Scientific Programme: International school of ultrasound in rheumatology

Dear Delegate, A warm welcome to the "International School of Ultrasound in Rheumatology" event.

I would like to inform you that as of 28 April 2014 the name of our Foundation changed to EXCEMED – Excellence in Medical Education. The name change will not impact your registration status in this or any other Foundation event.

This transition marks an exciting point in the evolution of the Foundation.

We are proud to have provided world-class education to thousands of healthcare professionals over the past four decades - as a result, the Foundation has become synonymous with delivery excellence and highimpact CME. As we further develop our scientific and geographical presence it is important to us that our name accurately reflects the independent nature of the education we provide; EXCEMED symbolises our enduring mission to support the best possible outcomes for patients through the medical education we offer. We take pride in our complete dedication to the provision of CME - it is our sole focus and our passion.

I wish you an inspiring and successful learning experience here in Jesi.

Yours Sincerely,

Rachel Clark CEO, EXCEMED

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Background and aims In the last two decades, technological developments in both hardware and software of ultrasound equipment have been extraordinary. With the availability of linear probes with a frequency higher than 13 MHz, a detailed morphological visualization of the superficial soft tissues has become possible, and an ever-increasing number of rheumatologists is using ultrasound in their clinical practice. Several investigations have shown the value of this technique for both clinical and research purposes in rheumatology. The main indications of ultrasound in rheumatology include the assessment of patients with regional pain syndromes and chronic arthritis, the short-term therapy monitoring and the guidance for invasive procedures. In the near future it is likely to become an essential tool for the rheumatologist as echocardiography is for the cardiologist. At present, many rheumatologists want to become experienced with this imaging technique because they have understood its impact in the daily practice.

However, the long learning curve is the main obstacle that hinders its widespread use in daily clinical practice. In fact, ultrasound image acquisition is operator dependent and a correct interpretation of sonographic images depends on several aspects such as a deep knowledge of ultrasonography anatomy and pathology.

The “International School of Ultrasound in Rheumatology� was conceived with the main aim to offer an intensive full immersion program of normal ultrasound anatomy of the musculoskeletal system and histopathology of the most important rheumatic diseases using high quality ultrasound equipment. The course framework will provide dedicated lectures and live demonstrations with healthy subjects which will precede the hands-on sessions with rheumatic patients under direct supervision of experienced tutors. Moreover, the delegates will have the opportunity to use recently developed devices (i.e. high-frequency volumetric probes) and to share new insights into various aspects of ultrasound in rheumatology.

Sonographic training will be specifically focused on aspects such as, greyscale and Doppler settings, pre-erosive changes, acoustic microscopy, tips and tricks to get high quality images and early features of enthesitis.

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Learning objectives Attendance to this live educational course will enable the participants to: • Understand the basic principles of ultrasound and the key machine settings • Acquire ultrasound images using the scanning technique of the EULAR guidelines for musculoskeletal ultrasound in rheumatology • Use tips and tricks in ultrasound scanning, especially useful to assess patients with chronic inflammatory arthritis • Identify and describe the main ultrasound findings that characterize synovitis and enthesopathy • Be aware of the pros and cons of ultrasound in daily rheumatologic practice

Target audience Rheumatologists and all other physicians using musculoskeletal ultrasound in their daily clinical practice.

Accreditation An application has been made to the EACCME ® for CME accreditation of the EXCEMED “International School of Rheumatology on 19-20 December, 2014 - Jesi (Ancona), Italy.

EXCEMED adheres to the principles of the Good CME Practice group.

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General information Scientific organizers Walter Grassi Full Professor of Rheumatology Università Politecnica delle Marche Jesi (Ancona), Italy Emilio Filippucci Senior Lecturer in Rheumatology Università Politecnica delle Marche Jesi (Ancona), Italy

Scientific secretariat EXCEMED - Excellence in Medical Education Salita di San Nicola da Tolentino, 1/b 00187 Rome, Italy Associate Programme Manager: Sonia Rebustini Tel.: +39-06-420 413 312 Fax: +39-06-420 413 677 E-mail: info@excemed.org EXCEMED is a Swiss Foundation with headquarters in 14, rue du Rhône, 1204 Geneva, Switzerland

Organising secretariat Meridiano Congress International Via Sapri, 6 - 00185 Rome (Italy) Project Coordinator: Denise Rizzitelli Phone: +39.06.88.595.210 - Fax: +39.06.88.595.234 E-mail: d.rizzitelli@meridiano.it

Register to EXCEMED website: www.immunology.excemed.org

follow us on www.twitter.com/EXCEMED

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Faculty members Walter Grassi Full Professor of Rheumatology UniversitĂ Politecnica delle Marche Jesi (Ancona), Italy Emilio Filippucci Senior Lecturer in Rheumatology UniversitĂ Politecnica delle Marche Jesi (Ancona), Italy

Share your opinion with us We are always looking for ways to bring our educational activities to the next level and meet your needs as a healthcare practitioner.

You will be asked to answer a post-event online survey after this event to find out if the experience met your educational expectations. Your views also help us tailor future initiatives.

Thank you for taking the time to participate!

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Scientific programme

Scientific programme Friday 19 December, 2014

Session I 09.00

Introductive remarks

09.30

Musculoskeletal ultrasound: the US equipment

10.00

Ultrasound in Rheumatology: basic sonographic findings

11.00

Coffee Break

11.15

Practical session: basic orientation using the indications provided in the guidelines of the EULAR Working Group on Musculoskeletal Ultrasound

13.00

Lunch

Session II 14.30

Rheumatoid arthritis

15.30

Practical session on US examination of the small joints.

Technical guidelines and scanning protocol

16.45

Coffee Break

17.00

Practical session on US hand and wrist examination with rheumatoid patients

18.00

End of Day 1

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Scientific programme Saturday, 20 December, 2014

Session III 08.30

Seronegative spondyloarthropathies

09.30

Practical session on US examination of the enthesis.

Technical guidelines and scanning protocol

10.45

Coffee Break

11.00

Practical session on US examination with seronegative spondyloarthropathies patients

13.00

Lunch

Session IV 14.30

Osteoarthritis and crystal-related arthropathies

15.30

Practical session on US examination of the large joints.

Technical guidelines and scanning protocol

16.30

Coffee Break

16.45

ABC of sonographic guided procedures

17.15

Practical session on US examination with osteoarthritis and crystal-related arthropathies patients

18.15

End of the course

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General information Dates 19-20 December, 2014

Venue Clinica Reumatologica Ospedale "A. Murri" Area Vasta 2 Via dei Colli, 52 60035 Jesi (AN) – Italy

Language The official language of the conference will be English.

Registration fee The registration fee is € 600,00.

This fee includes: • Scientific session • Educational material • Certificate of attendance • Coffee breaks and lunches For any registration and accommodation need please contact: Denise Rizzitelli c/o Meridiano Congress International Via Sapri, 6 - 00185 Rome, Italy T +39 (0)6 88 595 210 - F +39 (0)6 88595 234 E-mail: d.rizzitelli@meridiano.it

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Disclosure of financial relationships EXCEMED adheres to guidelines of the European Accreditation Council for Continuing Medical Education (EACCME) and all other professional organizations, as applicable, which state that programmes awarding continuing education credits must be balanced, independent, objective, and scientifically rigorous. Investigative and other uses for pharmaceutical agents, medical devices, and other products (other than those uses indicated in approved product labeling/package insert for the product) may be presented in the programme (which may reflect clinical experience, the professional literature or other clinical sources known to the presenter).

We ask all presenters to provide learners with information about relationships with pharmaceutical or medical equipment companies that may have relevance to their lectures. This policy is not intended to exclude faculty who have relationships with such companies; it is only intended to inform learners of any potential conflicts so participants may form their own judgments, based on full disclosure of the facts. Further, all opinions and recommendations presented during the programme and all programme-related materials neither imply an endorsement, nor a recommendation, on the part of EXCEMED. All presentations solely represent the independent views of the presenters/authors.

The following faculty provided information regarding significant commercial relationships and/or discussions of investigational or nonEMEA/FDA approved (off-label) uses of drugs: Walter Grassi

Declared receipt of honoraria or consultation fees from Abbott/Abbvie, Roche, Pfzier, Msd, Bms, Menarini, Ucb Pharma, Alfa, Wasserman, Esote, Ge Emilio Filippucci Declared receipt of honoraria or consultation feesfrom Abbvie, Bms, Ucb Pharma, Msd, Pfizer, Esote, Ge, Roche

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All EXCEMED programmes are organized solely to promote the exchange and dissemination of scientific and medical information. No forms of promotional activities are permitted. This programme is made possible thanks to an educational grant from Esaote.

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Improving the patient's life through medical education www.excemed.org

EXCEMED - Excellence in Medical Education Representative Office Salita di San Nicola da Tolentino 1/B 00187 Rome, Italy.

T +39.06.420.413, F +39.06.420.413.677 Headquarters EXCEMED 14, Rue du Rhone, 1204 Geneva, Switzerland

Copyright Š EXCEMED, 2014. All rights reserved.