June 13, 2017

Dear Exhibitor

On behalf of course directors Komandoor Srivathsan, M.D. Paul Friedman, M.D. and Daniel Sorajja, M.D., we hope you will consider a display opportunity at our 6th Annual Heart Rhythm & ECG Course: A Case Based Approach held December 7 - 10, 2017. We expect around 174 general internists, hospitalists, family practitioners, and allied health staff participating in cardiac services, nationally and internationally. This course will focus on clinical and hospital-based cardiac rhythm issues 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 based on the date the signed exhibit agreement letter is received in our office. 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 24.25 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

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MayoClinicSchoolofContinuousProfessionalDevelopment(MCSCPD)ExhibitorAgreement

Activity Title  6th Annual Heart Rhythm & ECG Course:  A Case Based Approach Activity Number  17J04965 

Location  Fairmont Scottsdale Princess 

Dates  December 7 ‐ 10, 2017 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 #17J04965  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: 

Mayo Clinic 6th Annual Heart Rhythm & ECG Course A Case Based Approach

December 7 - 10, 2017

Thursday, December 7

Special ECG reading Course: 6:50 a.m. Registration and Continental Breakfast 7:15 Welcome and Introduction Komandoor Srivathsan, MD 7:30 Localization of MI with corresponding angiograms Komandoor Srivathsan, MD 7:55 SVT cases: Recognition with Examples

Stephen Hammill, MD 8:20 VT recognition: How to Improve Certainty?

Dan Sorajja, MD 8:45 Idiopathic vs Structural VT: Case examples

Paul Friedman 9:10 Questions and Answer 9:30 Refreshment Break 10:00 Atrioventricular Conduction Abnormality: Case examples

Stephen Hamill, MD 10:25 Case examples of Chamber Abnormalities

Luis Scott, MD 10:50 A flutter and Pre-excited Atrial Fibrillation: Improve Diagnostic Certainty Win Shen, MD 11:15 Metabolic Changes, Ion Channel Problems and Unusual Problems

Siva Mulpuru, MD 11:40 Twenty ECG Patterns to Recognize?

Komandoor Srivathsan, MD 12:15 Questions and Answers 12:30 Lunch on your own

1:00 – 3:00 Optional Additional ECG Workshop: Read ECG with the Master (Lunch provided to optional registrants)

Stephen Hammill, MD; Win-Kuang Shen, MD; Siva Mulpuru, MD; Dan Sorajja, MD and Komandoor Srivathsan, MD Presenter: Stephen Hammill, MD Commentary - Win-Kuang Shen, MD; Komandoor Srivathsan and Dan Sorajja, MD (Live interactive session)

Friday, December 8 Atrial Fibrillation Moderator: David Spragg, MD and Komandoor Srivathsan, MD 7:30 a.m. Atrial Fibrillation: Sleep Apnea and Risk Factor Changes. A Case Review Paul Friedman, MD 7:55 Rate Control Options - Medications and AV Nodal Ablation: Does strict rate control

matter? Win Shen, MD 8:20 Guideline directed medications for maintaining Sinus rhythm David Spragg, MD 8:45 Optimal Cases for Ablation? Komandoor Srivathsan, MD 9:10 Stroke in Atrial Fibrillation - Guidelines for Anticoagulation Dan Sorajja, MD 9:35 Panel Discussion 10:00 Refreshment Break

10:30 Thoracoscopic Mini Maze: Should it be performed after one failed percutaneous ablation? Dawn Jaroszewski, MD 10:55 Atrial Fibrillation: Debates

Moderator: Steve Hammill, MD

Anticoagulation: Coumadin is the best if TTRs are great Pro: Fred Kusumoto, MD Newer anticoagulants are better than Coumadin Con: David Spragg, MD

11:30 Ablation should be first line therapy

Pro: David Spragg, MD

Con: Ablation should only be performed if medications fail Win Shen, MD

12:00 noon Atrial fibrillation with recurrent bleeding. Control bleeding source or close appendage?

Tom Munger, MD

Lunch on your own 1:00 – 3:00 Optional Additional Difficult ECGs

(Lunch provided to optional registrants) Presenter: Komandoor Srivathsan, MD Panel: Stephen Hammill, MD and Siva Mulpuru, MD

Presenters: Multiple cases presented (Live, interactive)

Saturday, December 9 6:50 a.m. Continental Breakfast 7:00 Early Bird Special Session I

Review of Interesting ECGs Komandoor Srivathsan, MD

Ventricular Arrhythmias Moderator: Paul Friedman, MD 7:30 Implantable defibrillator primary prevention of sudden death. What do the guidelines

say? Kenneth Ellenbogen, MD 7:55 Sudden Death in the Young: Evaluation Siva Mulpuru, MD 8:20 Incessant VT: How did I manage? A Case review

Fred Kusomoto, MD 8:50 PVCs and Cardiomyopathy: A Case review Win Shen, MD 9:15 Panel Discussion 09:30 Refreshment Break 10:00 Channelopathies: What should a generalist know?

Komandoor Srivathsan, MD 10:25 When do you request a consult for further management with a heart rhythm doctor for

nonsustained VT Fred Kusomoto, MD

10:50 Preemptive VT ablation improves outcome in patients with structural heart disease Ken Ellenbogen, MD 11:20 Ventricular fibrillation without structural heat disease Dan Sorajja, MD 11:45 Case Based Workshop: Moderator: Ken Ellenbogen, MD Panelists: Win Shen MD, and Komandoor Srivathsan, MD Case presentation: Electrical storm

Siva Mulpuru, MD 12:30 PM Lunch on your own 1:00 – 3:00 Optional Intracardiac Electrogram/Pacemaker Case Based Workshop (20 minutes each)

Panelists: Win Shen, MD and Komandoor Srivathsan, MD

Presenters: Dan Sorajja, MD; Siva Mulpuru, MD and Robert Fisher, MD and Linda Schwartz (total Cases- one case each)

Sunday, December 10 6:50 a.m. Continental Breakfast 7:00 Early Bird Special Session: Learning from the 12-lead ECG Win Shen, MD Moderator: Komandoor Srivathsan, MD 7:30 POTS and Inappropriate sinus tachycardia cases; How did I manage? Win Shen, MD 7:55 Anticoagulation management in patients undergoing procedures with warfarin and

NOACs Dan Sorajja, MD 8:20 Young patient with recurrent syncope: How to differentiate benign from serious Luis Scott, MD 8:45 Event recorder, Holter or Implantable Loop recorder: Case examples of which should

one choose? Dan Sorajja, MD

9:10 Panel Discussion 9:30 Refreshment Break 10:00 Sudden death in HCM and Screening

Tom Munger, MD 10:25 Heart failure and Biventricular Devices: What is the data? Siva Mulpuru, MD 10:50 Remote monitoring helped these patients in heart failure: Review of cases Linda Schwartz 11:15 SVT and atrial flutter in CHF patients: Case reviews

Win Shen, MD

11:40 Closing remarks