SEPTEMBER 20 – 23, 2012 | RENAISSANCE CHICAGO HOTEL | CHICAGO, ILLINOIS NEW Heart Rhythm Board Review On Demand: available online exclusively to attendees!BOARD REVIEW COURSEClinical Cardiac Electrophysiology &ABIM CCEP Recertification Prep CourseCOURSE DIRECTORSN.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 WHO SHOULD ATTEND?Course is the preferred resource for physicians seeking acomprehensive review of content focused on preparation j EP Fellowsfor the American Board of Internal Medicine (ABIM) j Clinical Cardiac EPscertification and recertification examinations in Clinical j Directors of EP LabsCardiac Electrophysiology (CCEP). Led by internationallyrecognized faculty members, many of whom have served j Cardiologistson the ABIM CCEP test writing committee, the course j MDs taking the ABIM CCEPprovides first-hand expert guidance on the essential Board Certification Examexam areas. For those not preparing for the exam,this course is an excellent update and overview of j MDs taking the ABIM CCEPcardiac electrophysiology. Recertification Exam LEARNING OBJECTIVESCOURSE HIGHLIGHTS j ontent areas feature C topics in: Upon completion of thisj Eight workshops with ABIM CCEP board format – Basic cardiac and educational activity, you will questions using audience Intracardiac electrophysiology be able to: response system – Pharmacology of j Describe the current guidelines anti-arrhythmic drugs related to evaluation andj 15 lectures with content focused on ABIM CCEP – Noninvasive testing management of patients with for arrhythmias board preparation cardiac rhythm disturbances – Atrial and other j Session on “Strategies supraventricular tachycardias j Describe the role of for Success: Preparing electrophysiologic testing – Catheter ablation for the Boards” in managing patients with – Implantable cardioverter defibrillators bradyarrhythmias and – Cardiac pacing 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, CCDSN.A. Mark Estes Ill, Michael J. Ackerman, MD, Ph.D. Professor of MedicineMD, FHRS, CCDS Pediatric Cardiologist Chair, Division of Cardiovascular DiseasesProfessor of Medicine Mayo Clinic College of Medicine Mayo Clinic, Cardiology DepartmentTufts University School of Medicine Rochester, MN Rochester, MNDirector, Cardiac Arrhythmia ServiceTufts-New England Medical Center Mark E. Anderson, Francis E. Marchlinski, MD, FHRSBoston, MA MD, Ph.D., FHRS Professor of Medicine Professor of Medicine and Physiology University of Pennsylvania SchoolDavid E. Haines, MD, FHRS Head, Department of Internal Medicine of MedicineChairman, Cardiovascular Medicine Associate Director, Cardiovascular Director of Cardiac ElectrophysiologyBeaumont Heart Center Research Center University of Pennsylvania Health SystemWilliam Beaumont Hospital University of Iowa Carver College Philadelphia, PARoyal Oak, MI of Medicine Iowa City, IA Gregory F. Michaud, MD, FHRS Director, Brigham and Women’s Hospital Join our internationally Center for Advanced Management of recognized expert faculty, David J. Callans, MD, FHRS Professor of Medicine Atrial Fibrillation many of whom have Boston, MA served on the ABIM CCEP University of Pennsylvania School test writing committee, of Medicine Fred Morady, MD and enhance your exam Philadelphia, PA Professor of Medicine preparations. Director, Clinical Cardiac John P. DiMarco, MD, Ph.D., FHRS Professor of Medicine Electrophysiology Lab “Excellent question format. Director, Cardiac Electrophysiology Lab University of Michigan Health System Lectures were very focused, University of Virginia Health System Ann Arbor, MI to the point, and just what you need for the Boards.” Charlottesville, VA William G. Stevenson, MD, FHRS — H. Hreibe Arrhythmia Service, Brigham Kenneth A. Ellenbogen, MD, FHRS Professor of Medicine and Women’s Hospital Director, Cardiac Electrophysiology and Professor of Medicine Pacemaker Laboratory Harvard Medical School Medical College of Virginia Boston, MA Richmond, VACOURSE FORMATThis course features didactic lectures supplementedwith case-based workshops utilizing an audienceresponse system (ARS) to facilitate an interactivelearning session and in-depth coverage of examcontent areas. Test your decision-making skills in realtime as you respond to questions using the ARS andreceive immediate feedback on your decisions.For more information and to register online, visit www.HRSonline.org/Education
2012 BOARD REVIEW COURSE INCLINICAL CARDIAC ELECTROPHYSIOLOGYNote: Presentation and faculty subject to changeThursday, 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. 8:00-8:30 a.m.ABIM CCEP Recertification Prep Course Basic Electrophysiology Principles for the Clinician: Part II5:00-5:15 p.m. 8:30-10:00 a.m.Welcome, Overview of Course, and Introduction Workshop #2: Arrhythmia Case Studiesto Audience Response System 10:00-10:10 a.m. COFFEE BREAK 10:10-11:10 a.m. j Session I: Basic and Clinical Electrophysiology Inherited Ion Channelopathies5:15-6:00 p.m.SA and AV Node, His-Purkinje System: Clinical Assessment, j Session II: SupraventricularAnatomic and Autonomic Aspects, and Treatment Tachycardia/WPW Syndrome 6:00-7:00 p.m. 11:10 a.m.-12:10 p.m.Basic Electrophysiology Principles for the Clinician: Part I Techniques of Differentiating SVT Mechanisms: Part I7:00-7:10 p.m. BREAK (DINNER PICK-UP) 12:10-1:15 p.m. LUNCH7:10-8:40 p.m. WORKING DINNER 1:15-2:00 p.m.Workshop #1: Electrocardiographic/Electrophysiologic Techniques of Differentiating SVT Mechanisms: Part IICorrelations 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 TachycardiaFor 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 j Session IV: Cardiac Pacing and Defibrillation Ventricular Tachycardia 8:00-8:45 a.m.8:00-8:30 a.m. Risk Stratification and Therapy for Sudden Cardiac Death:Mechanisms, Pharmacologic, and Non-pharmacologic Implications from Clinical Trials and Indications for ICDsTreatment of Atrial Fibrillation 8:45-9:45 a.m.8:30-10:00 a.m. Workshop #7: Pacemaker/ICD and Unknowns ArrhythmiaWorkshop #4: SVT/WPW Cases Case Studies10:00-10:15 a.m. COFFEE BREAK 9:45-10:30 a.m. ICDs: Evaluations and Troubleshooting 10:15-10:45 a.m. Ventricular Tachycardia: Scar-Related and Unique Forms, 10:30-10:45 a.m. COFFEE BREAK Mapping, and Entertainment 10:45-11:45 a.m.10:45 a.m.-12:15 p.m. Workshop #8: Arrhythmia Case StudiesWorkshop #5: SVT and WCT unknowns 11:45 a.m.-Noon12:15-1:30 p.m. LUNCH Concluding Remarks / Course Adjourns1:30-2:00 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/ElectrophysiologicalCorrelations3:30-4:00 p.m.Rate-Modulated Pacing, Proper Selection of Devices andLeads, Controversies, Indications for Pacing, PacemakerFollow 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/Reviewof BRC Pretest
GENERAL INFORMATIONAMERICAN BOARD OF INTERNAL MEDICINE (ABIM) EXAMINATION answers to the questions in the module, facilitating the completion ofThe ABIM will be administering certification and recertification examinations the ABIM CCEP Medical Knowledge Module.in Clinical Cardiac Electrophysiology (CCEP) on October 25, 2012. Forinformation on the certification or recertification examinations, please contact ACCREDITATION STATEMENTthe ABIM at (800) 441-2246 or (215) 446-3500 or visit www.abim.org. The Heart Rhythm Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medicalABIM MODULE SESSION education for physicians. The 2012 Board Review Course will utilize the ABIM Self- AMA CREDIT DESIGNATION STATEMENT Evaluation Module B3-L, Version 11 – 1 for Thursday’s ABIM CCEP The Heart Rhythm Society designates this live activity for a maximum Recertification Prep Course. of 26.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in The ABIM Learning Session is intended to provide educational the activity. enrichment to complement ABIM’s Medical Knowledge Modules. The modules help physicians update their knowledge of recent advances The AMA has determined that physicians not licensed in the United that have affected clinical practice in specific certification areas. Led States who participate in this CME activity are eligible for AMA PRA by ABIM Board Certified faculty, participants of this Maintenance of Category 1 Credits™. Certification (MOC) Learning Session will develop group consensus INTRODUCING HEART RHYTHM BOARD REVIEW ON DEMAND! For the first time, the Heart Rhythm Society is pleased to offer the so you can continue preparing for your boards right away! 2012 Board Review Course in Cardiac Electrophysiology in a digital Additional features of Heart Rhythm Board Review Course on format to its attendees. Demand include: Heart Rhythm Board Review On Demand delivers video · Compact USB drive for complete access offline presentations with slides and fully synchronized audio allowing · obile streaming for most mobile devices, including iPad, M the opportunity to re-review critical components likely needed for iPhone, and Android devices* successful completion of the board certification examination, all from the convenience of your own computer. · MP3 downloads for convenient on-the-go audio With Heart Rhythm Board Review On Demand, sessions become available online 24 hours after the live presentation has concluded, *Android 4.0 and higherDISCLOSURE OF FACULTY’S COMMERCIAL RELATIONSHIP(S) REGISTRATION/COURSE FEESIt is the policy of the Heart Rhythm Society to ensure balance, The Board Review Course only registration fees include all sessions,independent objectivity, and scientific rigor in all its certified educational workshops, and course materials for the main course, as well as a dinneractivities. Everyone involved in the planning and participation of on Thursday, September 20, and continental breakfasts and lunchescontinuing medical education activities is required to disclose any real or September 21– 23. You may register for the ABIM Recertification Moduleapparent conflict of interest related to the content of his/her presentations Session only if desired or at a discounted rate should you register for bothand also disclose discussions of unlabeled/unapproved uses of drugs or the Board Review Course and ABIM Recertification Module Session.devices during his/her presentations. In accordance with the ACCME’sStandards for Commercial Support of Continuing Medical Education, all PAYMENT POLICYfaculty and planning partners must disclose any financial relationship(s) or The Heart Rhythm Society’s registration and housing vendor, IECi, willother relationship(s) held within the past 12 months. The Heart Rhythm process and accept the following credit cards: American Express, VISA,Society implements a mechanism to identify and resolve all conflicts of and MasterCard. Checks submitted must be drawn on a U.S. bank in U.S.interest prior to delivering the educational activity to learners. Detailed dollars and made payable to the Heart Rhythm Society. The registrant paysdisclosure information will be made available prior to the activity and in all fees or charges connected with payment.the activity slides. Please note: • All registration information must be complete in order to be processed.MEMBER REGISTRATION REQUIREMENTS • Registration forms may be reproduced.To receive the member rate you must be a member in good standing • Wire/bank transfers are not accepted.at the time of registration. All non-members must register at the non-member rate. HOTEL RESERVATIONSTo apply for membership, please visit www.HRSonline.org/Join. A block of rooms has been reserved at the Renaissance Hotel at theAnyone applying for membership with the Heart Rhythm Society during special meeting rate of $234.00 plus applicable tax (15.4%) per nightthe Board Review Course registration period must complete his/her (single/double). The first-come, first-served special rate is availableapplication packet and be approved by the Society prior to registering until August 27, 2012, after which, rooms will be offered on a space andfor the course. The Society will not reimburse the difference between rate available basis. Hotel reservations must be made through one of thethe member and nonmember rates for attendees who register prior to registration options offered by the Heart Rhythm Society. A one night roommembership approval. 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 reservationCANCELLATION/REFUND POLICY within 72 hours of arrival or if you are a “no-show,” a one night room andAll requests for cancellation of your registration for the Board Review tax penalty will apply. This hotel is a non-smoking facility.Course and/or the ABIM CCEP Recertification Prep Course must be In the unlikely event that the course is cancelled, the Heart Rhythmmade in written format and received at IECi by August 27, 2012. A $75.00 Society is responsible only for full refund of the registration fee and not forprocessing fee will be withheld. Course registration fees are non-refundable transportation, hotel accommodations, or any miscellaneous expenses.for cancellations received after August 27, 2012. There is no refund for“no-shows.” Written cancellations should be faxed to (208) 979-7777 orsent via e-mail to firstname.lastname@example.org.For more information and to register online, visit www.HRSonline.org/Education
Registration and Housing Form Heart Rhythm Society REGISTRATION FEE CATEGORIES Board Review Course Early Through August 27 Members Non-Members in Clinical Cardiac Course Only ❑ $ 1,240 ❑ $ 1,440 Course and ABIM Recertification Module Session ❑ $ 1,370 ❑ $ 1,625 Electrophysiology ABIM Recertification Module Only ❑ $ 225 ❑ $ 350 After August 27 Members Non-Members Course Only ❑ $ 1,340 ❑ $ 1,540 Course and ABIM Recertification Module Session ❑ $ 1,470 ❑ $ 1,725 September 20 – 23, 2012 ABIM Recertification Module Only ❑ $ 325 ❑ $ 450 Renaissance Chicago Hotel Board Review Course On Demand** Members Non-Members **One (1) per paid registrant only. ❑ $ 325 ❑ $ 425 Chicago, IllinoisFOR MORE INFORMATION AND TO REGISTER ONLINE, VISIT WWW.HRSONLINE.ORG/EDUCATION/COURSES/BOARDREVIEWArrival: _______/_______/_______ Departure: _______/_______/_______ HOUSING RESERVATIONROOM TYPE ❑ Single Occupancy (1 person) ❑ Double Occupancy (2 people) $234 Sgl/Dbl Renaissance Chicago HotelSharing a room with _____________________________________________________ + applicable taxes (15.4%)❑ Check here if you do not require accommodationsSPECIAL REQUESTS ❑ Smoking ❑ King ❑ ADA Accessible ❑ Two Beds REGISTER ONLINE:DIETARY NEEDS ❑ No special meals required ❑ Kosher ❑ Vegetarian www.HRSonline.org/Education/PAYMENT INFORMATION Courses/BoardReviewChecks/money orders for registration fees must be U.S. funds drawn on a U.S. bank. ORTotal amount enclosed $ __________________ MAIL your completed form with payment to:❑ Check enclosed – payable to Heart Rhythm Society. Heart Rhythm Society, c/o IECi (Please remember to include $270.04 for one night’s Brickyard Office Park room and tax — required hotel deposit.) 84 Sherman Street, Cambridge, MA 02140❑ Credit Card (please select credit card type) ❑ MasterCard ❑ VISA ❑ AMEX FAX (208) 979-7777Credit Card No. _________________________________________________________ QUESTIONS? Email reghousing@ internationaleventconnection.comExp. Date _________________________Security Code _________________________(Please ensure expiration date is beyond September 2012.) ORI agree to the Terms and Conditions outlined in this brochure. CALL (617) 864-1114Holder Name___________________________________________________________________________________________________________________Signature______________________________________________________________________________________________________________________REGISTRANT PROFILE *Required FieldsContact InformationCustomer 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?* 4. Secondary Area of Practice/Specialty* q E-mail announcement q Pediatric Cardiology q Printed brochure/Advance Program q Surgery q Journal advertisement q Clinical Cardiology q Heart Rhythm Society website q Basic Research Science q Colleague q Heart Failure q Other, please specify: _______________________ q Translational Research Science q Clinical Research Science2. Primary Occupation* q Clinical Electrophysiology q Physician q Interventional Cardiology q Nurse/Nurse Practitioner q Hypertrophic Cardiomyopathy q Technician/Technologist q Pediatric EP q Engineer q Other, please specify: _______________________ q Sales/ Marketing/Product Development q Not applicable q Educator q Manager/Administrator 5. Primary Work Environment* q Training: Medical Student/Intern/Resident q EP Private Practice q Training: Fellow-in-Training q Hospital (Non-Academic) q Hospitalist q Industry q Scientist q Academic Setting q Physician Assistant q Multi-Discipline Cardiology Private Practice q Retired q Health Maintenance/Preferred Provider Organization q Other, please specify: _______________________ q Veterans Administration q Association3. 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: _______________________For more information and to register online, visit www.HRSonline.org/Education
BOARD REVIEW COURSE 2012 – How well would you rate your knowledge in thePRE-COURSE QUESTIONNAIRE (*required field) following areas on a scale of 1 – 3 with 1 = highly knowledgeable, 2 = somewhat knowledgeable andAs we look forward to the 2012 Board Review Course, 3 = little to no knowledge?*the Society would like to learn briefly about your goals for Current guidelines related to evaluation and managementthis course along with your current knowledge level on of patients with cardiac rhythm disturbancesthe course material. Your feedback on these questions is 1 2 3imperative for planning effective educational opportunitiesin the future. Electrophysiologic testing in patients with bradyarrhythmias and tachyarrhythmiasAre you planning to take the ABIM Clinical Cardiac 1 2 3EP Exam on October 25, 2012? Advantages and limitations of diagnosticq Yes q No electrophysiologic methods 1 2 3If yes, for: q Certification q Recertification Use of pharmacologic and non-pharmacologic therapiesWhich of the following, if any, are among the in treatment of arrhythmiasgoals you would like to achieve from your 1 2 3experience at the Heart Rhythm Society’s 2012 Interpretation of complex electrophysiologic andBoard Review Course: electrocardiographic tracingsq Gain knowledge about a subject in which I currently 1 2 3 have a specific interest or focus Interpretation of electrograms from pacemakers and ICDsq ain knowledge about a subject with which I’m not G 1 2 3 currently familiar How do you prefer to receive your course materials?q Meet a particular person or number of persons I don’t currently know personally q USB Drive q In printq See and spend time with a particular person or Do you plan to stay in the host conference hotel, number of persons with whom I’m currently acquainted the Renaissance Chicago, at $234 Sgl/Dbl? (e.g., colleagues, old friends) q Yes q Noq nsure that I get exposure to others in the field who are E important to me If no, q I plan to stay with family and/or friendsq earn more about new drugs, equipment, products L and/or services in which I currently have an interest q plan to stay in alternative hotel accommodations I for cost reasonsq earn about drugs, equipment, products and/or L services with which I’m not currently familiar q plan to stay in alternative hotel accommodations I for hotel brand loyalty reasons q plan to stay in alternative accommodations as a I 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 obtainfeedback 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 | USABoard Review Course in Clinical Cardiac ElectrophysiologySeptember 20 – 23, 2012Chicago, IL, USAwww.HRSonline.orgDISCLAIMERThe Board Review Course provides a forum for the open exchange anddiscussion of research results and scientific advancements in the field ofcardiovascular pacing and electrophysiology; however, the Society makesno representation or warranty as to the truth, originality, or accuracy of theinformation presented at the Board Review Course or in materials distributedin connection with it. Nor are the views expressed by the individual speakersnecessarily the views of the Society. The Heart Rhythm Society supportsthe ACCME’s policy on evidence-based content and encourages faculty toadhere to these standards when planning a presentation.