1. Mayo School of Continuous Professional DevelopmentFundamental Critical CareSupport (FCCS)May 22-23 or October 23-24, 2013Stabile Building • Rochester, MinnesotaLimited Enrollment Skills CourseRegistration Deadline: May 7, 2013 (for May course) andOctober 8, 2013 (for October course) or first 16 Participants.
2. General InformationThis is a standardized two-day course that provides an exposure to basic principles ofcritical care. Its primary goal is to enhance the ability of primary care practitioners toperform the initial assessment, management, and stabilization of critically ill patients sothat they may be prepared for transfer to a higher level of acute care. Specific topicsinclude: airway management, cardiopulmonary resuscitation, acute respiratory failure,mechanical ventilation, basic hemodynamic monitoring, and shock. In addition,management of specific disease states in the realm of neurologic emergencies, trauma,myocardial ischemia, life-threatening infection, and life threatening metabolicdisturbances are reviewed.Recognizing the changing needs of adult learners, we are incorporating the Mayo ClinicMultidisciplinary Simulation Center to augment instruction in airway management, teamorganization, and cardiopulmonary resuscitation. Simulation-based medical education isan artificial (or simulated) learning environment created to imitate a real-life patient caresetting where learners can practice and master skills without putting patients at risk. Thiswill include debriefing after the exercise so that students can reflect on the experienceand solidify key points.This course is limited to 16 attendees. Please register early to secure your participation.Payment must be received at the time of enrollment. Although registration deadlines areMay 7, 2013 (for May course) and October 8, 2013 (for October course), it is anticipatedthat the course will fill early. This is the only registration notice you will receiveCourse Learning ObjectivesUpon completion of this course, the participant should be able to:• Assess the critically ill patient in an organized fashion.• Prioritize clinical critical care management issues.• Identify appropriate diagnostic tests for specific patient populations.• Identify and respond to significant changes in critically ill patients’ status.• Identify essential roles of care providers in managing acute care scenarios.Attendance at this Mayo course does not indicate nor guarantee competence orproficiency in the performance of any procedures that may be discussed or taught in thiscourse.Intended AudienceThis course is designed for primary care physicians, mid-level providers, generalsurgeons, and critical care trainees.CreditCollege of Medicine, Mayo Clinic, is accredited by the Accreditation Council forContinuing Medical Education to provide continuing medical education for physicians.College of Medicine, Mayo Clinic, designates this live activity for a maximum of 16.25AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensuratewith the extent of their participation in the activity.Other health care professionals will be provided a certificate of attendance for requestingcredits in accordance with state nursing boards, specialty societies, or other professionalassociations.
3. Date and LocationThe Fundamental Critical Care Support (FCCS) course will be held in the SimulationCenter (Stabile Building), Mayo Campus, Rochester, Minnesota. Meeting facilities areeasily accessible by skyway and pedestrian subway, which connect Mayo Clinic to shops,restaurants, and hotels.RegistrationTo register, complete the attached registration form and return by email, mail or fax. Youcannot register for this course online. Advanced registration is required. Onsiteregistrants are not allowed due to the nature of this course. The $600 registration feeincludes tuition, course syllabus (text book), continental breakfasts, break refreshments,and lunches. We strongly urge you to read the course syllabus in advance to pass thecourse successfully. The text book is an excellent resource for future use. An email ofconfirmation will be sent upon receipt of payment and completed registration form. Untilwritten confirmation is received, please do not consider yourself registered for thiscourse.Cancellation PolicyYour registration fee, less a $100 administrative fee, will be refunded when writtennotification is received by the Department of Surgery (Email: email@example.com ).No refunds will be made on or after May 7, 2013 (for the May course) and October 8,2013 (for the October course).Lodging AccommodationsHotel registrations are the responsibility of the individual registrant. Rooms are blockedfor the Fundamental Critical Care Support (FCCS) course at the Hilton Garden with aspecial room rate of $119 a night plus tax.Reservations may be made by calling Hilton Garden Rochester direct at 507-285-1234.Please reference the Fundamental Critical Care Support (FCCS) course to secure thediscounted rate.For other accommodation options, you may also wish to visit the Rochester Conventionand Visitors’ Bureau web site: http://www.rochestercvb.org.ParkingParking is available in hotel, city, and Mayo patient/visitor ramps. The cost for parking isnot included in the registration fee and is not validated. A map indicating the location ofdowntown parking facilities will be mailed with the registrant confirmation letter.Faculty DisclosureAs a provider accredited by ACCME, Mayo Clinic College of Medicine (Mayo School ofCME) must ensure balance, independence, objectivity and scientific rigor in itseducational activities. Course Director, Planning Committee Members, Faculty, and allothers who are in a position to control the content of this educational activity are requiredto disclose all relevant financial relationships with any commercial interest related to thesubject matter of the educational activity. Safeguards against commercial bias have beenput in place. Faculty also will disclose any off-label and/or investigational use ofpharmaceuticals or instruments discussed in their presentation. Disclosure of theserelevant financial relationships will be published in course materials so those participantsin the activity may formulate their own judgments regarding the presentation.
4. Registration FormFundamental Critical Care Support (FCCS) 2013Stabile Building • Rochester, MinnesotaMail form and payment to:Mayo Clinic – Department of Surgery Telephone: 507-293-1360Attn: Rachel Schmidt Fax: 507-255-9872FCCS Course E-mail: firstname.lastname@example.org First Street SW Web site: http://www.mayo.edu/cmeMary Brigh 2-810Rochester, MN 55905REGISTRATION DEADLINES: May 7, 2013 (for May course) and October 8, 2013 (for October course)or first 16 Participants.Contact InformationName of Registrant - first name, middle name or initial, and last name Degree – select all that applyMD PhD DO PA NPOther-specifyName of Institution Medical Specialty:Preferred Mailing Address – select one Work/Business HomeWork/Business Address – street address Work PhoneCity State or Province Zip or Postal Code CountryHome Address –street address Home PhoneCity State or Province Zip or Postal Code CountryE-mail Address Fax – include all country and city/area codes as needed Fax Location –select oneWork/BusinessHomePlease check if you have any special assistance needs or dietary restrictions. Please indicate your needs here:RegistrationCourse Options:May 22-23, 2013 OR October 23-24, 2013Registration Fee: $600 (includes textbook, valued at $55)Total payment enclosed:$______________$______________PaymentCheck is enclosed in the amount shown at right – make checks payable to Mayo Clinic FCCS Exp Date– mm/yyCompany/PAU:Credit Card – select oneDiscover MasterCard VisaAccount NumberName of Cardholder – as it appears on the card Security code:Billing Street Address Billing Zip CodeSignature of Cardholder – required