Fetal Echocardiography Preceptorship Program

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1 Fetal Echocardiography Preceptorship Program childrenscolorado.org/ce Jan Feb. 1, 2019 Children s Hospital Colorado Conference & Education Center E. 16th Avenue Aurora, CO Lectures, demonstrations and hands-on scanning Guest speaker Dennis C. Wood, BA, RDMS, RDCS, RCPT Provided by

2 Overview and Target Audience Congenital heart disease (CHD) is the most common congenital defect and has the highest mortality of any congenital defect within the first year of life. Recognizing CHD before birth can improve both prenatal and postnatal outcomes. Certain pregnancies are known to be at high risk for CHD, yet most fetal cardiac defects occur in low risk pregnancies. Thus, one way to improve the outcome of fetal CHD is to improve prenatal detection of CHD in both high and lowrisk pregnancies. The Fetal Echo Preceptorship Program is a short apprenticeship of fetal echocardiography divided into lectures describing the evaluation of structural and functional cardiac anomalies and arrhythmias, demonstrations of scanning technique, and interactive case studies. The target audience is health care providers interested in improving their skills in the diagnosis, treatment and understanding of fetal cardiac anomalies including: Obstetrical sonographers and fetal echocardiography sonographers, obstetrical care providers, and fetal cardiologists. Educational Objectives Identify components of the basic fetal echocardiogram Describe the use of Doppler in the fetal cardiac evaluation Identify abnormal pulsed and color Doppler findings Improve ultrasound image optimization Interpret normal and abnormal fetal echocardiograms Recognize and describe the normal 3 vessel view Describe how to identify ductal dependent fetal cardiac anomalies Describe different types of pulmonary and systemic venous anomalies Define the techniques to evaluate fetal rhythm Continuing Education Credits Medical: Children s Hospital Colorado is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Accommodations Spring Hill Suites E Colfax Ave, Aurora, CO Hyatt E 14th Pl, Aurora, CO Double Tree by Hilton E Iliff Pl, Aurora, CO Location and Parking Location and Parking The course will be held on the Anschutz Medical Campus at Children s Hospital Colorado, East 16th Avenue in Aurora, Colorado. Please enter through the hospital main entrance and take the glass elevators to the Conference and Education Center on the second floor. Children s Hospital Colorado and University of Colorado Hospital employees must park in their designated area. Conference guests will receive parking instructions via in an event reminder before the conference. Please visit childrenscolorado.org/directions for driving directions, places to stay and travel to Colorado. Further Information Learning is a lifelong process. Participants are invited to contact our faculty with any questions or concerns. We are happy to give a second opinion or lend a hand to our former students. We welcome any perplexing cases! Our goal is to advance knowledge and improve the outcome of fetal cardiac disease. Children s Hospital Colorado designates this live activity for a maximum of AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity. Others: A general certificate of attendance will be given to all other providers.

3 Faculty Director of Perinatal Cardiology and Fetal Telemedicine, Children s Hospital Colorado, Heart Institute and the Colorado Fetal Care Center Professor of Pediatrics and Obstetrics, University of Colorado School of Medicine Dr. Cuneo has been practicing perinatal cardiology and fetal echocardiography since Her expertise and research interests include fetal arrhythmias in general and fetal Long QT syndrome and SSA mediated cardiac disease specifically. Lisa W. Howley, MD Co-Director of Perinatal Cardiology, Children s Hospital Colorado Heart Institute and the Colorado Fetal Care Center Associate Professor of Pediatrics, University of Colorado School of Medicine After completing her cardiology fellowship, Dr. Howley spent a year with Dr. Lisa Hornberger honing her skill and expertise in Fetal Cardiology. Dr. Howley s areas of expertise in fetal cardiology includes assessment of cardiac function in Twin to Twin Transfusion syndrome, congenital diaphragmatic hernia and non-cardiac defects causing heart failure. She is in charge of intraoperative cardiac monitoring during open fetal surgery and EXIT procedures. Dawn Park, BS, RDCS, RDMS Pediatric and Fetal Cardiac Sonographer Heart Institute, Children s Hospital Colorado Colorado Fetal Care Center Shane Reeves, MD Associate Professor of Obstetrics and Gynecology - Maternal Fetal Medicine Medical Director, Prenatal Diagnostics and Genetics, the Colorado Fetal Care Center Fellowship Director of Maternal Fetal Health, The University of Colorado School of Medicine Dr. Reeves has been practicing maternal fetal medicine since His expertise includes fetal growth restriction, history of preterm delivery, fetal anomalies, and maternal medical disorders. Guest Faculty Dennis has worked for Bill Rashkind at Children s Hospital of Philadelphia developing cath lab diagnostic and treatment of CHD techniques. He s also developed early ultrasound techniques from A-mode to M-mode to B-mode or 2 dimensional ultrasound as an adjunct to the cath lab. He has also worked in the animal research lab with Rashkind and L Henry Edmonds in early balloon dilation techniques and closure of ASD, VSD and PDAs and newborn heart surgery and premie ductus arteriosus surgery and pulmonary hypertension. Additionally, he has worked with Victoria Vetter in developing an electrophysiology lab. He partnered with Bill Norwood in the OR, and sent by him to teach fetal heart ultrasound to Ob/Gyn offices and sonographers. He partners with Project Hope around the world in training for fetal and pediatric cardiology/ cardiovascular surgery. He has helped train many fellows in pediatric cardiology and surgery, maternal fetal medicine, cath lab and echo/ultrasound. Ms. Park began her ultrasound career in 2000 and joined Children s Hospital Colorado in She is registered in adult echocardiography, pediatric echocardiography, fetal echocardiography, and abdominal ultrasound. Ms. Park received her fetal echo training at Children s Hospital Colorado under the tutelage of Dr. Adel Younoszai and Dr. Lisa Howley. She has extensive experience with the prenatal evaluation of complex congenital heart disease and the cardiac evaluation in Twin-to-Twin Transfusion Syndrome (TTTS).

4 Agenda DAY 1: The first day is devoted to learning the protocol for fetal cardiac evaluation. Lectures will concentrate on indications for fetal echocardiography and the complete evaluation of the normal and abnormal fetal heart. During the remainder of the session, the participants will observe our fetal sonographers performing echocardiograms and have the chance to apply what they have learned. 7:00-7:30 Breakfast and Registration 7:30-8:00 Welcome and Pretest 8:00-8:15 Fetal Echo Indications 8:15-8:45 The Two Minute Heart Study: How to Sweep Dennis Wood BA, RDMS, RDCS, RCPT 8:45-9:30 Guidelines: Images Required for Fetal Echo During Routine Anatomy and Targeted Cardiovascular Studies 9:30-9:45 Break 9:45-10:30 4 Chamber Anomalies and Case Studies 10:30-12:00 Live Scan Maternal Fetal Care Unit 12:00-1:00 Lunch provided Lecture Collaboration Between MFM and Fetal Cardiology at Its Best Shane Reeves, MD 1:00-2:00 3 Vessel View and 3 Vessel Trachea View and Cases 2:00-2:30 Fetal Cardiovascular Doppler: Why, How and Where? 2:30-3:00 Optimization of Fetal Echo Scanning 3:00-3:30 Break 3:30-5:00 Live Scan DAY 2: On the second day we will concentrate on the diagnosis of more complex disorders and fetal arrhythmias. Multiple examples of complex structural defects and rhythms will be presented. 7:30-8:00 Breakfast 8:00-8:30 Systemic and Pulmonary Venous Anomalies Registration Fees Trainee: $ Sonographer: $ Physician: $ To register, please contact Benjamin Thompson. Benjamin.Thompson@childrenscolorado.org :30-9:15 Heterotaxy 9:15-9:45 Heterotaxy Cases 9:45-10:00 Break Dawn Park, RDCS (AE, PE, FE) 10:00-11:00 Fetal Heart Rhythm Anomalies 11:00-11:30 Fetal Arrhythmia Cases Dawn Park, RDCS (AE, PE, FE) 11:30-12:00 Post-test and Wrap Up Cancellation Policy A registration refund, minus a $50 processing fee, will be granted if cancellation is requested by January 10, No refunds will be granted after this date or for non-attendance, although you may send a substitute with notification.

5 "This course is amazing. I will continue to attend and bring my sonographers with me." "Conference was wonderful, presenters were very knowledgeable, kind and gave ample time for questions." "I learned so much!" Children s Hospital Colorado complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số CFCC_180164_

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