Vascular Technology (VT)

Advanced Venous Ultrasound Inward and Upward

Overview More Information Speaker(s)

• Credits: 5.0 SDMS CMEs (5.0 VT)
• Lectures:
  • Venous Hemodynamics: Are We Oblivious?
  • Pumps of the Leg
  • May Thurner Syndrome: The Real Story
  • Recurrent Varicose Veins
  • Lower Extremity Pulsatility
  • Why Duplex Derived Reflux Times Do NOT Correlate with Disease Severity 

5.0 SDMS CMEs: 5.0 Vascular Technology Credits. This presentation provides an overview of hemodynamic principles such as flow and pressure relationships, as well as the pumps of the leg. Iliac vein compression (May Thurner Syndrome) is essential to understand, therefore we will cover duplex ultrasound technical caveats along with protocols of how to perform an abdominal venous ultrasound with a focus on the iliac veins. We cover two often-perplexing problems in the vascular laboratory; a patient presenting with recurrent disease as well as pulsatility in the venous system. And finally, we will discuss and try to help you understand why reflux times do NOT correlate with disease severity.



William B. Schroedter

BS, RVT, RPHS, FSVU

ESP’s Vascular program is recognized as the largest, most effective and efficient method for technologists and physicians preparing for RVT and RVS credentials. William Schroedter is a distinguished educator at the national and international level. He is recognized as an authority in all aspects of vascular testing in both clinical practice and education. Bill spent 7 years on the Society of Vascular Ultrasound Board of Directors, served as SVU Vice President, was honored as a Fellow in 1998 and awarded the SVU Distinguished Service Award in 1995 and 2006.  With dozens of publications, Bill was awarded the DE Strandness Award for Scientific Research in 2010, 2012, and 2013 for original vascular research. Bill loves vascular ultrasound (he has even been known to scan patients on vacation) and teaches with a great passion for the field and especially for new sonographers



Jean M. White-Melendez (Moderator)

RVT, RPHS, FSVU

Jean is a nationally recognized as a premier expert in venous disease, vascular testing and is a frequent lecturer throughout the USA. She has served as an application reviewer and site visitor for the Inter-societal Commission for the Accreditation of Vascular Laboratories (ICAVL). Jean has served on the Board of Directors of multiple vascular societies and foundations. She was honored as a Fellow of the SVU in 2014.



John Mauriello

MD, FACPh

Dr. Mauriello has been practicing Phlebology for more than 28 years and quite simply, is one of the founders of modern phlebology. He is internationally renowned for his expertise in the diagnosis and treatment of venous disease and has pioneered many of the treatments used today. He was past President of the American College of Phlebology ("ACP") from 2011-2012 and for decades he has lectured regularly throughout the United States and the world. Vein Magazine acknowledged him as one of the 25 most influential venous professionals in the world. A colleague had this to say: “John Mauriello is a Master; I consider him to be one of the pioneers in modern Phlebology. He cares about the profession and is dedicated and committed to its advancement.” John has no financial disclosures.

$100.00 for 90 days

Intermediate Venous Ultrasound - Step Up Your Vein Game

Overview More Information Speaker(s)

• Credits: 7.5 SDMS CMEs (7.5 VT)
• Lectures:
  • Basic Function and Hemodynamics of the Lower Extremity Venous System
  • Iliacs Galore
  • Ultrasound Evaluation of the Popliteal Fossa
  • Calf Vein Evaluation with Duplex Ultrasound
  • The Small Saphenous Vein: Anatomy, Imaging Tips, and Potential Benefit from Intervention
  • Imaging of Accessory Veins: Anatomy, Imaging Tips, and Potential Benefit from Intervention
  • Imaging of Perforating Veins: Anatomy, Imaging Tips, and Potential Benefit from Intervention
  • Upper Extremity Veins

7.5 SDMS CMEs: 7.5 Vascular Technology Credits. To perform an adequate duplex ultrasound evaluation for venous insufficiency, an understanding of venous hemodynamics is critical. This presentation provides a solid overview of venous hemodynamics from the perspective of duplex evaluation. An anatomical review of the iliac veins, popliteal, and calf veins will be covered as well as how to perform the best duplex ultrasound of these areas. There will be an emphasis on the calf veins including the tibial, peroneal, gastrocnemius, and soleal veins as well as how to identify and evaluate them properly with ultrasound. The techniques, especially patient positioning is covered. We demonstrate several examples of small saphenous vein pathology and how it can impact venous system hemodynamics. We cover anatomical review of accessory saphenous veins and how to differentiate these vessels from tributaries. The differences between upper and lower extremity veins and venous disease will also be discussed. And finally, a review of the pathology of upper extremity venous thrombosis is covered.



Jean M. White-Melendez

RVT, RPHS, FSVU

Jean is a nationally recognized as a premier expert in venous disease, vascular testing and is a frequent lecturer throughout the USA. She has served as an application reviewer and site visitor for the Inter-societal Commission for the Accreditation of Vascular Laboratories (ICAVL). Jean has served on the Board of Directors of multiple vascular societies and foundations. She was honored as a Fellow of the SVU in 2014.



William B. Schroedter

BS, RVT, RPHS, FSVU

ESP’s Vascular program is recognized as the largest, most effective and efficient method for technologists and physicians preparing for RVT and RVS credentials. William Schroedter is a distinguished educator at the national and international level. He is recognized as an authority in all aspects of vascular testing in both clinical practice and education. Bill spent 7 years on the Society of Vascular Ultrasound Board of Directors, served as SVU Vice President, was honored as a Fellow in 1998 and awarded the SVU Distinguished Service Award in 1995 and 2006.  With dozens of publications, Bill was awarded the DE Strandness Award for Scientific Research in 2010, 2012, and 2013 for original vascular research. Bill loves vascular ultrasound (he has even been known to scan patients on vacation) and teaches with a great passion for the field and especially for new sonographers



John Mauriello

MD, FACPh

Dr. Mauriello has been practicing Phlebology for more than 28 years and quite simply, is one of the founders of modern phlebology. He is internationally renowned for his expertise in the diagnosis and treatment of venous disease and has pioneered many of the treatments used today. He was past President of the American College of Phlebology ("ACP") from 2011-2012 and for decades he has lectured regularly throughout the United States and the world. Vein Magazine acknowledged him as one of the 25 most influential venous professionals in the world. A colleague had this to say: “John Mauriello is a Master; I consider him to be one of the pioneers in modern Phlebology. He cares about the profession and is dedicated and committed to its advancement.” John has no financial disclosures.

$150.00 for 90 days

Introduction to Venous Evaluation for Venous Insufficiency

Overview More Information Speaker(s)

• Credits: 5.5 SDMS CMEs (5.5 VT)
• Lectures:
  • Venous Anatomy, Pathology, Pathophysiology, and CEAP
  • Venous Duplex Ultrasound: Pre, Peri, and Post Treatment
  • Imaging of Accessory Saphenous, Small Saphenous, and Perforating Veins
  • Don’t Forget the Lower Extremity Deep Veins 

5.5 SDMS CMEs: 5.5 Vascular Technology Credits. This presentation provides an overview of the superficial and deep venous anatomy and how they work to accommodate venous return from the lower extremity. The hemodynamics of how the venous valves allow the system to help to return blood to the heart. The requirements for ultrasound guidance during thermal and chemical ablation procedures and ultrasound evaluation following those interventional procedures will also be covered. An anatomical review of accessory saphenous veins, the small saphenous vein, and perforating veins will be reviewed. And finally, the course will end with the importance of evaluating the deep venous system to prevent uncommon but potentially devastating outcomes.



William B. Schroedter

BS, RVT, RPHS, FSVU

ESP’s Vascular program is recognized as the largest, most effective and efficient method for technologists and physicians preparing for RVT and RVS credentials. William Schroedter is a distinguished educator at the national and international level. He is recognized as an authority in all aspects of vascular testing in both clinical practice and education. Bill spent 7 years on the Society of Vascular Ultrasound Board of Directors, served as SVU Vice President, was honored as a Fellow in 1998 and awarded the SVU Distinguished Service Award in 1995 and 2006.  With dozens of publications, Bill was awarded the DE Strandness Award for Scientific Research in 2010, 2012, and 2013 for original vascular research. Bill loves vascular ultrasound (he has even been known to scan patients on vacation) and teaches with a great passion for the field and especially for new sonographers



Jean M. White-Melendez

RVT, RPHS, FSVU

Jean is a nationally recognized as a premier expert in venous disease, vascular testing and is a frequent lecturer throughout the USA. She has served as an application reviewer and site visitor for the Inter-societal Commission for the Accreditation of Vascular Laboratories (ICAVL). Jean has served on the Board of Directors of multiple vascular societies and foundations. She was honored as a Fellow of the SVU in 2014.



John Mauriello

MD, FACPh

Dr. Mauriello has been practicing Phlebology for more than 28 years and quite simply, is one of the founders of modern phlebology. He is internationally renowned for his expertise in the diagnosis and treatment of venous disease and has pioneered many of the treatments used today. He was past President of the American College of Phlebology ("ACP") from 2011-2012 and for decades he has lectured regularly throughout the United States and the world. Vein Magazine acknowledged him as one of the 25 most influential venous professionals in the world. A colleague had this to say: “John Mauriello is a Master; I consider him to be one of the pioneers in modern Phlebology. He cares about the profession and is dedicated and committed to its advancement.” John has no financial disclosures.

$110.00 for 90 days

POCUS: SPI, AORTA, DVT, MSK, Trauma (eFast exam)

Overview More Information Speaker(s)

• Credits: 4.25 SDMS CMEs ( .75 SPI, 1.5 VT, 2 OT)
• Lectures: 
• Fundamental principles of ultrasound 
• POCUS Abdominal Aorta
• POCUS DVT
• POCUS Basic MSK
• Trauma in Ultrasound eFAST Exam

4.25 SDMS CMEs: 4.25 Point of Care Ultrasound .75 SPI, 1.5 VT, 2 OT Credits. In this lecture, you will learn the definition and utility of the Point of Care (POCUS) Exam. We all know holding a transducer is easy, however, understanding the basic physics of ultrasound is essential for proper diagnosis. We will discuss the basic concepts of which transducer is best when scanning different sections of the body. You will learn about POC of the aorta and its major branches. Quick assessment and interpretation of your finding are key. Continuing through the course you will begin to understand the basic venous anatomy and pathophysiology of the legs and how to perform a POC duplex for the diagnosis of deep venous thrombosis. We will cover POC MSK Ultrasound. Learn the sonographic appearance of normal bones, tendons, ligaments, etc. Gain confidence in your abilities to differentiate between structures with best-in-class tips from ESP’s MSK physician expert. And finally, get inside the mind of an ER physician and learn best-in-class tricks of the trade to arrive at a quick interpretation as you learn about POC in Trauma, the eFast Exam.



Brian Tollefson

MD, FACEP, RMSK, RDMS, CAQ SPORTS MEDICINE

Brian Tollefson has a rare clinical expertise in both emergency and sports medicine at the University of Mississippi Medical Center, where he has practiced for a number of years. As an attending physician and professor of emergency medicine, Dr. Tollefson lectures regularly on emergency, point of care, and musculoskeletal ultrasound. He is the Director of the Emergency Ultrasound Fellowship Program, Director of the Sports Medicine Fellowship Program, and serves as the Vice Chair for Education in Emergency Medicine. Dr. Tollefson has an exceptional knowledge of ultrasound for both diagnostic and therapeutic purposes. His area of ultrasound expertise encompasses emergency, point of care, and musculoskeletal medicine.

Dr. Tollefson holds RMSK and RDMS credentials and is exceptionally qualified to teach courses on point of care and musculoskeletal ultrasound. His teaching style is incredibly concise and highly motivating for those seeking advanced education and certification in Point of Care and Musculoskeletal Ultrasound.

$80.00 for 90 days

Temporal Artery Duplex and EndoAVF

Overview More Information Speaker(s)

• Credits: 2.25 SDMS CMEs (2.25 VT)
• Lectures: 
• Scanning and Management of Superficial Temporal Artery and Branches
• Introduction to New Technology EndoAVF

2.25 SDMS CMEs: 2.25 Vascular Technology. This package covers superficial temporal artery and branches as well as EndoAVF Technology. You will review the pathology of giant cell arteritis and describe the clinical presentation, proper scanning techniques, and machine optimization. You will also learn about Endo AVF dialysis including differences between traditional surgical AVF creation verses EndoAVF creation.



Andrew Bachman

BS, RVT

Andrew is currently the NIVL Clinical Specialist for St. Luke’s University Health Network, overseeing 11 hospitals, 22 dedicated Vascular testing labs, and over 40 technologists. In addition, he is an adjunct professor for the Vascular Sonography Program at Northampton Area Community College. He obtained his bachelor’s degree in health science from Lock Haven University in 2006 and a post-graduate degree from South Hills School of Business and Technology in 2007. He is the author and co-authored of several medical research studies and has earned respect within the vascular community through his numerous lectures and training courses.

$45.00 for 90 days

Unraveling everyday venous topics: The saphenous, edema, and pelvic disorders

Overview More Information Speaker(s)

• Credits: 3.25 SDMS CMEs (3.25 VT)
• Lectures:
  • The NOT So Simple Saphenous System
  • Clinical Comparison of Chronic Venous Insufficiency, Lymphedema, and Lipedema
  • Duplex Ultrasound for Pelvic Venous Disorders

3.25 SDMS CMEs: 3.25 Vascular Technology (VT) Credits. These three presentations will unravel the mysteries of the saphenous and pelvic anatomy as well as explain the differences between types of edema. The saphenous lecture provides a basic overview of venous hemodynamics, anatomy of the saphenous systems, technical tips, and challenges the sonographer to think “outside the color box”. Confused about edema? The lecture on edema is geared toward educating the working Vascular Sonographer as to the clinical differences and associations of chronic venous insufficiency, lymphedema, and lipedema. Seasoned sonographers alike think performing pelvic venous ultrasounds can be one of the most complicated ultrasounds we perform. Why is it considered complicated? We know the anatomy…. Or do we? In this lecture, you will learn about pelvic venous disorders. Listen as one of the leading experts in pelvic venous ultrasound breaks down and simplifies the protocol and how to interpret the ultrasound findings. Newly published treatment algorithms will be covered. Let us help you break down this complicated exam into palatable pieces of information so that you may go back to your vascular lab and perform the best exam ever!



Jean M. White-Melendez

RVT, RPHS, FSVU

Jean is a nationally recognized as a premier expert in venous disease, vascular testing and is a frequent lecturer throughout the USA. She has served as an application reviewer and site visitor for the Inter-societal Commission for the Accreditation of Vascular Laboratories (ICAVL). Jean has served on the Board of Directors of multiple vascular societies and foundations. She was honored as a Fellow of the SVU in 2014



Steve Bernhardt

RDMS, RVT, RPHS

Steve Bernhardt is the Abdominal Sonography instructor. He has been a Medical Sonographer since 1982. Educated at Oklahoma State University and the University of Oklahoma with specialties in abdominal, obstetrical, vascular and phlebology ultrasound. His experience includes 21 years at Ochsner Medical Center in New Orleans, Louisiana supervising both the general and vascular ultrasound departments. Presently practicing sonography and owner of Vascular Health Imaging in Oklahoma City, Oklahoma. ESP faculty member since 1993.



Sara Skjonsberg

BS, RVT, RPhS

Sara Skjonsberg BS, RVT, RPhS, graduated from Seattle University's diagnostic Ultrasound Program in 2013. She worked for the University of Washington DE Strandness Jr. Vascular Lab for 4 years where she was lucky enough to have extensive venous training with Dr. Mark Meissner who jump-started her involvement with the American Vein and Lymphatic Society, Society of Vascular Ultrasound and American Venous Forum. She is currently the chair for the ultrasound section of the American Vein and Lymphatic Society,  a board member of the IAC Vein Center, president of Northwest Vascular Technology Society and has written multiple textbook chapters and journal articles;  She is currently working as the vascular lab manager for Oregon Vascular Specialists in Bend, Oregon.

$60.00 for 90 days

Vascular Sonography Fundamental Fusion

Overview More Information Speaker(s)

• Credits: 5.0 SDMS CMEs (3.5 VT; 1.5 SPI)
• Lectures:
  • Measurement Methodology and Duplex Ultrasound Criteria in Extracranial Carotid Examination
  • What Does This Knob Do To My Image?
  • Arterial Stenosis - Let the Waveforms Guide You
  • Ultrasound Physics Simplified
  • Renal Artery Anatomy, Physiology, and the Duplex Evaluation
  • Dialysis Access Grafts and Fistulas

5.0 SDMS CMEs: 3.5 Vascular Technology; 1.5 SPI Credits. This self-paced, on-demand presentation will enhance the knowledge of sonographers' and physicians' understanding of basic physics concepts, spectral waveform morphology, and spectral Doppler criteria, as it pertains to duplex ultrasound. Also, we will provide essential ultrasound techniques used and the essential images that should be obtained during a hemodialysis access grafts and fistulae duplex exam as well as a renal exam. It will also provide an in-depth explanation regarding the criteria for categorizing diseased in the extracranial carotid arteries with duplex ultrasound.



William B. Schroedter

BS, RVT, RPHS, FSVU

ESP’s Vascular program is recognized as the largest, most effective and efficient method for technologists and physicians preparing for RVT and RVS credentials. William Schroedter is a distinguished educator at the national and international level. He is recognized as an authority in all aspects of vascular testing in both clinical practice and education. Bill spent 7 years on the Society of Vascular Ultrasound Board of Directors, served as SVU Vice President, was honored as a Fellow in 1998 and awarded the SVU Distinguished Service Award in 1995 and 2006.  With dozens of publications, Bill was awarded the DE Strandness Award for Scientific Research in 2010, 2012, and 2013 for original vascular research. Bill loves vascular ultrasound (he has even been known to scan patients on vacation) and teaches with a great passion for the field and especially for new sonographers



Jean M. White-Melendez

RVT, RPHS, FSVU

Jean is a nationally recognized as a premier expert in venous disease, vascular testing and is a frequent lecturer throughout the USA. She has served as an application reviewer and site visitor for the Inter-societal Commission for the Accreditation of Vascular Laboratories (ICAVL). Jean has served on the Board of Directors of multiple vascular societies and foundations. She was honored as a Fellow of the SVU in 2014.



Ann Marie Kupinski

RVT, RDMS, FSVE, Ph.D.

Ann Marie Kupinski is the president and co-technical director of North Country Vascular Diagnostics located in Capital District Region of New York. She is also a Clinical Associate Professor of Radiology at Albany Medical College in Albany, New York. Ann Marie is a member of the Society of Diagnostic Medical Sonography, a senior member of the American Institute of Ultrasound in Medicine, and a fellow of the Society for Vascular Ultrasound. She has served on the Society for Vascular Ultrasound’s board of directors. She is a current member of board of directors for the Intersocietal Accreditation Commission Vascular Testing. She has published multiple journal articles and book chapters on vascular diagnostic techniques and has lectured extensively. She is also the author of the textbook Diagnostic Medical Sonography: The Vascular System, published by Lippincott, Williams and Wilkins. She has been a Registered Vascular Technologist (RVT) since 1986 and became a Registered Diagnostic Medical Sonographer (RDMS) in 2008. She received her Ph.D. in Physiology in 1996 from Albany Medical College.

$100.00 for 90 days

Vein Center Procedures: Techniques, Treats, and Tricks

Overview More Information Speaker(s)

• Credits: 6.0 SDMS CMEs (6.0 VT)
• Lectures:
  • Duplex for saphenous ablation: Technique
  • Ankle Brachial Index for the Phlebologist
  • Anesthesia for Office Based Vein Procedures
  • Ambulatory Phlebectomy
  • Treating Visible Bulbous Tributaries: Microphlebectomy vs. Sclerotherapy
  • Nerves of Interest during venous Intervention
  • Treating Feet-The Right Way
  • Ultrasound Evaluation of the Lower Extremity Following Venous Intervention 

6.0 SDMS CMEs: 6.0 Vascular Technology Credits. To be an integral and dynamic part of the phlebology team, a thorough understanding of thermal and chemical ablation, ambulatory phlebectomy, as well as ligation, harvest, or stripping of the truncal veins is needed. In this lecture series, follow along with speakers that are among some of the most respected in the field of phlebology. We will also cover, performing a lower extremity venous duplex ultrasound both before and following a venous intervention. We will share with you our love for treating veins, techniques we have learned over several decades of practice, and helpful tricks of the trade.



Jean M. White-Melendez

RVT, RPHS, FSVU

Jean is a nationally recognized as a premier expert in venous disease, vascular testing and is a frequent lecturer throughout the USA. She has served as an application reviewer and site visitor for the Inter-societal Commission for the Accreditation of Vascular Laboratories (ICAVL). Jean has served on the Board of Directors of multiple vascular societies and foundations. She was honored as a Fellow of the SVU in 2014.



William B. Schroedter

BS, RVT, RPHS, FSVU

ESP’s Vascular program is recognized as the largest, most effective and efficient method for technologists and physicians preparing for RVT and RVS credentials. William Schroedter is a distinguished educator at the national and international level. He is recognized as an authority in all aspects of vascular testing in both clinical practice and education. Bill spent 7 years on the Society of Vascular Ultrasound Board of Directors, served as SVU Vice President, was honored as a Fellow in 1998 and awarded the SVU Distinguished Service Award in 1995 and 2006.  With dozens of publications, Bill was awarded the DE Strandness Award for Scientific Research in 2010, 2012, and 2013 for original vascular research. Bill loves vascular ultrasound (he has even been known to scan patients on vacation) and teaches with a great passion for the field and especially for new sonographers



John Mauriello

MD, FACPh

Dr. Mauriello has been practicing Phlebology for more than 28 years and quite simply, is one of the founders of modern phlebology. He is internationally renowned for his expertise in the diagnosis and treatment of venous disease and has pioneered many of the treatments used today. He was past President of the American College of Phlebology ("ACP") from 2011-2012 and for decades he has lectured regularly throughout the United States and the world. Vein Magazine acknowledged him as one of the 25 most influential venous professionals in the world. A colleague had this to say: “John Mauriello is a Master; I consider him to be one of the pioneers in modern Phlebology. He cares about the profession and is dedicated and committed to its advancement.” John has no financial disclosures.

$120.00 for 90 days

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