CONFIDENT ECG INTERPRETATION 2020: PICK UP PEARLS …

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CUMMING SCHOOL OF MEDICINE Office of Continuing Medical Education and Professional Development

REGISTER ONLINE cumming.ucalgary.ca/cme

PAPERLESS CONFERENCE Access to handouts will be available prior to conference

Alberta physicians established in a rural practice may be eligible for funding under the Peter K Lindsay Enrichment Training Program provided by RhPAP. Visit https://rhpap.ca/ then view under ‘Programs & Services > Rural Health Care Providers > Rural Physician Skills Enrichment Program’; or contact their skills broker at 403.652.0093 for more information.

Check the website for any program updates cumming.ucalgary.ca/cme/courses

ACCOMMODATION

Registrants must make their own accommodation arrangements. Hotel(s) close to the University/course venue include:

Hotel Alma169 University Gate NWCalgary, AB T2N 1N4Phone 403.220.2588Toll Free 1.877.498.3203Email [email protected]

To obtain a University rate at Hotel Alma, please indicate the promotion code UOFC.

COURSE OVERVIEW

This course is facilitated by cardiologists from the University of Calgary Cardiac Sciences. The course will provide a review of basic 12-lead ECG interpretation skills required by family physicians.

COURSE OBJECTIVES

At the end of this course, when reviewing a patient’s 12-lead ECG, learners will be equipped to:• correctly determine rate, rhythm and axis on ECG• diagnose left and right ventricular hypertrophy on ECG• identify findings suggestive of ischemia on ECG• correctly diagnose myocardial infarction on ECG including whether acute,

subacute or old• accurately diagnose atrial and ventricular tachyarrhythmias • identify bradycardia• identify pacemaker activity on ECG and determine if pacemaker function

appears normal• identify ST and T wave changes seen in common non-cardiac presentations such as:

pulmonary embolism, electrolyte abnormalities, drug effect and CNS events

WHO SHOULD ATTEND

Family physicians and others wishing to upgrade their ECG interpretation skills; ECG-certified family physicians and hospitalists looking for a refresher in this area; family physicians preparing to write the CPSA ECG Interpretation Examination.

CREDITS

PRE-COURSE ACTIVITY FACE TO FACE ACTIVITY Mainpro+ Self-Learning – 7.5 credits Mainpro+ Group Learning – 7.0 credits MOC Section 3 Self-Assessment – 7.5 hours MOC Section 1 – 7.0 hours

Pre-course online self-learning activity and a full day face to face activity

CONFIDENT ECG INTERPRETATION 2020: PICK UP PEARLS AND PASS BY PITFALLS

Friday, February 21, 2020Health Sciences Centre, 3330 Hospital Drive NW, Calgary, AB

cumming.ucalgary.ca/cme

CONFIDENT ECG INTERPRETATION 2020: PICK UP PEARLS AND PASS BY PITFALLS | PAGE 1 OF 6

http://cumming.ucalgary.ca/cme

https://rhpap.ca/

http://cumming.ucalgary.ca/cme/courses

http://hotelalma.ca


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PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL



Friday, February 21

0730-0800 Registration / Light Breakfast

0800-0815 Opening Remarks

0815-0930 Concurrent Small Group Sessions A

0930-1045 Concurrent Small Group Sessions B

1045-1100 Nutrition Break

1100-1215 Concurrent Small Group Sessions C

1215-1300 Lunch

1300-1415 Concurrent Small Group Sessions D

1415-1430 Nutrition Break

1430-1545 Concurrent Small Group Sessions E

1545-1630 CASE DISCUSSION IN LARGE GROUP

1630 Adjournment

Prior to the full day face to face activity, participants are required to complete the online self-learning activity which includes a series of podcasts, related questions and ECG Interpretation exercises. Access is available starting in early December 2019.

COURSE PROGRAM – PRELIMINARY

PRE-COURSE ONLINE SELF-LEARNING ACTIVITY

There are five blocks of concurrent small group sessions – A, B, C, D and E. Each block will be 1.25 hours in length.Five small groups of participants rotate among the blocks,for discussion on five topics.

TOPICS FOR DISCUSSION

1 Hypertrophy and Bundle Branch Blocklearning objectives:• recognize signs of chamber enlargement• determine the presence of left and right ventricular hypertrophy

and bundle branch block

2 Ischemia and Infarctionlearning objectives:• determine ECG findings of ischemia / infarction• recognize territory and timing of ischemia / infarction from

the ECG• be aware of other conditions which can mimic changes of

ischemia / infarction

3 Premature Beats and Tachyarrhythmiaslearning objectives:• identify ECG findings to make the diagnosis of narrow and

wide complex tachycardia• recognize ECG clues to the origin of premature beats

4 Heart Block and Pacemakerslearning objectives:• identify ECG findings of heart block and sinus node dysfunction• recognize normal and abnormal pacemaker behaviour

5 Non-Specific ST Segment and T Wave Changeslearning objectives:• identify ST segment and T wave changes due to drug therapy,

electrolyte changes and other causes

CONCURRENT SMALL GROUP SESSIONS


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PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL



Introduction to ECG interpretationlearning objectives:• understand how an ECG is recorded and how the different leads

relate to the anatomy of the heart• develop a methodical approach to interpretation of the ECG• know the features of a normal ECG

Hypertrophy and BBBlearning objectives:• review the anatomy of the normal cardiac conduction system• recognize signs of chamber enlargement• know the ECG criteria for diagnosis of left and right ventricular

hypertrophy• determine the presence on ECG of bundle branch block and

fascicular block

Ischaemia and infarctionlearning objectives:• recognize the ECG findings of myocardial ischemia and infarction,

including the coronary territory and timing• identify some complications of myocardial infarction on the ECG• review the differential diagnosis of ECG findings that are similar

or identical to ischemia and infarction

Tachyarrhythmiaslearning objectives:• review general mechanisms of supraventricular and ventricular

tachycardia• categorize tachycardias to narrow the differential diagnosis• identify ECG findings to make the diagnosis of narrow and wide

complex tachycardia

Premature Beatslearning objectives:• recognize ECG clues to the origin of premature beats

Bradycardialearning objectives:• recognize the two mechanisms of bradycardia and their

commonest causes• identify ECG findings of sinus node dysfunction and heart block• recognize the importance of symptom-rhythm correlation and the

need for a pacemaker for some causes of bradycardia

Pacemakerslearning objectives:• review common pacing configurations and pacing modes• recognize normal and abnormal pacemaker behaviour

Non-specific ST and T Wave Changes• develop an approach to interpreting ST and T wave changes• recognize common causes of ST and T wave changes other than

ischemia / infarction• identify other ST and T wave changes due to drug therapy, electrolyte

changes and other causes

QT Interpretationlearning objectives:• indicate practical issues regarding QT measurement and

interpretation• recognize common challenges in QT measurement• describe the normal range for QTc• discuss causes of QT abnormalities

Interesting Artifacts learning objectives:• recognize common sources of artifacts and technical difficulties with

ECG recordings that can impact interpretation

ECG Computer Interpretation learning objectives:• recognize the most prevalent and dangerous misinterpretations in

computer interpretation of ECGs

Paediatric ECGslearning objectives:• recognize the differences in paediatric / young adult physiology

leading to the differences between paediatric and adult ECGs• indicate the ten most common normal variants (different from

adult ECGs) seen in paediatric and young adult ECGs

ECG in Athleteslearning objectives:• recognize ECG deviations from “normal” considered to be normal

for patients who are trained athletes• recognize ECG deviations from “normal” that are borderline for

patients who are trained athletes• recognize ECG deviations from “normal” that are likely pathologic

for patients who are trained athletes

ECG Examlearning objectives:• review the format of the exam• know some helpful hints to maximize scoring• review some example ECGs

PRE-COURSE TOPICS

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DISCLOSURE OF POTENTIAL FINANCIAL CONFLICTS OF INTEREST

In keeping with accreditation guidelines, speakers participating in this event have been asked to disclose to the audience any involvement with industry or other organizations that may potentially influence the presentation of the educational material. Disclosure will be done verbally and using a slide prior to the speaker’s presentation.



PLANNING COMMITTEE FACULTY

Russell Quinn BA BM BCh MRCP PhD Course Co-Chair Clinical Assistant Professor, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta, University of Calgary

Bryan Har MD MPH FRCPC Course Co-ChairClinical Assistant Professor, Interventional Cardiology, Libin Cardiovascular Institute, University of Calgary

Ronald Gorsche MD MMedSc CCFP FCFP Clinical Associate Professor, Departments of Family Medicine and Community Health Sciences, University of Calgary

Leslie Poirier MN ACNP RN Cardiac Sciences, Foothills Medical Centre, Alberta Health Services

Sarah Weeks MD FRCPC Associate Clinical Professor, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta; Director, Continuing Medical Education and Professional Development, University of Calgary

Chloe Burnett MSc MEd CME Representative Education Consultant, Continuing Medical Education and Professional Development, University of Calgary

Bryan Har MD MPH FRCPC Clinical Assistant Professor, Interventional Cardiology, Libin Cardiovascular Institute, University of Calgary

Anand Joshi MD FRCPC Clinical Assistant Professor, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta, University of Calgary

Katherine Kavanagh MD FRCPC Associate Professor, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta, University of Calgary

Vikas Kuriachan Clinical Associate Professor, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta, University of Calgary

Bob Lesoway MD FRCPC Clinical Associate Professor, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta, University of Calgary

James McMeekin MD FRCPC Clinical Professor, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta, University of Calgary

Edward O'Brien MD FRCPC Professor, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta, University of Calgary

Chris Pekrul Clinical Fellow, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta, University of Calgary

Russell Quinn BA BM BCh MRCP PhD Course Chair Clinical Assistant Professor, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta, University of Calgary

Saman Rezazadeh Clinical Fellow, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta, University of Calgary

George Veenhuyzen MD FRCPC Clinical Assistant Professor, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta, University of Calgary

Stephen Wilton Assistant Professor, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta, University of Calgary


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ACCREDITATION

STUDY CREDITS

The University of Calgary – Office of Continuing Medical Education and Professional Development is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME).

CFPC

MAINPRO+ SELF-LEARNING

(Pre-course Activity) This one-credit-per-hour Self-Learning program meets the certification criteria of The College of Family Physicians of Canada and has been certified by the University of Calgary Office of Continuing Medical Education and Professional Development for up to 7.5 Mainpro+ credits.

MAINPRO+ GROUP LEARNING

(Face to Face Activity) This one-credit-per-hour Group Learning program meets the certification criteria of The College of Family Physicians of Canada and has been certified by the University of Calgary Office of Continuing Medical Education and Professional Development for up to 7.0 Mainpro+ credits.

RCPSC

MOC SECTION 3 SELF-ASSESSMENT PROGRAM

(Pre-course Activity) This activity is an Accredited Self-Assessment Program (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by University of Calgary Office of Continuing Medical Education and Professional Development. You may claim a maximum of 7.5 hours (credits are automatically calculated).

MOC SECTION 1

(Face to Face Activity) This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by University of Calgary Office of Continuing Medical Education and Professional Development. You may claim a maximum of 7.0 hours (credits are automatically calculated).




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ADDITIONAL PROGRAM INFORMATION

FACE TO FACE ACTIVITY

DRESS

Dress is business casual. Sweaters or items of clothing that can be layered are recommended since temperature in the venue may fluctuate.

MEALS

In general, each course offers a light breakfast, nutrition break(s) and lunch. We are sensitive to dietary requirements (for example, gluten free, peanut allergies) and do our best to offer a variety of options; however we are unable to guarantee that all dietary needs can be accommodated.

SCENT FREE

To ensure the comfort of everyone attending this event, please do not wear scented products.

CONFIRMATION OF REGISTRATION

Confirmation will be sent by email to registrants.

COURSE CANCELLATION POLICY

The Office of Continuing Medical Education and Professional Development reserves the right to cancel the course if there are insufficient registrations.

REFUND POLICY

A registration refund will be made upon written request if made at least two weeks before the start of the program; however $50 will be retained for administrative costs. No refunds will be available for cancellations made within two weeks of the start of the program and thereafter.

REIMBURSEMENT OF REGISTRATION FEES

Physicians may be eligible for reimbursement of registration fees and expenses to attend CME courses from a fund administered by the Alberta Medical Association. For more information regarding this, please call the AMA at 780.482.2626 or 1.800.272.9680.

FOR FURTHER INFORMATION

Office of Continuing Medical Education and Professional Development, Cumming School of Medicine, University of Calgary, TRW Building, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6

ABOUT COURSE CONTENT

Chloe Burnett, Education Consultant Phone 403.220.8458 Email [email protected]

ABOUT GENERAL PROGRAM INFORMATION

Niamh Lyons, Education Coordinator Phone 403.220.3379 Email [email protected]

ABOUT REGISTRATION

Phone 403.220.7032 Email [email protected]




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CONFIDENT ECG INTERPRETATION 2020: PICK UP PEARLS …