Hosted by the American Board of Cardiovascular Medicine,
Marriott Heart Foundation, American College of Cardiac Nurse
Practitioners, American College of Cardiovascular Nurses, and the Society of Cardiac Monitoring
TOPICS COVERED IN THE ECG INSTRUCTOR’S CLINIC
SINUS RHYTHMS
Normal sinus rhythm
Sinus bradycardia
Sinus tachycardia
Sinus arrhythmia
Sinus arrest
Sinus block, type II
Sinus Wenckebach
Sick sinus syndrome
Sinus block with AV dissociation
ATRIAL RHYTHMS
Atrial premature beats (APBs) conducted normally, with bundle branch block aberration, and nonconducted
APB’s with hemiblock aberration
Atrial bigeminy
Nonconducted atrial bigeminy
Understanding RP-PR reciprocity with APBs
Overdrive suppression – APB with fully compensatory pause
Repetitive APBs
Atrial tachycardia conducted normally and with aberration
Atrial tachycardia with AVB
Multifocal atrial tachycardia
Differentiating between AV nodal reentrant and orthodromic tachycardias
Atrial flutter with 4:1 conduction & varying AV conduction
Atrial flutter with 2:1 and 1:1 conduction
Atrial flutter with concealed conduction
Atrial flutter with uncontrolled conduction
JUNCTIONAL RHYTHMS
Junctional premature beats (JPBs)
Junctional escape beats or rhythm
Accelerated idiojunctional rhythm (AIJR)
JPBs with aberrant ventricular conduction
Junctional tachycardia with AV dissociation
Concealed JPBs
AV nodal reentrant tachycardia
Wenckebach conduction
VENTRICULAR RHYTHM S
Ventricular premature beats (VPBs), right & left sided
Ventricular escape
Idioventricular rhythm
Accelerated idioventricular rhythm
Ventricular tachycardia (VT)
Concordance and axis in diagnosis of VT
Ventricular flutter & fibrillation
Alternating and bidirectional tachycardia
Torsade de pointes
Fusion beats
Parasystole
Retrograde Wenckebach
The ECG Instructor’s Clinic and Teaching Manual is the first program designed just for you, the ECG Instructor, to assist you in the painless preparation of your ECG courses. We realize that the tools of your trade are sparse, and that most of you must make up your own teaching materials for this important aspect of Cardiology. There are no uniform standards for teaching ECG students; and our National Exam Program has verified that the average score at any examination level is about 60 percent. The American Board of Cardiovascular
Medicine's intent is to improve the quality of ECG interpretation by providing not only the standards, objectives, and outlines you need, but examples of virtually every topic from
Basic to Advanced.
At the program we plan to review the Basic, Intermediate and Advanced ECG diagnostic criteria that need mastering at each of the three levels. Pretesting will take place on the first day at your desired level. We will then proceed on the first two days by keeping the whole group together to go through the Basic and Intermediate materials with everyone. On the third day we will break into two groups: A) those who teach only at a Basic to Intermediate
Level and B) those who teach Advanced topics. Roundtable discussions are planned at each
Level to provide time for informal interaction with other Educators from around the Country.
We will be using the I-Clicker system, a robust audience response system whereby each participant will use their own hand held I-Clicker, enabling the entire group to give responses to various ECGs. This makes for a very lively interactive group and assists each individual in understanding their own Level of knowledge of each subject presented.
Why not rest easy and make use of our Expert Faculty to prepare your next ECG Course? And why not take advantage of the ECG Instructor’s Certification Exams offered at the conclusion of the Program--a perfect way to assess and demonstrate your own knowledge. The
Certification Exams will be given on the fourth morning of the program and are highly recommended, but optional.
The Program Director will allow ample opportunity for discussion and welcomes your input and suggestions.
ABOUT THE ECG INSTRUCTOR’S CERTIFICATION EXAMS
In an effort to standardize ECG interpretation, the American Board of Cardiovascular Medicine has developed ECG Certification Exams which are offered at all meetings on Basic, Intermediate, and Advanced Levels. At the ECG Instructor’s Clinic you will receive and be pretested at any level you desire utilizing our various ECG Practice Exams designed in the same format as the actual
Certification Exams offered on the fourth day of this Program. After the Exams have been scored you will not only receive your overall score, you will also receive a list of topics you correctly identified along with a list of those diagnoses you overlooked in your Exam. A frameable
Certificate good for three years is awarded to those who score 80% or more. Those that score
60 to 80% on either the Advanced or Intermediate Exams will receive the next lower level
Certificate.
BUNDLE BRANCH BLOCK & THE HEMIBLOCKS
Right bundle branch block (RBBB)
Left bundle branch block (LBBB)
Supraventricular tachycardia with BBB aberration
Left anterior and posterior hemiblock (LAHB & LPHB)
Bifascicular block
Trifascicular block
Hemiblock masking injury & infarction
AV BLOCK PATTERNS
First degree AV block
First degree with very long PR interval
Second degree AV block type I
Second degree AV block type II
Second degree AV block type I with 2:1 conduction
Second degree AV block type II with 2:1 conduction
Second degree AV block with narrow QRS complex
Third degree (complete) AV block with ventricular or junctional escape rhythm
Third degree with retrograde conduction
Block/acceleration dissociation
Concealed conduction
PACEMAKER INTERPRETATION
Pacemaker blip: atrial & ventricular
Normal function of single chambered devices
Normal function of dual chambered devices
Biventricular devices
Measuring timing cycles
Failure to pace, sense, &/or capture
Pacemaker mediated tachycardia
MYOCARDIAL ISCHEMIA AND INFARCTION
ST segment depression and elevation
12-lead zones of ischemia and injury
Four patterns of injury
10 patterns of ischemia
Prinzmetal’s angina
The more obscure myocardial infarction patterns
MISCELLANEOUS 12-LEAD PATTERNS
Normal 12-lead ECG
Calculating axis
Pericarditis vs early repolarization
Hyper- and Hypokalemia
Hyper- and Hypocalcemia
Chamber hypertrophy
Cor Pulmonale: acute and chronic
Myxedema
Mitral valve disease
Cardiomyopathy
Dextrocardia and other congenital defects
The Instructors for this program will first present what they recommend should be taught to Basic students; and then what should be added at the Intermediate and
Advanced Levels. The I-Clicker audience response system and round table discussions will be utilized each day to let you see how well you read ECGs and to share teaching methods and other ideas-- a great opportunity to Network with other ECG Instructors from around the Country at all Levels of Practice. This is the most exciting Program you will ever attend in Electrocardiography. Don’t be left behind, demonstrate to yourselves and your colleagues that you have what it takes to be one of the best ECG Instructor’s in the Nation; and most important of all is that you will be providing superior service to your staff and the patient’s entrusted to their care. Hope to see you in Orlando.
Thursday July 21 st - Day One
7:00 AM: Registration and
Continental Breakfast
8:00 AM: Morning Session:
Pretesting
Review of teaching materials at
Basic Level
Friday July 22 nd - Day Two
8:00 AM: Sign-In & Continental Breakfast
8:30 AM: Morning Session:
Review at Intermediate Level
12:30 PM: Lunch on your own
12:30 PM: Lunch on your own
1:45 PM: Afternoon Session -
Roundtable Discussions &
Practice Arrhythmias Utilizing the I-Clicker Audience Response
System
1:45 PM: Afternoon Session:
Continue Review at Intermediate Level
Round Table Discussions &
Practice 12-Leads & Intermediate
Arrhythmias Utilizing the I-Clicker
Audience Response System
5:30 PM: Day Ends
Tips for Teachers: Laddergrams,
Formatting of PowerPoints, etc.
4:30 PM: Day Ends
Saturday July 23 rd - Day Three
8:00 AM: Sign-In & Continental Breakfast
9:00 AM: Morning Session:
Group A - Review at Basic-Intermediate Level
Group B - Review at Advanced Level
12:30 PM: Lunch on your own
1:45 PM: Afternoon Session:
Group A - Continue Review at Basic-Intermediate Level
Roundtable Discussions & Practice Utilizing the I-Clicker
Audience Response System
Group B - Continue Review at Advanced Level
Roundtable Discussions & Practice 12-Leads and Advanced
Arrhythmias Utilizing the I-Clicker Audience Response
System
4:00 PM: Tying it All Together
4:30 PM: Meeting Adjourns –
Sunday July 24 th – Day Four
9:00AM-12:00PM: ECG Instructor’s Exams – Optional
Everyone attending the ECG Instructor's Clinic will receive the ECG Instructors Manual. The ECG Instructors
Manual provides one example of each entity listed in this program brochure; you are encouraged to add additional examples from your own collection before teaching with the Manual. Please note that the
Instructor’s Manual is copyrighted and may not be used for any other purpose than to teach at your respective hospitals or clinics. Each Instructor receiving the Manual will be required to sign a no-compete
& license agreement with the American Board of Cardiovascular Medicine (ABCM), stating that they will utilize these materials only for teaching at their various Hospitals or Institutions. Instructors who receive this Manual may not use it to teach privately outside their Institutions, and may not charge their students a fee to attend any course they may teach using the ECG Instructor’s Manual & Course. If your Hospital or
Institution has several facilities, an Instructor from each facility must attend the Program in order to receive and utilize the Manual & Course at their respective facilities—no sharing of product is allowed.
However, ECG Instructors who become Board Certified through the ABCM are eligible to apply to become faculty for future ECG Programs hosted by the ABCM; and will then be paid by the ABCM for their teaching service.
The ECG Instructors Program Includes the Following:
1) Course recommendations for three levels
2) Outlines for three levels
3) Objectives for three levels
4) Reading recommendations
5) Instructor handouts with answers (ECGs for all levels)
6) Students handouts without answers (ECGs for all levels)
7) PowerPoints for three levels (one example for each of the topics included in this Program)
8) Optional – Each ECG Instructor who attends will be able to access our database of ECG examples to add to their presentations at the cost of $99.95 per year—great way to add validated examples to this collection)
This program will be presented by one of America's most dynamic teams teaching ECG interpretation.
Jonni Cooper, the Program Director, made a promise to our late Co-Founder, Dr. Henry J. L. Marriott, that she would never lower her standards of teaching and Certifying Cardiac Professionals. His exact words were, “There is no room for mediocrity in this business, as our patients depend on and deserve highly knowledgeable caregivers.”
Jonni Cooper , PhD, RN - CEO/President of the American Board of Cardiovascular Medicine, Course Director,
Spring Hill Florida
Elizabeth Eades , BSN, RN - Cardiovascular Clinical Educator, Seton Medical Center, Austin Texas
Alice Friedrich , MS, ACNP-C - Cardiovascular Nurse Practitioner for the North
Shore LIJ Health System, New York, NY
Linda Wright , BSN, RN - Cardiovascular Clinical Educator, St. Joseph's Hospital, Bryan Texas
“Ladies and
Gentlemen, the Heart
Writes a Best Seller,
Learn To Read it Well.”
Dr. Marriott was known to walk into a classroom and start his presentations with the above quote.
ABOUT THE DIRECTOR AND FACULTY:
All of the faculty are widely respected for their knowledge in Electrocardiography and are gifted teachers; we hope you have the opportunity to learn from them at this or another program.
The American Board of Cardiovascular Medicine has led the Nation in setting standards for ECG interpretation and teaching guidelines for 35 plus years. The late Henry J.L. Marriott, MD, FACP,
FACC, was a World Renowned Author and Master Teacher of Electrocardiography, who personally mentored, taught and published with Jonni Cooper on an International scale, leading the way for her to found the American Board of Cardiovascular Medicine (ABCM) and its affiliated subspecialty organizations to teach and Certify Cardiology Professionals on a Global Scale; a 35 year history second to none. Linda Wright was also mentored by Dr. Henry J.L. Marriott at several ECG programs, and as a result, became one of the Nation's first Board Certified Advanced
Electrocardiographers in 1994. Her experience lead the way for her to continue teaching electrocardiography throughout the United States, and currently she joined the Faculty of Texas A&M
College of Medicine, in Bryan Texas. Alice Friedrich was also mentored by both Dr. Henry J.L. Marriott and Jonni Cooper, leading the way for her to continue teaching Electrocardiography at
Cardiology Programs throughout the United States. Elizabeth Eades was mentored by Jonni Cooper at several programs, and has demonstrated her excellent knowledge base by becoming
Board Certified in 12-lead Electrocardiography, by the ABCM. Each of these individuals are well prepared to lead ECG Educators in their quest for additional knowledge and to assist them in becoming the most Elite Board Certified ECG Instructors in the Nation.
First Name: ________________________________________Middle Initial: _____ Last Name: _________________________________
Professional Status: q MD q NP q RN q Tech q Other______________________________________________________________
All Professional Credentials Held: _________________________________________________________________________________
Hospital or Organization Affiliation(s): ______________________________________________________________________________
Address of Hospital or Organization Affiliations: ______________________________________________________________________
_____________________________________________________________________________________________________________
Name of Supervisor: ___________________________________ Phone Number & email of Supervisor: _________________________
____________________________________________________
Identify any and all Levels of your ECG Teachings: q Basic Arrhythmias, q Intermediate Arrhythmias and 12-Leads, q Advanced Arrhythmias and 12-Leads
Where did you gain your knowledge in Electrocardiography? q Self Taught, q Conferences, q College Program, q Independent ECG School or Other; please identify: _____________________________________________________________________
What reference book(s) did you utilize to learn Electrocardiography, and identify the Author(s):
___________________________________________________________________________________________________________
Complete home mailing address: ________________________________________________________________________________
Home phone with area code: ( )_______________________________ Home email: ___________________________________
Work email: __________________________________
PROGRAM DATE, LOCATION, AND HOTEL
ACCOMMODATIONS
July 21-24,2016, Orlando, Florida
The program will be held at Disney's Coronado Springs Resort, located at
1000 Buena Vista Dr., Orlando, FL 32830.
For reservations copy and paste this link into your browser to register online https://resweb.passkey.com/go/EGCInstructorClinic2016 or call for
Group Reservations at 407-939-4686 and be sure to state that you are registering with the American Board of Cardiovascular Medicine’s ECG
Instructor Clinic. Rooms have been reserved for $139 per night, plus local sales tax. Reserve your room by June 20, 2016 in order to take advantage of our excellent group rate. After June 20 th rooms will be on availability only, and will be at the regular rate. This room rate will be extended 2 days prior and 2 days after the actual meeting dates.
Program and Exam Fees:
ECG Instructor’s Clinic Fees: $695 (Includes Program, 3 Continental Breakfasts, 3 Afternoon Snacks, Course Manual and CD Containing PowerPoints of the Entire Program.
ECG Instructor’s Board Certification Exam Fees: Basic Exam $250; Intermediate Exam Includes the Basic Exam $350; Advanced Exam Includes the Basic and Intermediate Exams $450.
How and When to Register: You will need to pre-register for this Program (NO-WALK-IN ALLOWED).
Please register by July 6 th in order for us to have your course materials available to you onsite. You may register by check, money order, or by credit card. Please fill out this registration form and do not leave any blanks unanswered.
Mail this form along with your check or credit card information to: ABCM, Inc., P.O. Box 3219, Spring Hill, FL 34611. If you wish to pay online with your credit card, you may do so at www.accn.net
, or you may provide us with your card information and we will make the charge for you and send you confirmation of such charge. q I ___________________________________ authorize the ABCM to charge my credit card for the ECG Instructor’s Clinic in the amount of $695; I further authorize my credit card to be charged for the ECG Instructor’s Board Certification Exam in the amount of: ____________ for the q Basic, q Intermediate, or q Advanced ECG Instructor’s Exam. The name on my credit card is: ___________________________________________. My credit care type is: _________ and my card number is: ________________________________________, expiration date is: ____________, and the address associated with my card is the same as my mailing address above, or to this address: ______________________________________________________________. Should you cancel your registration after making your payment, there will be a $50 processing fee held for all cancellations no matter what the reason. Should you not contact us by email to cancel the course by July 13 th , your entire registration will be forfeited to the ABCM. Should the course have to be cancelled due to lack of participation or due to unforeseen weather or other threats, the ABCM will refund you in full. If you have any questions regarding registration, please email: jcooper@accn.net
directly.
*I wish to sit for the following ECG Instructor’s Board Certification Exam(s): q Basic Exam, q Intermediate Exam, q Advanced Exam, q I will decide onsite which exam is appropriate for my practice or knowledge level
CE Credits: This course awards 24 contact hours by the Florida Board of Nursing’s CE Broker under provider number 50-14076.
Mail this registration form to: ABCM, Inc., P.O. Box 3219, Spring Hill, FL 34611 and email questions to jcooper@accn.net
or phone us (352)293-3131 (open M-F 9:00-4:00pm; excluding holidays)