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Welcome Call - September 16, 2024

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0:01

Hi everyone, and thank you for joining us today

0:03

for this welcome call

0:05

for the Cardiac CTA online training course.

0:08

Um, the September, 2024 cohort. I'm here with Dr. Fni.

0:12

Um, we're gonna wait just a minute or so to see if Dr.

0:15

Lorenz, uh, joins us here quickly. Um, so Dr. Fni and Dr.

0:20

Lorenz will take this time to just give a overview

0:23

of the course and answer any questions you may have.

0:26

And if we have time at the end, um, I can show you, um,

0:30

I can navigate the course a little bit

0:32

and give you a demonstration, um, of

0:35

how you'll be submitting your case reports too.

0:37

And I see Dr. Lorenz just joined us.

0:45

Hi, Dr. Lorenz.

0:52

Uh, you're, you'll need to, uh, your audio.

0:56

We can't hear you to unmute him.

1:05

Uh, we, we still can't hear you, Dr. Lorenz, I apologize.

1:17

Okay. It looks like Dr.

1:19

Lorenz may be having some technical issues,

1:21

so we give it another, um, moment or so.

1:26

But thank you everyone for coming today.

1:28

Please be patient with us as we, um,

1:32

get the technology working.

1:36

Yeah, sometimes this happens. It's,

1:40

Yeah, It's so good.

1:42

I see him. It's there.

1:48

Maybe it's got too many speakers. That's what it is.

1:52

It's usually too many speakers.

1:54

That's what it is. Seeing, like 18 microphones,

1:59

it same issue, too many workstations,

2:01

and it's gotta like alternate the,

2:04

the sound from this one to that.

2:06

It, it's, it's, it's a,

2:07

It's, it's a lot.

2:09

And you guys will learn that cardiac imaging

2:12

and interpretation is the easiest part in this whole thing.

2:16

Well, that's the easy one. The audio visual.

2:18

That's the hard part.

2:22

You're able to join us. Dr.

2:23

Lorenz, I was just telling everyone that entered the room,

2:26

um, that you and, uh, Dr.

2:29

fni, were just gonna give a, during this welcome call,

2:31

an overview of the course

2:32

and expectations answer any questions, um,

2:36

any learners may have.

2:37

But if we have time at the end, I will do a demonstration of

2:40

to show the learners, um, how to submit a case report.

2:45

Dr. Fni, do you wanna go first?

2:47

Yeah, yeah, we can. Uh, so welcome everybody.

2:50

More than anything, we, uh, Dr.

2:53

Loren and I worked together for, what, four years,

2:56

three years in the military.

2:58

He got out before I could get out.

3:01

But, uh, when we were doing this, we,

3:03

we had been envisioning a course for our fellows residents,

3:11

and then we had the opportunity with modality to do this.

3:14

So we worked a little bit more in depth

3:16

and got some of our preferred lovely cases

3:18

and just came out with a product that we're very happy

3:21

to share with all of you.

3:22

Um, this is geared towards a collaborative approach.

3:26

It's geared to under the assumption

3:28

that you have some background in cardiac imaging,

3:31

at least with coronary.

3:32

So we push you a little bit harder than these courses, uh,

3:36

than other courses if you've taken some.

3:39

We also kind of focus strategically more on making sure

3:42

that your reports are, you know, as good

3:45

as they can get compared to some of the reports.

3:50

There are reports that, you know, sometimes are adequate,

3:53

but our reports, we want them to be, you know, compared

3:56

to a core lab for somebody who's getting an academic level

3:59

type read, but also work on that efficiency

4:02

that we can get you through many cases so

4:04

that you can apply it to your job.

4:06

Um, the cases are, again, another advantage of this courses,

4:11

those process soter recon,

4:13

and it's through that partnership that we really get you

4:16

to learn how to post-process some of these, uh,

4:19

things in the, in the exams,

4:21

but more importantly, some of the more advanced workflows

4:24

that we hope you take advantage of.

4:26

We, we have, you know, really trying to ensure that you get

4:29

as much information as you need in the courses to,

4:32

to really get as much information out of, of the case.

4:36

And that in addition to that, we also have report examples

4:41

and, and we provide you with a, a standard case report for

4:45

how the report should be, what our findings are and,

4:49

and what the expectation is.

4:52

Now from our teaching of this course, we've come

4:55

to learn one of few things.

4:57

One, the more engaged you are, the better the experience

5:00

for both you and us, right?

5:03

Uh, we want, we're here to help you.

5:05

We we're taking time over busy day

5:07

because we wanna help you get as good as you can on this ct.

5:12

So we're here really for you when we have office hours,

5:16

if you have a question via email or you get a report read

5:20

or something wasn't clear, this is what we're here for.

5:24

Uh, and we want you to capitalize some that

5:27

and feel free that you can approach us and,

5:30

and tell us how, how you are progressing.

5:32

More importantly, what questions aren't clear.

5:34

The other thing that we wanna make sure you do is really

5:37

take advantage and make dedicated time for these cases.

5:39

You know, if you spend, you know, one case per day

5:42

during the week, rather than trying to cram six of them

5:45

or five of 'em at the end of the week,

5:46

you're probably get the better experience overall.

5:49

That way you get to progress in time

5:51

and you got more time, you're less rushed,

5:53

and it'll help you with your reports.

5:56

We want you to use and make your own report.

5:58

We provide you templates to kind of make it easier.

6:01

We understand some of you like to make your own templates,

6:04

just whatever it is that you do, make sure

6:07

that you use your own words, your own interpretation so

6:10

that we can see how you're progressing, right?

6:13

We, we, we've seen it, we know it happens.

6:16

Uh, we like to read our own writing.

6:19

We are at that level of ego egomaniac or the lorenzen.

6:21

I go like, man, that's an excellent report.

6:23

I wonder why, right?

6:25

We,

6:30

that's right.

6:30

So we try not, we, we've gone through it many times

6:33

and seen that it works really well.

6:35

We want the reports to be a way for you

6:37

to help us help you kinda identify those,

6:41

those areas for improvement.

6:43

And more importantly, kind of see how well you are doing.

6:45

If you already know how to do an excellent report

6:48

and you're doing that, your, your course is gonna be easier.

6:50

You're gonna be more focused if there are areas you need

6:52

to work on, work on those things.

6:55

We also refer to a lot

6:57

of the information on those references that we

7:00

provided you on the actual, uh, explanations for the case.

7:03

There's a lot of, you know, background literature

7:06

that we provide articles

7:08

that are important for you to know about.

7:09

So make sure you review those

7:11

and take time to kind of read about it, especially

7:13

with this unique blend of significant clinical, uh,

7:18

specialty that's required of the radiologist, right?

7:20

The clinical background to really answer these questions

7:22

beyond like its present for absent really challenges you

7:27

to know a lot about cardiac literature

7:29

and, you know, imaging literature that we hope

7:32

to provide you with that background so you can, you know,

7:35

help your patients

7:36

and help the clinicians that are asking you those questions.

7:39

And vice versa. We're not here to teach you things

7:42

that you've already learned in your residency or fellowship.

7:44

We're just here mostly to kind

7:46

of help you get more reps into card, cardiac ct,

7:50

coronary ct, and some of the new nuances from that.

7:53

So, with this in mind, you know, when we grade your reports

7:56

and we're, I don't think we're as harsh

7:58

as we could be sometimes, you know, I think I'm super harsh,

8:01

and then I see how Dr.

8:02

Lauren, a radiologist grades his reports

8:05

and I'm like, well, I guess there's a little bit more room

8:07

for wiggle and vice versa.

8:09

If you're a cardiologist

8:10

and I see that I tend to be a little bit harder on you,

8:12

so we can we play

8:17

bad cup at the same time alternating terms,

8:19

but know that we do this

8:21

because we, we really want to help you.

8:22

And working together, building a program together,

8:26

teaching fellows together, teaching residents together,

8:28

we've learned that, you know, it, iron sharpens iron and,

8:32

and sometimes tough love goes a long way.

8:34

So we're, we're here to, we're here to help you.

8:37

And that's my spiel.

8:42

I think you're muted, Jill.

8:44

I would remind everyone that, um,

8:46

you paid for this course.

8:48

And the difference between this course

8:50

and some of the other courses is

8:51

that you are investing in your own education

8:55

and your own future growth in cardiac imaging.

8:58

And so you've now provided, um, yourself

9:01

and this wonderful opportunity to get this education.

9:06

I'm here to help you become the best cardiac imager

9:09

that I can do and be, uh, for you in,

9:14

in a 10 week period of time.

9:16

So there are a lot of materials, there's a lot of things,

9:18

there's a lot of office hours.

9:20

Um, and what, uh, what Emilio said,

9:23

and what I've seen is too, is that those, uh,

9:26

students who've taken those opportunities,

9:28

those office hours, those reflections replies

9:31

and emails, they've, they've gone light years ahead of some

9:35

of the other students and cardiac imaging the way

9:38

that it continues to evolve.

9:39

And so dynamically change in terms of guidelines

9:42

and in terms of improvements in technology,

9:45

you guys really are at the forefront of that.

9:47

How much change is there in, um,

9:51

the adrenal nodule comparatively, you know, as for all

9:54

as radiologists to coronary, um, angiographic imaging,

9:58

it's just crazy just how much is going on here.

10:01

So I'm here to be your life coach.

10:04

I'm here to be your investment, um, banker coach,

10:07

and I'm here to get you the most out

10:09

of this course possible.

10:10

But you have to show up, you have to do the work,

10:13

and you're gonna, you're gonna love it.

10:15

Sometimes you might hate it.

10:16

Um, but that's

10:18

because the tough love that we're gonna be providing here is

10:21

actually gonna be performative in your, in your reports too.

10:24

So these reports also in these, uh, exams that we have, um,

10:29

curated, they are designed

10:33

to not be perfect text examples.

10:35

Why? Because you will never get perfect text examples in

10:39

your clinical practice.

10:40

They'll be suboptimal, contrasting times, motions,

10:44

there'll be all these different tacts and stuff.

10:46

And that's the whole point, is still to be able

10:49

to deliver at the best of your clinical acumen

10:51

and capability, the best report possible,

10:54

that's gonna change management

10:55

and improve that patient's outcome.

10:57

So we're gonna teach you how to do that.

10:59

So keep that in mind that these are not supposed

11:01

to be textbook cases.

11:02

They're supposed to be

11:04

what you're normally gonna see throughout life,

11:06

but also they're gonna help you guide, be guidance, uh,

11:10

through that and what to do and how to do it.

11:13

Um, also, one of the other things

11:15

that I think is extremely important is the

11:18

collaboration with Tara Recon.

11:19

There are a lot of, um, work lists, smart lists

11:22

and super, um, automated features

11:25

that we're gonna have access to that we can help you out,

11:28

um, and be able to, um, increase your efficiencies

11:32

and your sensitivity and specificity.

11:35

So we're going to show you how to do those things as well.

11:38

But, um, love you guys so much.

11:42

I'm so glad that you're taking this course.

11:44

Um, a lot of the students are good friends, um,

11:47

after the fact, of course, um, where we are able then

11:50

to collaboratively work together.

11:52

And that's, that's

11:53

what this neighborhood and this community brings.

11:55

Um, so, um, try to get the most out of this if possible.

11:59

I know you have a busy life, um, but, uh, like, uh, Dr.

12:03

Ana said if you do one a day

12:05

that is way higher improvements in success rates than trying

12:08

to tackle 10 or 20 and one go at one night,

12:12

and then not get too much out of it.

12:14

But we'll leave, uh,

12:15

we'll leave some opportunity there if you have any

12:18

specific questions for us.

12:26

No questions. No.

12:30

Yeah, and like we said, if you do have a question,

12:32

you can ask directly or just put your question in the chat.

12:37

Yeah. Let's see. We have 10

12:39

participants, so this is great.

12:41

So can you guys go around

12:43

and tell us your specialty radiologist cardiologist,

12:47

where you working and, uh, you know,

12:51

what do you hope to get out of the course?

12:54

Let's see. We can start with Dr. Garcia.

12:59

Uh, hello everybody. I'm Melissa Garcia.

13:02

I'm from Costa Rica. Um, I'm a radiologist.

13:05

I have been a radiologist for about a year

13:07

and a half, uh, here in Costa Rica.

13:10

During our residency.

13:11

We don't really get a lot of cardiac CT experience at all.

13:15

So I'm looking forward to learning, um,

13:19

cardiac ct.

13:21

Uh, in my regular practice, I focus a lot on

13:24

thoracic radiology.

13:26

I am in charge of the session

13:28

of the multidisciplinary session of

13:31

lung cancer in my hospital.

13:33

Uh, but cardio CT is something

13:35

that I really would love to learn.

13:37

And yeah, so that's it. Oh,

13:40

That's awesome. Yeah.

13:41

That's awesome. Make sure that you get a chance

13:44

to also look at, uh, with, when you purchase this course,

13:47

we have other lectures

13:49

and prior courses that are available to you through video

13:52

to kind of augment that,

13:54

or kinda sometimes limited in

13:56

how much content we can put into ours,

13:58

but you got a lot of other mod, uh, modality

14:00

and, you know, courses that are part

14:02

of this overall purchase that if you have questions,

14:05

you review it, you know,

14:07

you have any concerns, anything, let us know.

14:09

Uh, so excellent, we're, we're happy to help you along with

14:13

that, with that task.

14:14

So thanks for joining us,

14:16

and, uh, look forward to working with you.

14:19

Me too. Thank you. Next is Dr.

14:22

And I'm gonna say it correctly. Dr.

14:24

Sab or sab, I'm sorry if I didn't say that correctly.

14:33

Hi, Dr. Fontan and the other doctors.

14:37

Um, good day to everyone.

14:39

It's currently just after 1:00 AM here.

14:42

I'm from South Africa currently on calls.

14:45

I'm taking the opportunity to join this, uh,

14:48

this conversation.

14:50

Um, so I'm, uh,

14:53

just a recently graduated radiologist.

14:57

I was exposed to quite a bit of cardiac, uh, imaging

15:01

during my residency.

15:03

Uh, we had had started it recently in my

15:06

third year of my program.

15:08

And, uh, not too long

15:10

after that, we had a fellow trained, uh, cardiac, uh,

15:14

radiologist join us.

15:16

She'd done a fellowship in Canada.

15:19

And, uh, I was very surprised at how in depth,

15:24

uh, the training for, uh, cardiac imaging was

15:28

during that fellowship.

15:29

So it piqued my interest.

15:31

And, uh, cardiology, uh, is an interest of mine.

15:37

And, uh, I always, uh, try to grab as many cases as I could.

15:42

Um, so definitely I'm,

15:44

I'm very interested in learning more about cardiac imaging

15:48

and becoming adequately trained at reporting my own studies

15:52

to the level of, of, of a fellow trained, uh, radiologist.

15:57

Well, that's, that's very good.

15:58

It's a, it's a very ambitious

16:00

and very, very capable, you know, doable goal.

16:03

Uh, the cases that we do have, you know,

16:06

they start out a little easy

16:08

and then they get a little bit harder, harder each time.

16:11

So it's consistency, consistency.

16:14

And I think a biggest part for you, for what you're trying

16:16

to mention is trying to get that knowledge

16:19

and how in depth that is.

16:20

That's the case discussions.

16:22

Every single case discussion, we throw a lot of information

16:26

to kind of get you the background on the clinical studies.

16:29

Where did the accuracy come from?

16:31

What does this mean to the patient?

16:32

Prognostically all of that information on how does all

16:36

of this help you build that foundation?

16:38

You need to be able to learn more

16:40

and get caught up with everybody.

16:41

We put it all there. All of those resources are available

16:44

to you through the lectures,

16:45

through the case reports, the references.

16:49

So make sure, you know, if you're hungry, we,

16:51

you, you joined a buffet.

16:53

Uh, and we hope that, you know, as you're learning,

16:56

as you're getting, like, Hey, this doesn't make sense,

16:58

this does make sense, have a question of this.

17:00

How did you do this, et cetera,

17:02

that that's what we're here for.

17:03

Just to make sure that we can get you

17:06

to achieve your goal in a way that you want

17:08

to do it at your own pace.

17:10

And, you know, we, you're gonna see

17:11

how comfortable you're gonna get in these cases.

17:13

They get pretty intense. They get pretty hard.

17:15

So don't, don't get too, don't get too, uh, uncomfortable

17:19

with the learning curve.

17:20

Just, just keep trying and,

17:22

and you have access to this for quite some time too.

17:24

So just, just

17:26

'cause the course ends doesn't mean

17:27

that you can't go back practice and, and mm-Hmm.

17:29

All these concepts. And that goes for everybody.

17:31

You have a lot of, uh, the di recompose processing,

17:34

I think you have it up to a year.

17:36

So you, you'll be able to really, really move

17:40

around those cases for quite some time

17:42

and, and learn some more.

17:43

So that's, that's good. Excellent. Very good.

17:46

Well, thanks for joining us,

17:47

and we look forward to working with you

17:50

during the next couple of weeks.

17:52

No, thank you as well. Yeah, of course. Now next is Dr.

17:56

Shabani. Did I say it right?

18:01

Yes, you said it right. Hi. Okay.

18:05

Um, I'm Elizabeth Shabani.

18:07

I was, uh,

18:08

I finished fellowship 10 years ago in pediatric radiology in

18:11

Toronto, and was on staff in an academic center doing, uh,

18:15

congenital heart and general pediatric radiology,

18:18

and then some adult heart as well.

18:20

Um, then I transitioned to general private practice,

18:23

and then in the last year, I got hired

18:25

to start a cardiac CT program at a private hospital here.

18:28

Um, so I've started that and I had it going,

18:30

but I just wanted like a refresh.

18:33

And also, now that I'm in charge of all of the protocoling

18:37

and all of the exam optimization, some

18:39

of the technical stuff as well.

18:41

Yeah, perfect. You know, we, we, we have had our share

18:45

of that experience.

18:46

Dr. Lorenzo and I have started program third

18:49

where we've been, it seems, oh, yeah.

18:50

So if you have ever questions about like,

18:54

or you don't wanna start from scratch, you need protocols,

18:57

um, machine adjustments.

18:58

How do we do this on ge? How do we do this on Canon?

19:02

How do we do this on Phillips?

19:03

How do we do this on Siemens, uh,

19:06

workflows from the nursing aspect to the non-nursing aspect,

19:09

support, obviously the cases

19:11

as you're learning whatever it is that you want,

19:14

and you need help from us, you know,

19:15

we're, we're here to help you.

19:17

So we want you to, to be successful.

19:18

We're big time believers in cardiac ct

19:21

and a strong CT program saves your hospital money,

19:25

but it also, it, it, it really is, uh, it's, it's a very,

19:29

very in much in demand skillset.

19:31

So we're kind of

19:37

help you with the refresher on this.

19:40

I think you'll probably, it's too easy.

19:42

So, you know, don't take too much offense to that part,

19:44

but we promise we'll give you a challenge with the,

19:46

with the cabbage cases, the valve cases,

19:49

and some of the other, uh, you know,

19:51

outside structural cases that,

19:53

that we've included in there. So

19:55

Looking forward to it. Thank you.

19:58

Dr. Giovanni, can I ask you, did it, um,

20:01

did it feel weird that now 10 years

20:05

after you started training

20:06

that cardiac imaging has become a thing

20:08

and now you've been asked to like, set up a program?

20:10

Did you think it was gonna take? Yeah.

20:12

Um, well, it was weird for multiple reasons, mostly

20:15

because I'm a pediatric radiologist

20:16

and I get left that, to start the,

20:18

and they really needed someone who had knowledge

20:21

and cardiac enough that they were like, okay,

20:23

you're a pediatric radiologist, we're gonna hire you.

20:26

So, uh, but it's been a great job.

20:27

I've been in it for about six months, so I,

20:30

I'm really hoping to continue to add more there, so.

20:33

Good. Okay. Well, wonderful. Yeah, like Dr.

20:35

Fontana said, one of the big rewards

20:38

or carrots comes out

20:39

of these programs is the network, but also mm-Hmm.

20:43

Learning how to set up programs, um,

20:46

that you're currently doing.

20:48

I can't tell you how many times emails pop up

20:51

and say, could you set up this cardiac program?

20:53

Could you do this? Mm-Hmm, da da da.

20:54

Do you, if you can't, do you have anybody that you know?

20:56

And I typically send it to some of the modality grads.

20:59

Um, it's just a fantastic time

21:01

to be a cardiac image right now.

21:04

Right. Very good. Next is Dr.

21:09

Yap. Did I say it correct? Dr. Yap? Yeah.

21:12

Hi. Hi. Uh, I'm from Canada.

21:15

I've been a radiologist for, you can hear me right? Um,

21:18

Yes Ma'am.

21:19

Um, I've been a radiologist for 10 years.

21:22

Um, before radiology I did a few years of cardiac surgery,

21:25

but, um, as is already said, cardiac CT

21:28

and imaging wasn't a big deal then.

21:31

So, and now I basically do oncology imaging,

21:35

but I just thought maybe I should learn cardiac ct

21:37

'cause it's getting more and more common

21:40

in the emergency department.

21:41

So, um, what I'm hoping to get out

21:46

of this course is really just have a

21:48

framework of what to do.

21:49

I know I can learn everything, um,

21:52

but at least I have a basic framework,

21:54

and then I can work on it and read around it.

21:57

Perfect. No, then,

21:58

then we'll definitely, we'll get you there.

22:00

Uh, you know, the, you sound you're pretty busy,

22:03

so make sure you make time for it,

22:05

but it's definitely doable.

22:06

It's definitely doable and, you know, just stay with it.

22:10

And you, it's a learning curve.

22:12

It's, it takes some time, but I think you'll do very well.

22:15

So we look forward to working with you

22:18

next Hamel.

22:27

Oh, hey, I see him. Hi.

22:28

Sorry. I'm the core. I'm, uh, Dr.

22:31

Hamed from the Quebec City.

22:33

I'm a French Canadian, so, uh, sorry for the accent.

22:36

Uh, so why I took this course.

22:38

Well, we, I'm in a, well, I'm a radiologist

22:41

for two years in Quebec,

22:42

and we just require, uh, we, we have a new radiologist

22:47

who do some cardiac C in our center,

22:49

and it's just getting too much popular cardiologist,

22:52

really like cardiac C so

22:56

he needs some, some help.

22:57

So that's why I, I decided to jump in and take the course.

23:02

Uh, my background, I did a MSK fellow, so, uh,

23:07

not much for from, for cardiac,

23:09

but in our hospital we do read all, uh, uh,

23:13

all sub specialties.

23:15

So, uh, I do read a lot of tests

23:18

and, uh, so that's another,

23:22

and I decide, I decided to take the, the course

23:25

because I, I wanted to join it really good

23:28

from the beginning and not start reading cardiac without

23:31

any real formation. So,

23:34

Yeah, no, we'll definitely get you there.

23:36

Uh, talk to Loren and Dr.

23:38

Loren and I got to know each other exactly

23:41

through that request.

23:42

Cardiac CT got really popular amongst the cardiologist,

23:45

and as I'll tell you all as a cardiologist,

23:47

we are, we're a tough crowd.

23:49

We're a very diva, like,

23:50

and I'll tell you, this is a cardiologist.

23:52

So Dr. Lorenz

23:54

and I, you know, work together to ensure that

23:56

as you're learning these things,

23:58

as you're building the background, as you're learning this,

24:00

we want you to have as much knowledge

24:03

as the cardiologists expect you to have.

24:05

And the things that we as cardiologists look

24:07

for in our reads that are clinically relevant to kinda help,

24:10

you know, expedite our, our reading and summary.

24:13

So, you know, feel, don't take it too personal.

24:16

If we kind of push you too hard with like, no,

24:19

this could be better, explain it this way,

24:21

because this is how a cardiologist wants it.

24:24

I'm telling you, uh, Dr.

24:26

Loren and I, you know, reads are the same,

24:28

even though we're both different specialties,

24:30

and we wanna make sure that all of you learn how to do that.

24:35

So it's, it's a tough thing.

24:36

But we, we've seen this before

24:38

and we're here to help you with that.

24:40

That that's an easy, easy ask. Thank you.

24:45

Yeah. Next is Dr. Ahmed.

25:00

I don't

25:01

Know. Hello?

25:02

Hello. Can you hear us okay?

25:04

Yes, I am hearing you. I am Dr. Wild. I am a cardiologist.

25:09

Uh, hello everyone.

25:11

And I, uh, it is nice to meet you all today.

25:15

I am more, I am Egyptian.

25:17

I'm working in Kingdom Saudi Arabia.

25:20

Uh, I would like to learn city cardiology

25:23

because I am in, uh, in my hospital.

25:26

There is a department for city and MRI cardiology.

25:31

I feel it may be tough, uh,

25:34

because I, I am not, I don't have enough experience

25:38

about in this field.

25:40

I'm just started to go deep in this,

25:43

maybe from four or five months.

25:46

So I decided to join this, uh, course,

25:50

and maybe I will get a subspecialty follow in, uh,

25:54

c in in cardiology imaging, CT and MRI,

25:57

and I hope I will get a good benefit, and thank you.

26:01

Perfect. Yeah, we can help you with that.

26:03

That's, that's not too much of a, like we said,

26:06

it's not, it takes some work.

26:08

It's gonna be a little bit tough, it's gonna require a lot

26:11

of reading, a lot of time.

26:13

But I think if you're motivated

26:15

and you're making the time to do this, we have no doubt

26:18

that you will, you will, you will get your goal achieved.

26:21

Then try to make sure that as you are progressing,

26:24

as you're, as you're moving along cases,

26:26

if something doesn't make sense

26:28

or you're still struggling with the same thing,

26:30

feel free to reach out.

26:32

Feel free to reach out, and we will make time for it.

26:34

Or we have prior videos.

26:36

We, there, there's ways for us

26:38

to help you get whatever it is that you need from us.

26:40

So feel free to reach out and let us know.

26:42

So we look work we'll look forward to working with you soon.

26:46

And then last but not least, Dr. Patel.

26:49

Uh, morning everyone. Uh, sorry.

26:52

I'm from, uh, I joined in late.

26:54

Uh, I'm from, uh, Gippsland, uh, in Australia, uh, r

26:59

and a half, uh, r and a half out of Melbourne.

27:01

So I'm with imed Radiology Network.

27:03

Uh, I'm, uh, 10 years past, uh, radiology training now.

27:07

And, uh, I'm a primarily a breast

27:10

and musculoskeletal radiologist, uh,

27:13

fellowship training in musculoskeletal.

27:15

And, uh, yeah, so, uh, primarily my goal for learning is,

27:19

uh, uh, I'm basically, uh,

27:22

we are in a rural setting over here in a hospital setting.

27:25

Uh, and there's very few radiologists, uh,

27:28

and, uh, there are two radiologists.

27:30

We, we used to have two, which has come down to one now.

27:34

And, uh, we are about to lose him to 0.5.

27:37

Uh, uh, so, uh, basically there is, uh, space

27:43

for somebody to fill in

27:45

and, uh, the company really wants me to, uh, see if I can,

27:48

uh, fulfill that, uh, role in, uh, doing, uh,

27:53

at at least a few CT Cs, if not all.

27:56

So, yeah, it's, it's, uh, it's something, uh, uh,

28:00

I was, uh, looking to do start last year,

28:03

but I kept on pushing it,

28:05

but now it's, uh, I think it's a good time to, uh, step up

28:08

and, uh, yeah, hopefully we'll, uh, try

28:12

and see if I can, uh, match up with other, the others.

28:16

No, I think you'll do well, you're,

28:18

the thing is being motivated, right?

28:19

So if you have the motivation, you're making time

28:22

for it, time for it's there.

28:24

And you know, you have those things like Dr.

28:26

Loren said, you know, we, we really built this course

28:29

to kind of get you from the ground up to kind

28:31

of work your way up there.

28:33

Now they, like I mentioned to everybody,

28:35

there are other courses you have access

28:38

to within the modality thing that are part of the purchase

28:41

that has many different lectures, many different approaches,

28:45

all of that information that you need in the background

28:47

to kinda really supplement all of this.

28:50

So key key thing is saying consistent, consistent,

28:54

consistent, uh, for each one of the cases,

28:56

and this goes for all of you, we made a,

28:59

a report answer sheet that it's kind

29:01

of like a fillable P-D-F-A-P-D-F that allows you

29:04

to scroll down and kinda systematically

29:08

organize your findings as you're going through it to kinda

29:11

keep things in place.

29:12

Like if you see the left main has no stenosis,

29:15

mark it down on that PDF with no stenosis so

29:18

that when you get to dictate, you have at least a,

29:21

a structure to, to the things that you go.

29:23

Because managing large volume of information, there's a lot

29:26

of information in a cardiac CT that you will either have

29:31

to pay, keep an eye for, you'll learn to kind of do it.

29:34

So we'll teach 'em how to do a systematic approach

29:36

to reading, you know, starting from the things that matter

29:40

to the things that really do matter

29:41

and the things that always matter,

29:43

and trying to help you maintain

29:44

that consistency and give you those habits.

29:46

And the reports that we've given you, the templates

29:49

that come with the course from a modality online, uh,

29:52

these are core, uh, templates that you can use clinically.

29:55

We made you a TAVR template,

29:57

we gave you a Watchman template, a PVI template,

30:00

and of course a coronary template.

30:01

So those templates are there not only for you to learn how

30:04

to do it, but to also use them in your hospitals.

30:07

These are templates that we, we've trying to standardize

30:10

that are, meet all the criteria for all

30:12

of the UpToDate RADS things.

30:14

So this is this information that we've given to you for,

30:18

for, for part of the course for you to help as many patients

30:21

as you can, because like you said,

30:23

there's not enough readers out there

30:24

and the demand is definitely, definitely out there.

30:27

So whatever it is that we can do to help you

30:30

and help all of you get, you help everybody, help everybody.

30:33

We're here for it. And, and we're excited.

30:36

This level of engagement is what makes the course good.

30:38

So I think you're all going to do very, very well.

30:41

I'm very excited to work

30:42

with you here in the very near future.

30:48

Thank you both Dr. Dr. Ani.

30:51

Um, I see we did have a question pop up in the chat.

30:53

Um, sure. Dr.

30:55

Um, Ani

30:57

and Lorenz, during office hours,

30:59

they will bring up Tara recon

31:01

and show you, um, through the site,

31:03

they will be reviewing the cases for that week

31:08

for each office hours.

31:10

Um, after we are, um, done with the question

31:12

and answer session here, I am going to, um,

31:16

do a screen share and, uh, log into the course

31:19

that you are all enrolled in

31:20

and show you how you can, um, submit your case reports

31:25

that way the cases you will access through Tara Recon,

31:28

but you will submit your case reports, um,

31:31

through the actual course on the modality website.

31:36

Yeah. And, and make sure, you know,

31:38

if you have a question on a case

31:40

and office hours are coming up,

31:41

or you're reading the ION report

31:43

and you're like, I have no clue how

31:44

they did that, how'd they get that?

31:45

Write it down. It's far more productive for us

31:48

to do office hours and answer every single one

31:51

of your questions, then, you know, we don't mind doing it.

31:54

Then going through each case

31:55

and kinda going, going through the, the case overall,

31:59

do you have a question, something that makes sense,

32:01

you wanted us to, like, how did you do this?

32:03

How did you do that? We can answer all those questions ahead

32:07

of time if, you know, if you get those to Courtney,

32:10

or even if you attended the session and ask those questions.

32:13

Really, the more interactive you are,

32:16

the more you're going to get out of it.

32:17

We promise. We're, we're, we're here to help you

32:21

and ensure that if something doesn't jive,

32:23

something doesn't make sense, it it's, we signed up

32:26

to make time for you to make sure that it makes sense.

32:28

That that's, that's what, that's the job.

32:30

And that's, we're here to do. So ask, ask, ask.

32:34

And you know, if something doesn't make sense, ask again,

32:36

promise we we're not gonna come up

32:38

with something we don't know.

32:40

And more importantly

32:45

down something

32:50

that we haven't come across yet.

32:53

But who knows, maybe you'll, we don't have anything else.

32:59

I don't think so. And yeah, just to reiterate what Dr.

33:02

Fonte said, e especially if you cannot

33:04

attend an office hours live session,

33:06

please email me your questions.

33:09

I will make sure that Dr. Loren and Dr. Yes, Dr.

33:12

Loren and Dr. Fontani does address the question

33:15

during the live session.

33:16

So it will be recorded.

33:18

All the live sessions are being recorded

33:21

and will be made available to you on demand.

33:24

I will email you those links

33:26

and also post 'em in the course.

33:27

So even if you can't attend a session, um,

33:30

you're still engaging in the course

33:31

by sharing your questions

33:33

and having, um, the doctors answer them for you.

33:38

All righty, Dr. Lawrence, you have anything else

33:40

for our friends before?

33:42

You guys are great. I am so glad you chose

33:44

to do cardiac imaging.

33:46

You guys are fantastic. Um, this is yours.

33:50

Uh, we're here to, like I said, life coach, you end here

33:52

and, and help invest in your,

33:54

in your experience and your education.

33:56

So, um, take advantage of it. This is fantastic.

33:59

Uh, look forward to seeing you tomorrow, uh, for our first,

34:03

uh, lecture in our live session.

34:05

So I'll be handling that one. And, um, so it should be fun.

34:08

Please bring your questions.

34:11

I I have a question. Sorry.

34:13

Can I just quickly ask so that I understand the, so I, we,

34:17

I will do one day a ca a case, and then I'll submit to you

34:20

and then I'll have the live, which is called the office hour

34:24

as well, to then you'll go through every case.

34:27

Mm-Hmm. And at that time will I get my feedback

34:29

already or before?

34:31

Will I already,

34:32

So you get your feedback, you get your

34:35

feedback from your case interpretations

34:38

before the office hour, right? Oh, right.

34:40

Okay. I would, we grade all those reports

34:43

before then for that reason.

34:46

'cause we want you to have your feedback

34:47

before so you have time to review it.

34:49

And then when the office hour comes,

34:51

if something's not clear, et cetera,

34:53

or you still have that question hasn't been answered,

34:55

you have the opportunity to answer, uh,

34:58

we have the opportunity to answer that.

34:59

But if you have a question like it's,

35:01

I know I want something more specific

35:03

that I want specific answers to email that question

35:05

to Courtney, we, we'll, we'll reply back

35:07

and you'll have that specific answer

35:08

to your specific question in there for, for you to do that.

35:12

So we'll do that. And if it's something that it's like,

35:14

you know what a lot of people are asking this,

35:17

then we'll go specifically over that during the office hour

35:20

so that if you're not able to attend, we can record that

35:23

and then we can go like, Hey, you asked this question, uh,

35:27

can I get this to look like this?

35:29

And, you know, we, we can do that for you now.

35:31

We're answer your question in the recording so

35:34

that you're not able to make it, you still have that option.

35:37

Okay. Perfect. Thank you very much. Yeah, of course.

35:46

Very good. Great.

35:47

Thank you. Um, I just replied, uh, to you, Dr. Patel.

35:50

Um, I will reach out to Tara Recon for you.

35:53

It's not unusual. Sometimes there's a license,

35:55

um, expiration.

35:57

So Tara Recons usually very, very, very responsive.

36:01

So I'm sure we'll get this fixed for you, um,

36:03

within the next couple days.

36:05

Thanks. Thanks, Courtney.

36:07

Absolutely. Um, if nobody has any other questions, um,

36:10

if you wanna stay on just for a few minutes, I can walk you

36:13

through, uh, the course and how to submit cases.

36:15

Dr. Loren and Dr. Pantani, thank you so much. Of

36:19

Course. Um,

36:19

And feel free to drop off as I, I go through the,

36:22

the course navigation.

36:24

I know you're both very busy, so I'm looking forward

36:26

to seeing you tomorrow, Dr.

36:27

Lorenz, for our first lecture.

36:29

All right guys, have a good one. Okay. Take care. Thanks.

36:34

Okay, I am going to share my screen

36:45

and, uh, please, um,

36:48

if you can't see my screen go off mute.

36:51

I'm unfortunately unable

36:52

to see the chat while I'm sharing my screen.

36:54

Um, but what I'm showing you now is our program page,

36:59

and if you scroll down, uh,

37:01

you'll see course one is our welcome course.

37:03

And I encourage you if you haven't already, to um, look

37:07

through all the course materials that are in this course.

37:12

We will have our live, um, session schedule,

37:15

our case submission, schedule,

37:17

some additional helpful information about Tara Recon

37:20

and how to contact Tara Recon if you are having any issues.

37:24

Um, courses two through five as Dr. Lorenzen. Dr.

37:28

Ani says this is supplemental

37:29

or these are actually considered foundational courses.

37:32

Um, they are available for it to you, um, as long

37:36

as you have access to the program,

37:37

which is two years from today.

37:41

The last course is course six.

37:44

This is your actual training course with the practice cases.

37:48

I'm gonna hit start.

37:55

Okay? Um, the first, the start here, I also encourage you

37:59

to go through, you will need to go through it anyway.

38:01

Um, as you can see here with these locks, you do need

38:05

where the course is set up in a linear fashion.

38:07

So you do need to start with the first topic of every, um,

38:12

of, of the page and able to go to the next topic.

38:16

Um, how to submit a case report.

38:18

I do have a video in here showing you how

38:20

to submit a case report, report template examples.

38:24

Um, as Dr. Fontes was um, discussing,

38:29

we do have downloadable templates in here.

38:32

Um, some are in a word, some are in a PDF format.

38:35

They're coming up right now.

38:37

These are available for you, like they said too

38:39

for your writing your case reports

38:41

and to supplement your education.

38:43

Um, just as a reminder, these templates are, um,

38:48

for you to review

38:50

and also assist you in writing your reports.

38:53

However, you will not submit your reports using

38:57

these templates.

38:58

You will actually need to write your reports out,

39:02

or you can use, um, a dictation and copy

39:06

and paste your dictation into the case submission form,

39:11

which I will go to the next page here.

39:22

Looks my, my computer's just running a little bit

39:25

slow, okay?

39:36

And I apologize, it's running a little slow.

39:43

Here we go. Great.

39:49

So week one, um, this week's cases, you'll find them

39:53

by going to the practice cases folder for week one,

39:56

clicking on the first topic here.

40:06

Okay, so again,

40:08

the cases are viewable in terror recon.

40:12

However, the cases that you'll be reviewing

40:16

and submitting a case report on

40:18

for this first week are listed here.

40:21

So you'd have the case number

40:24

and you do have the patient history.

40:28

So what you'll be doing is you will write your report

40:32

or on a separate document, say Word or A PDF,

40:35

or you can dictate it as well.

40:38

Um, Microsoft Word does have a dictation capabilities that

40:41

that's helpful, but to submit your report,

40:46

you are actually going to use this type form.

40:49

Um, and just to give you demonstration here,

40:55

first, you're gonna put in your email address

41:00

and you'll see it pops up

41:01

that you will be submitting the report

41:04

for week one, case one.

41:06

Um, we don't expect you

41:08

to type your entire case report here.

41:10

What we do want you to do is you can copy

41:14

and paste, um, your text in here for this report

41:20

and then hit okay, I'm just gonna go

41:24

through each one here.

41:26

The other thing to keep in mind is, um, you cannot come back

41:29

to the case submission report and submit one or two cases

41:32

and, and then come back and submit the other ones.

41:35

You really do need to submit all of your case reports.

41:39

Uh, at the same time,

41:45

Once you come to the last case, you'll hit submit.

41:50

What you wanna do next is hit the mark complete button so

41:54

that you can go to the next topic.

42:05

Here we go. So what you're going to see in the, uh,

42:09

supplement pages is that you will have access to

42:13

what we're calling the gold standard reports.

42:16

Now this is the case, this page is the case discussion

42:20

for week one, case one.

42:22

So you will have the diagnosis, the case discussion,

42:27

any kind of data or tables that, um, Dr.

42:30

Fan and Dr. Lorenz are sharing with you, key images

42:36

and the references that they refer to.

42:41

Wanna hit Mark complete?

42:50

We'll go to the next page.

42:56

Okay. I apologize again, the, the website should not be,

43:00

uh, this slow for you.

43:01

Um, after you complete the reviewing the case discussion,

43:05

you will have access to the case report here for, uh,

43:09

week one, case one.

43:10

So again, the patient history, the findings,

43:16

and then overall impressions,

43:18

and again, additional, uh, template

43:21

that you can download as well as Dr.

43:24

Ani was discussing.

43:25

So if you go back to the main course page

43:38

in its evening here, so I think my computer is looking

43:42

to take a nap, but here we go.

43:51

Okay, so you'll see here in week one,

43:53

after you submit your cases, you'll go down

43:56

through each topic

43:58

and you'll be able to review the,

44:00

what we call gold standard reports,

44:02

the case discussion in the case, um, the case report,

44:06

and be able to view each and every one.

44:09

Um, there is five reports due each week.

44:14

Um, one thing I wanna emphasize is that, uh,

44:17

you do receive one CME credit for every report

44:20

that you submit.

44:22

You will be graded on your reports.

44:24

Um, it would either be, uh, exceeds expectations,

44:27

meet expectations, or doesn't meet expectations.

44:30

Your grade is not dependent upon.

44:33

Um, your grade does not determine if you're going

44:36

to earn CME or not.

44:38

The fact that you just submit the report, uh,

44:41

with your best, best guess, best findings, um,

44:45

you will earn a CME for that report up

44:48

to 50 CME for this course.

44:52

And I'm gonna stop sharing my screen. Okay.

44:58

Does anyone have any additional questions

45:00

that I can answer for you?

45:03

Um, hello? Yes,

45:05

and I wanted to, we have to submit, um, each case

45:09

before Friday or, or by Friday, or what's the deadline?

45:14

Uh, the deadline for week one

45:17

is Monday, September 23rd.

45:20

So if you go into the actual, uh, welcome course,

45:23

there will be the case submission schedule in there,

45:25

plus you're gonna be receiving regular reminders

45:28

from me to keep you on

45:31

Track. Okay,

45:32

perfect. Thank you.

45:33

You're welcome. Hi, Courtney.

45:36

I'm on the Terra Recon website.

45:39

Uh, where do I put the MRN

45:42

to search the cases?

45:44

Is it on the resource or

45:48

Were you able to log into your account?

45:51

I'm, I'm on, I'm on it.

45:53

I don't know what, I can't find the cases.

45:55

Is it a list or is it

45:57

Okay? It should

45:58

pop up for you.

46:00

Um, if it's not popping up for you,

46:01

what I can do is I'll contact Tara Recon

46:04

and ask 'em if they can provide specific instructions on how

46:07

to find the cases if they're not just popping up

46:11

for you once you log in.

46:12

Yeah, when I click on my courses, it says, sorry,

46:16

we couldn't find any results, for

46:17

Example. Okay.

46:18

Thank you for Yeah, thank you

46:20

for letting me know that.

46:22

Um, I apologize and, um, in case

46:25

anyone else is having, seeing this error screen, um,

46:29

I will let Tara Recondo just to ensure

46:31

and check that, that everything is working properly in the

46:35

cases should just be popping up on your end.

46:38

Thanks. You're welcome.

46:42

Okay, if no one else has any questions, I hope

46:45

to see you tomorrow.

46:46

Um, for the first lecture in this course, um,

46:51

it is at 2:00 PM Eastern time.

46:54

Um, and again, like I said, it will be recorded

46:56

and made available on demand if you're not able

46:59

to attend the live session.

47:01

Thank you everyone for attending.

47:03

We are really happy to meet each and every one of you.

47:05

And I look forward to working with you. Take care.

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