CHOP SEMINAR in

SALZBURG

in collaboration with

Medical University of Vienna

“Pediatric Cardiology”

January 7 – 13, 2018

Table of Contents

1. Faculty & Group Photo

2. Schedule

3. Faculty Biographies

4. Fellows Contact information

5. Diaries

a Program of the

2018 Salzburg CHOP Seminar in Pediatric Cardiology Sunday 7 January – Saturday 13 January 2018

Sunday 7 January

Monday 8 January

Tuesday 9 January

Wednesday 10 January

Thursday 11 January

Friday 12 January

Saturday 13 January

07:00 – 08:00 BREAKFAST BREAKFAST BREAKFAST BREAKFAST BREAKFAST DEPARTURES

08:00 – 09:00 Introductions

Pre-Seminar Test

Interventions in Single Ventricle CHD

Yoav Dori, MD

Antiarrhythmic Drugs

V. Ramesh Iyer, MD

Echocardiography for Coronary Arteries in

CHD Michael Quartermain, MD

Rescue Procedures in the Critical Ill

Neonate Ina Michel-Behnke, MD

09:00 – 10:00 Introduction to CHD

Matt O’Connor, MD

Prenatal Detection for CHD

Michael Quartermain, MD

Heart Failure in Congenital Heart

Disease Matt O’Connor, MD

Heart Transplantation Matt O’Connor, MD

Neonatal Heart Failure in Non CHD

Ina Michel-Behnke, MD

10:00 – 10:30 COFFEE BREAK COFFEE BREAK COFFEE BREAK COFFEE BREAK COFFEE BREAK

10:30 – 11:30

Echocardiography in Pediatric Cardiology

Michael Quartermain, MD

Mechanisms of SVT V. Ramesh Iyer, MD Lymphatic Flow

Issues in Patients with CHD

Yoav Dori, MD

Inherited Channelopathies V. Ramesh Iyer, MD

Cardiomyopathies in Childhood

Ralf Geiger, MD

11:30 – 12:30 Multimodality

Imaging in CHD Yoav Dori, MD

Fetal Echo for Complex CHD

Michael Quartermain, MD

The Athlete in Pediatric Cardiology

Matt O’Connor, MD

Interventions to Increase Pulmonary

Flow in CHD Ina Michel-Behnke, MD

12:30 – 14:00 LUNCH LUNCH LUNCH LUNCH LUNCH

14:00 – 15:00 Management of

Syncope V. Ramesh Iyer, MD

Workshop* Fellows’ Case Presentations

Free Afternoon Workshop* Fellows’ Case Presentations

Post-Seminar Test Evaluation & Discussion

15:00 – 16:00 Workshop*

How to Present a Case

16:00 – 17:00 Workshop*

Case Presentations by Faculty to Fellows

17:00 – 18:00 17:00 – 17:15

OMI/AAF Presentation

18:00 – 19:00 Faculty Only

Meeting to Review the Week

Farewell RECEPTION

19:00 – 20:00 19:00 – 19:30

Welcome RECEPTION

19:30 – 20:30

Welcome DINNER

DINNER DINNER DINNER

Faculty Dinner in Private Home

DINNER Graduation DINNER Certificates Awarded

20:00 – 21:00 20:30 – 21:30

Chamber Music CONCERT

CHOP SEMINAR

in SALZBURG

“Pediatric Cardiology”

January 7 – 13, 2018

FACULTY

Wolfgang Aulitzky, MD is the Medical Director of the American Austrian Foundation. He is Associate Dean for International Medicine and Distance Learning, Adjunct Prof. of Clinical Urology and Adjunct Prof. of Clinical Reproductive Medicine at the Weill Medical College of Cornell University/New York Presbyterian Hospital. In 2016, he was appointed Adjunct Professor of Pediatrics in the Associated Faculty of the Perelman School of Medicine at the Children’s Hospital of Philadelphia. He is also Associate Prof. of Urology at the Medical University of Innsbruck and Visiting Professor at the Medical University of Vienna. Amongst others he is a member of the American, German and Austrian Societies of Urology and was awarded the Zuckerkandlpreis of the Austrian Society of Urology in 1989. In 1995 he received the Silver Medal, in 2007 the Golden Medal for Merits to the Republic of Austria and in 2014 the cross of honor of the Land Salzburg. As Director of the Medical Program of the American Austrian Foundation he has initiated the Open Medical Institute, a scientific and educational collaboration of Weill Cornell and the NewYork Presbyterian Hospital, the Children Hospital of Philadelphia, Duke University, Columbia University, the Cleveland Clinic and leading hospitals in Austria. Dr. Aulitzky earned his medical degree at the University of Innsbruck in 1977, was a research associate at the University of Uppsala, Sweden and the Rockefeller University, New York. He received his training as an urologist at the University of Innsbruck and the General Hospital of Salzburg. He is the author of more than 140 publications on Urology, Andrology and Health Care issues and is co-author of books on basic and clinical urology/andrology. Wolfgang Aulitzky, MD Director, Open Medical Institute American Austrian Foundation Gerhard Andlinger Professor and Associate Dean for International Medicine & Distance Learning Adjunct Professor of Clinical Urology Adjunct Professor of Clinical Reproductive Medicine Weill Medical College of Cornell University Associate Professor of Urology Medical University of Innsbruck, Austria Visiting Professor Medical University of Vienna Mailing address: Kärntner Straße 51/II/Top 4 1010 Vienna, Austria Phone: +43-1-533 8658 Fax: +43-1-533 8658-10 Email: w.aulitzky@openmedicalinstitute.org

Matthew J. O’Connor, MD (Course Director) received his undergraduate degree from The College of William and Mary in 2000 and his M.D. degree from the University of Virginia in 2004. Following residency training in general pediatrics at the University of Virginia, Dr. O’Connor was a pediatric cardiology fellow at The Children’s Hospital of Philadelphia from 2007 – 2010. He then completed a one-year advanced fellowship in noninvasive cardiac imaging at The Children’s Hospital of Philadelphia. From 2011 – 2013, Dr. O’Connor was an assistant professor of pediatrics at Arkansas Children’s Hospital where he was actively involved in both the echocardiography laboratory as well as the heart failure and heart transplant clinical service. He returned to The Children’s Hospital of Philadelphia in 2013, where he currently serves as a staff cardiologist in the echocardiography laboratory, heart failure and heart transplant program, and outpatient clinic. In May 2017, Dr. O’Connor was named Medical Director of the heart transplant program at The Children’s Hospital of Philadelphia. Dr. O’Connor’s clinical interests focus on transthoracic and transesophageal echocardiograpy, as well as inpatient and outpatient management of pediatric heart failure and heart transplantation. His research interests include immunological aspects of heart transplantation, particularly clinical features of anti-HLA antibody development as well as healthcare utilization in patients with heart failure and those undergoing transplantation. Dr. O’Connor lives in Wynnewood, Pennsylvania with his wife Dr. Nina O’Connor and their three children. Matthew J. O’Connor, MD Medical Director, Heart Transplant Program Staff Cardiologist Division of Cardiology The Children’s Hospital of Philadelphia Assistant Professor of Clinical Pediatrics University of Pennsylvania Perelman School of Medicine 3401 Civic Center Blvd Philadelphia, PA 19104-4399 USA Phone: +1-267-426-2882 Fax: +1-267-426-9800 Email: oconnorm@email.chop.edu

Ina Michel-Behnke, MD, PhD (Co-Course Director) is a paediatric cardiologist specialized on catheter interventions in congenital heart defects. Dr. Michel-Behnke grew up in Germany in the area of the Rhine valley /Loreley rock. She graduated from Rhein. Friedr.-Wilhelms-University Bonn Medical School and completed her paediatric residency at the Johannes Gutenberg University Mainz. At the same place, she completed her paediatric cardiology fellowship. At the Justus-Liebig-University Giessen /Paediatric Heart Centre she was attending physician for paediatric cardiology in the team of Dr. Dietmar Schranz and head of the cath lab, focused on interventional cardiology. Dr. Michel-Behnke is full professor of paediatric cardiology and acting head of the Division of Paediatric Cardiology / Paediatric Heart Centre at the Medical University Vienna, Austria. Dr. Michel-Behnke was research fellow with a grant from the DFG at the Max Planck institute of Biochemistry in Martinsried working on extracellular matrix composition in paediatric bone disease. Her research interests in the recent years are new strategies interventional cardiology and includes stenting of the ductus arteriosus, inflammatory reactions in medical implants and clinical research in paediatric heart failure. Recent publications include hybrid treatment of hypoplastic left heart syndrome as well as methods to increase pulmonary blood flow. She is a peer reviewer for multiple major cardiologic and paediatric journals. She has been president of the working group ‘Interventional cardiology’ of the Association of European Paediatric and Congenital Cardiology and is actually the speaker of the working group ‘Congenital and acquired heart defects’ of the Austrian Society of Cardiology (ASC). Dr. Michel-Behnke is currently member of the faculty of the University hospital of children and adolescent medicine at the Medical University of Vienna. She has one daughter, Clara and lives in Vienna. Ina Michel-Behnke, MD, PhD Professor of Paediatrics/ Paediatric Cardiology Medical University Vienna Vienna General Hospital Division of Paediatric Cardiology/Paediatric Heart Centre Vienna Waehringer Guertel 18-20 1090 Vienna Austria Phone: +43-1-40400-32170 Fax: +43-1-40400-34170 Email: ina.michel-behnke@meduniwien.ac.at

Yoav Dori, MD, PhD is a pediatric interventional cardiologist and lymphologist who specializes in treating patients with lymphatic flow disorders. Dr. Dori completed his undergraduate and graduate studies in Chemical Engineering at The University of Minnesota, Minneapolis, Minnesota. He graduated from Johns Hopkins University School of Medicine and completed his pediatrics residency at Johns Hopkins Hospital. His fellowship training in cardiology was at Johns Hopkins Hospital and he then completed fellowship training in interventional cardiology and cardiac MRI at The Children’s Hospital of Philadelphia. He is the cofounder of the Center for Lymphatic Imaging and Interventions and is currently the Director of Pediatric Lymphatic Imaging and Interventions and Lymphatic Research. His main clinical and research interest are in lymphatic flow disorders and the interface between the lymphatic and cardiovascular system. Yoav Dori, MD, PhD Director of Pediatric Lymphatic Imaging and Interventions and Lymphatic Research Assistant Professor Division of Cardiology The Children’s Hospital of Philadelphia 3401 Civic Center Blvd Philadelphia, PA 19104 USA Phone: +1-267-648-1033 Email: doriy@email.chop.edu

Ralf Geiger, MD is head of the cardiopulmonary unit of the Department of Pediatrics, Innsbruck Medical University (MUI), Innsbruck Austria since April 2017. From 1996 to 1998 he spent two years as a recipient of a scientific scholarship (Schrödinger Stipendium at the Sophia-Pediatric Clinic, University of Rotterdam, the Netherlands. From 1998 to 2012 he was senior physician for Pediatrics at the MUI and he specialized in Pediatric Cardiology and in Pediatric and Neonatal Intensive Medicine during that time. After 5 years in Italy as head of the Pediatric Department of the Bruneck Hospital (Teaching Hospital of the MUI) he returned to Tyrol. Clinically he has been focusing on heart catheterization, heart transplantation medicine and pulmonary hypertension and on difining the concepts of care of pediatric cardiology patients within the Austrian Pediatric Cardiac Surgery network. Dr. Geiger’s research interest includes pediatric pulmonary hypertension and related topics, such as measurement of submaximum functional exercise capacity in children and cardiopulmonary hemodynamic effects of new drugs in experimental pulmonary hypertensive states. He lives in Innsbruck with his wife Marlene and his two sons, enjoying mountain hiking-/biking and skiing in the Alps of North and South Tyrol during his freetime. Ralf Geiger, Univ.- Prof. Dr. Director, Department of Child and Adolescent Health Pediatrics III (Cardiopulmonary Unit) Medical University Innsbruck Anichstraße 35 6020 Innsbruck Austria Phone: +43-50504-23481 Fax: +43-505047-23484 Email: ralf.geiger@tirol-kliniken.at/ ralf.geiger@i-med.ac.at

Ramesh Iyer, MD is a Pediatric Electrophysiologist who specializes in interventional electrophysiology and device therapy. Dr. Iyer graduated from Maulana Azad Medicine College at the University of New Delhi and completed his membership at the Royal College of Physicians Edinburgh. Dr Iyer’s Pediatric residency was at the University of Connecticut School of Medicine (UCONN) and advanced fellowship trainings were in Neonatal Perinatal Medicine (UCONN) and Pediatric Cardiology (University of Pennsylvania, Children’s Hospital of Philadelphia). Dr Iyer completed an additional fellowship specializing in Pediatric Electrophysiology from the Children’s Hospital of Philadelphia. Dr. Iyer’s is a practicing interventional electrophysiologist at the Children’s Hospital of Philadelphia and funded research interests include basic science calcium release channel ultrastructure in mouse models of arrhythmia such as hypertrophic cardiomyopathy and catecholamine polymorphic VT. Recent publications include description of novel mitochondrial changes in CPVT mouse models with RyR mutations in the Proceeding of National Academy of Sciences and changes in calmodulin mutations in the Journal of Muscle Research and Cell motility. His current work in collaboration with scientists at the NIH is in defining the sinus node ultrastructure in rabbits to understand and explain the automaticity. Dr Iyer was elected fellow of the Royal College of Physicians in 2009 and Heart Rhythm Society in 2011. Dr. Iyer is currently on the faculty of Perelman School of Medicine at the University of Pennsylvania as Professor of Clinical Pediatrics and an attending Electrophysiologist at the Children’s Hospital of Philadelphia. He lives in Philadelphia, PA with his wife Malini and children Nikita, Annika and Maya. Ramesh Iyer, MD Professor of Clinical Pediatrics Perelman School of Medicine at the University of Pennsylvania Children’s Hospital of Philadelphia 8 NW, 41, Main Building 3301 Civic Center Blvd Philadelphia, PA 19104 USA Phone: +1-267-425-6603 Fax: +1-215-590-3267 Email: iyerv1@email.chop.edu

Michael Quartermain, MD is the medical director of the Pediatric Echocardiography Laboratory at The Children’s Hospital of Philadelphia. He also serves as a member of the Fetal Heart Program. He completed his training in pediatrics and cardiology at The Children’s Hospital of Philadelphia and the University of Pennsylvania School of Medicine. He completed an additional 4th year of cardiology fellowship learning advanced echocardiography and fetal imaging skills and completing research training in these areas. Dr. Quartermain is nationally recognized for his clinical and research in the field and is a Fellow in the American Society of Echocardiography. Dr. Quartermain performs a wide range of imaging tests including standard transthoracic echocardiograms, 3-Dimensional echocardiography, trans-esophageal echo (TEE) in the operating room and fetal echocardiography consultations. Dr. Quartermain is a faculty member at the University of Pennsylvania School of Medicine and is involved in both medical student, resident and fellow education. He has research interests in both pediatric and fetal echocardiography. Dr. Quartermain is a core member for a multi-center, prospective echocardiography study assessing markers for complex congenital heart such as atrioventricular canal defects and determining surgical pathways to optimize outcomes. His other areas of research interest include the application of new imaging modalities to pediatric patients. He is involved in multiple quality initiatives to improve care and resource utilization to pediatric patients with congenital heart disease. His research efforts in the field of fetal cardiac imaging, to predicting the presence of critical congenital heart disease in the fetus and describing prenatal detection rates have been presented at national conferences and led to development of new imaging protocols. He is the author of several book chapters related to pediatric cardiology and fetal echocardiography. Michael Quartermain, MD Medical Director, Echocardiography Laboratory/ Cardiac Center The Children's Hospital of Philadelphia Faculty Member University of Pennsylvania Perelman School of Medicine 3401 Civic Center Blvd Philadelphia, PA 19104-4399 USA Email: quartermd@email.chop.edu

CHOP SEMINAR

in SALZBURG

“Pediatric Cardiology”

January 7 – 13, 2018

FELLOWS

a Program of the

Tamirat Moges Aklilu, MD

Addis Ababa University, College of Health SciencesChurchill Street1768 Addis Ababa, Ethiopia

E-Mail:mogest98@yahoo.comPhone:+25-1-911405260

Anna Ankudovich, MD

Republican Scientific And Practical Center Of Pediatric SurgeryNezavisimosti 64220020 Minsk, Belarus

E-Mail:ankudovich20@gmail.comPhone:+37-5-172902100

Nenad Barisic, MD, PhD

Institute for Child and Youth Health Care of VojvodinaHajduk Veljkova 1021000 Novi Sad, Serbia

E-Mail:barisicnenadns@gmail.comPhone:+38-1-642115233

Marko Bjelosevic, MD

Pediatric Cardiac Center in BratislavaLimbova 183101 Bratislava, Slovakia

E-Mail:marko4242@gmail.comPhone:+42-1-904156635

Catarina de Sousa Perez Brandao, MD

Hospital Santa Marta, CHLCRua de Santa Marta, 501169-024 Lisbon, Portugal

E-Mail:catarinaspbrandao@gmail.comPhone:+35-1-213594332

a Program of the

Andres Gonzales Ortiz, MD

Instituto Nacional de PediatriaAv. Insugentes Sur 3700 C04530 Ciudad de Mexico, D.F., Mexico

E-Mail:andresgoor@gmail.comPhone:+52-5-51084 0900

Oscar Jesus Gutierrez, MD

Hospital Infantil de Mexico Federico GomezDr Marquez 162, Cuahutemoc06720 Mexico City, Mexico

E-Mail:oj_scar@hotmail.comPhone:+52-1-015552289917

Karla Yael Herrera Morales, MD

Instituto Nacional de Cardiologia Ignacio ChavezJuan Badiano14080 Mexico City, Mexico

E-Mail:karlayaelh@gmail.comPhone:+01-5-555732911

Gladiola Hoxha, MD

Mother Theresa Hospital CenterDibra Street 372, Tirana 10001001 Tirana, Albania

E-Mail:ola.hoxha1@gmail.comPhone:+35-5-42349209

Olena Iurchenko, MD

The Scientific-Practical Childrens Cardiac CenterMelnikova 2404050 Kiev, Ukraine

E-Mail:hiurchenko@gmail.comPhone:+38-0-442065008

a Program of the

Haki Jashari, MD, PhD

University Clinical Center of KosovaLagja e Spitalit10000 Pristina, Kosovo

E-Mail:hjashari.md@gmail.comPhone:+37-7-44630629

Glory Simon Joseph, MD, MSc

Bugando Medical CentreBugando Hill0000 Mwanza, United Republic of Tanzania

E-Mail:mankaglory@gmail.comPhone:+25-5-686044400

Sabina Kapralova, MD

University Hospital of Palacky UniversityI. P. Pavlova 677900 Olomouc, Czech Republic

E-Mail:sabina_s@email.czPhone:+42-0-588444488

Munguntsetseg Khuyag-Ochir, MD, MSc

Gurvan Gal University Teaching Hospital, Mongolian National University of Medical ScienceBayangol 11 Khoroo Ekh Nilhas 19976 Ulaanbaatar, Mongolia

E-Mail:mungunnom@gmail.comPhone:+97-6-70113344

Renata Kmet, MD

Clinical Hospital Centre ZagrebKispaticeva 1510000 Zagreb, Croatia

E-Mail:renatakmt24@gmail.comPhone:+38-5-12388888

a Program of the

Jana Lenartova, MD

Children‘s Cardiac CenterLimbova 1833 51 Bratislava, Slovakia

E-Mail:jana.lenartova@gmail.comPhone:+42-1-259371729

Inguna Lubaua, MD, MSc

Children University HospitalVienibas Gatve 451004 Riga, Latvia

E-Mail:lubaua@e-apollo.lvPhone:+37-1-67064491

Stepan Malec, MD

Nemocnice SternberkJivavska 2078501 Sternberk, Czech Republic

E-Mail:stepan.malec@gmail.comPhone:+420587 800 372

Alfonso de Jesus Martinez Garcia, MD

National Institute of PerinatologyMontes Urales 80011000 Mexico City, Mexico

E-Mail:alfonso.martinez@inper.gob.mxPhone:+52-5-555209900

Nelly Miteva, MD

Medical University Of Plovdiv „St. George“ Hospital15A Vasil Aprilov Str.4000 Plovdiv, Bulgaria

E-Mail:miteva_md@abv.bgPhone:+35-9-883448025

a Program of the

Neema Evelyne Nalitolela, MD

Muhimbili University of Health & Allied Sciences (Muhas)Upanga650001 Dar es Salaam, United Republic of Tanzania

E-Mail:neemathom15@gmail.comPhone:+25-5-713546495

Marija Neshkovska Shumenkovska, MD, MSc

University for Children Diseases-SkopjeVodnjanska N181000 Skopje, Republic of Macedonia

E-Mail:marijaneskovska@yahoo.comPhone:+38-9-02147712

Oleksandr Onikiienko, MD

Kharkiv National Medical UniversityNauki Avenue, 461022 Kharkov, Ukraine

E-Mail:oleksandr.onikiienko@gmail.comPhone:+38-0-573724477

Ozge Pamukcu, MD

Erciyes University Medical Faculty HospitalMelikgazi38039 Kayseri, Turkey

E-Mail:ozgepamukcu2002@yahoo.comPhone:+90-3-522076666

Ani Rapyan, MD

Yerevan State Medical UniversityAbovyan 600009 Yerevan, Armenia

E-Mail:rapyananiavetik@gmail.comPhone:+37-4-10582023

a Program of the

Saida Rasulova, MD

Children Clinic 11Bileceri dis,Teymur Yagubov 20AZ1117 Baku, Azerbaijan

E-Mail:saida-rasulova@mail.ruPhone:+99-4-124013396

Tiago Rito, MD

Hospital Santa Marta - CHLC, EPERua de Santa Marta, No 501169-024 Lisbon, Portugal

E-Mail:tiago.rito@gmail.comPhone:+35-1-213594332

Gyorgy Roth, MD

Gottsegen Gyorgy Hungarian Institute of CardiologyHaller utca 291096 Budapest, Hungary

E-Mail:gy.roth@hotmail.comPhone:+36-1-2151200

Mina Rudanovic Popovic, MD

Institute for Children Disease Clinical Center of MontenegroLjubljanska bb81000 Podgorica, Montenegro

E-Mail:mina.rudanovicpopovic@gmail.comPhone:+38-2-20412477

Olga Samarina, MD

Ural State Medical University3, ul. Repina620014 Ekaterinburg, Russian Federation

E-Mail:olga.v.samarina@gmail.comPhone:+73-4-33713490

a Program of the

Lyudmil Simeonov, MD

National Heart HospitalKonyovica 651309 Sofia, Bulgaria

E-Mail:Lyudmilsimeonov@yahoo.comPhone:+35-9-886848285

Alexandra Turi, MD

Semmelweis UniversityTuzolto Street 7-91094 Budapest, Hungary

E-Mail:turi.szandra@gmail.comPhone:+36-2-08259529

Assiyam Ushurova, PhD

Almaty Institute of Postgraduate Medical EducationManas 34050063 Almaty, Kazakhstan

E-Mail:a.gallamova@gmail.comPhone:+81-0-7272770547

Nune Yeritsyan, MD

Nork Marash Medical Centre13 Armenak Armenakyan St0047 Yerevan, Armenia

E-Mail:nune.willson@gmail.comPhone:+37-4-10655960

SEMINAR DIARY FROM FELLOW

Diary of Karla Yael Herrera Morales, MD Instituto Nacional de Cardiologia Ignacio Chavez, Mexico City, Mexico

07.01.-13.01.2018

January 7, Sunday. It is the first day we are in Salzburg, it is very exciting to visit a country so full of

history. The buildings are impressive. It was a long trip from Mexico, but it is worth going through the

restlessness and fatigue to be here. We decided to visit the city by foot and take many photos. The

cold is enough to stop feeling the feet but that does not stop us. We met the modern art museum and

the fortress of Hohensalzburg, we had a delicious hot chocolate and ate some homemade cookies.

After walking several kilometres, we decided to return to the beautiful Schloss Arenberg and rest

before the meeting with the rest of the members of the seminary. The reception was pleasant and we

talked during the dinner to get to know each other.

January 8, Monday. We woke up at 7:00 in the morning feeling that we did not rest, we guess the jet

lag has something to do with it. The seminar began. The introduction to the course was given by Dr.

O'Connor, he briefly explained the dynamics, I think we all felt comfortable. The first talk was

Introduction to Congenital Heart Disease, I really enjoyed it, it was a lot of information in a very short

time but the speaker knew how to summarize it. The group photo was taken, I am not used to this

weather and I was freezing outside. Then we had the Echocardiography in Pediatric Cardiology talk, in

which the importance of pediatric subxiphoid views was highlighted, I found it very useful. The talk of

Multimodality Imaging in CHD brought me new things, they are doing a lot of interesting things at

CHOP, things I didn´t know about, there’s much to learn, maybe one day we’ll be able to do those

things at my country. All the speakers have been really open and empathic to us, as both medical and

non-medical issues, I think that’s an incredible opportunity. At dinner, I was able to meet more people

and finally we ended the day at the Armenian Lounge, with some music from different countries and

a football game, it was really funny.

January 9, Tuesday. We get up early to go to breakfast and have coffee. We greet people from other

parts of the world and sit down to share stories for a short time. We go to the class of 7 and we hear

all kinds of comments that are enriching for everyone. It is the first day that we present case reports

and it was interesting to know what my colleagues do when they do not have all the resources to give

the best management to the patient. I am still impressed by the place, it's amazing and so peaceful.

Today we talk about the fetal echocardiogram and how to interrupt pregnancy in different countries.

At the end of the classes, we met to go out for a beer where we sang and danced. It was fun.

January 10, Wednesday. This place is beautiful and silent in the mornings. The weather is cold. We

have learned a lot about the management and evolution of patients with Fontan surgery. All the

doctors are experts in their area and have talked about interesting topics that are relevant to improve

patient prognosis. It is interesting the diversity of cultures that exists among all of us here, that allows

us to know the different ways to make use of resources. We finished the classes early and had the

afternoon free. We went to see the beautiful landscapes that Austria has and its limits with Germany.

We take many photos and contemplate one of the best sunsets we have seen. We ate German

sausages and we had hot wine. The cold is still bearable while you have more than two jackets on top.

January 11, Thursday. Yesterday we rested more than other days. I think jet lag is gone. Breakfast is

always a good time to talk about what we did a previous day. Today is the day of case reports and

some of us are nervous about presenting them. We have had very good sessions and discussions on

each topic. The time for lunch arrives and we had time to walk around feeling cooler than other days.

We found a very nice restaurant to eat hamburgers and drink beer. We chatted with some new friends

and had a good time. I like to be able to walk beside the river at night and see the mist surrounding

the castles. We had the opportunity to listen to a concert with some of the best musicians of the music

university of Vienna, it was a unique experience. We went as a group to listen to rock at a bar in

Salzburg and to drink beer with the faculty. It was a great night and surely tomorrow we will be tired

and sleepless but it was worth it.

Karla Yael Herrera Morales, MD (Mexico)

SEMINAR DIARY FROM FELLOW

Diary of Anna Ankudovich, MD Republican Scientific and Practical Center of Pediatric Surgery, Minsk, Belarus

07.01.-13.01.2018

7 January, Sunday evening. That was a long and a little bit nervous way to Salzburg. It is my first time

here at OMI and honestly, I even do not know what to expect. But after the greeting speech of the

director of the course, I absolutely calmed down. Also due to the welcome dinner I got an opportunity

to meet other members and share my impressions. The atmosphere of the cardiology seminar seems

to be very cordial :)

8 January, Monday. The first seminar day started with a pre-seminar test. When you see the letters

t.e.s.t, at least you take a thought. But in this case, it is more helpful than frightening. This test directs

you, helps you to focus and motivates you to search for answers during the lectures. Today all topics

were some kind of introductions to pediatric cardiology, diagnostic techniques and treatment. I was

so happy to realize that we mostly had the same course of developing pediatric cardiology and cardio

surgery in Belarus. Great thanks to the faculty for the free atmosphere and open conversation and not

just only lectures day!

9 January, Tuesday. This morning didn’t start with coffee, but a repetition of my case presentation,

because today the first part of our group took part in a workshop. After the lectures seventeen fellows

have presented very interesting cases and the difficulties were discussed by Faculty and Fellows. I have

also shared our experience in care and treatment of children with coarctations undiagnosed on time

with a doctor from Mongolia. Throughout the day we had a lot of questions and conversations so I

have learnt a lot about how the system works outside Belarus. Later that day, we had a short

teambuilding session, which was amazing! Different people from different countries easily speak and

communicate in one language and have so much in common (including singing in karaoke)! P.S. Don’t

be afraid of anything, both: speaking and singing! :)

10 January, Wednesday. Today we have studied hard. I would say that all topics of the lectures rise

acute problems of pediatric cardiology and are very useful especially for young specialists. But I want

to highlight the lectures of Professor Dori. His lecture about “Lymphatic Flow Issues in Patients with

CHD” explains almost everything we face in practice with children after hemodynamic corrections

(their number increased in the last few years in our center). I even can’t catch a moment to answer a

question and he already gives an answer. Thanks a lot!

Then we had a free afternoon and ten of us had a trip to the Bavarian Mountains together. Oh, I wish

I could show you pictures of us! In the evening we visited a Marble room in Mirabell Palace, where

Mozart played his first concert and listened to classics. Now I feel a little bit tired after such a great

program but it was absolutely worth it to spend one free day like this to feel the atmosphere of Austria

also!

11 January, Thursday. That was the 4th day of the seminar, it was split into two parts: lectures and

case reports. Lecture of Professor Michael Quartermain about “Echocardiography for Coronary

Arteries in HD” was a real workshop! Many fellows, who presented examples, had non-ordinary

anatomy for everyday practice so I have learnt some “tricks” how to catch the best sweeps. In my

country heart transplantations of children is not widely spread and we have just a few cases, so

Professor O’Connors´ lecture helped me to understand some very important nuances, that I want to

discuss with my senior colleagues. For me the most challenging part of cardiology is arrhythmology

and I appreciate Professor Iyer´s lecture, because this lecture was very useful for me and I am strongly

motivated to deepen my knowledge in this specific area. In the evening, we had a lovely chamber

concert in the Grand Hall of Schloss Arenberg. This young trio was from the Mozarteum (University of

Salzburg), but they have already become real virtuosos! Afterwards almost all of us including the

Faculty went out to have conversations in an informal atmosphere and we have talked about almost

everything. I think everybody has enjoyed this evening.

Without any doubts, OMI means medical education without borders!

This was a disparate experience in my practice.

Anna Ankudovich, MD (Belarus)