*This course is not affiliated with the Alliance for Physician Certification & Advancement (APCA) or the American Registry for Diagnostic Medical Sonography (ARDMS)

Release Date: June 10, 2022

Expiration Date: December 31, 2024

Estimated Time of Completion: This activity is expected to take approximately 1 hour per session to complete, for a total of 4 hours.

Program Agenda
SESSION ONE MODERATOR: KAREM HARTH, MD, MHS, RPVI

Principles and Physics of Ultrasound (15 minutes)
Natalie Evans, MD, RPVI

Artifacts and Instrumentation: Bare Bones for the Boards (10 minutes)
Melinda Bender, RVT

Venous Duplex of the Extremities (15 minutes)
Natalie Evans, MD, RPVI

Venous Insufficiency and Surveillance after Endovenous Intervention (15 minutes)
Karem Harth, MD, MHS, RPVI

Arterial Physiologic Testing (20 minutes)
Guest Speaker: Steven Leers, MD, RVT, RPVI, FSVU

Arterial Duplex: Native Vessels, Stents and Bypass Grafts (20 minutes)
Teresa Carman, MD, RPVI

Panel Discussion (14 minutes)
Karem Harth, MD, MHS, RPVI
Natalie Evans, MD, RPVI
Melinda Bender, RVT
Steven Leers, MD, RVT, RPVI, FSVU
Teresa Carman, MD, RPVI

FACULTY
Melinda Bender, RVT
Vascular Specialist III
UH Harrington Heart & Vascular Institute
Ms. Bender, faculty for this educational event, has no relevant financial relationship(s) with ineligible companies to disclose.

Teresa L. Carman, MD, RPVI
Director, Vascular Medicine,
UH Harrington Heart & Vascular Institute
Assistant Professor, Case Western Reserve
University School of Medicine
Dr. Carman, faculty for this educational event, has no relevant financial relationship(s) with ineligible companies to disclose.

Natalie Evans, MD, RPVI
Co-Director, Vascular Laboratories, UH Harrington Heart & Vascular Institute
Clinical Assistant Professor, Case Western
Reserve University School of Medicine
Dr. Evans, faculty for this educational event, has no relevant financial relationship(s) with ineligible companies to disclose.

Heather Gornik, MD, RVT, RPVI
Co-Director, Vascular Center,
UH Harrington Heart & Vascular Institute
Professor, Case Western Reserve University School of Medicine
Dr. Gornik, faculty for this educational event, has no relevant financial relationship(s) with ineligible companies to disclose.

Karem C. Harth, MD, MHS, RPVI
Director, Center for Comprehensive Venous Care UH Harrington Heart & Vascular Institute
Assistant Professor, Case Western Reserve
University School of Medicine
Dr. Harth, faculty for this educational event, has served on the speakers bureau with Philips Medical Systems, Inc.  The relevant financial relationship listed has been mitigated.

Steven A. Leers, MD, RVT, RPVI, FSVU
Professor of Surgery,
University of Pittsburgh Medical Center
Dr. Leers, faculty for this educational event, has no relevant financial relationship(s) with ineligible companies to disclose. 

Cathy Sila, MD
Chair, Department of Neurology, UH Cleveland Medical Center
Professor, Case Western Reserve University School of Medicine
Dr. Sila, faculty for this educational event, has served on the Advisory Committee or Panel for AstraZeneca, Genentech, and Coherex Inc.  All relevant financial relationship(s) listed for these individuals have been mitigated. 

Virginia L. Wong, MD, RPVI
Director, Vascular Services,
UH Richmond Medical Center
Assistant Professor, Case Western
Reserve University School of Medicine
Dr. Wong, faculty for this educational event, has no relevant financial relationship(s) with ineligible companies to disclose.

Target Audience
This conference is intended to provide a review of non-invasive vascular testing to cardiologists, vascular medicine physicians, vascular surgeons, vascular technologists,  physician assistants, nurse practitioners, nurses, residents and fellows, as well as others who utilize the non-invasive vascular laboratory in their practice on current topics in vascular disease.

Learning Objectives
After participating in this activity participants will be able to:

•       Implement diagnostic criteria for diagnosis of common and uncommon vascular disorders in the vascular laboratory
•       Review principles of vascular imaging and common imaging artifacts.
•       Review imaging findings after surgical and endovascular procedures to treat vascular disease.

Media
Recorded slides and audio presentation. Resource materials may include downloads of videos, print materials, slides or web pages

Planning Committee
ACTIVITY DIRECTOR
Vikram S. Kashyap, MD
Co-Director, Vascular Center, UH Harrington Heart & Vascular Institute
Professor, Case Western Reserve University School of Medicine
Dr. Kashyap, Activity Director of this educational event, has no relevant financial relationship(s) with ineligible companies to disclose. 

PLANNING COMMITTEE
Natalie Evans, MD, RPVI
Co-Director, Vascular Laboratories, UH Harrington Heart & Vascular Institute
Clinical Assistant Professor, Case Western Reserve University School of Medicine
Dr. Evans, planner for this educational event, has no relevant financial relationship(s) with ineligible companies to disclose.

Heather Gornik, MD, RVT, RPVI
Co-Director, Vascular Center, UH Harrington Heart & Vascular Institute
Professor, Case Western Reserve University School of Medicine
Dr. Gornik, planner for this educational event, has no relevant financial relationship(s) with ineligible companies to disclose. 

Karem C. Harth, MD, MHS, RPVI
Director, Center for Comprehensive Venous Care UH Harrington Heart & Vascular Institute
Assistant Professor, Case Western Reserve University School of Medicine
Dr. Harth, planner for this educational event, has served on the speakers bureau with Philips Medical Systems, Inc.  The relevant financial relationship listed has been mitigated. 

Accreditation Statement

Physicians / Category 1
Case Western Reserve University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Case Western Reserve University School of Medicine designates this enduring material for a maximum of 4.0 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Session One: 2  Credits

Session Two: 2  Credits 

Nurses and Physician Assistants
Non-physician attendance credit is provided to non-physicians who participate in activities that were designated for AMA PRA Category 1 Credit(s)TM.  The American Nurses Credentialing Center (ANCC) and the American Academy of Physician Assistants (AAPA) accept certificates of participation for educational activities certified for AMA PRA Category 1 Credit(s)TM from organizations accredited by the Accreditation Council for Continuing Medical Education or a recognized state medical society. It is suggested that learners check with their state licensing board to ensure it accepts reciprocity with AMA PRA Category 1 Credit™ for re-licensure.

Disclosure Statement
As an organization accredited by the ACCME, the Case Western Reserve University School of Medicine CME Program requires that the content of CME activities and related materials provide balance, independence, objectivity, and scientific rigor.  All faculty, planners, and others in a position to control continuing medical education content are required to disclose all financial relationships with ineligible companies within the past 24 months regardless of the amount and their view of the relevance of the relationship to the education. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Faculty (authors, presenters, speakers) are encouraged to provide a balanced view of therapeutic options by utilizing either generic names or other options available when utilizing trade names to ensure impartiality.

The Case Western Reserve University School of Medicine CME Program has implemented a mechanism to identify and resolve all conflicts of interest prior to the activity. The intent of this policy is to identify potential conflicts of interest so participants can form their own judgments with full disclosure of the facts. Participants are asked to evaluate whether the speaker’s outside interests reflect a possible bias in the planning or presentation of the activity.

Instructions
To receive statements of credit for up to 4.0 AMA PRA Category 1 Credits™ you must:

1. Review the full content of the recorded sessions
2. Reflect on the content
3. Complete the evaluation
4. Claim your credit

Your credits will be recorded by the CWRU School of Medicine CME Program and made a part of your cumulative transcript.

Fee
There is no fee for this program.

To contact the CME Provider: E-mail Case Western Reserve University School of Medicine CME at medcme@case.edu

Resources
Needleman L, Cronan JJ, Lilly MP, et al. Ultrasound for Lower Extremity Deep Venous Thrombosis: Multidisciplinary Recommendations From the Society of Radiologists in Ultrasound Consensus Conference.  Circulation. 2018;137:1505-1515. doi: 10.1161/CIRCULATIONAHA.117.030687.

Kim E SH, Sharma AM, Scissons R, et al. Interpretation of peripheral arterial and venous Doppler waveforms: A consensus statement from the Society for Vascular Medicine and Society for Vascular Ultrasound.  Vasc Med. 2020;25:484-506.  doi: 10.1177/1358863X20937665.

Grant EG, Benson CB, Moneta GL, et al. Carotid artery stenosis: gray-scale and Doppler US diagnosis--Society of Radiologists in Ultrasound Consensus Conference.  Radiology. 2003;229:340-346. DOI: 10.1148/radiol.2292030516

Gornik HL, Rundek T, Gardener H, et al. Optimization of duplex velocity criteria for diagnosis of internal carotid artery (ICA) stenosis: A report of the Intersocietal Accreditation Commission (IAC) Vascular Testing Division Carotid Diagnostic Criteria Committee. Vasc Med. 2021; 26:515-525. doi: 10.1177/1358863X211011253.

Website – RPVI examination information.  https://www.apca.org/certifications-examinations/Registered-Physician-in-Vascular-Interpretation/

Alexander TH, Hennigan A, Harrison P, Plotkin G. Transcranial Doppler: The Fifth Decade.  JVU. 2020;45:15-24. doi: 10.1148/radiol.2292030516.

Acknowledgments
This activity received an Independent Medical Education grants were provided by Abbott and Medtronic.
Acceptance of funding in support of this program does not constitute endorsement of any product or manufactur

Learn More from the 11th Annual Update on Vascular Disease:

Session Two