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June 13, 2017
Dear Exhibitor
On behalf of course directors Komandoor Srivathsan, M.D. Fred Kusumoto, M.D. and Thomas M. Munger, M.D., we hope you will consider a display opportunity at our 1st Annual ECG and Heart Rhythm; Basics and Beyond held February 1-4, 2018. We expect around 150 general internists, hospitalists, family practitioners, and allied health staff participating in cardiac services, nationally and internationally. This course will provide nuances of routine ECGs and state-of-the-art information on invasive and non-invasive electrocardiographic tools used in the diagnosis, evaluation, and treatment of cardiac rhythm disorders and other topics for both physicians and allied health staff.
Display fees are $2,500 for the full four day course. Space is limited and table assignments will be made on a first come, first served basis.
Mayo Clinic, an integrated, not-for-profit group practice, is committed to meeting its responsibility as a national medical education resource and is accredited by the Accreditation Council for Continuing Medical Education to provide 25 AMA PRA Category 1 Credit(s)™ for this course.
Our programs provide valuable information on unmet needs to the medical community. We sincerely appreciate your consideration and hope you will take the opportunity to join us for a truly unique educational program.
Sincerely, Denise Klarich
Education Administration Coordinator
Make checks payable to: Mayo Clinic Attn: Denise Klarich., MCSCPD 4500 San Pablo Road Stabile 790N- Education Jacksonville, FL 32224 Tax ID: 59-3337028
Page 1 of 2
MayoClinicSchoolofContinuousProfessionalDevelopment(MCSCPD)ExhibitorAgreement
Activity Title 1st Annual ECG and Heart Rhythm; Basics and Beyond Activity Number 18J05929
Location St. Kitts Marriott Resort, Frigate Bay, St. Kitts, West Indies
Dates February 1‐4, 2018 Agreement between: ACCREDITED PROVIDER: Mayo Clinic College of Medicine and Science – MCSCPD AND:
Company Name (Exhibitor) (as it should appear on printed materials)
Exhibit Contact (if different then exhibit Rep.) Name(s) of Representative(s) exhibiting: (Maximum of two representatives allowed per exhibit)
Address Telephone Fax Email The named exhibitor wishes to exhibit at the above named activity for the amount of $2,500.00
TERMS AND CONDITIONS
EXHIBITOR agrees to abide by ACCME Standards for Commercial Support as stated at www.accme.org: SCS 4.2: “Product‐promotion material or product‐specific advertisement of any type is prohibited in or during CME activities. The juxtaposition of editorial and advertising material on the same products or subjects must be avoided. Live (staffed exhibits, presentations) or enduring (printed or electronic advertisements) promotional activities must be kept separate from CME.” “For live, face‐to‐face CME, advertisements and promotional materials cannot be displayed or distributed in the educational space immediately before, during or after a CME activity. Providers cannot allow representatives of Commercial Interests to engage in sales or promotional activities while in the space or place of the CME activity.”
EXHIBITOR may only distribute educational promotional materials at their exhibit space. Distribution of non‐ educational items (pens, notepads, etc.), pharmaceuticals or product samples is prohibited.
All exhibit fees associated with this activity will be given with the full knowledge of the PROVIDER. No additional payments, goods, services or events will be provided to the course director(s), planning committee members, faculty, joint provider, or any other party involved with the activity.
Completion of this agreement represents a commitment and payment is due and collectible by the ACTIVITY DATE unless otherwise agreed upon by the PROVIDER. PROVIDER reserves the right to refuse exhibit space to EXHIBITOR in the event of nonpayment or Code of Conduct violation.
PROVIDER agrees to provide exhibit space and may acknowledge EXHIBITOR in activity announcements. PROVIDER reserves the right to assign exhibit space or relocate exhibits at its discretion.
By signing below, I agree to the “Terms and Conditions” outlined on Page 1 of this Exhibitor Agreement (including ACCME Standards for Commercial Support):
Page 2 of 2
The person signing below is authorized to enter into this agreement:
Exhibitor Representative Name Signature Date Mayo Clinic Representative Name Signature Date
PAYMENT INFORMATION Please indicate your method of payment:
PROVIDER Federal Tax ID number is 59‐3337028 Please remit check payable to: Mayo Clinic‐Mayo Clinic School of CPD. Please identify name of course on the check stub.
□ Check □ Credit Card
Make payable to: Mayo Clinic Florida Mayo Clinic School of Continuous Professional Development Stabile 790N/ Denise Klarich 4500 San Pablo Road S Jacksonville, FL 32224
Please identify Activity #18J05929 on the check.
For payment by credit card, please call the MCSCPD at 800‐462‐9633 Do not send credit card information via email or fax.
NOTE: There may be additional charges depending on the meeting location (power, internet access, etc). Please list additional requests here:
ECG and Heart Rhythm: Basics and Beyond Marriott Resort, St. Kitts
February 1‐4, 2018
Special ECG Reading Course: 6:50 a.m. Registration and Continental Breakfast 7:15 Welcome and Introduction Komandoor Srivathsan, MD 7:30 SVT; Mechanism and Identification
Stephen Hammill, MD 8:00 Typical Atrial Flutter: Recognition and Management Fred Kusumoto, MD 8:30 VT vs. SVT Aberrancy: Differentiation Techniques
Dan Sorajja, MD 9:00 Idiopathic vs. Structural VT: Case Examples
Komandoor Srivathsan, MD 9:30 Questions and Interact with Speakers 9:45 Refreshment Break 10:00 Heart Blocks Simplified
Stephen Hamill, MD 10:30 Pre‐Excitation and Related SVTs. Evaluation and Management
Win‐Kaung Shen, MD 11:00 ECG Changes in LVH and HCM. High Risk Markers Thomas Munger, MD 11: 30 Metabolic Changes, Ion Channel Problems and Unusual Problems
Fred Kusomoto, MD
Noon Common ECG Patterns to Recognize Komandoor Srivathsan, MD
12:30 p.m. Questions and Answers 1:00 Lunch on Your Own 1:30 Optional Additional ECG Workshop: Read ECG with the Master (lunch provided to optional registrants)
Presenter: Stephen Hammill, MD Commentary: Fred Kusumoto, MD; Thomas Munger, MD; and Win‐Kaung Shen, MD (Live interactive Session)
3:00 p.m. Adjourn
Thursday, February 1
ECG and Heart Rhythm: Basics and Beyond Marriott Resort, St. Kitts
February 1‐4, 2018
Atrial Fibrillation Moderator: Fred Kusumoto, MD and Thomas Munger, MD 7:30 a.m. Atrial Fibrillation: Risk Factor Changes. A Case Review John Miller, MD 8:00 AV Nodal Blockade in Atrial Fibrillation Win‐Kaung Shen, MD 8:30 Best Medications for Maintaining Sinus Rhythm Hugh Calkins, MD 9:00 Case Selection for AF Ablation
Fred Kusumoto, MD
9:30 Medications to Prevent Stroke in Atrial Fibrillation Dan Sorajja, MD 10:00 Panel Discussion 10:15 Refreshment Break 10:30 Atypical Atrial Flutter; Recognition and Management
John Miller, MD
11:00 Atrial Fibrillation – Debates Moderator: Steve Hammill, MD Pro: Anticoagulation: Coumadin is the Best Fred Kusumoto, MD Con: Newer Anticoagulants are Better than Coumadin Hugh Calkins, MD
11:30 Pro: Ablation Should be First Line Therapy
Hugh Calkins, MD Con: Ablation Should only be Performed if Medications Fail Win‐Kaung Shen, MD
Noon Atrial fibrillation with Recurrent Bleeding and High HASBLED Score. Control Bleeding Source or Close Appendage?
Thomas Munger, MD
12:30 p.m. Lunch on Your Own
1:00 Optional workshop: Difficult ECGs ‐‐Multiple cases presented (live, interactive)
Presenter: Komandoor Srivathsan, MD
Panel: Stephen Hamill, MD, and John Miller, MD
Friday, February 2
ECG and Heart Rhythm: Basics and Beyond Marriott Resort, St. Kitts
February 1‐4, 2018
2:30 p.m. Adjourn
6:50 a.m. Continental Breakfast 7:00 Early Bird Special Session – Localizing MI with Corresponding Angiograms Komandoor Srivathsan, MD Ventricular Arrhythmias Moderator: David Callans, MD 7:30. Guideline Directed ICD Implantation Thomas Munger, MD 8:00 Sudden Death in the Young; Evaluation John Miller, MD 8:30 Incessant VT: How Did I Manage? A Case Review Fred Kusumoto, MD 9:00 PVCs and Cardiomyopathy: A Case Review David Callans, MD 9:30 Panel Discussion 09:45 Refreshment Break 10:00 Channelopathies: What Should a Generalist Know?
Komandoor Srivathsan, MD 10:30 Recurrent Monomorphic VT David Callans, MD 11:00 Preemptive VT Ablation Improves Outcome in Patients with Structural Heart Disease Fred Kusumoto, MD 11:30 Ventricular Fibrillation without Structural Heart Disease Win‐Kaung Shen, MD Noon Case Based Workshop: Moderator: David Callans, MD Panelists: Win‐Kaung Shen, MD and Fred Kusumoto, MD Case presentation: Electrical Storm
John Miller, MD 12:30 p.m. Lunch on your Own
Saturday, February 3
ECG and Heart Rhythm: Basics and Beyond Marriott Resort, St. Kitts
February 1‐4, 2018
1:00 Optional Intracardiac Electrogram/Pacemaker Case Based Workshop (20 minutes each)
Panelists: Win‐Kaung Shen, MD and Thomas Munger, MD Presenters: Dan Sorajja, MD; Fred Kusumoto, MD; John Miller, MD and Linda Schwartz RN (Total Cases‐one case each)
3:00 Adjourn
6:50 a.m. Continental Breakfast 7:00 Early Bird Special Session: Learning from the 12‐lead ECG Win‐Kaung Shen, MD Moderator: Komandoor Srivathsan, MD 7:30 POTS and Inappropriate Sinus Tachycardia Cases; How did I Manage? Win‐Kaung Shen, MD
8:00 Perioperative Anticoagulation Dan Sorajja, MD 8:30 Young Patient with Recurrent Syncope: How to Differentiate Benign from Serious Win‐Kaung Shen, MD 9:00 Event Recorder, Holter or Implantable Loop Recorder: Case Examples of Which Should one Choose?
John Miller, MD
9:30 Panel Discussion 9:45 Refreshment Break 10:00 Sudden Death Risk Factors and Identification Thomas Munger, MD 10:30 Heart Failure and Biventricular Devices: What is the Data? Fred Kusumoto, MD 11:00 Remote Monitoring Helped These Patients in Heart Failure: Review of Cases John Miller, MD 11:30 SVT and Atrial Flutter in CHF Patients: Case Reviews
Komandoor Srivathsan, MD Noon Closing Remarks Adjourn
Sunday, February 4