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APHRS Cardiac Device Therapy Curriculum Sudden Cardiac Death and Basics of ICD Module 2J June 23-24, 2018 Evaluation Summary Advanced Technology Center Beijing, China

Sudden Cardiac Death and Basics of ICD Module 2J Device...The content of “Basic ICD Programming” hands- on session can be simplify by focusing on the general concept of detection,

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Page 1: Sudden Cardiac Death and Basics of ICD Module 2J Device...The content of “Basic ICD Programming” hands- on session can be simplify by focusing on the general concept of detection,

APHRS Cardiac Device Therapy Curriculum

Sudden Cardiac Death and Basics of ICDModule 2JJune 23-24, 2018Evaluation SummaryAdvanced Technology Center Beijing, China

Page 2: Sudden Cardiac Death and Basics of ICD Module 2J Device...The content of “Basic ICD Programming” hands- on session can be simplify by focusing on the general concept of detection,

Executive Summary

• 15 participants from Asia participated in the ICD course• 1.5 days comprehensive training on ICD knowledge in Beijing ATC• This training aims to strengthen physicians’ basic ICD knowledge and practical experience on

programming of arrhythmia therapy and SVT discrimination • Such as the “ICD Case Studies” which provided our participants an opportunity to practice

ICD episode analyzing and trouble-shooting skills through small group discussion and case competition

• Received good feedback from the delegates to the programmer hands-on session and group discussion activity

• Area for improvement:1. Agenda has to be reviewed to avoid content overlapping 2. Pick common scenario for the “ICD case group discussion”, such as inappropriate

shock/ATC therapy 3. Combine the DFT lecture and DFT hands-on workshop4. The content of “Basic ICD Programming” hands-on session can be simplify by focusing

on the general concept of detection, SVT discrimination and programming option• 79% delegates are quite comfortable (or above) with ICD implantation procedure versus 35%

prior to the training• 100% delegates agree they learnt new skills & techniques about the ICD programming from

the group discussion and programmer hands-on session

Page 3: Sudden Cardiac Death and Basics of ICD Module 2J Device...The content of “Basic ICD Programming” hands- on session can be simplify by focusing on the general concept of detection,

Module 2J (ICD): June 23-24, 2018

Page 4: Sudden Cardiac Death and Basics of ICD Module 2J Device...The content of “Basic ICD Programming” hands- on session can be simplify by focusing on the general concept of detection,

Faculty Participant

Dr. Katherine fanHong KongModule Director

Dr. Chun-Chieh WangTaiwan

Dr. Arisara SuwanagoolThailand

Module 2J (ICD): June 23-24, 2018

No. Name of Delegate Country

1 Dr. Nicholas Chua Yul Chye Malaysia2 Dr. Ang Kai Ping Malaysia3 Dr. Wood Hay Ian Ling HK4 Dr. Ka Hei Carmen Ho HK5 Dr. Yik Ching Way Hung HK6 Dr. Kwok Lap Chan HK7 Dr. Lip Shing Chan HK8 Dr. Chung-Hsing Lin Taiwan9 Dr. Chi-Jen Weng Taiwan

10 Dr. Chen-Hsiu Lin Taiwan11 Dr. Sihoon Kim Korea12 Dr. Debra Pulvera Urbina Philippine13 Dr. Wipat Phanthawimol Thailand14 Dr. Thanapol Olarnrachin Thailand

15Dr. NatchayathipkKittichamroen Thailand

Page 5: Sudden Cardiac Death and Basics of ICD Module 2J Device...The content of “Basic ICD Programming” hands- on session can be simplify by focusing on the general concept of detection,

Topics:1 Sudden Death and Guideline for ICD Implantation

2 ICD Implantation Procedure

3 Defibrillation Threshold Test and High DFTs

4 Arrhythmia Therapy—Current Recommendations

5 Sensing, Arrhythmia Detection and SVT Discrimination and ICD Detection Programming

6 Defibrillation Threshold Testing—Why?

7 Hands-on: Implantation and DFT Test Workshop

8 Basic ICD Features and Programming

9 Management of ICD Storming

10 Wearable Cardioverter Defibrillator and Subcutaneous ICD

11 Programming and ICD Follow up

12 ICD Troubleshooting Simulator Workshop

13 ICD Case Study

Module 2J (ICD): June 23-24, 2018

Page 6: Sudden Cardiac Death and Basics of ICD Module 2J Device...The content of “Basic ICD Programming” hands- on session can be simplify by focusing on the general concept of detection,

Lecture and DFT Test

Module 2J (ICD): June 23-24, 2018

Page 7: Sudden Cardiac Death and Basics of ICD Module 2J Device...The content of “Basic ICD Programming” hands- on session can be simplify by focusing on the general concept of detection,

Programming Workshop & Group Discussion

Module 2J (ICD): June 23-24, 2018

Page 8: Sudden Cardiac Death and Basics of ICD Module 2J Device...The content of “Basic ICD Programming” hands- on session can be simplify by focusing on the general concept of detection,

29%

14%

29%

14%

21%

7%

21%

36% 29%

0% 20% 40% 60% 80% 100%

After

Before

Very ComfortableGood and ComfortableQuite ComfortableSomewhat ComfortableNot at all Comfortable

79% delegates are quite comfortable (or above) with ICD implantation versus 35% prior to the training

N=14

How comfortable are you performing ICD procedures?

Overall Evaluation

Module 2J (ICD): June 23-24, 2018

Page 9: Sudden Cardiac Death and Basics of ICD Module 2J Device...The content of “Basic ICD Programming” hands- on session can be simplify by focusing on the general concept of detection,

How did this workshop improve your ICD procedural skills and performance?

N=14

0

2

4

6

8

10

12

14

Improved myconfidence level

Reduced my proceduretime

Improved managingdifficult case

Improved complicationhandling

Module 2J (ICD): June 23-24, 2018

Overall Evaluation

Page 10: Sudden Cardiac Death and Basics of ICD Module 2J Device...The content of “Basic ICD Programming” hands- on session can be simplify by focusing on the general concept of detection,

I learnt new skills & techniques about the ICD programming from the group discussion and programmer hands-on session

0

2

4

6

8

10

12N=14

0

2

4

6

8

10 N=14

How useful the “DFT Test Simulator Workshop” likely to be for the future jobs?

Module 2J (ICD): June 23-24, 2018

Overall Evaluation

Page 11: Sudden Cardiac Death and Basics of ICD Module 2J Device...The content of “Basic ICD Programming” hands- on session can be simplify by focusing on the general concept of detection,

Other comments?

• All lecturer teaches us. Dr. Arisara teaches very well, excellent and fun.• Good• Well done

Module 2J (ICD): June 23-24, 2018

Overall Evaluation