Clinical Approach to Vascular Ultrasound and RPVI Prep Course
Course Director
Anahita Dua, MD, MBA, MS
Co-Directors
Scott Manchester, BS, MS, RVT
Piotr Sobieszczyk, MD
Agenda
Friday June 4, 2021
7:50 AM – 8:00 AM |
Introduction
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8:00 AM – 8:55 AM |
Understanding the ultrasound machine
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8:55 AM – 9:50 AM |
Basics of Physics in Vascular Imaging
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9:50 AM – 10:05 AM | Break |
10:05 AM – 10:40 AM |
Peripheral Arterial Studies – UPPER
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10:40 AM – 11:10 AM |
Peripheral Arterial Studies – LOWER
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11:10 AM – 11:35 AM |
Extremity Case studies, Pearls, Tricks, and Techniques
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11:35 AM – 11:50 AM | Panel Discussion |
11:50 AM – 1:00 PM | Lunch Break |
1:00 PM – 1:40 PM |
Renal and Mesenteric vascular duplex
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1:40 PM – 2:15 PM |
Carotid Duplex Ultrasonography
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2:15 PM – 2:30 PM | Break |
2:30 PM – 2:55 PM |
Subclavian and Vertebral Ultrasonography
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2:55 PM – 3:35 PM |
Cerebrovascular Intracranial (transcranial doppler)
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3:35 PM – 4:00 PM |
High Yield Pathologies Tested on the Registered Physician in Vascular Interpretation (RPVI)
Speaker: Alaska Pendleton MD
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4:00 PM – 4:15 PM | Panel Discussion |
Saturday June 5, 2021
8:00 AM – 8:45 AM | Bypass Graft Surveillance
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8:45 AM – 9:35 AM | Endovascular Stent Graft Surveillance – Aortic
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9:35 AM – 9:45 AM | Break |
9:45 AM – 10:25 AM | Dialysis Access Surveillance and Case Presentations
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10:25 AM – 10:45 AM | Ultrasound Guided Vascular Access and Peripheral Interventions
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10:45 AM – 11:00 AM | Panel Discussion |
11:00 AM – 12:00 PM | Lunch Break |
12:00 PM – 12:40 PM | Venous Ultrasound 1 – Venous insufficiency, Ultrasound in Office Based Venous Procedures
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12:40 PM – 1:35 PM | Venous Ultrasound 2 – Venous Thrombosis/Obstruction, Pelvic Congestion Syndrome
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1:35 PM – 2:15 PM | The Lower Extremity Venous Ultrasound Exam: A Practical Approach
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2:15 PM – 2:25 PM | Break |
2:25 PM – 2:45 PM | Transcranial Doppler (TCD) Arterial Case Presentations
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2:45 PM – 3:10 PM | Carotid Arterial Case Presentations
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3:10 PM – 3:35 PM | Subclavian and Verterbral Arterial Case Presentations
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3:35 PM – 4:00 PM | Peripheral Artery and Bypass Graft Case Presentations
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4:00 PM – 4:10 PM | Aortic Graft Ultrasound Case Presentations
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4:10 PM – 4:30 PM | How to Build a Vascular Ultrasound Lab Program – Medical Director Perspective
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4:30 PM – 4:45 PM | How to Build a Vascular Ultrasound Lab Program – Technical Director Perspective
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4:45 PM – 4:55 PM | Panel Discussion |
4:55 PM – 5:10 PM | Registered Physician in Vascular Interpretation (RPVI) Exam: Pearls to Passing
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5:10 PM – 5:15 PM | Wrap up
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MyCME
Earn up to 15.25 AMA PRA Category 1 Credits™
- The course evaluation will be hosted through the new MyCE portal. If this is your first course using our new platform, you should have already received a separate email from no-reply@myce.hms.harvard.edu to complete your account setup. (Please note that the login information for the MyCE portal is different from the login information to watch the livestream.)
- If you have previously attended a course on our new platform, this course will be added to your existing account.
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- Once you have completed the evaluation you will be able to claim your course credits and certificate.
- Please lookout for an e-mail on the first morning of the course with detailed instructions for how to complete the evaluation and certificate process.
If you have any questions, please feel free to contact us at: ceprograms@hms.harvard.edu.
Disclosures
Physicians
The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The Harvard Medical School designates this live activity for a maximum of 15.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurse Practitioners and Registered Nurses
For the purpose of recertification, the American Academy of Nurse Practitioners Certification Board and American Nurses Credentialing Center accept AMA PRA Category 1 Credit™ issued by organizations accredited by the ACCME (Accreditation Council for Continuing Medical Education). We would also suggest that learners check with their state licensing board to ensure they accept reciprocity with AMA PRA Category 1 Credit™ for re-licensure.
Physician Assistants
The National Commission on Certification of Physician Assistants (NCCPA) states that AMA PRA Category 1 Credits™ are acceptable for continuing medical education requirements for recertification. We would also suggest that learners check with their state licensing board to ensure they accept reciprocity with AMA PRA Category 1 Credit™ for re-licensure.
Canadian Accreditation
The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held outside of Canada that are developed by a university, academy, hospital, specialty society or college as accredited group learning activities.
European Accreditation
Through an agreement between the American Medical Association and the European Union of Medical Specialists, physicians may convert AMA PRA Category 1 Credits™ to an equivalent number of European CME Credits® (ECMEC®s). Information on the process of converting AMA PRA Category 1 Credits™ to ECMEC®s can be found at: www.eaccme.eu.
Note: AMA PRA Category 1 Credit™ is calculated based on submission of a preliminary agenda and may be subject to change.
Disclosure Policy
Harvard Medical School (HMS) adheres to all ACCME Accreditation Criteria and Policies. It is HMS’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.
Disclaimer
CME activities accredited by Harvard Medical School are offered solely for educational purposes and do not constitute any form of certification of competency. Practitioners should always consult additional sources of information and exercise their best professional judgment before making clinical decisions of any kind.
Faculty
Shipra Arya, MD
Professor of Surgery, Stanford University Hospital
Dr. Arya is an Associate Professor of Surgery at Stanford University School of Medicine and section chief of vascular surgery at VA Palo Alto Healthcare System. She has a Master’s degree in epidemiology from the Harvard School of Public Health with focus on research methodology and cardiovascular epidemiology. She completed her General Surgery Residency at Creighton University Medical Center followed by a Vascular Surgery Fellowship at University of Michigan. She has been funded by American Heart Association (AHA), NIH/NIA GEMSSTAR grant, VA Palo Alto Center for Innovation and Implementation (Ci2i) and is currently funded by VA HSR&D. The accumulated evidence from her research all points to the fact that frailty is a versatile tool that can be utilized to guide surgical decision making, inform patient consent and design quality improvement initiatives at the patient and hospital level. The field of frailty research in surgical population is still relatively nascent and her current work focuses on streamlining frailty evaluation, and implementation of patient and system level interventions to improve surgical outcomes and enhance patient centered care.
Umberto Campia, MD
Associate Physician, Brigham and Women’s Hospital
Dr. Umberto Campia is a cardiologist and vascular medicine specialist at Brigham and Women’s Hospital and member of the faculty at Harvard Medical School in Boston, MA. Previously, he was section director of vascular medicine at the MedStar Heart and Vascular Institute and Asst. Prof. of medicine at Georgetown University Medical School, both in Washington DC. Dr. Campia completed his training in cardiology and vascular medicine at Northwestern University Feinberg School of Medicine in Chicago, IL. He is board certified in internal medicine, cardiology, vascular medicine, adult echocardiography, and vascular ultrasound interpretation. His clinical activities include inpatient cardiology and vascular medicine ward, outpatient general cardiology and vascular medicine clinic, as well as reading in the vascular lab. His main research interest is the study of the mechanisms of vascular damage in patients with obesity, high blood pressure, and diabetes and the vascular and metabolic effects of cancer therapies.
Mark Conrad, MD
Associate Professor Massachusetts General Hospital/Harvard Medical School
Dr. Conrad is the director of the clinical research division and program director of the MGH vascular surgery training program. He has over 20 years of experience in vascular surgery and ultrasound. He is an associate professor of vascular surgery at MGH.
Anahita Dua, MD, MS, MBA
Assistant Professor Massachusetts General Hospital/Harvard Medical School, Director of the MGH Vascular Lab, Associate director of the wound care program at MGH
Dr. Anahita Dua is an Assistant Professor of Surgery at MGH/HMS, specializing in advanced endovascular and open techniques for the care of patients with peripheral arterial disease (PAD), diabetic limb disease, aortic disease, carotid disease, thoracic outlet syndrome (TOS), and venous disease. She completed her vascular surgery fellowship at Stanford Hospital, General Surgery residency at the Medical College of Wisconsin and medical school in the United Kingdom (UK). She also has completed a masters degree in trauma sciences, an MBA in Healthcare Management, and a certificate in health economics and outcomes research. She is nationally certified in advanced wound care and management. Dr. Dua has published over 120 peer reviewed papers and has edited three vascular surgery medical textbooks. She serves on multiple national vascular surgery committees through the Society for Vascular Surgery and is director of the MGH vascular lab.
Traci B. Fox, EdD, RT(R), RDMS, RVT
Associate Professor in the Department of Medical Imaging & Radiation Sciences at Thomas Jefferson University.
Traci has been a sonographer since 1993 and an educator since 2005. She holds ARDMS certifications in abdomen, obstetrics & gynecology, breast, and vascular. In 2014, Traci earned her Doctorate in Education from Drexel University. Traci has co-authored or contributed to five textbooks (two now in their second edition) and is author/co-author of 12 peer-reviewed publications. Traci has been invited to speak at local, national, and international conferences, including lectures in China and Dubai.
Caitlin Hicks, MD
Associate Professor of Surgery Johns Hopkins
Dr. Hicks specializes in congenital aortic pathologies including aberrant subclavian arteries and aortic coarctation, thoracic and abdominal aortic aneurysms, complex lower extremity revascularization including lower extremity bypasses and stenting, and carotid endarterectomy. She is skilled in both open and endovascular surgery for the treatment of aortic and peripheral disease. She is also accomplished in clinical research with over 130 peer-reviewed publications and numerous textbook chapters; her research interests include clinical outcomes in aneurysm repair and lower extremity revascularization, as well as high-value care in vascular surgery. A distinguished fellow of the American Board of Surgery, Dr. Hicks is the recipient of the Department of Surgery Rothman Early Career Development Award for Surgical Research and was selected as a Visiting Scholar to the American Board of Medical Specialties for 2018-2019. She is also an appointed member of a CMS Clinical Expert Subcommittee tasked with refining peripheral vascular disease cost measures for implementation in the Quality Payment Program.
Michael Jaff, MD
Professor of surgery
Michael R. Jaff, DO is the Chief Medical Officer and Vice-President of clinical affairs, technology and innovation at Boston Scientific Corporation. A professor of medicine at Harvard Medical School (leave of absence), Dr. Jaff was the President of Newton-Wellesley Hospital from October 2016-December 2019. Prior to that, Dr. Jaff was the inaugural Paul and Phyllis Fireman Endowed Chair of Vascular Medicine and Medical Director of the Fireman Vascular Center at the Massachusetts General Hospital. He is an expert in all aspects of vascular medicine, including peripheral artery disease, venous thromboembolic disease, aneurysmal diseases, and all diagnostic strategies in vascular medicine.
He is the founder of VasCore, the Vascular Ultrasound Core Laboratory, the largest of its’ kind in the United States. VasCore has participated in trial design and independent analysis of vascular laboratory images for over 200 prospective multicenter peripheral vascular device and pharmaceutical trials across 66 countries. Dr. Jaff has published extensively in the field of Vascular Medicine with over 300 peer-reviewed publications and 10 textbooks, is the Past-President of the Society for Vascular Medicine and Biology and was the first physician to have received the designation as Master of the Society for Vascular Medicine. He is a Fellow of the American College of Physicians, American College of Cardiology, the American Heart Association, and the Society for Cardiovascular Angiography and Intervention, and is a registered physician in vascular interpretation (RPVI).
In November 2011, Dr. Jaff became an alumnus of Harvard Business School after completing the General Management Program.
Hiba Juboori RVT
Technical Director Johns Hopkins Non-Invasive Vascular Laboratory
Hiba joined the Johns Hopkins Non-Invasive Vascular Laboratory in 2015 where she performs vascular ultrasounds in the outpatient and inpatient setting. In 2020, she settled into her new role as the Technical Director of the lab where she oversees the day-to-day operations and leads a team of highly skilled vascular sonographers. She earned her Bachelor of Arts in Psychology from the University of Maryland, Baltimore County and her Registered Diagnostic Medical Sonography and Registered Vascular Technologist credentials from the Johns Hopkins Hospital Schools of Medical Imaging in 2015. She presented her research on critical, incidental findings during routine ultrasounds at the national Society for Vascular Ultrasound conference in 2017.
Young Kim, MD
Vascular Surgery Fellow, Massachusetts General Hospital/Harvard Medical School
Dr. Kim is a clinical and research fellow in vascular and endovascular surgery at MGH. He completed his general surgery residency at the University of Cincinnati and a masters degree in cellular biology at the University of Michigan. He is passionate about surgical education, and previously been awarded the Arnold P. Gold Humanism and Excellence in Teaching Award for his efforts. Dr. Kim has published over 40 peer-reviewed papers and multiple book chapters in medical textbooks.
Ann Marie Kupinski, PhD, RVT, RDMS, FSVU
Clinical Associate Professor of Radiology at Albany Medical College
Dr. Kupinski is the president and co-technical director of North Country Vascular Diagnostics. She is a Clinical Associate professor of radiology at Albany Medical College, a member of the Society of Diagnostic Medical Sonography, a fellow of the Society for Vascular Ultrasound, and a senior member of the American Institute of Ultrasound in Medicine. She is a current member of the board of directors for the Intersocietal Accreditation Commission Vascular Testing.
Glen LaMuraglia, MD
Professor of Surgery Massachusetts General Hospital/Harvard Medical School
Dr. LaMuraglia is a professor of surgery with over 40 years of experience as a vascular surgeon at MGH. He specializes in diseases of the aorta, periphery and carotid. He has authored multiple publications on carotid disease and is a past president of the New England Society of Vascular Surgery (NESVS).
Yongsheng Li, MD, RVT
Senior Vascular Lab Technologist
Yongsheng Li is an MD with a passion for ultrasound. He has over a decade of experience in vascular ultrasound and is the lead technologist in the Warren 9 vascular lab at MGH.
Scott Manchester, BS, MS, RVT
Technical Director of MGH Vascular Lab
Scott Manchester is the technical director of the Warren 9 MGH vascular lab. He has extensive experience in vascular ultrasound with over 15 years performing clinical applications and vascular ultrasound.
Sarah LaRose Michaud, RVT
Technical Director and Lab Manager in the Cerebrovascular Laboratory
Sarah Michaud specializes in transcranial doppler ultrasound. She is the lead technical director and lab manager in the cerebrovascular laboratory at the Brigham and Women’s hospital.
Alaska Pendleton MD
Senior vascular surgery trainee at the MGH.
She did her medical school at Harvard Medical School. She is an expert in vascular pathologies and has a passion for teaching and ultrasound.
Drena Root, RVT
Technical Director of MGH Vascular Lab
Drena Root is the technical director for the Waltham MGH Vascular lab. She has over two decades of experience with vascular lab and was one of the founding members of the vascular lab at MGH.
Viviane Seki-Sassaki, MD, RVT, RDMS, RPVI
Vascular Sonographer Stanford Hospital
Viviane Seki-Sassaki is an MD and has completed a diagnostic radiology residency. Currently, she is a registered sonographer RVT, RDMS (AB,OBGYN) working in the Stanford Vascular Lab at Stanford University Hospital. She is also RPVI and teaches ultrasound to residents and fellows at Stanford. She has worked in Inpatient/Outpatient sites, including emergency and ambulatory services. Her skill areas include Abdomen, Thyroid and neck structures, Urinary, Gynecology, Breast, Vascular and Musculoskeletal.
Scott Silverman, MD
Vascular Neurologist, Instructor of Neurology
Dr. Silverman is an Instructor of Neurology at Harvard Medical School and an Assistant in Neurology at Massachusetts General Hospital (MGH) where he works on the stroke service. He received his undergraduate degree in Neuroscience from Bowdoin College in 1994. Dr. Silverman received his M.D. (2002) and completed his Neurology residency (2006) from the University of Massachusetts Medical School. He then did a fellowship in Vascular and Critical Care Neurology at Massachusetts General Hospital and Brigham and Women’s Hospital (2007). Dr. Silverman is board certified in Neurology, Vascular Neurology, and Neurocritical Care. Dr. Silverman is the Director of Outpatient Stroke Services at MGH. He has a strong interest in medical education and is currently the Director of the Mass General Brigham Vascular Neurology Fellowship. Dr. Silverman’s research and clinical interests are in ischemic stroke, specifically intracranial atherosclerotic disease and stroke in the young.
Piotr Sobieszczyk, MD
Assistant Professor of Medicine Brigham and Women’s Hospital/Instructor Harvard Medical School
Dr. Piotr S. Sobieszczyk is a member of the interventional cardiology team at Brigham and Women’s Hospital (BWH). A cardiovascular specialist, he is also an instructor in medicine at Harvard Medical School. He received his medical degree from Columbia University College of Physicians and Surgeons. He completed an internal medicine residency at Massachusetts General Hospital, as well a peripheral arterial and venous interventions fellowship at BWH. He then completed fellowships in interventional cardiology and interventional vascular medicine at BWH. Dr. Sobieszczyk is board certified in internal medicine, cardiovascular disease and interventional cardiology. Dr. Sobieszczyk’s clinical interests include carotid artery disease, structural heart disease, ventricular assist devices and high-risk coronary intervention. His research focuses on the medical and endovascular management of complex cardiovascular disease, including the management of peripheral artery disease. He has received research funding from the National Institutes of Health. He is director of the Brigham and Womens Hospital vascular lab.
Jill Sommerset, RVT
Director of the PeaceHealth Thoracic and Vascular Surgery Vascular Lab
Jill Sommerset is the technical director of the PeaceHealth Vascular Lab. She has published extensively and is the inventor of the novel pedal acceleration time technique to evaluate arterial flow to the foot. She has spoken at multiple national and regional conferences educating physicians and technologists on the intricacies of peripheral arterial ultrasound.
Jordan Stern, MD
Assistant Professor Stanford University Hospital
Dr. Stern earned his medical degree at The Ohio State University College of Medicine in 2008. He completed his general surgery residency at The University of Chicago in 2015, which included a two-year research fellowship in Translational Systems Biology. He then completed his vascular and endovascular surgery fellowship at New York-Presbyterian Hospital, Columbia University Medical Center/Weill Cornell Medicine, in 2017. Dr. Stern is board certified in both general surgery and vascular surgery. Dr. Stern joined Stanford Vascular Surgery in 2017 as a Clinical Assistant Professor of Surgery. His primary practice is at Stanford Health Care. Dr. Stern’s clinical and academic interests are in the treatment of aortic disease. He is involved in the development of novel treatment strategies for complex aortic pathologies, and serves as principal investigator on several clinical trials. He is also involved in clinical research, examining contemporary practice patterns and outcomes from endovascular and open surgical interventions.
Julianne Stoughton, MD
Medical Director of the Venous Program at MGH, Associate Professor of Surgery, Instructor at Harvard Medical School
Dr. Stoughton is the Medical Director of the Venous Program at MGH, and she runs the MGH Vein Care Center in Stoneham, Massachusetts. She is also an Assistant Professor of Surgery at Harvard Medical School. She attended Dartmouth and then Brown University Medical School. She then completed a residency in General Surgery, and a fellowship in Vascular Surgery at the University of Rochester in Rochester, New York. She is board certified in General & Vascular Surgery, & is a Fellow of the American College of Surgeons. Dr. Stoughton has been a speaker, moderator, & course director for many national and international meetings. She has contributed in numerous meetings: the Harvard Vascular Surgery Courses, the American Venous Forum annual meetings, the American College of Phlebology & American Vein and Lymphatic Society annual meetings, the international Union of Phlebology (UIP), the Veith Vascular Surgery meetings in NYC, the American College of Surgeons, the Society of Vascular Surgeons, the Eastern Vascular Surgical Society, the New England Society of Vascular Surgery, the Society of Vascular Ultrasonographers. She has been speaking internationally at the Vascular Surgery Congress in Sao Paulo Brazil, the French Phlebology Society in Paris France, and several international meetings in Cortina and Venice, Italy. She has been a member of numerous local & national committees. She was the co-Chair of the 2012 American College of Phlebology Annual Congress, & she was the course director for the “”In-Vein”” meetings for many years. She was the chair for annual Vein Forum conference in Washington, DC in 2015. She was course director for the deep vein course in Phoenix 2019 & will be course director for non-thermal ablation (AVF) course in Atlanta 2020. She has also been elected to the executive boards of the New England Society of Vascular Surgery, the American College of Phlebology, the American Venous Forum, & she was just elected Treasurer of the American Board of Venous & Lymphatic Medicine. In addition to writing several textbook chapters on venous disease, she has reviewed and published numerous papers for peer-reviewed journals. As a pioneer in the field of venous disease she participates in the training of students, residents, fellows & attending physicians from across the country and internationally.
Srini Tummala, MD
Director of Vascular Services, Department of Interventional Radiology, University of Miami System
Dr. Tummala is a national expert in Vascular Disease & Amputation Prevention. He brings 18 years of valuable experience and cutting edge treatments in the field of Vascular Disease and Endovascular Therapy to his current role at the University of Miami Health System. Dr. Tummala serves on multiple national committees with experts from the US and Europe helping to determine treatment guidelines for patients with arterial blockages in the leg. He has made media appearances and given hundreds of lectures on topics related to diseases of the blood vessels. Dr. Tummala has published numerous articles for major journals including Seminars in Interventional Radiology, Techniques in Vascular and Interventional Radiology (TVIR), Journal of Clinical Medicine, and book chapters in Current Techniques in Vascular Surgery, and Paul & Juhl’s Essentials of Radiologic Imaging. Additionally, he has successfully organized local vascular interventional meetings, served as a moderator at the Society of Interventional Radiology (SIR) national meeting, made media appearances, and lectured extensively on topics related to peripheral artery disease/critical limb ischemia at major national and international meetings.
Gabriela Velazquez MD
Associate professor at Wake Forest Baptist Health.
She completed her training in General Surgery at Emory University in Atlanta, GA followed by a Vascular and Endovascular Surgery Fellowship at the University of Florida in Gainesville, FL. She is the Director of the Vascular Surgery Fellowship Program at Wake Forest School of Medicine.
Ido Weinberg, MD
Director, Vascular Medicine Fellowship
Dr. Weinberg received his medical degree and completed his internal medicine training at the Hadassah Hebrew University School of Medicine. He then completed his Vascular Medicine Fellowship at Massachusetts General Hospital and is board certified in vascular medicine (American Board of Vascular Medicine). His ongoing research focuses on venous thromboembolic disease and manifestations of arterial disease. He is associate professor of medicine at Harvard Medical School. Dr. Weinberg is the fellowship director of the Vascular Medicine Fellowship Program at Massachusetts General Hospital. He is also co-medical director of the Anticoagulation Management Services at Mass General as well as medical director of VASCORE, the Ultrasound Core Laboratory. Dr. Weinberg is founder and editor-in-chief of Angiologist.com, the only online portal for Vascular Medicine.
Jeniann Yi, MD
Assistant Professor University of Colorado Anschutz School of Medicine
Dr Jeniann Yi is an assistant professor at the University of Colorado. She completed her vascular surgery fellowship and general surgery residency also at the University of Colorado and obtained her medical degree at the University of Illinois. Dr. Yi has a masters degree in clinical sciences and specializes in high value surgical care and health informatics research. She is the quality director for the Division of Vascular Surgery, a faculty member of the Office of Quality and Clinical Effectiveness in the Department of Surgery, and a physician builder in the University of Colorado Health Systems physician informatics group.
Course Contact Info
Harvard Medical School | Postgraduate Medical Education (PGME)
Main: 617-384-8600 | Email: ceprograms@hms.harvard.edu
Visit us online: https://cmecatalog.hms.harvard.edu
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