FUNDAMENTAL

JANUARY 29–30, 2020 or MAY 13–14, 2020 or OCTOBER 21–22, 2020ROCHESTER, MINNESOTA

SUPPORT (FCCS)16.25

AMA PRA CATEGORY 1

CREDIT ™

Mayo Clinic School of Continuous Professional Development

CRITICAL CARE

GENERAL INFORMATIONThis is a standardized two-day course that provides an exposure to basic principles of critical care. Its primary goal is to enhance the ability of primary care practitioners to perform the initial assessment, management, and stabilization of critically ill patients so that they may be prepared for transfer to a higher level of acute care. Specific topics include: airway management, cardiopulmonary resuscitation, acute respiratory failure, mechanical ventilation, basic hemodynamic monitoring, and shock. In addition, management of specific disease states in the realm of neurologic emergencies, trauma, myocardial ischemia, life-threatening infection, and life threatening metabolic disturbances are reviewed.

Recognizing the changing needs of adult learners, we are incorporating the Mayo Clinic Multidisciplinary Simulation Center to augment instruction in airway management, team organization, and cardiopulmonary resuscitation. Simulation-based medical education is an artificial (or simulated) learning environment created to imitate a real-life patient care setting where learners can practice and master skills without putting patients at risk. This will include debriefing after the exercise so that students can reflect on the experience and solidify key points.

This course is limited to 16 attendees. Please register early to secure your participation. Payment must be received at the time of enrollment. Although registration deadlines are December 29, 2019 (for January course), April 13, 2020 (for May course), and September 21, 2020 (for October course), it is anticipated that the course will fill early. This is the only registration notice you will receive.

LEARNING OBJECTIVES

• Demonstrate how to assess the critically ill patient in an organized fashion.

• Prioritize clinical critical care management issues.

• Identify appropriate diagnostic tests for specific patient populations.

• Identify and respond to significant changes in critically ill patients’ status.

• Identify essential roles of care providers in managing acute care scenarios.

Attendance at this course does not indicate nor guarantee competence or proficiency in the performance of any procedures that may be discussed or taught in this course.

INTENDED AUDIENCEThis course is designed for primary care physicians, mid-level providers, general surgeons, and critical care trainees.

CREDITMayo Clinic College of Medicine and Science is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Mayo Clinic College of Medicine and Science designates this educational live activity for a maximum of 16.25 AMA PRA Category 1 Credit(s)™ per session. Physicians should claim only credit commensurate with the extent of their participation in the activity.

Other health care professionals will be provided a certificate of attendance for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

DATE & LOCATIONThe Fundamental Critical Care Support (FCCS) course will be held January 29-30, 2020, May 13-14, 2020 and October 21-22, 2020 on the Saint Marys Hospital campus and in the Simulation Center (Stabile Building), Mayo Campus, Rochester, Minnesota. Meeting facilities are easily accessible by skyway and pedestrian subway, which connect Mayo Clinic to shops, restaurants, and hotels.

REGISTRATIONTo register, complete the attached registration form and return by email, mail or fax. You cannot register for this course online. Advanced registration is required. Onsite registrants are not allowed due to the nature of this course. The $600 registration fee includes tuition, course syllabus (text book), continental breakfasts, break refreshments, and lunches. We strongly urge you to read the course syllabus in advance to pass the course successfully. The text book is an excellent resource for future use. An email of confirmation will be sent upon receipt of payment and completed registration form. Until written confirmation is received, please do not consider yourself registered for this course.

CANCELLATION POLICYYour registration fee, less a $100 administrative fee, will be refunded when written notification is received by the Department of Surgery. Email: rsttcgsedu@mayo.edu

No refunds will be made on or after December 29, 2019 (for January course), April 13, 2020 (for May course), and September 21, 2020 (for October course).

LODGING ACCOMMODATIONSHotel registrations are the responsibility of the individual registrant. For accommodation options, you may wish to visit the Rochester Convention and Visitors’ Bureau website: rochestercvb.org.

PARKINGParking is available in hotel, city, and Mayo patient/visitor ramps. The cost for parking is not included in the registration fee and is not validated. A map indicating the location of downtown parking facilities will be mailed with the registrant confirmation letter.

FACULTY DISCLOSUREAs a provider accredited by ACCME, Mayo Clinic College of Medicine and Science (Mayo Clinic School of Continuous Professional Development) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course Director(s), Planning Committee Members, Faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of these relevant financial relationships will be published in activity materials so those participants in the activity may formulate their own judgments regarding the presentation.

REGISTRATION FORM

CONTACT INFORMATIONNAME OF REGISTRANT (first, middle or initial, and last) DEGREE (select all that apply)

¨ MD ¨ DO ¨ PHD ¨PA ¨NP ¨ OTHER (specify)

NAME OF INSTITUTION MEDICAL SPECIALTY

PREFERRED MAILING ADDRESS (select one) ¨ WORK/BUSINESS ¨ HOME

MAILING ADDRESS (street address) PHONE (include all coutry and city/area codes as needed, along with complete phone number)

CITY STATE or PROVINCE ZIP or POSTAL CODE COUNTRY

EMAIL ADDRESS FAX (select one) ¨ WORK/BUSINESS ¨ HOME(include all coutry and city/area codes as needed, along with complete phone number)

SPECIAL NEEDS (if you have special assistance needs or dietary restrictions, please indicate your needs here)

REGISTRATIONCOURSE OPTIONS (indicate the course dates you will attend)

¨ JANUARY 29-30, 2020 or ¨ MAY 13-14, 2020 or ¨ OCTOBER 21-22, 2020

REGISTRATION FEE: $600 (includes textbook, valued at $55)

PAYMENT INFORMATION¨ CHECK ENCLOSED (in the amount shown above) – make checks payable to Mayo Clinic FCCS

¨ COMPANY/PAU:

¨ CREDIT CARD (we accept Discover, Mastercard, or Visa)To Pay by Credit Card, please call 507-293-1360 to process. We are no longer able to collect credit card information electronically per new regulations.

TOTAL PAYMENT ENCLOSED: _______________

ROCHESTER, MINNESOTA

Mail form and payment to:Mayo Clinic – Department of SurgeryAttn: Dawn SteinfadtFCCS Course200 First Street SWEast Tower 2-810Rochester, MN 55905

REGISTRATION DEADLINES: December 29 (for January course), April 13 (for May course), and September 21 (for October course) OR first 16 participants.

Phone: (507) 293-1360Fax: (507) 255-9872Email: rsttcgsedu@mayo.eduWebsite: http://www.mayo.edu/cme

FUNDAMENTAL CRITICAL CARE SUPPORT (FCCS) 2020

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