Association of Thoracic and Cardiovascular Surgeons of Asia 2014-CVT Mohd Farid Report

PROGRAMME

THE SONOGRAPHER ATTACHMENT PROGRAMME

AT

ATCSA 2014

SONOGRAPHER

MOHD FARID BIN MOHD TAUFIK

CARDIOVASCULAR TECHNOLOGIST

2327

VENUE

HANOI, VIETNAM

DATE

1^ST NOVEMBER 2011 - 2^ND JANUARY 2012

SPONSORED BY

NATIONAL HEART INSTITUTE

KUALA LUMPUR MALAYSIA

1.0  Introduction

Globalization has opened our eyes and minds to think out of the box where geographic distance is no longer a factor towards understanding knowledge and culture. All these things can be shared together around the world .The new global media, such as the internet is a powerful means of projecting traditional cultures, sharing ideas and information worldwide and has become an essential part of life.

            Realizing the importance of globalization and being aware of the current trends in the world, National Heart Institute Cardiac Transplantation Unit has taken the leap to go internationally and making bridges with other country as well as broadens its member’s horizon to embrace this borderless world. National Heart Institute Cardiac Transplantation Unit members must be exposed to new knowledge new techniques and new information so that they will become well informed of the changing trends and brace themselves for obstacles and hurdles that will come their ways.

            Exchanging ideas with the cardiovascular surgeon and healthcare professional abroad is a great way of opening new ways of solving problems and see things from a different perspective. It is a not to be missed opportunity for the members to move forward and arm / equip themselves in line with the principle instilled in National Heart Institute Of Malaysia in branding Research, Internalization, Quality Assurance and to be centre of excellence for cardiovascular and thoracic procedure in the region and internationally. Therefore, it is our hope that this program will be a stepping stone in building a generation of healthcare profesional that will be brave, open minded and respected other healthcare professionals who could be part of future world leaders in cardiovascular and thoracic surgery.

            Moreover, the exposure to the exquisite medical skills and techniques in cardiovascular and thoracic surgery of international faculty will definitely boost and encourage our students to be proactive in their chosen careers. Therefore, interactive sessions in the conference  between cardiovascular surgeons hopefully would instill strength and endurance to those involved to become better healthcare professional and pioneers in developing and improving cardiovascular and thoracic services in our country.

2.0 Objectives

consolidate continue medical education

expand knowledge in heart transplantation and ventricular assist device

strengthen and expand specialist services

nurture quality research in areas thrust

strengthen and expand team work among specialist services

ensure a conducive working environment and a healthy work culture

3.0 Participant

National Heart Institute Heart Transplant Team

4.0 Venue

Hanoi

Anyone who has ever visited Hanoi will probably tell you that it may be the most beautiful city in all of Asia. People have settled here along the Red River for a thousand years. Nestled along wooded boulevards among the city’s two dozen lakes you will find architectural souvenirs left by all who conquered this great valley, from the Chinese who first came in the last millennium to the French, booted out in our own century.

The trip into the city from Noi Bai Airport takes about an hour and offers some poignant glimpses of modern Vietnamese life: farmers tending their fields, great rivers, modern highways that abruptly become bumpy roads. The drive is especially breathtaking at dusk when the roads fill with bicycles, and everything takes on the same deep colors as the modern paintings you see in Hanoi's galleries. Somehow the setting sun seems enormous here as it dips into the cornfields on the horizon.

On the edge of the city the road dissolves into a maze of winding, narrow, wooded lanes. You are surrounded by roadside artisans, shops and taverns, then by graceful villas and commuters on bicycles, cyclos and motorbikes. Modern buildings appear from nowhere, looking so out of place that you have to wonder if they were dropped from the sky and just left where they came to rest. While you tell yourself that nothing as preposterous as Hanoi can be so beautiful, you cannot help but be dazzled

Melia Hotel

Melia Hotel welcomes all who are looking for splendid accommodation, first-class facilities, and warm services. The Melia boasts the largest conference and meeting space in the country. With state-of- the-art convention technologies and first-rate facilities, the hotel is an ultimate place to hold monumental meetings, remarkable receptions, and energetic events.

The Grand Ballroom, placed on the 2nd floor will be chosen as the ATCSA 2014‘s congress meeting room. It can accommodate up to 1200 delegates and be divided as 3 Ballrooms, where we organize several symposiums with different topics. In addition, the exhibition booths will be placed outside of the congress meeting room on the 2nd floor.

Competence Of A Cardiac Sonographer

The American Society of Echocardiography (ASE) believes that there are three primary elements involved in assuring the competence of a cardiac sonographer:

• Credentialing and Formal Education: A cardiac sonographer must obtain a recognized credential within the time frame and using the pathways specified by a credentialing organization recognized by the ASE. A new cardiac sonographer entering the field must comply with the formal educational requirements specified by the applicable credentialing organization, and must fulfill those requirements through participation in a program recognized by the ASE.

• Technical Competence: A cardiac sonographer must demonstrate and document technical competence in the performance of those types of echocardiographic examinations that the sonographer performs.

• Continuing Education: A cardiac sonographer must maintain his or her skills through participation in appropriate continuing education.

Role of the cardiac sonographer is increasingly complex and demanding. Not only must the cardiac sonographer be familiar with approved clinical protocols for each type of cardiovascular ultrasound examination he or she performs, the sonographer also must be able to analyze the patient’s clinical history fully, in order to identify the purpose of the examination, frame the clinical questions that the examination is intended to answer, and expand the examination as necessary to answer the clinical questions.

To this end, the cardiac sonographer must have a comprehensive understanding of cardiovascular and thoracic anatomy, cardiovascular pathophysiology, hemodynamics, and embryology, in order to recognize normal and abnormal cardiovascular structure, function, and abnormalities of blood flow. The cardiac sonographer also must demonstrate knowledge and understanding of ultrasound physics, instrumentation, tissue characteristics, and measurements of blood flow, including the biological effects of ultrasound. The cardiac sonographer must be familiar with other types of diagnostic tests examples like clinical laboratory tests, nuclear cardiology, cardiac catheterization, cardiovascular and thoracic surgery procedure and be able to integrate echocardiographic results with the results of such other tests.

In addition, the cardiac sonographer must have a number of important communications and basic safety-related skills. The cardiac sonographer must:

• Be able to interact and communicate effectively – both orally and in writing with healthcare providers, including other sonographers, cardiologist, surgeons, and nurses.

• Be well-versed in medical terminology.

• Be capable of explaining the purpose of the echocardiographic examination to the patient and answering patients’ questions.

• Be aware of proper infection control, including precautionary procedures.

• Be familiar with, and in compliance with, relevant laws regarding patient confidentiality and privacy.

• Be competent in first aid and certified in Basic Life Support.

Formal Education

The ASE recognizes that several pathways are available to provide formal instruction to cardiac sonographers, including programs that solely focus on cardiac ultrasound, programs that offer cardiac and general diagnostic ultrasound, and programs that introduce participants to a broad array of cardiovascular technologies. The ASE has adopted specific recommendations for education and training curricula and believes that, to achieve minimum competency, cardiac sonographers entering the field should obtain education and training that are consistent with these recommendations. Program such as

Technical Expertise

Proper ultrasound instrument operation is critical in obtaining diagnostic images. The operator must be able to properly display cardiac and/or vascular structures and blood flow in each of the imaging views. A cardiac sonographer must demonstrate proficiency in the performance of two-dimensional, M-mode, and Doppler such as pulsed wave, continuous wave and color flow echocardiographic diagnostic procedures.

Visualization of all cardiac chambers, valves, and vessels, with appropriate structural and blood flow measurements, should be provided using a standardized protocol. Abnormal echocardiographic and Doppler velocities that are indicative of cardiovascular pathophysiology must be accurately documented and can help in the management of patient.

Summary

The conference agenda blended researchers, practitioners and cardiac surgeons giving the audience a  broad overview of cardiovascular and thoracic surgery from a wide  range of perspectives. While there  are technology driven strategies in the management of patient,  there continues to be challenges in moving forward with a new wave of cardiovascular and thoracic surgery research and development. The dialogue and paperwork presentation at this conference was  important and served as an  opportunity to advance research, programs, policy and practice to further improve patient care and management.