Coronary CTA in the Emergency Department A Hands-on Workshop

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1 Coronary CTA in the Emergency Department A Hands-on Workshop November 7-8, 2009 Eden Roc Hotel Miami Beach, Florida Symposium Director

2 Coronary CTA in the Emergency Department: A Hands-on Workshop Target Audience Radiologists Emergency Medicine Physicians Cardiologists Symposium Overview Utilizing dedicated workstations, physicians will review 50 supervised coronary CTA cases of patients presenting with acute chest pain to the emergency department. Correlation with invasive angiograms and patient outcomes will be provided by expert faculty. The focus will be on best-practice strategies for the use of coronary CTA and triple rule-out CT protocol to properly diagnose, detect and evaluate emergency room patients with acute chest pain or other symptoms suggestive of acute coronary syndrome. After a 11/2-day workshop, the symposium will conclude with a three-hour didactic session on Chest Pain in the Emergency Department. Note: This final session is also the first session of the Ninth Annual Emergency Radiology Symposium. Educational Objectives At the conclusion of this symposium, participants should be better able to: Effectively utilize computed tomography angiography (CTA) and triple rule-out CT protocol to properly diagnose, detect and evaluate emergency room patients with acute chest pain or other symptoms suggestive of acute coronary syndrome. Apply the basic and more advanced interpretation principles of coronary CT angiography datasets. Explain the relationship between coronary CT angiography findings and the clinical outcome of patients with acute chest pain. Utilize appropriate noninvasive studies to assess the risk of acute coronary syndrome. Apply best-practice strategies in the diagnosis of pulmonary embolism. Recognize the benefits, drawbacks and challenges of nuclear medicine. Apply best-practice strategies in the use of cardiac CT to triage patients presenting with acute chest pain in the emergency department. Determine which patients would benefit most from coronary CTA. Apply best-practice protocol for the use of CT examinations to appropriately evaluate, diagnose and treat various disorders that present as acute aortic syndromes. Utilize appropriate noninvasive studies to assess risk of acute coronary syndrome. Cite the benefits and limitations of electrocardiogram, biomarkers and imaging. Examine the value of coronary calcium scoring in the acute chest pain setting. Explain the value and limitations of plaque characterization by CTA and explain how plaque is characterized by contrast and noncontrast CT. Implement strategies to determine when utilization of cardiac CT for calcium scoring is indicated for the chest pain patient. Faculty Workshop Director Medical Director, Cardiac MRI and CT Baptist Cardiac & Vascular Institute Associate Medical Director, Emergency Radiology Baptist Hospital, Miami, Florida Ron Blankstein, M.D. Noninvasive Cardiovascular Imaging Program Cardiovascular Division and Department of Radiology Brigham and Women s Hospital Instructor in Medicine and Radiology Harvard Medical School, Boston, Massachusetts Warren R. Janowitz, M.D. Clinical Assistant Professor of Radiology University of Miami Miller School of Medicine Medical Director, Nuclear Medicine Baptist Hospital, Miami, Florida Constantino S. Peña, M.D. Interventional Radiologist Baptist Cardiac & Vascular Institute, Miami, Florida Jack Ziffer, Ph.D., M.D. Chief, Department of Radiology Baptist Hospital Medical Director, Cardiac Imaging Baptist Cardiac & Vascular Institute, Miami, Florida Faculty Disclosure It is the policy of Baptist Health South Florida to ensure fair balance, independence, objectivity and scientific rigor in all CME programming. Individuals participating in this CME activity are expected to identify and reference off-label product use and disclose any relevant relationships. All conflicts of interest of any individuals who control the content of this CME activity will be identified and resolved by the Baptist Health Medical Education Department prior to this educational activity. Full disclosure will be made in the syllabus.

3 Saturday, November 7 7:00 a.m. Continental Breakfast 7:30 a.m. Welcome and Introductions 8:00 a.m. Cases :00 a.m. Break 10:30 a.m. Cases :30 p.m. Lunch 1:30 p.m. Cases :30 p.m. Break 4:00 p.m. Cases :00 p.m. Adjourn Day 1 Sunday, November 8 7:00 a.m. Continental Breakfast 7:30 a.m. Cases :30 a.m. Break 10:00 a.m. Cases :00 p.m. Adjourn Workshop Sessions Ninth Annual Emergency Radiology Symposium: What You Need to Know to Get You Through the Night 2:30-3:45 p.m. Welcome Reception 3:55 p.m. Opening Remarks and Course Overview Myer H. Roszler, M.D. S C H E D U L E Chest Pain in the Emergency Department Moderator: 4:00 p.m. Evaluation of Acute Chest Pain in the Emergency Department: The Scope of the Problem Jack Ziffer, Ph.D., M.D. 4:45 p.m. Plaque Evaluation in Acute Coronary Syndrome: Calcium Score and Noncalcified Plaque Warren R. Janowitz, M.D. 5:30 p.m. Cardiac CT and Triple Rule-out in the Emergency Department 6:15 p.m. Update on Pulmonary Embolism and Acute Aortic Syndrome Evaluation Constantino S. Peña, M.D. 7:00 p.m. Questions and Answers 7:30 p.m. Adjourn CME Accreditation and Credits Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education for physicians. Baptist Health South Florida designates this educational activity for a maximum of 16.5 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. ACEP Credits Approved by the American College of Emergency Physicians for 16.5 hours of ACEP Category 1 Credit. SCCT Endorsement Endorsed by the Society of Cardiovascular Computed Tomography, the professional society devoted exclusively to cardiovascular CT. Workshop Registration The full registration fee for Coronary CTA in the Emergency Department includes tuition, course syllabus, Saturday and Sunday continental breakfasts, Saturday lunch and breaks on Saturday and Sunday. Also included in the registration fee is the Sunday Session of the Ninth Annual Emergency Radiology Symposium: What You Need to Know to Get You Through the Night, which takes place November 8-11, 2009, at the Eden Roc Hotel. For more information about the Ninth Annual Emergency Radiology Symposium, go to Confirmations will be sent to acknowledge registrations received by Sunday, October 4. Registrations will not be processed or confirmed without full payment.

4 Cancellation Policy Cancellations must be sent in writing and postmarked by Sunday, October 4, to receive a refund of the registration fee, less a $50 administrative fee. Cancellations received or postmarked after October 4 will forfeit the registration fee. For Additional Information Contact the Baptist Health Medical Education Department at or Registration Deadline is Sunday, October 4. Coronary CTA in the Emergency Department: A Hands-on Workshop November 7-8, 2009, Eden Roc Hotel, Miami Beach, Florida Register early. Space is limited to the workstations available. Go to Name and Degree (PLEASE PRINT!) Institution Affiliation Mailing Address City/State/Zip Daytime Telephone Address Indicate your preferred workstation: GE Siemens Phillips TeraRecon We will do everything possible to accommodate your preference; however, due to a limited amount of workstations, requests will be handled on a first-come, first-served basis. VERY IMPORTANT: Basic experience with Coronary CTA and Workstations is required to participate. In consideration of the Americans with Disabilities Act, please check here if you require special services, and we will contact you to determine your specific requirements. Please submit this form two weeks prior to the symposium. SYMPOSIUM RATES (Check all that are applicable.) Coronary CTA in the Emergency Department: A Hands-on Workshop Full course fee: $1,095 Emergency Radiology and Coronary CTA Workshop Full course fee for both: $1,595 Discounted registration fee for Emergency Radiology participants. (A $195 savings) Per day rates: Monday $185 Tuesday $185 Wednesday $185 PAYMENT SUMMARY: Check payable to Baptist Health Medical Education American Express MasterCard Visa Cardholder Name (PLEASE PRINT) Account Number Exp. Date $ Authorized Signature Authorized Amount Online: Go to and click on CME Calendar & Online Registration. Mail: Baptist Health South Florida, Medical Education Department, 8900 North Kendall Drive, Miami, Florida Fax: (credit card payments only) (We regret that registrations cannot be accepted by telephone. If faxing form, please do not mail.)

5 Baptist Health South Florida is the largest not-for-profit healthcare organization in the region. Affiliates of Baptist Health include Baptist Hospital of Miami, Baptist Children s Hospital, South Miami Hospital, Homestead Hospital, Mariners Hospital, Doctors Hospital, Baptist Cardiac & Vascular Institute and Baptist Outpatient Services. For more information about Baptist Health, go to Ninth Annual EMERGENCY RADIOLOGY SYMPOSIUM What You Need to Know to Get You Through the Night Symposium Director: Myer H. Roszler, M.D. November 8-11, 2009 Eden Roc Hotel Miami Beach, Florida Ninth Annual Emergency Radiology Symposium: What You Need to Know to Get You Through the Night November 8-11, 2009 Following Coronary CTA Workshop Eden Roc Hotel, Miami Beach, Florida For additional information, go to or call Artwork by R. J. Hohimer Travel Arrangements Eden Roc Hotel is 20 minutes from Miami International Airport and 35 minutes from Fort Lauderdale/Hollywood International Airport. Location and Accommodations For 50 years, Eden Roc Hotel has graced Miami Beach s pristine Golden Mile at 45th Street and Collins Avenue. This legendary landmark was completely renovated in 2008 and is a South Florida premier resort property. For more information about Eden Roc, go to boldnewedenroc.com. Hotel Reservations Make your hotel reservations now by calling or go to boldnewedenroc.com. The group code is bapbapa. The special daily group rate of $249, plus applicable taxes, will be honored through October 4, 2009, based on availability.

6 Medical Education Department 8900 North Kendall Drive Miami, FL NON-PROFIT ORGANIZATION U.S. Postage PAID Permit No Miami, FL Coronary CTA in the Emergency Department: A Hands-on Workshop November 7-8, 2009 Eden Roc Hotel Miami Beach, Florida

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