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13th Diastology and New
Echo Technologies Summit

Featuring Heart Valve and Contrast Echo Mini-Symposium
 

February 24-27, 2010
 

Hyatt Regency Bonaventure Conference Center
Weston, Florida

Description

The Cleveland Clinic’s 13th Diastology and New Echo Technologies Summit: Featuring Heart Valve and Contrast Echo Mini-Symposium provides a unique opportunity for attendees to interact with key opinion leaders and receive updates in heart valve disease, diastology, new and emerging echo technologies, and contrast echocardiography.

The Summit is divided into four parts.

1. Heart Valve Disease will focus on new advances in valvular heart disease including epidemiology, clinical diagnostic approaches to mitral tricuspid and aortic regurgitation and aortic stenosis, as well as new approaches to valve repair including robotics and percutaneous techniques.
    
2. Diastology will present the state-of-the-art advances in diastolic heart failure including epidemiology, clinical diagnostic approaches, specific diseases, and effects of therapy of diastolic heart failure as well as recent and future clinical trials.
    
3. New Echocardiography Technologies will highlight new and emerging applications in real time 3-D and 4-D echo, live 3-D TEE, 2-D strain, torsion, stress echo, cardiac resynchronization, and interventional echo.
    
4. Contrast Echocardiography will review the basic principles of contrast echo, rest and stress LVO and EBD, myocardial perfusion, and new research applications. It will include a discussion of the revised black boxed warning and safety.

The Summit will also feature several interactive workshops.

• The Heart Valve Disease and Diastology workshops will illustrate “Read-with-the-Experts” sessions through case presentations as well as a basic 101 tutorial.
   
• The New Echocardiography Technologies workshop will include 3-D echo, strain, and CRT cases and a basic 101 tutorial.
   
• The Contrast Echocardiography workshop will have a “Read-with-the-Experts” session on LVO, EBD, and myocardial perfusion.

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Target Audience

This activity is designed for adult and pediatric cardiologists, cardiac surgeons, anesthesiologists, sonographers, nurses, cardiology fellows, and other healthcare professionals interested in heart valve disease, diastology, new echocardiographic technologies, and contrast echocardiography.

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Objectives

After completing this activity, the participant will be able to do the following:

Heart Valve

• Describe the state-of-the-art multimodality imaging in valvular heart disease
• Describe the natural history of mitral regurgitation and when to treat medically or surgically
• Discuss Doppler quantitative approaches to mitral regurgitation
• Describe mechanisms and treatment of ischemic mitral regurgitation
• Discuss surgical mitral and tricuspid valve repair
• Discuss new mechanisms and therapies of aortic stenosis
• Discuss the epidemiology of aortic regurgitation and when to intervene
• Discuss Doppler quantitative approaches to aortic regurgitation
• Describe percutaneous approaches to mitral and aortic diseases

Diastology

• Describe the epidemiology of diastolic function
• Describe the biology and physiology of diastolic function
• Discuss Doppler approaches of diastolic function, including mitral inflow, pulmonary vein flow, tissue Doppler imaging, color M-mode Doppler, strain rate imaging, torsion, and 2-D strain
• Describe how to estimate LV filling pressures
• Discuss the technique for performing diastolic function by sonographers
• Discuss impaired diastolic function in various diseases
• Discuss the therapy of diastolic dysfunction
• Describe recent and future clinical trials
• Discuss new ASE diastology recommendations

New Echocardiography Technologies

• Describe the role of 3-D and 4-D in clinical practice
• Discuss advances in transesophageal echo imaging including real time imaging
• Discuss 2-D strain to assess cardiac function
• Describe the use of LV torsion in clinical practice
• Discuss role of strain in stress echo
• Discuss the value of echo measurements of CRT
• Describe how to perform 3-D, CRT, strain, and strain rate imaging by a sonographer
• Describe how to perform 2-D strain, and torsion by a sonographer.
• Discuss the role of echo in percutaneous valve surgery and LAA closure
• Discuss the role of echo in atrial fibrillation

Contrast Echocardiography

• Describe state-of-the-art contrast echo including safety
• Describe the basics of contrast echocardiography, including the contrast and ultrasound interaction
• Discuss how high quality images are obtained for LVO
• Discuss the role of contrast in salvaging the difficult echo
• Discuss the value of contrast stress echo
• Describe how to read perfusion at rest and stress
• Discuss how to interpret EBD, LVO, and myocardial perfusion in a “Read-with-the-Experts” session
• Discuss clinical trials in contrast echo
• Discuss new research developments

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Director
 

Allan L. Klein, MD, FRCP(C), FACC, FAHA, FASE Professor of Medicine Director, Cardiovascular Imaging Research Director of Pericardial Center Department of Cardiovascular Medicine Heart and Vascular Institute Cleveland Clinic Cleveland, OH

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Co-Directors
 

James D. Thomas, MD, FACC, FAHA, FESC Professor of Medicine and Biomedical Engineering Director of Cardiovascular Imaging Moore Chair in Cardiovascular Imaging Department of Cardiovascular Medicine Heart and Vascular Institute Cleveland Clinic Cleveland, OH Craig R. Asher, MD, FACC Staff Cardiologist Department of Cardiovascular Medicine Cleveland Clinic Florida Weston, FL Annitta J. Morehead, BA, RDCS, CCRC, FASE Manager, Cardiovascular Imaging Research Department of Cardiology Cleveland Clinic Cleveland, OH

W. H. Wilson Tang, MD, FACC, FAHA Assistant Professor in Medicine Director for Heart Failure Research Section of Heart Failure & Cardiac Transplantation Medicine Associate Director, Cardiovascular Coordinating Center Assistant Program Director, General Clinical Research Center Heart and Vascular Institute Cleveland Clinic Cleveland, OH

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Guest Faculty
 

Christopher P. Appleton, MD, FACC, FASE Consultant Cardiovascular Diseases Mayo Medical School Professor of Medicine Mayo Clinic Scottsdale Scottsdale, AZ Harald Becher, MD, PHD Consultant Cardiologist, John Radcliffe Hospital Professor of Cardiac Ultrasound, University of Oxford The Oxford Heart Centre The John Radcliffe Hospital Oxford, United Kingdom John Gorcsan, III, MD, FACC, FAHA, FASE Professor of Medicine Director of Echocardiography University of Pittsburgh Pittsburgh, PA

Michael L. Main, MD, FACC, FASE Associate Professor of Medicine University of Missouri-Kansas City Medical Director, Echocardiography Lab Mid America Heart Institute Kansas City, MO Sherif F. Nagueh, MD, FACC, FASE Professor of Medicine Weill Cornell Medical College Associate Director of Echocardiography Laboratory Methodist DeBakey Heart and Vascular Center Houston, TX Maurice E. Sarano, MD Consultant Mayo Medical School Professor of Medicine Mayo Clinic Rochester, MN

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Cleveland Clinic Faculty
 

Deborah A. Agler, RCT, RDCS, FASE Department of Cardiovascular Medicine Heart and Vascular Institute Deborah H. Kwon, MD Department of Cardiovascular Medicine Heart and Vascular Institute Tomislav Mihaljevic, MD Department of Thoracic and Cardiovascular Surgery Heart and Vascular Institute

Gian M. Novaro, MD, FACC, FASE Director, Echocardiography Laboratory Department of Cardiology L. Leonardo Rodriguez, MD, FACC Department of Cardiovascular Medicine Heart and Vascular Institute William J. Stewart, MD, FACC, FASE Department of Cardiovascular Medicine Heart and Vascular Institute

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Agenda

Wednesday, February 24  |  Thursday, February 25  |  Friday, February 26  |  Saturday, February 27

WEDNESDAY, FEBRUARY 24, 2010
7:00 am	Registration, Continental Breakfast and Exhibits - Ballroom Foyer
7:50 am	Welcome and Introduction - Allan L. Klein, MD
	HEART VALVE DISEASE SUMMIT
Session 1:	Mitral and Tricuspid Valve Disease Moderators: Allan L. Klein, MD & Maurice E. Sarano, MD
8:00 am	KEYNOTE ADDRESS: State-of-the-Art of Integrated Multimodality Imaging in Valvular Heart Disease 2010: Strengths & Weaknesses - Maurice E. Sarano, MD
8:20 am	Epidemiology of Mitral Valve Regurgitation: When Do We Intervene? Medicine or Surgery? - William J. Stewart, MD
8:40 am	Quantification of Mitral Regurgitation: From Basics to Advanced Measurements - Christopher P. Appleton, MD
9:00 am	Ischemic/ Functional Mitral Regurgitation: Mechanism, Treatment and New Trials - Maurice E. Sarano, MD
9:20 am	Mitral Valve and Tricuspid Valve Repair: Robotic Surgery or Not? - Tomislav Mihaljevic, MD
9:40 am	Panel Discussion and Questions
10:00 am	Refreshment Break and Exhibits
Session 2:	Aortic Valve Disease and Percutaneous Techniques Moderators: William J. Stewart, MD & Tomislav Mihaljevic, MD
10:30 am	Aortic Stenosis; Mechanisms and Therapies: What is New? - Gian M. Novaro, MD
10:50 am	Epidemiology of Aortic Valve Regurgitation: When Do We Intervene? Medicine or Surgery? - Maurice E. Sarano, MD
11:10 am	Aortic Regurgitation: How Do We Quantify? New Methods? - James D. Thomas, MD
	Percutaneous Techniques for Mitral and Aortic Valve Disease: State-of-the-Art
11:30 am	Mayo Clinic Perspective - Maurice E. Sarano, MD
11:50 am	Cleveland Clinic Perspective - William J. Stewart, MD
12:10 pm	Surgeon’s Perspective - Tomislav Mihaljevic, MD
12:20 pm	Panel Discussion and Questions
12:50 pm	Adjourn
	INTERACTIVE WORKSHOPS
	A.  HEART VALVE DISEASE CASES   “Read-with-the-Experts” Session: This workshop is organized to give the participant the opportunity to interpret valve disease exams with expert course faculty in a case-based format using ARS (Audience Response System).   William J. Stewart, MD, Coordinator - Mitral Regurgitation (non-ischemic) Maurice E. Sarano, MD - Mitral Regurgitation (ischemic) Deborah H. Kwon, MD - Mitral Stenosis Craig R. Asher, MD - Aortic Regurgitation Annitta J. Morehead, RDCS - Aortic Stenosis Allan L. Klein, MD - Tricuspid Regurgitation
	B.  HEART VALVE 101 BASIC TUTORIAL   “Review-with-the-Experts” Session: This workshop is organized to give the participant an opportunity to review the basics of valvular quantification and surgical approaches with expert course faculty in a case-based format.   James D. Thomas, MD, Coordinator - Mitral Regurgitation Deborah A. Agler, RDCS - Aortic Stenosis Tomislav Mihaljevic, MD - Robotic Mitral Repair Christopher P. Appleton, MD - Aortic Regurgitation Sherif F. Nagueh, MD - Tricuspid Regurgitation
THURSDAY, FEBRUARY 25, 2010
7:00 am	Continental Breakfast and Exhibits
	DIASTOLOGY
Session 1:	Epidemiology, Biology, Physiology, and Basic Doppler Assessment Moderators: Allan L. Klein, MD & Sherif F. Nagueh, MD
7:45 am	KEYNOTE ADDRESS: State-of-the-Art of Diastology 2010: Strengths and Weaknesses - Sherif F. Nagueh, MD
8:05 am	Epidemiology, What Diseases? How Do We Assess? Prognosis? - Allan L. Klein, MD
8:25 am	Biology, Physics, and Physiology of Diastolic Function: The Basics - James D. Thomas, MD
8:45 am	Echo Assessment of Diastolic Function: Mitral Inflow, Pulmonary Vein, Tissue Doppler Imaging, and Color M-mode Doppler; Which One Do We Use in Clinical Practice? - Christopher P. Appleton, MD
Session 2:	Practical Techniques, Filling Pressures, and New Tools Moderators: Annitta J. Morehead, RDCS & Christopher P. Appleton, MD
9:05 am	A Step-by-Step Approach to Performing a Diastolic Exam - Annitta J. Morehead, RDCS
9:25 am	Estimation of LV Filling Pressures Using Current Diastology Tools: What Pressures? Pitfalls? - Sherif F. Nagueh, MD
9:45 am	New Advances in the Assessment of Diastolic Function Using Strain, Strain Rate Imaging, Torsion and 2-D Strain: Is This Ready for Prime Time? - James D. Thomas, MD
10:05 am	Refreshment Break and Exhibits
Session 3:	Diseases with Diastolic Dysfunction Moderators: W. H. Wilson Tang, MD & Craig R. Asher, MD
10:30 am	Pericardial Diseases: Is it Constriction or Restriction? Role of Multimodality Imaging - Allan L. Klein, MD
10:50 am	Cardiomyopathies: Role of Newer Indices in Treatment and Prognosis: What Is New in HOCM? - Craig R. Asher, MD
11:10 am	Coronary Artery Disease and Hypertension: What Does Diastolic Dysfunction Mean in These Diseases? How Do We Assess? - Christopher P. Appleton, MD
Session 4:	Therapy of Diastolic Function and Clinical Applications Moderators: James D. Thomas, MD & Sherif F. Nagueh, MD
11:30 am	Therapy of Diastolic Dysfunction: Treatment Options? Which Therapeutic Agent? What Have We Learned from Clinical Trials? - W. H. Wilson Tang, MD
11:50 am	New Recommendations and Consensus Statement in Diastology: How Do We Implement in a Clinical Setting? Pitfalls? - Sherif F. Nagueh, MD
12:10 pm	Panel Discussion and Questions
12:30 pm	Adjourn
	INTERACTIVE WORKSHOPS
	A.  DIASTOLIC FUNCTION EXAM CASES   “Read-with-the-Experts” Session: This workshop is organized to give the participant the opportunity to interpret diastology exams with expert course faculty in a case-based format using ARS (Audience Response System).   Craig R. Asher, MD, Coordinator - Hypertrophic Cardiomyopathy James D. Thomas, MD - Restrictive Cardiomyopathy Christopher P. Appleton, MD - Constrictive Pericarditis Maurice E. Sarano, MD - Hypertension William J. Stewart, MD - Ischemic Cardiomyopathy Deborah H. Kwon, MD - Fabry’s Disease
	B.  DIASTOLOGY 101 BASIC TUTORIAL   “Review-with-the-Experts” Session: This workshop is organized to give the participant an opportunity to review the basics of diastology with expert course faculty in a case-based format.   Annitta J. Morehead, RDCS - Normal Function & W. H. Wilson Tang, MD - Coordinators - Restriction Deborah A. Agler, RDCS - Abnormal Relaxation Gian M. Novaro, MD - Pseudonormal Allan L. Klein, MD - Constrictive Pericarditis Sherif F. Nagueh, MD - New Diastology Recommendations
FRIDAY, FEBRUARY 26, 2010
7:30 am	Continental Breakfast and Exhibits
	NEW ECHOCARDIOGRAPHY TECHNOLOGIES
Session 1:	3-D and 4-D Echo, Real Time TEE, and Stress Echo Moderators: Allan L. Klein, MD & John Gorcsan, III, MD
8:00 am	KEYNOTE ADDRESS: State-of-the-Art of New Echo Technologies 2010: Strengths and Weaknesses - John Gorcsan III, MD
8:20 am	How Do You Do a 3-D Echo Examination? A Sonographer Approach - Deborah A. Agler, RDCS
8:40 am	3-D and 4-D Echo: How to Include It in Clinical Practice? What Indication? - James D. Thomas, MD
9:00 am	Real-Time Transesophageal 3D Echocardiography: A Revolution of Echocardiography - L. Leonardo Rodriguez, MD
Session 2:	Cardiac Function and Cardiac Resynchronization Moderators: Craig R. Asher, MD & Sherif F. Nagueh, MD
9:20 am	How Do You Do a 2-D Strain and Torsion? A Sonographer Approach - Annitta J. Morehead, RDCS
9:40 am	2-D Strain for Cardiac Function: Speckle Tracking, Velocity Vector Imaging; What Does It Mean? - John Gorcsan, III, MD
10:00 am	CRT - Easy as One, Two, Three - for the Sonographer! - Deborah A. Agler, RDCS
10:20 am	Role of Echo in Cardiac Resynchronization: Applying the Clinical Trial Results to Everyday Practice; Is the Future Bright? - John Gorcsan, III, MD
10:40 am	Refreshment Break and Exhibits
Session 3:	Stress Echo, Atrial Fibrillation, Percutaneous Valve and Multimodality Imaging Moderators: L. Leonardo Rodriguez, MD & Deborah A. Agler, RDCS
11:00 am	Stress Echocardiography: Should We Use Strain Daily to Assess Wall Motion? Diastology Stress Test? - L. Leonardo Rodriguez, MD
11:20 am	New Advances of Echo in Atrial Fibrillation: Does It Have a Role in PV Ablation and LAA Closure? - Allan L. Klein, MD
11:40 am	Emerging Role of Echo in Percutaneous Valve Repair or Replacement: What Is the Role in Paravalvular Leaks? - William J. Stewart, MD
12:00 pm	New Echo Technologies: What Is Their Future in the Era of Multimodality Imaging? - James D. Thomas, MD
12:20 pm	Panel Discussion and Questions
12:40 pm	Adjourn
	INTERACTIVE WORKSHOPS
	A.  NEW ECHO TECHNOLOGIES: 3-D, CRT AND STRAIN, TEE AND STRESS ECHO, ATRIAL FIBRILLATION   “Read-with-the-Experts” Session: This workshop is organized to give the participant the opportunity to interpret new echo technology exams with expert course faculty in a case-based format using ARS (Audience Response System).   L. Leonardo Rodriguez, MD, Coordinator - Stress Echo Sherif F. Nagueh, MD - CRT Christopher P. Appleton, MD - Strain Allan L. Klein, MD - A Fib William J. Stewart, MD - Percutaneous Valve Repair Deborah H. Kwon, MD - 3-D TEE
	B.  NEW ECHO TECHNOLOGIES 101 BASIC TUTORIAL   “Review-with-the-Experts” Session: This workshop is organized to give the participant an opportunity to review the basics of the new echo technologies with expert course faculty in a case-based format.   Deborah A. Agler, RDCS - 3D / 4D LV Function James D Thomas, MD, Coordinators - 3D / 4D Percutaneous Valve Repair John Gorcsan, III, MD - LVAD Optimization Craig R. Asher, MD - A Fib Annitta J. Morehead, RDCS - Strain Michael L. Main, MD - Stress Echo
7:00 - 8:30 pm	RECEPTION
SATURDAY, FEBRUARY 27, 2010
7:30 am	Continental Breakfast and Exhibits
	CONTRAST ECHOCARDIOGRAPHY
Session 1:	Contrast Basics, Physics, and Imaging Modalities Moderators: Allan L. Klein, MD & Michael L. Main, MD
8:00 am	KEYNOTE ADDRESS: State-of-the-Art of Contrast Echo: Strengths and Weaknesses 2010 and the Revised Black Box Warning and Safety - Harald Becher, MD, PhD
8:20 am	Contrast 101: What Happens When You Combine Contrast Agents and Ultrasound? - Michael L. Main, MD
8:40 am	Left Ventricular Opacification: A Step-by-Step Guide to Collecting High Quality Images - Annitta J. Morehead, RDCS
Session 2:	Left Ventricular Opacification and Perfusion Moderators: L. Leonardo Rodriguez, MD & Harald Becher, MD, PhD
9:00 am	The Good, the Bad, and the Ugly; Salvaging the Technically Difficult Echo - Michael L. Main, MD
9:20 am	Contrast Stress Echo: How Do You Do It? Added Value or Added Work? - L. Leonardo Rodriguez, MD
9:40 am	How to Read Myocardial Perfusion at Rest and Stress: Should We Be Doing this Routinely? - Harald Becher, MD, PhD
10:00 am	Refreshment Break and Exhibits
	WORKSHOP: "READ-WITH-THE-EXPERTS": LVO AND STRESS PERFUSION CASES   This workshop is organized to give the participant the opportunity to interpret LVO and perfusion exams with expert course faculty in a case-based format using the ARS (Audience Response System).   Michael L. Main, MD - Coordinator - Perfusion Cases Rest and Stress Harald Becher, MD, PhD - Perfusion Cases Rest and Stress L. Leonardo Rodriguez, MD - Stress Echo Annitta J. Morehead, RDCS - Rest or Stress Echo LVO Deborah A. Agler, RDCS - Rest or Stress Echo LVO Craig R. Asher, MD - Rest or Stress Echo LVO James D. Thomas, MD - Rest or Stress Echo LVO Allan L. Klein, MD - LAA Opacification Deborah H. Kwon, MD - Rest or Stress Echo LVO
Session 3:	Clinical Trials and New Research Developments Moderators: James D. Thomas, MD & Harald Becher, MD, PhD
11:30 am	Recent Clinical Trials on Contrast Echo: What Are the Results and What Is Next? - Michael L. Main, MD
11:50 am	Beyond 2010: New Research Developments in Contrast Echo - Harald Becher, MD, PhD
12:10 pm	Panel Discussion and Questions
12:30 pm	Adjourn

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Location

Hyatt Regency Bonaventure Conference Center & Spa
250 Racquet Club Road
Weston, FL 33326-US
Tel: (954) 616-1234
Fax: (954) 384-0653
www.bonaventure.hyatt.com

Escape to a remarkable 23-acre retreat at this Weston, Florida hotel. Stay at the newly renovated Hyatt Regency Bonaventure Conference Center and Spa, 20 minutes from the airport. Relax in elegant rooms with handsome marble baths.

Pamper yourself at the extraordinary Elizabeth Arden spa. Work out in a state-of-the-art fitness center. Tee off on a championship golf course. Dive into the stunning pool with a cascading waterfall. Allow the attentive, friendly staff to serve you at their restaurants. Walk through serene gardens as swans glide by and Koi dart through the pond. Visit nearby attractions like the Everglades, Sawgrass Mills, and Fort Lauderdale.

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Hotel Accommodations

A block of rooms has been reserved at the Hyatt Regency Bonaventure until FEBRUARY 1, 2010.

To make your reservations, contact the Hotel Reservations Department at 954-616-1234 or 800-233-1234. Please identify yourself as being with the Cleveland Clinic Diastology and New Echo Technologies Summit for a special rate of $229 single/double plus tax.

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Parking

Valet parking and self-parking is available at the hotel.

• Self-parking is offered on-site
• Valet parking is $10 per day
• Parking includes in and out privileges.

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Ground Transportation

There is shuttle or taxi cab service, 24 hours a day, 7 days a week to and from either Miami International Airport or Fort Lauderdale International Airport. All arriving guests will find courtesy phones at all baggage claim areas. Advance reservations are recommended for large groups. Fares range from $20-$50 each way.

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Additional Information

For further information about this summit, contact UNITECH Communications® at:

Local: 216-448-0770
Toll Free: 800-238-6750

For questions about registering online, call 216-448-0777 or email CMEregistration@ccf.org.

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Faculty Disclosure

The Cleveland Clinic Foundation Center for Continuing Education has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education Standards for Commercial Support requiring resolution of all faculty conflicts of interest. Faculty declaring a relevant commercial interest will be identified in the activity syllabus.

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Americans with Disabilities Act

The Cleveland Clinic Foundation Center for Continuing Education fully intends to comply with the legal requirements of the Americans with Disabilities Act. If you need assistance, please notify UNITECH Communications ® at 216-448-0770 at least two weeks prior to the activity.

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Accreditation

The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Cleveland Clinic Foundation Center for Continuing Education designates this educational activity for a maximum of 21.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association Council on Continuing Medical Education for Category 2 credit.

AMA PRA Category 1 Credits™ are accepted by ARDMS.

The Ohio Board of Nursing will accept at face value the number of contact hours awarded for an educational activity that has been approved for CE by a nationally accredited system of CE approval. Therefore, the 21.5 AMA PRA Category 1 Credits™ will be accepted for nursing credits.

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Registration & Cancellation

Pre-registrations are accepted by fax or online until 4:00 pm EST on February 18, 2010. To register after this date, you must do so on-site.

In case of cancellation, a full refund will be made if canceled by February 12, 2010. After February 12, 2010, a $100 cancellation fee will be deducted from your refund. Written notification of your cancellation is required in order to process your refund.

NO REFUNDS WILL BE ISSUED AFTER MARCH 31, 2010.

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Online Registration/Fees

Registration fee includes electronic syllabus (flash drive), continental breakfasts, refreshment breaks, workshops, and reception.
 

	FULL EVENT COSTS		PER DAY EVENT COSTS
Category	Before Feb 24, 2009	Onsite Registration	Before Feb 24, 2009	Onsite Registration
Physician	$675.00	$725.00	$205.00	$230.00
ASE Members	$540.00	$590.00	$175.00	$200.00
Comprecare Affiliate	$438.75	$489.00	$133.25	$157.00
Cleveland Clinic Alumni	$405.00	$455.00	$123.00	$147.00
Resident / Fellow / Nurse	$375.00	$425.00	$135.00	$154.00
ASE Sonographer	$300.00	$350.00	$100.00	$125.00
ASE Resident / Fellow / Nurse	$300.00	$350.00	$100.00	$125.00
Sonographer	$375.00	$425.00	$135.00	$160.00
CCHS Employee / Resident / Fellow / Nurse / Sonographer	$300.00	$350.00	$100.00	$125.00
CCF Staff	$200.00	$250.00	$60.00	$85.00
CCF Employee / Resident / Fellow / Nurse	$175.00	$225.00	$45.00	$70.00

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