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February 10 – 14, 2010 Disney’s Contemporary Resort

Lake Buena Vista, Fla.

A 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.

13th AnnualUpdate on Pediatric Cardiovascular Disease

Bringing Interdisciplinary Evidence-based Practice to the Patient

©Disney

©Disney

©Disney

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www.chop.edu/cardiology2010

Cardiology 2010

On 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 HighlightsUpdates 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 suppor• t

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Course 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.

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General InformationRegistrationWednesday, Feb. 10, from 6:30 a.m. to 6 p.m. and Thursday, Feb. 11, from 6:30 a.m. to 10 a.m.

Course FeesPhysicians .................................................................$795

Nurses, Medical Students, Residents, Fellows and Other Healthcare Professionals ..............$550

Optional Preconference Seminars#1: Early Career Track for Residents, Fellows and Junior Faculty .................................$100 #2: The Neonate and Infant with Complex CHD: Principles of Pre- and Postoperative Care for the Pediatric Cardiovascular Nurse .......$100 #3: The Collaborative Approach to Imaging CHD for Sonographers and Echocardiographers ...........................................$100

Accreditation StatementThe Children’s Hospital of Philadelphia is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation of Credit StatementThe Children’s Hospital of Philadelphia designates this educational activity for a maximum of 37.25 AMA PRA Category 1 credits.™ Physicians should only claim credit commensurate with the extent of their participation in the activity. Physicians registered for one of the three optional preconferences being held Wednesday, Feb. 10, will be eligible to claim an additional maximum of 5.5 (#1), 6.25 (#2) and 6.0 (#3) AMA PRA Category 1 credits.™

Nursing AccreditationAn application for Pennsylvania State Nurses Association (PSNA) contact hours will be submitted. The Children’s Hospital of Philadelphia is approved as a provider of continuing education in nursing by the PSNA, which is accredited as an approver of continuing education in nursing by the American Nurses Credentialing Center’s Commission on Accreditation.

Perfusion AccreditationAn application for CEU Category 1 hours will be submitted.

Services for the DisabledIf 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.

Cancellation and Refund PolicyThe Children’s Hospital of Philadelphia reserves the right to cancel or postpone any course due to unforeseen circumstances. In the event of cancellation or postponement, The Children’s Hospital of Philadelphia will refund registration fees but is not responsible for any related costs or charges assessed by airlines and travel agencies. In order to process refunds for course withdrawals, cancellations must be received in writing by Feb. 1, 2010. Refunds will be issued for the amount of registration less a $75 service charge.

Hotel InformationA block of rooms has been reserved at Disney’s Contemporary Resort. The group rate is $249 single or double occupancy plus a 12.5 percent room tax.

Participants are required to reserve their own hotel accommodations by calling the hotel directly at 407-934-3372. For the reduced conference rate, mention the CHOP Pediatric Cardiology Conference when making your reservation. The conference rate extends from Feb. 7 – 17, 2010, and will be available until Monday, Jan. 11, 2010. Reservations made after Jan. 11 will be accepted on space and rate availability.

Ground TransportationDisney’s Magical Express Service for Groups

Disney Resort guests may take advantage of Disney’s Magical Express Service and receive complimentary round-trip transportation from the Orlando International Airport. No need to worry about baggage claim as your luggage will be delivered directly to your resort room. Here’s how the Disney’s Magical Express Service works:

Book a Magical Express reservation. A Magical Express reservation is required to use the service. We recommend guests book reservations at least 30 days prior to arrival. Guests need to provide:

name of each person in room•

address (We mail the Airport Transportation Booklet, which •includes luggage tags, to this address.)

airline and flight number arriving into and departing from •Orlando International Airport

There are two booking methods:

Call 407-827-6777 to book a • Magical Express reservation.

Complete the online form on •www.disneyconventionears.com.

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Special Topics in Cardiovascular Nursing 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.

Updates 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.

NURSING

Plenary 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.

SURG/PERFPLENARY

Ambulatory and General Pediatric Cardiology Throughout the meeting, breakout sessions will focus on important issues for outpatients with heart disease and the practitioners 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 new research in cardiac intensive care and cardiac anesthesia. Featured breakout sessions will supplement the plenary sessions 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.

Special 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 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.

Administrative 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.

To 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.

PED. CARDI.C.U.

EARLY TRACK ADM

IN.Special Interest Sessions

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Wednesday, Feb. 10

OPTIONAL PRECONFERENCE #1

Track Directors: Girish Shirali, M.B.B.S., Mitchell I. Cohen, M.D., Meryl S. Cohen M.D., and Barry Byrne, M.D.

8 a.m. Welcome and Introductions Girish Shirali, M.B.B.S.

Mentoring8:05 a.m. How to Choose a Research Mentor Robert E. Shaddy, M.D.

8:15 a.m. What Mentors Expect from Fellows and Junior Faculty Alan Friedman, M.D.

Research and Manuscripts8:30 a.m. Retrospective, Cross-Sectional and Prospective Clinical Research: Design and Implementation Jane W. Newburger, M.D., M.P.H.

9 a.m. Dealing with the Institutional Review Board Andrew Atz, M.D.

9:20 a.m. Developing a Database: How and When to Involve the Statistician Bradley S. Marino, M.D., M.P.P., M.S.C.E.

9:40 a.m. Writing a Paper William T. Mahle, M.D.

10 a.m. Authorship and Co-Authors Andrew Redington, M.D., F.R.C.P.

10:20 a.m. Discussion

Break • 10:45 a.m.

Getting and Keeping a Job While Avoiding Burnout 11:15 a.m. Developing a Theme to Your Career Antonio R. Mott, M.D.

11:30 a.m. Balancing Work and “Work” Mitchell I. Cohen, M.D.

11:45 a.m. Balancing Work and “Life” Meryl S. Cohen, 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.; Robert Campbell, M.D.; Timothy Feltes, M.D.; Alan Friedman, M.D.; Richard A. Friedman, M.D., M.B.A.; William E. Hellenbrand, M.D.; Dunbar Ivy, M.D.; Jane W. Newburger, M.D., M.P.H.; J. Philip Saul, M.D.; Robert E. Shaddy, M.D.; Daniel Penny, M.D., Ph.D.; Andrew Redington, M.D., F.R.C.P.; David L. Wessel, M.D.

Lunch • 12:30 p.m.

Funding 101 Moderator: Barry Byrne, M.D., Ph.D.

1:30 p.m. Why Should Fellows and Junior Faculty Care About Money/Funding? J. Philip Saul, M.D.

1:50 p.m. Non-Traditional Funding Industry: Mitchell I. Cohen, M.D. Philanthropy: Steven Testa

2:30 p.m. Discussion

Adjourn • 3 p.m.

Early Career Track for Residents, Fellows and Junior Faculty: Academic Productivity 101

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“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 Medicine

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Wednesday, Feb. 10

OPTIONAL PRECONFERENCE #2

This comprehensive review will cover the preoperative and postoperative care of our sickest patients. Case studies will be used to emphasize practical teaching points and real-life examples, as well as anatomic specimen review with Professor Paul Weinberg, M.D. In addition to lectures and interaction with course faculty, a detailed course syllabus will be available to preconference participants. An additional 6.5 Nursing Contact Hours, including 1 pharmacy credit will be awarded for attendance.

PART I: General Principles8 a.m. Assessing the Patient Kathryn M. Dodds, R.N., M.S.N., C.R.N.P.

8:15 a.m. Nursing Developmental Rounds: A Unique Approach to Family Assessment Amy Jo Lisanti, R.N., M.S.N., C.C.R.N. 8:30 a.m. Echo: What Do All Those Gray Dots and Colors Mean? Jack Rychik, M.D.

8:45 a.m. Anesthesia and Sedation James M. Steven, M.D., S.M.

9 a.m. CPB: What Really Goes On in There? Thomas L. Spray, M.D.

9:20 a.m. The “Golden Hour” of Postoperative Care: Initial Assessment Upon Return from the OR Dorothy Beke, R.N., M.S.N., C.P.N.P.

9:35 a.m. Pattern Recognition Gil Wernovsky, M.D.

9:45 a.m. Monitoring Antonio R. Mott, M.D.

10 a.m. Rhythm Disturbances and 12 lead ECG Interpretation Ramesh Iyer, M.D.

Break • 10:15 a.m.

PART II: The Postoperative Neonate, Top 10 Considerations Following Surgery for:10:45 a.m. Transposition of the Great Arteries Total Anomalous Pulmonary Venous Return Truncus Arteriosus Hypoplastic Left Heart Syndrome Lunch • 12:30 p.m.

Part III: The Postoperative Infant12:45 p.m. Ventricular Septal Defect Atrioventricular Canal Tetralogy of Fallot Bidirectional Glenn and Fontan

Part II and III Faculty: Bronwyn Bartle, R.N., M.S.N., C.R.N.P.; Dorothy Beke, R.N., M.S.N., C.P.N.P.; Kathryn M. Dodds, R.N., M.S.N., C.R.N.P.; Chitra Ravishankar, M.D.; Gil Wernovsky, M.D.; Paul M. Weinberg, M.D. Part IV: Additional Considerations2 p.m. Getting Ready and Troubleshooting ECMO Lisa Moore, R.N.

Preparing for an Early Postoperative Catheterization David Nykanen, M.D., and Harun Fakioglu, M.D.

Transition Out of the ICU and Discharge Planning Amy Jo Lisanti, R.N., M.S.N., C.C.R.N., and Cathy Smith, R.N., M.S.N., A.R.N.P.

Adjourn • 3 p.m.

OPTIONAL PRECONFERENCE #3

This unique, session will combine the experience of internationally renowned morphologist Professor Robert H. Anderson, M.D., with real-life case examples demonstrating the anatomic details and collaborative approach of image acquisition, interpretation and reporting. Emphasis will be on the team approach to imaging post-surgical congenital heart disease, in addition to basics of ventricular function and hemodynamic assessment with Doppler interrogation.

PART I8 a.m. The Normal Anatomy and Segmental Approach to Imaging Basics of Ventricular Function and Doppler Septal Defects Break • 10 a.m.

PART II10:30 a.m. The Atrioventricular and Semilunar Valves Including postoperative imaging of atrioventricular septal defects, mitral and tricuspid valve disease, and more

Lunch • 12:30 p.m.

PART III1 p.m. Complex Anatomy and Complex Repairs Including postoperative imaging of the adult with CHD, arterial switch, Fontan, tetralogy and more

PART IV2:30 p.m. Imaging Away from the Echo Lab Inpatient issues in the rapid and focused examinations that take place in the operating room, emergency room, intensive care unit and newborn nursery

Faculty: Robert H. Anderson, M.D.; Patrick Coon, R.D.C.S.; Craig Fleishman, M.D.; Michelle Frommelt, M.D.; Jack Rychik, M.D.; Norman Silverman, M.D., D.Sc.; Aykut Tugertimur, M.D.

Adjourn • 3 p.m.

The Neonate and Infant with Complex CHD: Principles of Pre- 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.

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.

NURSINGPED. CARD.

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Wednesday, Feb. 10

State of the Art Management of Aortic Valve Disease in Neonates, Children and Young Adults

PART 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.

6:15 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? 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. Rebuttals

Adjourn/Dinner on your own • 9 p.m.

Opening Plenary Session • 4 – 9 p.m.

Main Conference

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“A fantastic interdisciplinary meeting with up-to-the-minute content and superb speakers.”

Scott Markowitz, M.D. Associate Director, Fellowship Program Department of Anesthesiology The Children’s Hospital, Denver

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Thursday, Feb. 11

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 TheEuropeanExperience•PhilippBonhoeffer,M.D. TheU.S.A.Experience•WilliamE.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 •GilWernovsky,M.D. The Hybrid Operation at Nationwide Children’s Hospital •JohnCheatham,M.D. The Evolving Approach at the Hospital for Sick Children in Toronto•ChristopherCaldarone,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.

Featured Plenary Session • 7 - 10 a.m.

Break/Visit the Exhibits • 10 – 11 a.m. Poster Session #1

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Thursday, Feb. 11

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? • 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.

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 Surgery Pro:MartinElliott,M.D.•Con:TomR.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.Noon 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.

Simultaneous Breakout Sessions • 11 a.m. – Noon

Imaging in 2010Moderator: Meryl S. Cohen, M.D.

11 a.m. Echocardiographic Assessment of Ventricular Non-Compaction • Norman Silverman, M.D., D.Sc.11:20 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.Noon Fusion Imaging Techniques • Craig Fleishman, M.D.

Alternative Thinking in Cardiac Intensive CareModerator: Antonio R. Mott, M.D.

11 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.11:40 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.

Legal and Ethical IssuesModerators: 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.11:40 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.

12:30 – 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.

Box Lunch Potpourri • 12:30 - 1:30 p.m.

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Thursday, Feb. 11

Improving Delivery of Care Through Collaboration Between Administrators and Healthcare ProvidersModerators: Stuart Berger, M.D. and Robert E. Shaddy, M.D.

1:30 p.m. Business Meets Cardiology: Metrics and Scorecards • Dunbar Ivy, M.D.1:50 p.m. An Aligned Partnership to Address Patient Safety Goals of the Joint Commission • Maryanne Kessel, R.N., M.B.A.2:10 p.m. Challenges and Solutions for Physician Practices in Multiple Locations • James A. Quintessenza, M.D.2:30 p.m. Avoiding Pitfalls to Ensure Sustainability of Regional Programs • Gretchen Penton, M.B.A., R.D.C.S.2:50 p.m. Administrative Challenges in Collaboration and Regionalization of Cardiovascular Programs • Timothy Feltes, M.D.

Pediatric PerfusionModerators: Carmen Giacomuzzi, C.C.P., and Dana Rogers, C.C.P.

1:30 p.m. Effect of Prime Components on Coagulation Status After Neonatal CPB • Monica Olsen, C.C.P.1:50 p.m. Case Studies in ECMO, VAD and CPB Faculty: Carmen Giacomuzzi, C.C.P.; Lisa Moore, R.N.; Monica Olson, C.C.P.; Dana Rogers, C.C.P.; Tami Rosenthal, C.C.P., M.B.A.

Nursing Breakout II: Multisystem Management of CHD and Associated SyndromesModerator: Kathryn M. Dodds, R.N., M.S.N., C.R.N.P.

1:30 p.m. DiGeorge Syndrome (22q11.2) • Kathryn M. Dodds, R.N., M.S.N., C.R.N.P.1:50 p.m. Turner Syndrome (45 XO) • Dorothy Beke, R.N., M.S.N., C.P.N.P.2:10 p.m. Williams Syndrome (7q11.23) • Bronwyn Bartle, R.N., M.S.N., C.R.N.P.2:30 p.m. Down Syndrome (Trisomy 21) • Patricia Siefert, R.N., M.S.N., C.R.N.P.2:50 p.m. Alagille Syndrome (Jag 1) • Nancy Burnham, R.N., M.S.N.

3:15 – 4:15 p.m. Anatomy with the Professors Robert H. Anderson, M.D., and Paul M. Weinberg, M.D.

Imaging in 2010Moderator: Jack Rychik, M.D., and Patrick Coon, R.D.C.S.

1:30 p.m. Strain Rate Assessment in Children with CHD • Benjamin Eidem, M.D.1:50 p.m. Echocardiographic Assessment of Heterotaxy Syndrome • Meryl S. Cohen, M.D.2:10 p.m. Assessment of Peripheral Vascular Function in the Pediatric Patient • Shobha Natarajan, M.D.2:30 p.m. Contrast Echocardiograpy • Michael Brook, M.D.2:50 p.m. Endocarditis: What Can an Echo Show You (and Not Show You)? • Alan Friedman, M.D.

Topics in Cardiac Intensive CareModerators: David L. Wessel, M.D., and Geoffrey L. Bird, M.D., M.S.I.S.

1:30 p.m. Risk Factors for Surgical Site Infections • John M. Costello, M.D.1:50 p.m. Culture Change: How One CICU Tackled Blood Stream Infections • Maryam Naim, M.D.2:10 p.m. How to Progress the Precarious Neonate Through Intensive Care • David S. Cooper, M.D., M.P.H.2:50 p.m. Debate: The Neonate with HLHS Should Undergo Surgery as Soon as Feasible Pro: Sarah Tabbutt, M.D., Ph.D. Con: Nancy Ghanayem, M.D.

Ambulatory CardiologyModerator: Richard A. Friedman, M.D., M.B.A.

1:30 p.m. Pericarditis: What’s New? • Richard Donner, M.D.1:50 p.m. Rheumatic Fever: State of the Art Management in 2010 • Anita Szwast, M.D.2:10 p.m. The First Postoperative Visit: What Should Be Done, and When? • Therese M. Giglia, M.D.2:30 p.m. Risk Factors for Interstage Death Following the Norwood Procedure • Andrew M. Atz, M.D.2:50 p.m. Electronic Health Care Records in Ambulatory Cardiology: Best Fits for Cardiovascular Programs • Jeffrey Boris, M.D.

Simultaneous Breakout Sessions • 1:30 - 3:15 p.m.

Early Career Track Special Session • 3:15 - 4:15 p.m.

Adjourn • 3:15 p.m.

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Simultaneous Breakout Sessions • 8 – 10 a.m.

Surgery for CHD: Timing and Long Term OutcomesModerators: Christopher Caldarone, M.D., and Timothy Feltes, M.D.

8 a.m. When Should Elective Repair of Tetralogy of Fallot Take Place? Current Outcomes and Treatment Strategies Thomas L. Spray, M.D.8:20 a.m. When (and How) Should Elective Repair of Atrioventricular Septal Defect Take Place? Current Techniques and Controversies Tom R. Karl, M.D.8:40 a.m. How Will the STS Database Help Measure Long-term Outcomes? Jeffrey Jacobs, M.D.9 a.m. Outcomes Following the Ross Procedure Bradley S. Marino, M.D., M.P.P., M.S.C.E.9:20 a.m. Current Challenges for the Fontan Patient Jack Rychik, M.D., and Kathryn Dodds, R.N., M.S.N., C.R.N.P.9:40 a.m. Patient Reported Outcomes: Are They as Good as You Think They Are? Philip Moons, Ph.D., R.N.

Structure, Function and Logistics of Cardiovascular ProgramsModerators: Robert E. Shaddy, M.D., and Steven M. Altschuler, M.D.

8 a.m. Building From Better to Best: Cardiac Centers vs. Centers of Excellence vs. Cardiac Institutes ... What is in the Definition? Maryanne Kessel, R.N., M.B.A. 8:15 a.m. Modifications of Traditional Organizational Structure to Improve Care Delivery: Panelists Will Compare the Pros and Cons of Care Delivery Models at Three Different Cardiovascular Programs Children’s National Medical Center – David L. Wessel, M.D. Sibley Heart Center, Atlanta – Robert Campbell, M.D. Hospital for Sick Children, Toronto – Andrew Redington, M.D., F.R.C.P.

8:45 a.m. Tale of Two Cities: Lessons Learned in the Resurrection and Evolution of Two Separate Cardiac Surgical Programs William M. DeCampli, M.D., Ph.D.9 a.m. The Effect of Nursing and Organizational Structure on Outcomes in CHD Patricia A. Hickey, Ph.D.(c), M.B.A., R.N.9:15 a.m. Practical Solutions to Achieve and Maintain Excellence in Cardiovascular Programs Linda Goss, R.N., M.S.N.9:30 a.m. Challenges and Solutions in Moving Patients and Caregivers: To a New ICU – Nancy Ghanayem, M.D., and Steven Roth, M.D., M.P.H. To an Entirely New Hospital – Dunbar Ivy, M.D.

Simultaneous Hands-on and How-to Sessions • 7 – 8 a.m.

How to Use an Automatic External Defibrillator (AED)Stuart Berger, M.D.

Meet the Experts: How to Staff and Retain Nurses in a Cardiovascular Program in 2010Kathy Gover, R.N., B.S.N.; Patricia A. Hickey, Ph.D.(c), M.B.A., R.N.; Maryanne Kessel, R.N., M.B.A., Deborah Lloyd Torowicz, M.S.N., R.N., Ph.D.(c)

How to Use and Interpret Near Infrared Spectroscopy (NIRS)A Practical Guide to Implementation of Non-Invasive Cerebral and Somatic Monitoring. Faculty: Nancy Ghanayem, M.D.; Dean Andropoulos, M.D., M.H.C.M.; Andrew M. Atz, M.D.

Bypass, ECMO and VAD: How the Blood Goes ’RoundAn Interactive Session with Faculty from The Children’s Hospital of Philadelphia (Chitra Ravishankar, M.D.; Dana Rogers, C.C.P.; Tami Rosenthal ,C.C.P., M.B.A.), All Children’s Hospital (Lisa Moore, R.N.; Jeffrey Jacobs, M.D.; David S. Cooper, M.D., M.P.H.) and Arnold Palmer Hospital for Children (Monica Olsen, C.C.P.; William M. DeCampli, M.D., Ph.D.; Harun Fakioglu, M.D.)

Pros and Cons of Handheld Echocardiography Faculty: Patrick Coon, R.D.C.S., and Michael Brook, M.D.

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Friday, Feb. 12

Simultaneous Breakout Sessions • 8 – 10 a.m.

Pediatric Cardiac Catheterization in 2010 Moderator: David Nykanen, M.D.8 a.m. The Dark Side of ASD Device Closure: Complications and Treatment Strategies William E. Hellenbrand, M.D.8:20 a.m. Combining a Hemodyamic, EP and Interventional Cath: Who and How? Matthew Gillespie, M.D., and J. Philip Saul, M.D.8:40 a.m. Stenting for Coarctation of the Aorta: State-of-the-Art Techniques, Outcomes and Future Directions John Cheatham, M.D.9 a.m. Transcatheter Pulmonary Valve Therapy: What to Expect in the Next 10 Years Philipp Bonhoeffer, M.D.9:20 a.m. My “Favorite” Case in 2009: Lessons Learned from Potential Disaster Drs. Bonhoeffer, Cheatham, Gillespie, Hellenbrand and Nykanen

Moderated Poster Presentations in Pediatric and Congenital Cardiovascular NursingModerators: Martha A.Q. Curley, R.N., Ph.D., and Sharon Barton, R.N., Ph.D., C.N.S.-B.C.Join the Nursing faculty for an interactive forum discussing hot topics and new techniques.

Mechanical Support of the Failing Circulation Moderators: David S. Cooper, M.D., M.P.H., and Seema Mital, M.D.

8 a.m. Biventricular Pacing for Advanced CHF Ramesh Iyer, M.D.8:20 a.m. Ventricular Assist Devices: What’s New? Chitra Ravishankar, M.D.8:40 am Anticoagulation Management on Mechanical Support: State of the Art in 2010 Carmen Giacomuzzi, C.C.P.9 a.m. ECMO for Failure to Wean from CPB After Surgery for CHD Joseph Dearani, M.D.9:20 a.m. ECMO as an Adjunct to CPR in Cardiac Patients: Factors Related to Survival and Neurological Injury Joshua Salvin, M.D.9:40 a.m. Sedation and Analgesia on ECMO Athena Zuppa, M.D.

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“Being a new cardiology nurse practitioner, I am looking for every opportunity to learn about this multifaceted population of patients. I’ve heard nothing but great things about this conference and am looking forward to the wealth of knowledge to be presented.”

J. Brooke Sample, R.N., C.P.N.P.-P.C./A.C. Children’s Medical Center of Dallas

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Electrophysiology for the General Pediatric Cardiologist Moderator: Ramesh Iyer, M.D.

11 a.m. Preventing Sudden Cardiac Death in the General Population • Stuart Berger, M.D.11:20 a.m. Syncope with Exercise: Tailoring an Appropriate Evaluation • Mitchell I. Cohen, M.D.11:40 a.m. The Asymptomatic Adolescent with WPW: How to Risk Stratify for Ablation • J. Philip Saul, M.D.Noon SVT and CHD: Drugs vs. Ablation • Edward P. Walsh, M.D.12:20 p.m. Deciphering the Genetic Channelopathy: Are Negatives Negative and Are Positives Positive? • Robert Campbell, M.D.12:40 p.m. Which Adult CHD Patient Should Get an ICD? Are You Sure? • Richard A. Friedman, M.D., M.B.A.

Cardiovascular Administrator Round-Table11 a.m. Informal Forum to Discuss Common Problems and Solutions in the Delivery of Cardiovascular Care to Children and Young Adults John Bozard, President, Arnold Palmer Medical Center Steven M. Altschuler, M.D., President and CEO, The Children’s Hospital of Philadelphia

Friday, Feb. 12

Rats, Pigs and Sheep: Basic Science and Translational Research Moderators: Beth D. Kaufman, M.D., and Daniel Penny, M.D., Ph.D.

11 a.m. If Only Pigs Could Fly: Behavioral Testing in the Piglet Model of Brain Injury • Maryam Naim, M.D.11:15 a.m. Laboratory Studies on Regional Low Flow Perfusion as a Support Technique • William M. DeCampli, M.D., Ph.D.11:30 a.m. Making an Artificial Heart • Seema Mital, M.D.11:45 a.m. Developing an Animal Model of Pulmonary Regurgitation to Assist Development of Novel Methods for Transcatheter Pulmonary Valve Replacement • Matthew Gillespie, M.D.Noon What the Cardiovascular Practitioner Needs to Know About Apoptosis • Christopher Caldarone, M.D.12:15 p.m. Neointimal Lesions in the Pulmonary Arteries of Endothelin B Receptor-deficient Rats: a Model of Severe PA Hypertension • Dunbar Ivy, M.D.12:.30 p.m. What the Physiologist Can Teach the Clinician about Ventriculo-Arterial Coupling • Daniel Penny, M.D., Ph.D.

Controversies in Pediatric PerfusionModerator: Tami Rosenthal, C.C.P., M.B.A., and James Quintessenza, M.D.

11:00 How Much Blood Does it Take to Call it “Blood Cardioplegia” (and Does it Matter)? • Dana Rogers, C.C.P.11:20 a.m. Treatment of Hyperglycemia during CPB: Does it Matter? • Monica Olsen, C.C.P.11:40 a.m. A Comparison of Hollow Fiber and Silicone Membrane Oxygenators for Neonates on ECMO • Carmen Giacomuzzi, C.C.P.Noon NIRS is Standard of Care During CPB • Pro: Dean B. Andropoulos, M.D., M.H.C.M.; Con: J. William Gaynor, M.D.12:30 p.m. Aprotinin is Crucial and Should Be Back on the Market • Pro: John M. Costello, M.D.; Con: Richard Ohye, M.D.

Simultaneous Breakout Sessions • 11 a.m. – 1 p.m.

Cardiac Intensive Care Rapid Fire PotpourriModerators: Sarah Tabbutt, M.D., Ph.D., and Steven Schwartz, M.D.

11 a.m. Changes in Respiratory Mechanics Following Surgery for CHD • Dean B. Andropoulos, M.D., M.H.C.M.11:15 a.m. Vasodilatory Shock After Surgery for CHD • Paul A. Checchia, M.D. 11:30 a.m. Transfusion After Surgery for CHD: Risks, Benefits and Unknowns • Joshua Salvin, M.D.11:45 a.m. How Should We Develop and Implement Clinical Trials in Cardiac Intensive Care? • Steven J. Roth, M.D., M.P.H.Noon Communication Strategies to Improve Patient Safety in the CICU • Geoffrey L. Bird, M.D., M.S.I.S.12:15 p.m. Talking to Patient Families and Each Other: The Vital Skill We DON’T Teach • Steven Schwartz, M.D.12:30 p.m. Perceptions of Health Care Providers Regarding Family Presence During Resuscitation and Invasive Procedures • Antonio R. Mott, M.D.12:45 p.m. The Relationship of Nursing and Institutional Factors to Outcomes for Congenital Heart Surgery • Patricia A. Hickey, Ph.D.(c), M.B.A., R.N.

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5 p.m. 4th Annual Cardiology Jeopardy! Featuring Michael Brook, M.D., as Alex Trebec

All Children’s Hospital• : Jeffrey Jacobs, M.D.; David S. Cooper, M.D.; and James A. Quintessenza, M.D.Boston• : Jane W. Newburger, M.D., M.P.H.; Edward P. Walsh, M.D.; and Joshua Salvin, M.D.Great Ormond Street• : Martin Elliott, M.D.; John Deanfield, M.D.; and Ingram Schulze-Neick, M.D.Philadelphia• : Gil Wernovsky, M.D.; Thomas L. Spray, M.D.; and Meryl S. Cohen, M.D.Toronto• : Andrew Redington, M.D., F.R.C.P.; Christopher Caldarone, M.D.; and Seema Mital, M.D.

5:45 p.m. Featured Oral Abstract Presentations: Session 1 Moderators: Tom R. Karl, M.D., and Steven Schwartz, M.D.

6:30 p.m. What You Need to Know About the World Congress of Pediatric Cardiology and Cardiac Surgery: Capetown, South Africa 2013

A Critical Review of Scientific Statements and Levels of Evidence Moderators: Gil Wernovsky, M.D., and John Deanfield, M.D.

6:45 p.m. Getting to Yes: Scientific Consensus • Gail Pearson, M.D.

7 p.m. Defining Levels of Evidence • Richard Ohye, M.D.

7:15 p.m. A Rapid 10-Minute Review of Current Scientific Statements and Guidelines: Pros, Cons and Levels of Evidence • “Role of Pulse Oximetry in Examining Newborns for Congenital Heart Disease. A Scientific Statement from the American Heart Association and American Academy of Pediatrics” (Circulation 2009; 120:447-458) • Discussant: William T. Mahle, M.D. • “Cardiovascular Monitoring of Children and Adolescents with Heart Disease Receiving Stimulant Drugs” (Circulation 2008;117:2407-23) • Discussant: Stuart Berger, M.D. • “AHA/ACCF Scientific Statement on the Evaluation of Syncope” (Circulation 2006;113:316-27) •Discussant: Mitchell I. Cohen, M.D. • “Recommendations for Quantification Methods During the Performance of a Pediatric Echocardiogram: A Report from the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council” (in press) Discussant: Leo Lopez, M.D. • “Prevention of Infective Endocarditis: Guidelines from the American Heart Association” (Circulation 2007:116;1736-1754) Discussant: Jane W. Newburger, M.D., M.P.H. • “The Prevention and Treatment of Thrombosis in Children and Adults with Congenital Heart Disease and in Children with Acquired Heart Disease” (AHA Scientific Statement Circulation 2010, In Press) • Discussant: Therese M. Giglia, M.D. • “Genetic Evaluation of Cardiomyopathy: A Heart Failure Society of America Practice Guideline”(J Cardiac Fail 2009;15:83-97) Discussant: Beth Kaufman, M.D.

8:30 p.m. One Lawyer’s Perspective on Clinical Practice Guidelines: Are You at Risk? • Benjamin Post, Esq.

Dinner on your own • 8:45 p.m.

Evening Plenary Session • 5 – 8:45 p.m.

1:30 – 2:30 p.m. Early Career Track: Inpatient Electrophysiology 101 A Practical Review of Temporary Pacing at the Bedside (hands-on), How to Do an Atrial Electrocardiogram, Acute Management of Tachyarrythmias and Much More! Mitchell I. Cohen, M.D.; Edward P. Walsh, M.D.; Richard A. Friedman, M.D., M.B.A.; J. Philip Saul, M.D.; and Ramesh Iyer, M.D.

1:30 – 2:30 p.m. Fetal Case Discussions An Interactive Session, Including Case Discussions, Current Research and Future Directions Jack Rychik, M.D.; Craig Fleishman, M.D.; and Course Faculty

2:45 – 3:15 p.m. Early Career Track: Cardiopulmonary Bypass and ECMO – How the Blood Goes ’Round Interactive Session with Faculty from The Children’s Hospital of Philadelphia (Chitra Ravishankar, M.D.; Dana Rogers, C.C.P.; Tami Rosenthal, C.C.P., M.B.A.), All Children’s Hospital (Lisa Moore, R.N.; Jeffrey Jacobs, M.D.; David S. Cooper, M.D.) and Arnold Palmer Hospital for Children (Monica Olsen, C.C.P.; and William M. DeCampli, M.D., Ph.D.)

3:30 – 4:45 p.m. Temporary Pacing for the Bedside and Advanced Practice Nurse A Practical, Hands-on Session to Review the Practical Aspects of Temporary Bedside Pacing • Mitchell I. Cohen, M.D.

3:45 – 4:30 p.m. Early Career Track: Cardiology Jeopardy! for Fellows Teams of Fellows from five Cardiovascular Programs will compete in the First Annual Cardiology Jeopardy! for Fellows Featuring Michael Brook, M.D., as Alex Trebec • Details will be posted on www.chop.edu/cardiology2010 in early 2010.

Optional Afternoon Sessions

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Saturday, Feb. 13

8 – 10 a.m. 5th Annual T. Garrett Rauch Memorial Lecture in Pediatric Cardiovascular Nursing “On Becoming a Citizen of the World: Processes and Outcomes” Afaf I. Meleis, Ph.D., D.P.S. (Hon), F.A.A.N.

11th Annual C. Walton Lillehei Memorial Lecture in Pediatric Cardiovascular Surgery “No Magic Bullet” J. William Gaynor, M.D.

9th Annual William J. Rashkind Memorial Lecture in Pediatric Cardiology “The Reimbursement Tsunami: Preserving the Passion” Robert Campbell, M.D.

3rd Annual John J. Downes Lecture in Pediatric Anesthesia and Critical Care Medicine “Cardiac Intensive Care: Celebrating Successes, Meeting Challenges” David L. Wessel, M.D.

Presentation of 5th Annual Nursing Scientist and 7th Annual Outstanding Investigator Awards

Break/Visit the Exhibits • 10 – 11 a.m. Poster Session #3

Simultaneous Breakout Sessions • 11 a.m. – 1:20 p.m.

Plenary Session: Featured Lectures

8 – 10 a.m. Featured Oral Abstract Presentations: Session II Moderators: Richard Ohye, M.D., and Norman Silverman, M.D., D.Sc.

Nursing ResearchModerators: Martha A. Q. Curley, R.N., Ph.D., and Sharon Barton, R.N.. Ph.D., C.N.S.-B.C.

11:00 Transition to Home After Neonatal Heart Surgery: What Has Been Learned and How Best to Support Families Barbara Medoff-Cooper, Ph.D., R.N.11:15 Parental Stress and Coping Following the Diagnosis of Critical Heart Disease in a Newborn: Differences and Similarities between Mothers and Fathers • Kathleen Mussatto, Ph.D., R.N.11:15: COPE • Sharon Barton, R.N., Ph.D., C.N.S.-B.C.11:30 RESTORE: Randomized Evaluation of Sedation Titration for Respiratory Failure • Martha A.Q. Curley, R.N., Ph.D. 11: 45 General Health Status of Adolescents After the Arterial Switch • Carolyn Dunbar-Masterson, R.N., M.S.N.12:00 Transition to Adult Care: How to Do it Better • Phillip Moons, Ph.D., R.N.12:15 How to Balance Research, Clinical Nursing and Administration • Jill Dykstra, R.N., M.S.N., C.C.R.C. 1:00: How to Get Started and Sustain a Career in Nursing Research•Drs. Barton, Curley, Medoff-Cooper, Moons and Mussatto

Current Management in Ambulatory Cardiology Moderators: Ingram Schulz-Neick, M.D., and Paul Stephens, M.D.

11 a.m. Kawasaki Disease: Diagnosis and Current Recommendations for Treatment and Follow-up • Jane W. Newburger, M.D., M.P.H.11:20 a.m. Hyperlipidemia in 2010: When (and How) Should Children Be Treated? • Richard Donner, M.D.11:40 a.m. Current Approach to Hypertrophic Cardiomyopathy • Benjamin Eidem, M.D.Noon The Cardiologist’s Role in the Evaluation of Dysautonomia • Jeffrey Boris, M.D.12:20 p.m. Lyme Carditis • John M. Costello, M.D.12:40 p.m. Cardiac Tumors • Shobha Natarajan, M.D.1 p.m. Immunizations in the “At-Risk” Cardiac Patient • William T. Mahle, M.D.

Fetal Cardiovascular SymposiumModerator: Jack Rychik, M.D.

11 a.m. Renaissance of Embryology in the Understanding of the Development of the Congenitally Malformed Heart • Robert H. Anderson, M.D. 11:20 a.m. Tools of the Trade: The Role of Doppler Echocardiography in Decision Making for the Unwell Fetus • Anita Szwast, M.D. 11:40 a.m. At What Gestational Age Should the Fetus with CHD be Born? • Dean Andropoulos, M.D., M.H.C.M.Noon Impact of a Prenatal Diagnosis on ICU Care • David S. Cooper, M.D., M.P.H.12:20 p.m. Impact of a Prenatal Diagnosis on the Family • Michelle Frommelt, M.D. 12:40 p.m. Treatment of the Fetus: Before or After Birth? • Jack Rychik, M.D. 1 p.m. The Future: Speculations on Care of the Fetus with Heart Disease in 2020 • Norman Silverman, M.D., D.Sc.

“There are a number of these lectures that every general pediatric

cardiologist should attend.”

Mitchel B. Alpert, M.D. Alpert, Zales & Castro Pediatric Cardiology Director of Pediatric Cardiology, Jersey Shore Medical Center

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Simultaneous Breakout Sessions • 11 a.m. – 1:20 p.m. continued

New Advances and Techniques in Congenital Cardiac SurgeryModerators: Thomas L. Spray, M.D., and Joseph Dearani, M.D.

11 a.m. Intraoperative Use of Stents and Other Devices • John Cheatham, M.D.11:20 a.m. Surgeon as Banker: The Value of a Carefully Phenotyped CHD Tissue Bank • Michael Mitchell, M.D.11:40 a.m. The Evolving Role of Transplantation Following the Fontan Procedure • Ivan Rebeyka, M.D.Noon The Role of Echocardiography in Hybrid Procedures • Craig Fleishman, M.D.12:20 p.m. Where do the Sutures Go in a “Sutureless” Repair of TAPVR? • Christopher Caldarone, M.D.12:40 p.m. Do Perioperative Antibiotics Make a Difference? • Tom R. Karl, M.D.1 p.m. Results of a Programmatic Approach to and Surgical Techniques for Unifocalization of MAPCAs • William M. DeCampli, M.D., Ph.D.

New Technology (RCS)Moderators: Paul A. Checchia, M.D., and Antonio R. Mott, M.D.

11 a.m. Invasive Monitoring: State of the Art in 2010 • Paul A. Checchia, M.D.11:20 a.m. Non-Invasive Monitoring: State of the Art in 2010 • Nancy Ghanayem, M.D.11:40 a.m. Data Capture and Analysis in the Cardiac ICU • Geoffrey L. Bird, M.D., M.S.I.S.Noon Robotic Ablation • Richard A. Friedman, M.D., M.B.A.12:20 p.m. Robotic ASD Closure • James Quintessenza, M.D.12:40 p.m. XMR • Mark Fogel, M.D.1 p.m. Micro TEE • Eric Graham, M.D.

Heart FailureModerators: Chitra Ravishankar, M.D., and Daphne Hsu, M.D.

11 a.m. Medical Management of the Outpatient with Heart Failure: What’s New? • Robert E. Shaddy, M.D.11:20 a.m. Pediatric Heart Failure in Special Populations: Oncology, Neuromuscular and Familial • Beth D. Kaufman, M.D.11:40 a.m. Genomic Profiling of Pediatric Heart Failure and Heart Transplantation • Seema Mital, M.D.Noon ICU Management of Acute Decompensated Heart Failure • Stephen Roth, M.D., M.P.H.12:20 p.m. Anesthetic Management in the Child with Severe Heart Failure • Lisa M. Montenegro, M.D.12:40 p.m. Lessons Learned in 100 Consecutive Pediatric Heart Transplants • Jeffrey Jacobs, M.D.1 p.m. Quality of Life in Children with Heart Failure • Bradley S. Marino, M.D., M.P.P., M.S.C.E.

Saturday, Feb. 13

1:20 p.m. Box Lunch

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Neurodevelopmental Outcomes in Children with Complex CHD: What Has Been Learned in Serial Follow-up? Moderators: Gil Wernovsky, M.D., and Bradley S. Marino, M.D., M.P.P., M.S.C.E.

With improved survival in the current era, it has become increasingly evident that neurological and developmental abnormalities compromise quality of life in many children with complex CHD. International experts and major investigators of the five largest prospectively followed cohorts of children with CHD will review the current data in this state-of-the-art review.

3 p.m. What is Most Important to Families and Parents? Kathy Mussatto, Ph.D., R.N.

3:15 p.m. 16 Year Outcomes from the Boston Circulatory Arrest Study Jane W. Newburger, M.D., M.P.H.

3:30 p.m. 4 Year Outcomes from the Philadelphia APOE Cohort J. William Gaynor, M.D.

3:45 p.m. Hearts and Minds Prospective Follow-up Study in Melbourne, Australia, and Auckland, New Zealand Lara Shekerdemian, M.D.

4 p.m. Neurocognitive Outcomes: Prospective Follow-up at Texas Children’s Hospital Dean Andropoulos, M.D., M.H.C.M.

4:15 p.m. Results of the Western Canadian Follow-up Program Ivan Rebeyka, M.D.

4:30 p.m. Follow-up Programs at The Children’s Hospital of Philadelphia; Children’s Hospital Boston and Children’s Hospital of Wisconsin Jean Marie Carroll, R.N., M.S.N. Carolyn Dunbar-Masterson, R.N., M.S.N. Kathy Mussatto, Ph.D., R.N.

4:50 p.m. Next Steps: Development of an International Follow-up Registry Gil Wernovsky, M.D. Bradley S. Marino, M.D., M.P.P., M.S.C.E. Break • 5:10 – 5:45 p.m.

Saturday, Feb. 13

Cardiology 2010 Classical Ensemble • 1:45 - 2:45 p.m.

Plenary Sessions

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“Attending this excellent meeting for many years gave me the opportunity to update my knowledge

in a few days. You’ll find all the answers you are looking for in pediatric cardiology.”

Ziyad M. Hijazi, M.D. Professor of Pediatrics and Internal Medicine Director, Rush Center for Congenital and Structural Heart Disease

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Plenary Sessions

Saturday, Feb. 13

Integrating Evidence-based Clinical Research Into Clinical Practice/Late-breaking Trials Moderators: Andrew Redington, M.D., F.R.C.P., and Martin Elliott, M.D.

5:45 p.m. The Future of Research in the Current Economic Climate Steven M. Altschuler, M.D., President and CEO, The Children’s Hospital of Philadelphia

6 p.m. “Human Factors” Which Impede the Adoption of Clinical Research into Clinical Practice Gil Wernovsky, M.D.

6:15 p.m. How to Support Families and Encourage Research “Buy-In”: The Critical Importance of the Bedside Nurse, Even on the Busiest of Days Nancy Burnham, R.N., M.S.N.

6:30 p.m. Update on the Pediatric Heart Network Gail Pearson, M.D.

6:45 p.m. Randomized Medical Therapy for Marfan’s Syndrome—Rationale and Eligibility Criteria. How Can I Get My Patient Enrolled? Anji T. Yetman, M.D.

7 p.m. Results of a New Randomized Study of Motavizumab for Immunoprophylaxis to Prevent RSV Infection in Cardiac Patients Timothy Feltes, M.D.

7:15 p.m. SAFO: Results of a Randomized, Double-Blind, Cross-Over Trial of Sildenafil After Fontan Operation David Goldberg, M.D.

7:30 p.m. ISV: Results of a Randomized Trial of ACE Inhibitors in Infants with Single Ventricle Daphne Hsu, M.D.

7:45 p.m. SVR: Results of a Randomized Trial of BT Shunt vs RV-PA Conduit in Neonates Undergoing the Norwood Procedure Richard Ohye, M.D.

8 p.m. “My Heart vs. The Real World” Max Gerber Mr. Gerber is a LA based photographer who has lived all his life with heart disease, and has photographically captured the true life stories of many children, young adults and their families with CHD. His pictures have been published in more than a dozen countries and in prominent periodicals such as Time and Newsweek. See www.msgphoto.com/heartkidsproject for details.

Closing Reception • 8:15 – 9:15 p.m.

Cardiology 2010 Ensemble - “Blue Baby Jazz and Sound Collective” • 9:30 – 11 p.m.

PLENARY

“The CHOP conference is my favorite forum for congenital heart disease. It provides a great

opportunity to meet and interact with individuals from centers around the world and in every

discipline. I have made some of my most valuable professional connections at the meeting. And, aside

from the great topics, the meeting is always fun.”

Jennifer Hirsch, M.D., M.S., F.A.C.S., F.A.C.C.Assistant ProfessorDepartment of Surgery and Department of PediatricsC.S. Mott Children’s Hospital, University of Michigan

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Sunday, Feb. 14

The (Un)Natural History of the Right Ventricle in CHD: Ignore, Worry or Intervene (and Worry Some More ...)?

Closing Plenary Session

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Moderators: Meryl S. Cohen, M.D., and Leo Lopez, M.D.

8 a.m. What Can the Anatomy Tell Us? Paul M. Weinberg, M.D., and Robert H. Anderson, M.D.

8:20 a.m. The Volume Loaded RV After TOF Repair: What to Do? Andrew Redington, M.D., F.R.C.P.

8:40 a.m. The Long Term Fate of the RV After Pulmonary Balloon Valvotomy: Does It Bear Watching? David Nykanen, M.D.

9:00 a.m. Compared to the LV, is the RV Really Inferior After Fontan Palliation? How Long Will It Last? Daniel Penny, M.D., Ph.D.

9:20 a.m. The RV in Ebsteins Anomaly Benjamin Eidem, M.D.

9:40 a.m. The Long Term Fate of the Systemic RV in Both d-TGA and Congenitally Corrected TGA John Deanfield, M.D.

Coffee Break • 10:15 a.m.

©Disney

1919

Final Simultaneous Breakout Sessions • 10:30 a.m. – 1 p.m.

Feeding, Growth and Nutrition in Children with Congenital Heart DiseaseModerators: Barbara Medoff-Cooper, Ph.D., R.N., and Antonio R. Mott, M.D.

10:30 a.m. Somatic Growth After VSD Closure in Malnourished Infants • Stephen J. Roth, M.D.10:50 a.m. Laryngopharygenal Dysfunction After Arch Reconstruction • Andrew M. Atz, M.D.11:10 a.m. Too Fat or Too Thin? Impact of Obesity and Wasting on Outcomes of Pediatric Heart Transplantation • Beth D. Kaufman, M.D.11:30 a.m. Breastfeeding and CHD: Facts, Myths and Emerging Data • Deborah Lloyd Torowicz, R.N., M.S.N., Ph.D.(c)11:50 a.m. Chylothorax: Is There Anything New? • Maryam Naim, M.D.11:10 a.m. What Has Been Learned About Feeding Neonates with CHD? • Barbara Medoff-Cooper, Ph.D., R.N.12:30 p.m. Risk Factors for Long Term Growth Failure After Surgery for CHD • Kathryn M. Dodds, R.N., M.S.N., C.R.N.P.

Early Career Track Wrap Up SessionModerators: Girish Shirali, M.B.B.S., and Meryl S. Cohen, M.D.

10:30 a.m. Lessons Learned (From the Trenches): Practical Aspects of Being a “Good Mentee” (or How to Get the Most from Your Mentor) • David Goldberg, M.D. Practical Aspects of Getting and Maintaining a Grant • Eric Graham, M.D. (ACC Pfizer Scholar)10:50 a.m. Funding Opportunities at the NIH for Early Career Investigators • Gail Pearson, M.D.11:10 a.m. Running a Basic Science Lab • Barry Byrne, M.D., Ph.D.11:30 a.m. Faculty Tracks and Promotion • J. Philip Saul, M.D.11:50 a.m. The “Boring” Track (Clinician Educator) • Girish Shirali, M.B.B.S.12:05 a.m. The “Exciting” Track (Academic Clinician) • Andrew Redington, M.D., F.R.C.P.12:20 a.m. The “Unspoken” Track (Private Practice) • Jeffrey Boris, M.D.12:35 a.m. Speculating on the Future of Pediatric Cardiovascular Medicine: What (and Where) Will the Jobs Be? • Robert E. Shaddy, M.D.

Perfusion RoundtableModerator: Tami Rosenthal, C.C.P., M.B.A.Don’t miss this opportunity to discuss current issues in pediatric perfusion in an informal setting. The Perfusion Faculty will lead an open discussion on anticoagulation, patient monitoring, new CPB products, ECMO and VAD experiences. Audience participation is encouraged.

Sunday, Feb. 14

Adjourn • 1 p.m.

PLENARYSURG/PERF

EARLY TRACK

“You’ll be challenged and inspired and will go home considering new ways to help your patients.”

Timothy F. Feltes, M.D., F.A.C.C. Co-director, The Heart Center; Chief, Pediatric Cardiology Nationwide Children’s Hospital

Developing Evidence-Based Guidelines and Protocols for the Diagnosis and Management of Pulmonary Hypertension in Children: An Interactive SessionModerators: Daniel Penny, M.D., Ph.D., and David L. Wessel, M.D.The international panel will discuss the scientific background and their specific protocols for various aspects of the diagnosis and management of pulmonary hypertension in children. Following the presentations, Drs. Wessel and Penny will lead the audience and panel in a critical review of the currently available treatments, their evidence base, and discuss next steps.

10:30 a.m. How I Work Up a Patient with Suspected PAH • Dunbar Ivy, M.D.10:40 a.m. How I Catheterize and Perform Acute Drug Testing a Patient with PAH • Ingram Schulze-Neick, M.D. 10:50 a.m. How I Anesthetize a Patient with PAH•James M. Steven, M.D.11 a.m. How I Choose What Drugs to Use in Patients with PAH •Daniel Penny, M.D., Ph.D. 11:10 a.m. How I Treat Pulmonary Hypertension After Cardiac Surgery•Andrew M. Atz, M.D.11:20 a.m. How I Treat Pulmonary Hypertensive Crises in Patients with Known PAH•Therese M. Giglia, M.D.11:30 a.m. How I Treat Patients with Chronic Lung Disease and PAH•David L. Wessel, M.D.11:40 a.m. How I Minimize Complications Following Catheterization or Non-Cardiac Surgery in Patients with PAH•Dunbar Ivy, M.D.11:50 a.m. How I Decide When to Transplant • Thomas L. Spray, M.D.Noon How I Perform Stress Testing in Patients with PAH • Anji T. Yetman, M.D.12:10 p.m. Management of Patients with Eisenmenger Syndrome • Philip Moons, R.N., Ph.D.12:20 p.m. How I Would Set Up a Pulmonary Hypertension Program • David L. Wessel, M.D.12:30 p.m. Discussion

Scientific CommitteeGil Wernovsky, M.D., R.C.; Course DirectorSharon Barton, R.N., Ph.D., C.N.S.-B.C., Jeffrey Boris, M.D.Geoffrey Bird, M.D.Meryl S. Cohen, M.D.

Mitchell I. Cohen, M.D.Kathryn M. Dodds, R.N., M.S.N., C.R.N.P.Alan Friedman, M.D.Matthew Gillespie, M.D.David Goldberg, M.D.Maryanne Kessel, R.N., M.S.N., M.B.A.

Tami Rosenthal, C.C.P., M.B.A.Jack Rychik, M.D.Robert E. Shaddy, M.D.Girish Shirali, M.B.B.S.Thomas L. Spray, M.D.Deborah Lloyd Torowicz, M.S.N., R.N., Ph.D.(c)

Anesthesia and Intensive CareDean B. Andropoulos, M.D., M.H.C.M., HoustonAndrew M. Atz, M.D., CharlestonGeoffrey L. Bird, M.D., M.S.I.S., PhiladelphiaPaul A. Checchia, M.D., St. LouisDavid S. Cooper, M.D., M.P.H., St. PetersburgJohn M. Costello M.D., BostonHarun Fakioglu, M.D., Orlando

Nancy Ghanayem, M.D., MilwaukeeBradley S. Marino, M.D., M.P.P., M.S.C.E., CincinnatiAntonio R. Mott, M.D., PhiladelphiaMaryam Naim, M.D., PhiladelphiaLisa M. Montenegro, M.D., PhiladelphiaSteven J. Roth, M.D., M.P.H., San FranciscoJoshua Salvin, M.D., Boston

Steven Schwartz, M.D., TorontoLara Shekerdemian, M.D., MelbourneJames M. Steven, M.D., S.M., PhiladelphiaSarah Tabbutt, M.D., Ph.D., San FranciscoGil Wernovsky, M.D., R.C., PhiladelphiaDavid L. Wessel, M.D., Washington DCAthena Zuppa, M.D., Philadelphia

CardiologyStuart Berger, M.D., MilwakeeJeffrey Boris, M.D., PhiladelphiaPhilipp Bonhoeffer, M.D., LondonMichael Brook, M.D., San FranciscoBarry Byrne, M.D., Ph.D., GainesvilleRobert Campbell, M.D., AtlantaJohn Cheatham, M.D., ColumbusMeryl S. Cohen, M.D., PhiladelphiaMitchell I. Cohen, M.D., PhoenixJohn Deanfield, M.D., LondonRichard Donner, M.D., PhiladelphiaBenjamin Eidem, M.D., RochesterTimothy Feltes, M.D., ColumbusCraig Fleishman, M.D., OrlandoAlan Friedman, M.D., New HavenRichard A. Friedman, M.D., M.B.A., Houston

Michelle Frommelt, M.D., MilwaukeeMark Fogel, M.D., PhiladelphiaTherese M. Giglia, M.D., PhiladelphiaMatthew Gillespie, M.D., PhiladelphiaDavid Goldberg, M.D., PhiladelphiaEric Graham, M.D., CharlestonWilliam E. Hellenbrand, M.D., New YorkDaphne Hsu, M.D., New YorkDunbar Ivy, M.D., DenverRamesh Iyer, M.D., PhiladelphiaBeth D. Kaufman, M.D., PhiladelphiaLeo Lopez, M.D., New YorkWilliam T. Mahle, M.D., AtlantaSeema Mital, M.D., TorontoShoba Natarajan, M.D., PhiladelphiaJane W. Newburger, M.D., M.P.H., Boston

David Nykanen, M.D., OrlandoGail Pearson, M.D., BethesdaDaniel Penny, M.D., Ph.D., MelbourneChitra Ravishankar, M.D., PhiladelphiaAndrew Redington, M.D., F.R.C.P., TorontoJack Rychik, M.D., PhiladelphiaJ. Philip Saul, M.D., CharlestonIngram Schulze-Neick, M.D., LondonRobert E. Shaddy, M.D., PhiladelphiaGirish Shirali, M.B.B.S., CharlestonNorman Silverman, M.D., D.Sc., Palo AltoPaul Stephens, M.D., PhiladelphiaAnita Szwast, M.D., PhiladelphiaAykut Tugertimur, M.D., OrlandoEdward P. Walsh, M.D., BostonPaul Weinberg, M.D., PhiladelphiaAnji T. Yetman, M.D., Salt Lake City

NursingSharon Barton, R.N., Ph.D., C.N.S.-B.C., PhiladelphiaBronwyn Bartle, R.N., M.S.N., C.R.N.P., DurhamDorothy Beke, R.N., M.S.N., C.P.N.P., BostonNancy Burnham, R.N., M.S.N., PhiladelphiaJean Marie Carroll, R.N., M.S.N., PhiladelphiaMartha A.Q. Curley, R.N., Ph.D., Philadelphia

Kathryn M. Dodds, R.N., M.S.N., C.R.N.P., PhiladelphiaCarolyn Dunbar-Masterson, R.N., M.S.N., BostonJill Dykstra, R.N., M.S.N., OrlandoLinda Goss, R.N., M.S.N., PhiladelphiaKathy Gover, R.N., M.S.N., OrlandoPatricia A. Hickey, Ph.D.(c), M.B.A., R.N., BostonAmy Jo Lisanti, R.N., M.S.N., C.C.R.N., PhiladelphiaBarbara Medoff-Cooper, Ph.D., R.N., Philadelphia

Afaf I. Meleis, Ph.D., D.P.S. (hon), F.A.A.N., Philadelphia Philip Moons, R.N., Ph.D., LeuvenLisa Moore, R.N., St. PetersburgKathleen Mussatto, Ph.D., R.N., MilwaukeePatricia Siefert, R.N., M.S.N., A.R.N.P., OrlandoCathy Smith, R.N., M.S.N., C.R.N.P., OrlandoDeborah Lloyd Torowicz, M.S.N., R.N., Ph.D.(c), Philadelphia

Surgery and PerfusionChristopher Caldarone, M.D., TorontoJoseph Dearani, M.D., RochesterWilliam M. DeCampli, M.D., Ph.D., OrlandoMartin Elliot, M.D., LondonJ. William Gaynor, M.D., Philadelphia

Carmen Giacomuzzi, C.C.P., PortlandJeffrey Jacobs, M.D., St. PetersburgTom R. Karl, M.D., BrisbaneMichael Mitchell, M.D., MilwaukeeRichard Ohye, M.D., Ann ArborMonica Olsen, C.C.P., Orlando

James A. Quintessenza, M.D., St. PetersburgIvan Rebeyka, M.D., EdmontonDana Rogers, C.C.P., PhiladelphiaTami Rosenthal, C.C.P., M.B.A., PhiladelphiaThomas L. Spray, M.D., Philadelphia

Additional FacultyRobert H. Anderson, M.D., CharlestonSteven M. Altschuler, M.D., Philadelphia

John Bozard, OrlandoPatrick Coon, R.D.C.S., PhiladelphiaMax Gerber, Los Angeles Maryanne Kessel, R.N., M.B.A., Milwaukee

Gretchen Penton, M.B.A., R.D.C.S., OrlandoBenjamin Post, Esq., Philadelphia Steven Testa, PhiladelphiaLinda Zieman, M.M., R.N., Philadelphia

Faculty

20

Registration

Register online at www.chop.edu/cardiology2010

13th Annual Update on Pediatric Cardiovascular DiseaseFebruary 10 – 14, 2010 • Lake Buena Vista, Fla.

Name ______________________________________________________________________________________________________

Title/Degree _________________________________________________________________________________________________

Hospital/Institute/Company ____________________________________________________________________________________

Specialty ____________________________________________________________________________________________________

Address _____________________________________________________________________________________________________

City _____________________________________________ State _______ ZIP ______________ Country _____________________

Phone _______________________________________________________ Fax ___________________________________________

E-mail _____________________________________________________________________________________________________

Registration FeesFull Course • Wednesday, 4 p.m. to Sunday, 1 p.m.

q Physicians ........................................................................................................................................................................................$795

q Fellows, Residents, Nurses, Medical Students and Other Healthcare Professionals ..........................................................................$550 Optional Limited Registration Pre-conference Symposium • Wednesday, Feb. 10 (Please select only one.)

q Early Career Track for Residents, Fellows and Junior Faculty ..........................................................................................................$100

q The Neonate and Infant with Complex CHD: Principles of Pre and Postoperative Care for the Pediatric Cardiovascular Nurse ........................................................................................................................................................$100

q The Collaborative Approach to Imaging CHD for Sonographers and Echocardiographers (including anatomic correlation and live imaging) ...........................................................................................$100

q PCIS Members (see www.pcics.org) ......................................................................................................................................(minus) $50

Total ____________

Method of Paymentq Personal Check q Institutional Check (Make checks payable to The Children’s Hospital of Philadelphia.)

q VISA q MasterCard q American Express q Discover

Credit Card # ___________________________________________________ Exp. Date ______/______/______

To register online with a credit card, go to www.chop.edu/cardiology2010.

Please mail the completed registration form and check directly to:Ms. Micah Holliday, Continuing Medical Education Department The Children’s Hospital of Philadelphia 34th Street and Civic Center Boulevard Philadelphia, Pa. 19104-4399 Phone:215-590-5263•Fax:215-590-4342 Please note: Reservations for Disney’s Contemporary Resort must be made by contacting the resort directly at 407-934-3372. The special conference room rate is $249 per night. Mention the CHOP Pediatric Cardiology Conference to receive the discounted rate.

©2009 The Children’s Hospital of Philadelphia, All Rights Reserved.

21

©Disney

3030/5M/09-09

Continuing Medical Education Department

Abstract Deadline: October 19

13th AnnualUpdate on Pediatric

Cardiovascular DiseaseBringing Interdisciplinary

Evidence-based Practice to the Patient

February 10 – 14, 2010www.chop.edu/cardiology2010 Disney’s Contemporary Resort

Lake Buena Vista, Fla.

Abstract Deadline: October 19

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“The Perfect Winter Conference”