Neonatal and Pediatric ECMO Training Course and Pediatric ECMO Training Course January 27 – 30,...

Neonatal and Pediatric ECMO Training Course

January 27 – 30, 2013Alfred I. duPont Hospital for ChildrenWilmington, Delaware

FACULTY

Mark T. Ogino, MD, FAAPChair, ELSO Logistics and Education CommitteeAssociate Professor of Clinical PediatricsJefferson Medical College, Thomas Jefferson UniversityChief, Division of NeonatologyDirector, Critical Care ECMO ProgramNemours/Alfred I. duPont Hospital for ChildrenWilmington, Delaware

LECTURE FACULTYHeidi J. Dalton, MD, FCCMChair, ELSO Conference CommitteeProfessor of Child HealthUniversity of Arizona Medical School Chief, Critical Care MedicineDirector, Extracorporeal Life Support ServicesPhoenix Children’s HospitalPhoenix, Arizona

James D. Fortenberry, MD, FCCM, FAAPTreasurer, ELSO Steering CommitteeProfessor of Pediatric Critical Care Emory University School of MedicinePediatrician-in-ChiefChildren’s Healthcare of AtlantaAtlanta, Georgia

Laurance Lequier, MDChair, ELSO Anticoagulation Task ForceMember, ELSO Steering CommitteeAssociate Clinical Professor of PediatricsUniversity of AlbertaDirector, ECLS ProgramStollery Children’s HospitalEdmonton, Alberta Canada

Elissa Miller, MDClinical Assistant Professor of PediatricsJefferson Medical College, Thomas Jefferson UniversityDirector, Palliative and Supportive Care ProgramNemours/Alfred I. duPont Hospital for ChildrenWilmington, Delaware

Giles J. Peek, MD, FRCS-CTh, FFICMChair, Euro-ELSO Steering CommitteeSenior Lecturer in Cardiac SurgeryUniversity of LeicesterConsultant in Cardiothoracic Surgery & ECMO Head of ServiceEast Midlands Congenital Heart Centre Director Glenfield HospitalLeicester, United Kingdom

Christopher Beaty, BSN, RN, CCRNECMO CoordinatorCritical Care ECMO Program Nemours/Alfred I. duPont Hospital for Children Wilmington, Delaware

Marc A. Priest, BSN, RN, CCRNECMO CoordinatorCardiac CenterNemours/Alfred I. duPont Hospital for Children Wilmington, Delaware

PROGRAM DIRECTOR SIMULATION DIRECTORS

NEMOURS/ALFRED I. duPONT HOSPITAL FOR CHILDRENDoug Katz, MDAssistant Professor of SurgeryJefferson Medical College, Thomas Jefferson UniversityAssociate Director, Critical Care ECMO ProgramDepartment of Pediatric SurgeryNemours/Alfred I. duPont Hospital for ChildrenWilmington, Delaware

Marisa Meyer, DOAssociate Director, Critical Care ECMO ProgramPediatric IntensivistNemours/Alfred I. duPont Hospital for ChildrenWilmington, Delaware

Christian Pizarro, MDClinical Associate Professor of SurgeryJefferson Medical College, Thomas Jefferson UniversityDirector, Nemours Cardiac CenterChief, Cardiothoracic SurgeryDirector, Heart Transplant ProgramNemours/Alfred I. duPont Hospital for ChildrenWilmington, Delaware

Ellen Spurrier, MDAssociate Professor of Anesthesia and PediatricsJefferson Medical College, Thomas Jefferson UniversityDirector, Cardiac AnesthesiologyNemours/Alfred I. duPont Hospital for ChildrenWilmington, Delaware

SIMULATION FACULTYKlayton Buckley, CCP, RNDirector of Perfusion ServicesThe Congenital Heart CenterThe Children’s Hospital of IllinoisOSF St Francis Medical Center Peoria, Illinois

Kimberly S. Burton, MSN, MBA, RNC-NICClinical Program Manager-ECMOCincinnati Children’s Hospital Medical CenterCincinnati, Ohio

Tammy Friedrich, RN, BSN ECMO Co-Coordinator Mayo ClinicRochester, Minnesota

Kiran Hebbar, MDAssistant Professor of PediatricsEmory University School of MedicinePediatric Critical Care MedicineMedical Director of TEAMS Center for Simulation CenterChildren’s Healthcare of Atlanta at EglestonAtlanta, Georgia

Timothy Maul, PhD Research Assistant ProfessorECMO CoordinatorUniversity of Pittsburgh and Children’s Hospital of PittsburghDepartment of Cardiothoracic Surgery and The McGowan Institute for Regenerative MedicinePittsburgh, Pennsylvania

Elizabeth A. Moore, BSN, RNECMO Program CoordinatorUniversity of Iowa Hospitals and ClinicsIowa City, Iowa

Gary Oldenburg, RRT-NPSECMO Program CoordinatorPediatric VAD CoordinatorJohns Hopkins HospitalBaltimore, Maryland

Alicia Schmidt, RNMember, ELSO Steering CommitteeECMO CoordinatorPhoenix Children’s HospitalPhoenix, Arizona

Lillian Su, MD, FAAPDirector of Critical Care Simulation Faculty, Critical Care MedicineChildren’s National Medical CenterWashington, D.C.

Scott F. Wagoner, MBA, RRTManager, ECMO and Advanced TechnologiesEgleston ECMO CenterChildren’s Healthcare of Atlanta Atlanta, Georgia

COURSE DESCRIPTIONThis program is designed for physicians and specialists caring for neonatal and pediatric patients with severe acute cardiac and/or respiratory failure who may be candidates for Extracorporeal Life Support.

LEARNING OBJECTIVESAs a result of participating in this activity, clinicians (physicians, surgeons, APNs, perfusionists, ECMO specialists) will be able to recognize indications and contraindications, cannulation techniques, initiation of support, patient and circuit physiology of ECMO, programmatic design and management, and all aspects of patient management and decision making for patients on ECMO. The goal is to immerse the learner in ECLS terminology and concepts in the simulation lab to complement the didactic course and enhance the learning process. In the conference simulation workshop, small groups will participate in scenarios reviewing emergency procedures and highlighting ECLS physiology. Simulation education will allow participants to develop skills in common bedside procedures and to learn key assessments for decision making by “hands on” experience. The course is appropriate for centers setting up new programs, or for existing centers expanding into neonatal and pediatric ECMO.

COURSE REGISTRATIONFees: The course fee is $2,000 which includes both lecture and simulation. If you would like to attend the lecture only portion of this course the registration fee is $650. This fee includes all course material including ELSO Red Book, ECMO Specialists Training Manual, breakfast & lunches on conference days, and a group dinner one evening.

Registration: Advance registration is required and should be received by January 11, 2013. All registration received by this date will be confirmed in writing. Registration is limited and will be honored in the order of the date received.

To register with a check: Return the completed registration form with full payment using check (payable to Nemours/Alfred I. duPont Hospital for Children) to the Continuing Medical Education Office, duPont Hospital for Children, PO Box 269, Wilmington, DE 19899.

To register with a credit card: If you are paying by Master Card, VISA, American Express or Discover Card, please complete the registration form found online at www.pedsuniversity.org

Cancellation Policy: A refund, less a $100 processing fee, will be given for WRITTEN cancellations received before January 15, 2013. No refunds will be given after this date. Nemours/Alfred I. duPont Hospital for Children is not responsible for any cancellation or change fees assessed by hotels, airlines or travel agencies.

Disclosure Policy: As a provider accredited by the ACCME, Nemours must ensure balance, independence, objectivity and scientific rigor in its educational activities. All faculty involved in the development of CME content are required to disclose to Nemours their relevant financial relationships. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Nemours has policies in place to resolve potential financial conflicts of interest. Relevant financial relationships will be disclosed to the activity audience.

For more information: Contact Karen Stong, (302) 651-6758, or [email protected]

REGISTRATION FORMELSO Neonatal and Pediatric ECMO Training CourseJanuary 27 – 30, 2013Registration deadline: January 11, 2013

Name: ________________________________________________________________

____________________________________________________________________

Title/Degree: ___________________________________________________________

Profession/Specialty: _____________________________________________________

Employer/Practice: _______________________________________________________

____________________________________________________________________

Address to which confirmation should be mailed: __________________________________

____________________________________________________________________

City: _________________________________________________________________

State: ____________________ Zip: ________________ Phone: __________________

Email: ________________________________________________________________

Fees: Full payment is due with registration

___ $2,000 for full course (lecture & simulation)

___ $650 for lecture only (This course is designed for participation in both lecture and simulations. Please contact the CME office to discuss the lecture-only program schedule.)

Register with credit card online at www.PEDSUniversity.org orEnclosed is my check for $_______ made payable to Nemours/Alfred I. duPont Hospital for Children

GENERAL INFORMATIONSiteThe program will be held in the third floor Lecture Hall of the Nemours/Alfred I. duPont Hospital for Children, located at 1600 Rockland Road in Wilmington, DE.

Accommodations A limited number of rooms have been reserved at the DoubleTree by Hilton Wilmington (4727 Concord Pike, Wilmington) at a special conference rate of $144 per night, not including sales tax. Please make your reservation through the DoubleTree at (302) 478-6000. Please ask to be assigned to the “Nemours ECMO Training Course block” in order to receive the special conference rate. The conference rate is only available for reservations made before Thursday, December 27, 2012, and is based on availability.

TransportationTransportation to and from the Philadelphia Airport can be made through Delaware Express at 1 (800) 648-5466 (arrangements must be made in advance) OR to and from the Wilmington Train Station by taxi.

Accreditation This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of ELSO and Nemours. Nemours is accredited by the ACCME to provide continuing medical education for physicians.

Nemours designates this live activity for a maximum of 30.75 AMA PRA Category 1 Credits™ (this will be slightly less for non-Nemours participants). Physicians should only claim the credit commensurate with the extent of their participation in this activity.

Americans with Disabilities Act In accordance with the Americans with Disabilities Act, the duPont Hospital for Children will provide modifications in teaching methodologies to accommodate individual needs. To request disability accommodations, contact the Office of Continuing Medical Education at least 15 days in advance of the program at (302) 651-6750.

The existing cardiac ECMO program under the direction of Christian Pizarro, MD, at Nemours/Alfred I. duPont Hospital for Children was recently expanded to offer ECMO for infants and children with severe respiratory failure due to congenital conditions, pneumonia, sepsis, pulmonary hypertension, and ARDS. The Nemours Critical Care ECMO Team is led by Mark Ogino, MD, who opened the Hanuola ECMO program in Hawaii; Marissa Meyer, MD, from Duke University; and Douglas Katz, MD, the former director of ECMO at St. Christopher’s Hospital for Children, Philadelphia.

SCHEDULE Sunday, January 27, 2013Registration/Breakfast 7:30 a.m. Course 8 a.m. to 5 p.m. Simulation Session #1 and #2 (two hours each) Lecture Session #1

Mark T. Ogino, MD, FAAPJames D. Fortenberry, MD, FCCM, FAAP

Heidi J. Dalton, MD, FCCM

Lecture Session #2 James D. Fortenberry, MD, FCCM, FAAP

Giles J. Peek, MD, FRCS-CTh, FFICM

Monday, January 28, 2013Registration/Breakfast 7:30 a.m. Course 8 a.m. to 5:30 p.m. Simulation Session #3 and #4 (two hours each) Lecture Session #3

Lecture Session #4

Tuesday, January 29, 2013Registration/Breakfast 7:30 a.m. Course 8 a.m. to 5:15 p.m. Simulation Session #5 and #6 (two hours each) Lecture Session #5

Lecture Session #6

Wednesday, January 30, 2013Registration/Breakfast 7:30 a.m. Course 8 a.m. to 4 p.m. Simulation Session #7 and #8 (two hours each) Lecture Session #7

Lecture Session #8

FACULTY

Name: ________________________________________________________________

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Title/Degree: ___________________________________________________________

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City: _________________________________________________________________

State: ____________________ Zip: ________________ Phone: __________________

Email: ________________________________________________________________

Lecture Session #4

Lecture Session #6

Lecture Session #8

Name: ________________________________________________________________

____________________________________________________________________

Title/Degree: ___________________________________________________________

____________________________________________________________________

City: _________________________________________________________________

State: ____________________ Zip: ________________ Phone: __________________

Email: ________________________________________________________________

Lecture Session #4

Lecture Session #6

Lecture Session #8

Name: ________________________________________________________________

____________________________________________________________________

Title/Degree: ___________________________________________________________

____________________________________________________________________

City: _________________________________________________________________

State: ____________________ Zip: ________________ Phone: __________________

Email: ________________________________________________________________

Lecture Session #4

Lecture Session #6

Lecture Session #8

Neonatal and Pediatric ECMO Training Course and Pediatric ECMO Training Course January 27 – 30,...

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