of the<br />

highlights of my career. Your program is well run and you should be<br />

proud of it.”<br />

m “ I wanted to congratulate you all for the wonderful course that we had. I<br />

really enjoyed it. The material, coordination, and expertise was of great<br />

quality. What impressed me was the friendly, courteous, and patient<br />

attitude toward us. These characteristics define an excellent teaching<br />

institution. The food, the timing, and the coordinated didactice material<br />

were also impressive.”<br />

m “ All of us were very satisfied and I had some fun comparing notes with my<br />

partner about his experience too. What a great program y’all have put<br />

together.”<br />

m “ This ranks as the best post-graduate educational course I have ever<br />

attended.<br />

m For anonymous evaluations submitted to SCCT, please see<br />

jhucardiacct.org/content/evaluations.<br />

Good Fair Poor<br />

Overall Evaluation 589 47 4 1 0<br />

Organization 556 74 11 1 0<br />

Content 575 62 5 3 0<br />

Usefulness 577 58 7 1 0<br />

Quality of<br />

presentations<br />

540 90 11 2 0


Registration Form Course Number 80029223<br />

Cardiac CT Practicum: The Total Experience (FY13)<br />

Please call (410) 550-0845 for date availability. Once you have confirmed<br />

your dates, please fax: (866) 510-7088 or mail this form to Johns<br />

<strong>Hopkins</strong> University, Office of Continuing Medical Education, P.O. Box<br />

64128, Baltimore, Maryland 21264-4128. Include check payable to<br />

HOPKINS/80029223, or include credit card information below.<br />

PAYMENT MUST ACCOMPANY FORM TO CONFIRM YOUR REGISTRATION.<br />

M I am a Johns <strong>Hopkins</strong> speaker for this activity.<br />

Please type or print clearly:<br />

last name first name m.i.<br />

highest degree primary specialty <strong>Hopkins</strong> Faculty/Staff<br />

Only – JHED ID:<br />

mailing address<br />

city state ZIP + 4 code country<br />

daytime telephone fax number<br />

e-mail / / / / / / / / / / / / / / / / / / /<br />

You will receive a confirmation notice and your attendance certificate by e-mail if you<br />

provide your e-mail address.<br />

M Check here if you wish to receive e-mail and/or fax notices about<br />

upcoming <strong>CME</strong> activities.<br />

What do you hope to learn by attending this activity?<br />

___________________________________________________________<br />

Please notify us if you have any special needs. _______________________<br />

Registration Fees:<br />

M Physicians. ...........................................$5,995<br />

M Residents*/Fellows*/Nurses/Allied Health Professionals .......$2,997<br />

*with verification of status<br />

For registrations received after 5:00 p.m. EST five days prior to the<br />

activity starting date, include a $50 late fee. (See brochure for Late Fee and<br />

Cancellation Policy)<br />

Confirmed Date: / /<br />

(Call Susan Orr at 410-550-0845 for availability)<br />

Total amount enclosed $ _____________<br />

Payment Type:<br />

JHU Faculty/Staff Only: If you are using your Tuition Remission<br />

Benefit or an ION budget, please complete this registration form and<br />

return with appropriate payment processing form to O<strong>CME</strong>, Turner 20.<br />

Forms can be found on-line at<br />

http://www.hopkinscme.edu/Resources/resources.aspx.<br />

M Check (See instructions on top of form.)<br />

M Credit Card: M VISA M MASTERCARD M DISCOVER<br />

M A M E X<br />

Card # - - - Exp. Date ___________<br />

Name as it appears on card ______________________________________<br />

Please print clearly<br />

Signature ________________________________ Date_______________

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