Cardiology 2010 | 13th Annual Update on Pediatric ...

February 10 – 14, 2010 Disney’s Contemporary Resort Lake Buena Vista, Fla.©Disney©Disneyl01013th AnnualUpdate on Pediatric Cardiovascular DiseaseBringing Interdisciplinary Evidence-based Practice to the Patient©Disney©DisneyA comprehensive post-graduate course for pediatric cardiologists, neonatologists, surgeons, nurses, intensivists, anesthesiologists, sonographers, perfusionists and all those involved in the care of neonates and children with cardiovascular disease.l010www.chop.edu/cardiology2010Cardiology 2010On behalf of the organizing committee and the Cardiac Center at The Children’s Hospital of Philadelphia, we are pleased to present the program for our annual post-graduate course designed for physicians, nurses, perfusionists, administrators, clinical pharmacists, sonographers, respiratory therapists and all others involved in the care of neonates, infants, children and young adults with cardiovascular disease.Based upon positive feedback we received following Cardiology 2009 in Nassau last year, we have modified the course format to allow attendees more free time without a strict meeting agenda. In addition, in response to the realities of the current economic climate, we have reduced the cost of the meeting for all attendees (registration fee and hotel), while still providing more than 28 contact hours including hot topics, basic reviews, subspecialty breakouts and much more! Each year, the course faculty, topics and format are chosen following a careful assessment of prior attendees’ comments and reviews. We also invite young investigators from around the globe to present new science and ideas. The course faculty will present more than 300 talks in plenary sessions as well as small group and subspecialty breakout sessions, covering all areas necessary for comprehensive care of our patients and their families. Course Highlights• Updates and late-breaking results from the Pediatric Heart Network and scientific statements from professional societies• Comprehensive plenary sessions on aortic valve disease, pulmonary hypertension, the right ventricle and neurodevelopmental outcomes in CHD• Discipline-specific breakouts in outpatient cardiology, subspecialty updates, cardiovascular nursing and pediatric perfusion• Presentation of cutting-edge research, including basic science, clinical trials and innovative therapies• A comprehensive review of mechanical circulatory supportCourse ObjectivesUpon completion of this program, participants will be able to: • Describe the pathology, natural history, and results of surgical and catheter-based therapy for aortic valve disease in infants, children and young adults• Understand levels of evidence, strengths and limitations of scientific statements and position papers in pediatric cardiovascular disease• Review the current status of international research initiatives, including late-breaking results from the Pediatric Heart Network of the National Heart, Lung and Blood Institute• Recognize the child with CHD at risk for neurodevelopmental and behavioral problems Call for AbstractsTimelineAbstract Submission Deadline: Oct. 19, 2009 Poster Presentations: Feb. 11 – 13, 2010 Notification of Acceptance: Oct. 30, 2009 Award Presentations: Feb. 13, 2010 Oral Presentations: Feb. 11 – 12, 2010 Course participants are encouraged to submit abstracts for consideration for the Annual Outstanding Investigator and Nursing Scientist Awards. The top six accepted abstracts will be presented as oral presentations — the remaining will be presented in one of three poster sessions. The international course faculty will select the recipients of the Seventh Annual Outstanding Investigator Award and the Third Annual Nursing Scientist Awards. The winners will receive an award at the featured plenary session on Feb. 13, 2010, a complimentary registration for Cardiology 2011 and a $500 travel grant. Abstracts will be accepted in all aspects of cardiovascular care, including cardiac issues in the neonatal and pediatric intensive care units, cardiovascular nursing, inpatient and outpatient cardiology, surgical, anesthesia and perfusion research, as well as basic cardiovascular science. Electronic submission only: see www.chop.edu/cardiology2010 for details. Abstract acceptance does not include course registration fee or hotel accommodations.1 1General InformationRegistrationCancellation and Refund PolicyWednesday, Feb. 10, from 6:30 a.m. to 6 p.m. and Thursday, The Children’s Hospital of Philadelphia reserves the right to Feb. 11, from 6:30 a.m. to 10 a.m.cancel or postpone any course due to unforeseen circumstances. In the event of cancellation or postponement, The Children’s Course FeesHospital of Philadelphia will refund registration fees but is not Physicians .................................................................$795responsible for any related costs or charges assessed by airlines and travel agencies. In order to process refunds for course Nurses, Medical Students, Residents, withdrawals, cancellations must be received in writing by Fellows and Other Healthcare Professionals ..............$550Feb. 1, 2010. Refunds will be issued for the amount of Optional Preconference Seminarsregistration less a $75 service charge.#1: Early Career Track for Residents, Hotel Information Fellows and Junior Faculty .................................$100 A block of rooms has been reserved at Disney’s Contemporary Resort. The group rate is $249 single or double occupancy plus #2: The Neonate and Infant with Complex a 12.5 percent room tax. CHD: Principles of Pre- and Postoperative Care for the Pediatric Cardiovascular Nurse .......$100 Participants are required to reserve their own hotel #3: The Collaborative Approach to Imaging accommodations by calling the hotel directly at 407-934-3372. CHD for Sonographers and For the reduced conference rate, mention the CHOP Pediatric Echocardiographers ...........................................$100Cardiology Conference when making your reservation. The conference rate extends from Feb. 7 – 17, 2010, and will be Accreditation Statementavailable until Monday, Jan. 11, 2010. Reservations made after Jan. 11 will be accepted on space and rate availability. The Children’s Hospital of Philadelphia is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for Ground Transportationphysicians.Disney’s Magical Express Service for GroupsDesignation of Credit StatementDisney Resort guests may take advantage of Disney’s Magical The Children’s Hospital of Philadelphia designates this Express Service and receive complimentary round-trip educational activity for a maximum of 37.25 AMA PRA Category transportation from the Orlando International Airport. No need 1 credits.™ Physicians should only claim credit commensurate to worry about baggage claim as your luggage will be delivered with the extent of their participation in the activity. Physicians directly to your resort room. Here’s how the Disney’s Magical registered for one of the three optional preconferences being Express Service works:held Wednesday, Feb. 10, will be eligible to claim an additional Book a Magical Express reservation. A Magical Express reservation maximum of 5.5 (#1), 6.25 (#2) and 6.0 (#3) AMA PRA is required to use the service. We recommend guests book Category 1 credits.™reservations at least 30 days prior to arrival. Guests need to Nursing Accreditationprovide:An application for Pennsylvania State Nurses Association • name of each person in room(PSNA) contact hours will be submitted. The Children’s • address (We mail the Airport Transportation Booklet, which Hospital of Philadelphia is approved as a provider of continuing includes luggage tags, to this address.)education in nursing by the PSNA, which is accredited as an approver of continuing education in nursing by the American • airline and flight number arriving into and departing from Nurses Credentialing Center’s Commission on Accreditation.Orlando International AirportThere are two booking methods:Perfusion Accreditation• Call 407-827-6777 to book a Magical Express reservation.An application for CEU Category 1 hours will be submitted.• Complete the online form on Services for the Disabledwww.disneyconventionears.com.If special arrangements are required for an individual with a disability to attend this meeting, please contact the Continuing Medical Education Department at 215-590-5263.2Special Interest SessionsTo help you easily identify relevant speaker topics and breakout sessions, all presentations are color-coded according to discipline. Use this guide to quickly find your way around.PLENARPlenary Sessions Plenary sessions are designed to meet the needs of all those who care for neonates, children and young adults with cardiovascular disease. Sessions are broad in scope and presented by a multidisciplinary faculty.YSURG/PERFUpdates on Congenital Heart Surgery and Pediatric Perfusion These sessions will focus on state-of-the-art surgical therapy and perioperative support for the neonate, infant and child with congenital heart disease. Surgeons, anesthesiologists and perfusionists will discuss controversies in management and new modes of treatment.Special Topics in Cardiovascular NursingNURSING A course-long track, including a special preconference on the principles of perioperative care, will highlight contemporary issues facing nurses caring for neonates, infants, children and young adults with heart disease. Sessions will encompass all aspects of pediatric cardiovascular nursing, from the bedside through long-term follow-up. Special sessions will focus on advanced practice nursing, nursing research and nursing administration.PEDAmbulatory and General Pediatric Cardiology Throughout the meeting, breakout sessions will focus on important issues for outpatients with heart disease and the . CARDpractitioners who care for them. Featured sessions will include acquired heart disease in children, legal and ethical issues, long-term outcomes, electrophysiology and pulmonary hypertension.Cardiac Intensive Care An international, multidisciplinary faculty has been assembled to review current management, controversies in care and I.Cnew research in cardiac intensive care and cardiac anesthesia. Featured breakout sessions will supplement the plenary .Usessions on late-breaking clinical trials, and will include mechanical support of the failing circulation, new methods of .invasive and non-invasive monitoring, new technology and infection control. PCICS members are entitled to a $50 discount. EARLSpecial Track for Residents, Fellows and Junior Faculty, Including a Pre- and Post-conference Seminar Expanding a very popular feature in previous years, a special track is planned for trainees and junior faculty early in Y TRACK their careers to provide guidance on career choices, financial security, work-life balance and other practical guidelines for long-term success in cardiovascular medicine. Cardiology 2010 provides an excellent opportunity to network and interact with practitioners in training or early in their careers. ADMINAdministrative Topics in Cardiovascular Disease Increasingly complex guidelines, hospital requirements and government mandates have changed the landscape of providing care for children with heart disease. Throughout the conference, hospital administrators and nursing and .physician leaders will discuss challenges and solutions to these complex problems.3Wednesday, Feb. 10OPTIONAL PRECONFERENCE #1 Early Career Track for Residents, Fellows and Junior Faculty: Academic Productivity 101Track Directors: Girish Shirali, M.B.B.S., Mitchell I. Cohen, M.D., Meryl S. Cohen M.D., and Barry Byrne, M.D.Getting and Keeping a Job While Avoiding Burnout 8 a.m. Welcome and Introductions11:15 a.m. Developing a Theme to Your Career Girish Shirali, M.B.B.S. Antonio R. Mott, M.D.11:30 a.m. Balancing Work and “Work”Mentoring Mitchell I. Cohen, M.D.8:05 a.m. How to Choose a Research Mentor Robert E. Shaddy, M.D.11:45 a.m. Balancing Work and “Life” Meryl S. Cohen, M.D.8:15 a.m. What Mentors Expect from Fellows and Junior Faculty Alan Friedman, M.D.Noon What A Division Chief is Looking For Moderator: Girish Shirali, M.B.B.S. Panel: Stuart Berger, M.D.; Barry Byrne, M.D., Ph.D.; Research and Manuscripts Robert Campbell, M.D.; Timothy Feltes, M.D.; 8:30 a.m. Retrospective, Cross-Sectional and Prospective Alan Friedman, M.D.; Richard A. Friedman, M.D., M.B.A.; Clinical Research: Design and Implementation William E. Hellenbrand, M.D.; Dunbar Ivy, M.D.; Jane W. Newburger, M.D., M.P.H. Jane W. Newburger, M.D., M.P.H.; J. Philip Saul, M.D.; 9 a.m. Dealing with the Institutional Review Board Robert E. Shaddy, M.D.; Daniel Penny, M.D., Ph.D.; TRACK Y Andrew Atz, M.D. Andrew Redington, M.D., F.R.C.P.; David L. Wessel, M.D. 9:20 a.m. Developing a Database: How and When to EARL Involve the StatisticianLunch • 12:30 p.m. Bradley S. Marino, M.D., M.P.P., M.S.C.E.Funding 101 9:40 a.m. Writing a PaperModerator: Barry Byrne, M.D., Ph.D. William T. Mahle, M.D.10 a.m. Authorship and Co-Authors1:30 p.m. Why Should Fellows and Junior Faculty Care About Andrew Redington, M.D., F.R.C.P. Money/Funding?10:20 a.m. Discussion J. Philip Saul, M.D.1:50 p.m. Non-Traditional Funding Industry: Mitchell I. Cohen, M.D. Philanthropy: Steven Testa Break • 10:45 a.m.2:30 p.m. DiscussionAdjourn • 3 p.m.“As a junior attending in a PICU, I look forward to this conference to help solidify some of the nuances of cardiac critical care. I’m always learning something I can use in my clinical practice.”Rima Jarrah, M.D., F.A.A.P. Assistant Professor, Anesthesia and Pediatric Critical Care Medicine Wake Forest University School of Medicine4Wednesday, Feb. 10OPTIONAL PRECONFERENCE #2 The Neonate and Infant with Complex CHD: Principles of Pr e- and Postoperative Care for the Pediatric Cardiovascular Nurse Preconference Directors: Kathryn M. Dodds, R.N., M.S.N., C.R.N.P., and Dorothy Beke, R.N., M.S.N., C.P.N.P.This comprehensive review will cover the preoperative and postoperative care of our sickest patients. Case studies will be used to emphasize practical Break • 10:15 a.m.teaching points and real-life examples, as well as anatomic specimen review with Professor Paul Weinberg, M.D. In addition to lectures and interaction PART II: The Postoperative Neonate, Top 10 Considerations with course faculty, a detailed course syllabus will be available to preconference Following Surgery for:participants. An additional 6.5 Nursing Contact Hours, including 1 pharmacy 10:45 a.m. Transposition of the Great Arteriescredit will be awarded for attendance. Total Anomalous Pulmonary Venous Return Truncus ArteriosusPART I: General Principles Hypoplastic Left Heart Syndrome8 a.m. Assessing the Patient Kathryn M. Dodds, R.N., M.S.N., C.R.N.P.Lunch • 12:30 p.m.8:15 a.m. Nursing Developmental Rounds: A Unique Approach to Part III: The Postoperative Infant Family Assessment NURSING12:45 p.m. Ventricular Septal Defect Amy Jo Lisanti, R.N., M.S.N., C.C.R.N. Atrioventricular Canal Tetralogy of Fallot8:30 a.m. Echo: What Do All Those Gray Dots and Colors Mean? Bidirectional Glenn and Fontan Jack Rychik, M.D.8:45 a.m. Anesthesia and SedationPart II and III Faculty: Bronwyn Bartle, R.N., M.S.N., C.R.N.P.; James M. Steven, M.D., S.M.Dorothy Beke, R.N., M.S.N., C.P.N.P.; Kathryn M. Dodds, R.N., M.S.N., 9 a.m. CPB: What Really Goes On in There?C.R.N.P.; Chitra Ravishankar, M.D.; Gil Wernovsky, M.D.; Thomas L. Spray, M.D.Paul M. Weinberg, M.D. 9:20 a.m. The “Golden Hour” of Postoperative Care: Initial Part IV: Additional Considerations Assessment Upon Return from the OR2 p.m. Getting Ready and Troubleshooting ECMO Dorothy Beke, R.N., M.S.N., C.P.N.P. Lisa Moore, R.N.9:35 a.m. Pattern Recognition Preparing for an Early Postoperative Catheterization Gil Wernovsky, M.D. David Nykanen, M.D., and Harun Fakioglu, M.D.9:45 a.m. Monitoring Transition Out of the ICU and Discharge Planning Antonio R. Mott, M.D. Amy Jo Lisanti, R.N., M.S.N., C.C.R.N., and 10 a.m. Rhythm Disturbances and 12 lead ECG Interpretation Cathy Smith, R.N., M.S.N., A.R.N.P. Ramesh Iyer, M.D. Adjourn • 3 p.m.OPTIONAL PRECONFERENCE #3 The Collaborative Approach to Imaging Congenital Heart Disease for Sonographers and Echocardiographers Preconference Directors: Robert H. Anderson, M.D.; Craig Fleishman, M.D.; and Patrick Coon, R.D.C.S.This unique, session will combine the experience of internationally renowned morphologist Professor Robert H. Anderson, M.D., with real-life case Lunch • 12:30 p.m.examples demonstrating the anatomic details and collaborative approach of image acquisition, interpretation and reporting. Emphasis will be on the PART IIIteam approach to imaging post-surgical congenital heart disease, in addition 1 p.m. Complex Anatomy and Complex RepairsPEDto basics of ventricular function and hemodynamic assessment with Doppler Including postoperative imaging of the adult with CHD, interrogation. arterial switch, Fontan, tetralogy and more. CARDPART IPART IV8 a.m. The Normal Anatomy and Segmental Approach to Imaging2:30 p.m. Imaging Away from the Echo Lab Basics of Ventricular Function and Doppler Inpatient issues in the rapid and focused examinations that take . Septal Defects place in the operating room, emergency room, intensive care unit and newborn nurseryBreak • 10 a.m. Faculty: Robert H. Anderson, M.D.; Patrick Coon, R.D.C.S.; PART IICraig Fleishman, M.D.; Michelle Frommelt, M.D.; Jack Rychik, M.D.; 10:30 a.m. The Atrioventricular and Semilunar ValvesNorman Silverman, M.D., D.Sc.; Aykut Tugertimur, M.D. Including postoperative imaging of atrioventricular septal defects, mitral and tricuspid valve disease, and moreAdjourn • 3 p.m. 5Wednesday, Feb. 10Main ConferenceOpening Plenary Session • 4 – 9 p.m.State of the Art Management of Aortic Valve Disease in Neonates, Children and Young AdultsPART I – WHAT and HOW?Moderators: Gil Wernovsky, M.D., and Robert E. Shaddy, M.D.4 p.m. Welcome and Introduction Gil Wernovsky, M.D.4:10 p.m. Normal and Abnormal Anatomy Robert H. Anderson, M.D., and Paul M. Weinberg, M.D.4:30 p.m. Management of the Neonate with Critical Aortic Stenosis Prior to and After Intervention Sarah Tabbutt, M.D., Ph.D.4:50 p.m. Catheter Intervention for Congenital Aortic Stenosis: Techniques and Results William E. Hellenbrand, M.D.5:10 p.m. Surgical Decision Making for Aortic Valve Disease in the Neonate, Infant and Adolescent: Techniques and Results Thomas L. Spray, M.D.5:30 p.m. ICU Management Following Surgical Intervention in the Child and Adolescent Andrew M. Atz, M.D.Break • 5:50 – 6:15 p.m.PART II – WHEN, WHY and WHAT ELSE? Moderators: Meryl S. Cohen, M.D., and Bradley S. Marino, M.D., M.P.P., M.S.C.E.Y6:15 p.m. How Do Echocardiographic and MRI Imaging in Children with Aortic Valve Disease Aid in Clinical Decision Making? Norman Silverman, M.D., D.Sc., and Mark Fogel, M.D.6:45 p.m. Exercise Restrictions and Prescriptions in the Adolescent with Aortic Stenosis: Does Exercise Testing Play a Role in Decision Making?PLENAR Paul Stephens, M.D.7 p.m. Factors Affecting Quality of Life in Children and Young Adults with Aortic Valve Disease: International Experience USA: Kathleen Mussatto, Ph.D., R.N. Europe: Phillip Moons, Ph.D., R.N.7:25 p.m. Arrhythmias Before and After Aortic Valve Surgery in Children Ramesh Iyer, M.D. 7:40 p.m. Putting It All Together: When Should I Send my Asymptomatic Patient for an Intervention? Is it Evidence (or Eminence) Based? Andrew Redington, M.D., F.R.C.P.8 p.m. Beyond Aortic Stenosis/Regurgitation: The Abnormal Aortic Root in Congenital Heart Disease Anji T. Yetman, M.D.8:15 p.m. Surgical Options for Aortic Valve Surgery in Marfan’s Syndrome Michael Mitchell, M.D.Debate This Case Moderator: Andrew Redington, M.D., F.R.C.P.“An asymptomatic 4 year old has a moderate sized VSD, mostly covered by a prolapsed right aortic cusp. There is a negligible shunt and normal PA pressure. LV size is normal, and has been unchanged for two years. There is a new finding of ‘mild’ aortic insufficiency on Doppler interrogation, which is inaudible on physical examination.”8:30 p.m. Surgery IS Indicated • Meryl S. Cohen, M.D.8:40 p.m. Surgery is NOT Indicated • Martin Elliott, M.D. 8:50 p.m. RebuttalsAdjourn/Dinner on your own • 9 p.m.“A fantastic interdisciplinary Scott Markowitz, M.D. meeting with up-to-the-minute Associate Director, Fellowship Program Department of Anesthesiology content and superb speakers.”The Children’s Hospital, Denver6Thursday, Feb. 11 Featured Plenary Session • 7 - 10 a.m.Meet the Experts Moderators: Thomas L. Spray, M.D., and Daniel Penny, M.D., Ph.D. Some treatments and procedures are inextricably linked to certain centers and/or practitioners. This session brings together colleagues from multiple centers to share highlights of their personal, institutional and registry experiences with some of the most challenging forms of congenital heart disease. 7 a.m. Surgical Repair of Ebstein’s Anomaly: The Mayo Clinic Experience Joseph Dearani, M.D.7:20 a.m . Ablation in Children: Important Lessons Learned Over Two Decades at Children’s Hospital Boston Edward P. Walsh, M.D.7:40 a.m. Transcatheter Pulmonary Valve Replacement: Current Indications and Results The European Experience • Philipp Bonhoeffer, M.D. PLENAR The U.S.A. Experience • William E. Hellenbrand, M.D.8:05 a.m. Current Management and Results in Neonates with HLHS The Progression of the Stage I Norwood Operation for more than 1,500 Patients at CHOP • Gil Wernovsky, M.D. Y The Hybrid Operation at Nationwide Children’s Hospital • John Cheatham, M.D. The Evolving Approach at the Hospital for Sick Children in Toronto • Christopher Caldarone, M.D.8:40 a.m. The Approach to Tracheal Surgery in Children at Great Ormond Street Hospital for Sick Children, London Martin Elliott, M.D.9 a.m. The Charleston Experience with 3D Echocardiographic Imaging: Past, Present and Future Girish Shirali, M.B.B.S.9:20 a.m. Transcatheter Closure of the Atrial Septal Defect: What Does the Registry Tell Us? David Nykanen, M.D.9:40 a.m. Surgery for and ICU Care Following Unifocalization in Patients with Pulmonary Atresia and Major Aortopulmonary Collaterals: The Stanford Experience Stephen Roth, M.D., M.P.H.Break/Visit the Exhibits • 10 – 11 a.m. Poster Session #17Thursday, Feb. 11Simultaneous Breakout Sessions • 11 a.m. – NoonLegal and Ethical IssuesYModerators: Benjamin Post, Esq., and James M. Steven, M.D., S.M.11 a.m. Recalls and Advisories for ICDs: When to Pull, When to Duck and Cover • Mitchell I. Cohen, M.D.11:20 a.m. How to Avoid a Lawsuit, and What to Do if You’re Named in One • Benjamin Post, Esq.PLENAR11:40 a.m. Electronic Communication with Patients and Families: How to Do it Right • Paul Stephens, M.D.Noon Communicating Adverse Events to Patients and Families • James M. Steven, M.D., S.M.Filtration in 2010Moderator: J. William Gaynor, M.D.11 a.m. Modified Ultrafiltration: How it Got Started/Where it’s Going • Tami Rosenthal, C.C.P., M.B.A. 11:20 a.m. What is Known About Pharmacokinetics During Modified Ultrafiltration? • Athena Zuppa, M.D.11:40 a.m. Filtration During ECMO: How to Do It, Complications and Results • Lisa Moore, R.N.Noon Debate: Modified Ultrafiltration Should be Standard of Care Following Neonatal Heart SurgerySURG/PERF Pro: Martin Elliott, M.D. • Con: Tom R. Karl, M.D.Nursing Breakout IModerators: Patricia A. Hickey, Ph.D.(c), M.B.A., R.N., and Barbara Medoff-Cooper, R.N., Ph.D.11 a.m. Assessing Opioid and Benzodiazepine Withdrawal • Martha A. Q. Curley, R.N., Ph.D.11:20 a.m. Bringing Evidence-Based Practice to the Bedside • Linda Goss, R.N., M.S.N.11:40 a.m. Developmental Considerations for the Newborn in the Cardiac ICU • Amy Jo Lisanti, R.N., M.S.N., C.C.R.N.NURSINGNoon Slow and Steady Wins the Race: A Feeding Strategy for Infants wtih Single Ventricle Physiology • Bronwyn Bartle, R.N., M.S.N., C.R.N.P.Imaging in 2010Moderator: Meryl S. Cohen, M.D.11 a.m. Echocardiographic Assessment of Ventricular Non-Compaction • Norman Silverman, M.D., D.Sc.. CARD11:20 a.m. Assessment of Coronary Artery Abnormalities by Echo/CT/MRI • Michelle Frommelt, M.D.11:40 a.m. Echocardiography of the Transplanted Heart in the Child: Implications for Rejection • William T. Mahle, M.D.PEDNoon Fusion Imaging Techniques • Craig Fleishman, M.D.Alternative Thinking in Cardiac Intensive CareModerator: Antonio R. Mott, M.D...U11 a.m. NEC and Feeding in the CICU: How Should the Cardiac Intensivist Think Like a Neonatologist? • Steven Schwartz, M.D.11:20 a.m. The Brain After Cardiac Surgery: How Should the Cardiac Intensivist Think Like a Neurologist? • Lara Shekerdemian, M.D.I.C11:40 a.m. Sedation, Analgesia and Logistical Considerations: How Should the Cardiac Intensivist Think Like an Anesthesiologist? • Lisa M. Montenegro, M.D.Noon Glycemic Control After Cardiac Surgery: How Should the Cardiac Intensivist Think Like an Endocrinologist? • John M. Costello, M.D.Doing More (With Less): Meeting Challenges in Delivering High Quality Cardiovascular Care in the Current Economic Climate Moderators: Maryanne Kessel, R.N., M.B.A., and Linda Zieman, R.N., M.M..11 a.m. Strategies to Respond to Changing Trends in Reimbursement and Payer Mix • Robert Campbell, M.D.11:20 a.m. Non-Traditional Inpatient Staffing Models with “Physician Extenders:” Are They Fiscally Responsible? Do They Provide Quality Care? ADMIN • Deborah Lloyd Torowicz, R.N., M.S.N., Ph.D.(c)11:40 a.m. The Financial Future of Residency and Fellowship Programs • Alan Friedman, M.D.Noon How Can We Measure Return on (Marketing) Investment? • Linda Zieman, M.M., R.N.Box Lunch Potpourri • 12:30 - 1:30 p.m.Y12:30 – 12:55 p.m. Markers of Adult Cardiovascular Disease in Children • John Deanfield, M.D. 1 – 1:25 p.m. The History of the Electrocardiogram • Edward P. Walsh, M.D.PLENAR8