International Bubble Conference Step 1 of 18 5% Untitled Document Please Note: This program has been approved for Physician CME Credit Program Description / Statement of Need: Despite the challenging times in which we live, the international “bubble community” has done an amazing job of moving the field forward and extending the utilization of contrast enhanced ultrasound (CEUS) to improve the care and clinical outcomes of our patients worldwide. We look forward to reconnecting with respected colleagues and dear friends across all disciplines of the CEUS field next September at the International Bubble Conference in Chicago – where we will celebrate each other’s extraordinary CEUS achievements, learn from and challenge each other, develop new collaborative relationships, and chart our scientific and clinical course for the coming years. Whether you are new to the CEUS field or have been part of its exciting history for decades, we hope you will join us! Target Audience: This program is designed for cardiologists, interventional clinical cardiologists, radiologists, vascular specialists, biomedical engineers and research scientists, sonographers, nurses and other allied health professionals across the US and worldwide Accreditation and CME Credit Statements: This CME activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education. Northwest Imaging Forums is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. NWIF designates this webinar for a maximum of 12.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Nurses may claim credit for activities submitted for AMA PRA Category 1 Credits ™ in most states, for up to 50% of the nursing requirement for recertification. This activity is designated for up to 12.0 AMA PRA Category 1 Credits ™. Faculty and Planner Disclosures: As an accredited provider of continuing medical education, it is the policy of Northwest Imaging Forums, Inc. (NWIF) to ensure balance, independence, objectivity, and scientific rigor in all of its activities. In accordance with this policy, faculty and planners must disclose any financial relationships with commercial interests germane to program content. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of NWIF to ensure that the COI is resolved in order to ensure the integrity of the CME activity. The planner has nothing to disclose. Select an Event*International Bubble Conference – CMEPlease choose the applicable accreditation* Physician CME Full Name* First Last CredentialsMDMD, PhDDOPASpecialty* Facility* * Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* I certify that I attended the above referenced conference claiming XX Hours of credit (maximum for this activity is 12.0 hours (credit).*.25.50.751.01.251.501.752.002.252.502.753.03.253.503.754.04.254.504.755.05.255.505.756.06.256.506.757.07.257.507.758.08.258.508.759.09.259.509.7510.010.2510.5010.7511.011.2511.5011.7512.0I certify that I have completed this CME activity as designedSignature* Reset signature Signature locked. Reset to sign again Date* MM slash DD slash YYYY Evaluation:Please evaluate the effectiveness of this CME activity on a scale of 1 to 5, with 1 being the LOWEST, and 5 being the HIGHEST by selecting your choice.1. Overall quality of this CME activity 1 Lowest 2 3 4 5 Highest 2. Content 1 Lowest 2 3 4 5 Highest 3. Format 1 Lowest 2 3 4 5 Highest 4. Speaker EvaluationDan Adam, PhD* 1 Lowest 2 3 4 5 Highest Robin Adams, MD* 1 Lowest 2 3 4 5 Highest Andrew Appis, MD* 1 Lowest 2 3 4 5 Highest Mike Averkiou, PhD* 1 Lowest 2 3 4 5 Highest Richard G. Barr, MD* 1 Lowest 2 3 4 5 Highest 4. Speaker Evaluation ContinuedHarald Becher, MD* 1 Lowest 2 3 4 5 Highest Peter Burns, PhD* 1 Lowest 2 3 4 5 Highest Maria Cristina Chammas, MD* 1 Lowest 2 3 4 5 Highest Dirk Clevert, MD* 1 Lowest 2 3 4 5 Highest Kassa Darge, MD* 1 Lowest 2 3 4 5 Highest 4. Speaker Evaluation ContinuedNicolaas De Jong, PhD* 1 Lowest 2 3 4 5 Highest Anthony De Maria, MD* 1 Lowest 2 3 4 5 Highest John Eisenbrey, PhD* 1 Lowest 2 3 4 5 Highest Harvey Feigenbaum, MD* 1 Lowest 2 3 4 5 Highest Linda Feinstein* 1 Lowest 2 3 4 5 Highest 4. Speaker Evaluation ContinuedSteven Feinstein, MD* 1 Lowest 2 3 4 5 Highest J Kenneth Ford, MD* 1 Lowest 2 3 4 5 Highest Flemming Forsberg, PhD* 1 Lowest 2 3 4 5 Highest J. Brian Fowlkes, PhD* 1 Lowest 2 3 4 5 Highest Alan Goldberg, MD* 1 Lowest 2 3 4 5 Highest 4. Speaker Evaluation ContinuedBeverly Gorman, RDCS* 1 Lowest 2 3 4 5 Highest Gina K. Hesley, MD* 1 Lowest 2 3 4 5 Highest Misun Hwang, MD* 1 Lowest 2 3 4 5 Highest Kullervo Hynynen, PhD* 1 Lowest 2 3 4 5 Highest Amer Johri, MD* 1 Lowest 2 3 4 5 Highest 4. Speaker Evaluation ContinuedOtto Kamp, PhD* 1 Lowest 2 3 4 5 Highest Sanjiv Kaul, MD* 1 Lowest 2 3 4 5 Highest Yoko Kono, MD* 1 Lowest 2 3 4 5 Highest Klazina Kooiman, PhD* 1 Lowest 2 3 4 5 Highest Christine Lee, MD* 1 Lowest 2 3 4 5 Highest 4. Speaker Evaluation ContinuedJonathan Lindner, MD* 1 Lowest 2 3 4 5 Highest Wilson Mathias Jr., MD* 1 Lowest 2 3 4 5 Highest Christina Merrill, RDMS* 1 Lowest 2 3 4 5 Highest James Miller, PhD* 1 Lowest 2 3 4 5 Highest Massimo Mischi, PhD* 1 Lowest 2 3 4 5 Highest 4. Speaker Evaluation ContinuedMark Monaghan, PhD* 1 Lowest 2 3 4 5 Highest Sharon Mulvagh, MD* 1 Lowest 2 3 4 5 Highest Petros Nihoyannopoulas, MD* 1 Lowest 2 3 4 5 Highest Tochukwu Okwuosa, DO* 1 Lowest 2 3 4 5 Highest John Pacella, MD* 1 Lowest 2 3 4 5 Highest 4. Speaker Evaluation ContinuedFrancesco Pizzuto, MD* 1 Lowest 2 3 4 5 Highest John Pacella, MD* 1 Lowest 2 3 4 5 Highest Seth Powsner, MD* 1 Lowest 2 3 4 5 Highest Arnaldo Rabischoffsky, MD* 1 Lowest 2 3 4 5 Highest Payman Sattar, MD* 1 Lowest 2 3 4 5 Highest 4. Speaker Evaluation ContinuedRoxy Senior, MD* 1 Lowest 2 3 4 5 Highest Henrik Sillesen, MD* 1 Lowest 2 3 4 5 Highest Maria Stanczak* 1 Lowest 2 3 4 5 Highest Henrik Sillesen, MD* 1 Lowest 2 3 4 5 Highest Mengxing Tang, PhD* 1 Lowest 2 3 4 5 Highest 4. Speaker Evaluation ContinuedFolkert Ten Cate, MD* 1 Lowest 2 3 4 5 Highest Melissa Tracy, MD* 1 Lowest 2 3 4 5 Highest Evan Unger, MD* 1 Lowest 2 3 4 5 Highest Annemian Van Den Bosch, MD* 1 Lowest 2 3 4 5 Highest Evan Unger, MD* 1 Lowest 2 3 4 5 Highest 4. Speaker Evaluation ContinuedFlordeliza Villanueva, MD* 1 Lowest 2 3 4 5 Highest Hendrik Vos, PhD* 1 Lowest 2 3 4 5 Highest Hessel Wijkstra, PhD* 1 Lowest 2 3 4 5 Highest Stephanie R. Wilson, MD* 1 Lowest 2 3 4 5 Highest 5. Achievement of Educational ObjectivesA. Interpret the clinical applications of contrast ultrasound as outlined by global professional societies and associations* 1 Lowest 2 3 4 5 Highest B. Review new therapeutic applications of contrast ultrasound* 1 Lowest 2 3 4 5 Highest C. Discuss the ongoing clinical trials using contrast ultrasound in pre-clinical research environments* 1 Lowest 2 3 4 5 Highest D. Distinguish and demonstrate novel, emerging scientific research applications of contrast ultrasound’s techniques and applications* 1 Lowest 2 3 4 5 Highest 6. This CME activity provided a balanced, scientifically rigorous presentation of therapeutic options related to the topic, without commercial bias. 1 Lowest 2 3 4 5 Highest Comments 7. Please describe how this CME activity will change your practice and/or the strategies you plan to implement in your practice.8. Please comment on the impact (if any) that this CME activity might have on the clinical care you administer.9. Additional comments and/or suggested topics for future CME activities?NameThis field is for validation purposes and should be left unchanged.
