Day 2 :
Wayne State University School of Medicine, USA
Time : 10:00-10:45
- Special Session
Justin Nabity has been a Financial & Career Development Advisor to physicians since 2005. He is from two families of physicians and financial planners with over 200 years of collective medical practice and financial experience. As a result, Physician Advisors solely caters to the needs of physicians. Justin has been a guest speaker to nearly 200 institutions and associations. He is a board member of the Entrepreneurs Organization (EO), a board candidate of the National Association of Insurance and Financial Advisors (NAIFA), listed on 2014 Best Financial Advisers for Medical Economics, 2013 Million Dollar Round Table’s Top of the Table, and a repeat invited speaker for American Association of Ophthalmologists (AAO) as well as the Mayo Fellowship Association (MFA). Justin has authored dozens of lectures on Contract Review, Financial Planning, Disability Insurance, Physician Job Search, Debt Management, Retirement Planning, and Wealth Planning, among others.
Only 28% of physicians are very confident about their financial decisions. Additionally, over half of physicians are concerned about having enough money to retire.Financial preparedness is not just about investing in the right funds; it’s about finding the right job and negotiating well. It’s about tackling debt aggressively, including student loans, while not neglecting retirement planning. For residents and fellows, it’s about creatively and purposefully putting a limited paycheck to work instead of waiting until FINALLY finishing training. It’s also about being prepared for job interviews and protecting a physician’s potential with the right coverage.According to the 2015 MGMA Compensation Report, the median annual earning potential of a cardiologist is *$476,376 and an interventionist is *$566,370. These earning potentials illustrate the compelling reason why when planning for retirement, proper diversification goes far beyond having an investment allocation spread out among various asset classes. A truly diversified investment strategy also takes into consideration the impact of taxes both today and when retirement is reached.
A diversified investment strategy provides physicians the ability to minimize tax liability in order to optimize the tax efficiency of their portfolio both today and in retirement years. Traditionally, individuals rely solely on their 401(k), IRAs or other tax-deferred vehicles for savings. However, this one-dimensional savings strategy provides little to no flexibility when an individual reaches retirement. Diversification involves spreading investments among tax-deferred, tax-favored and taxable accounts during a physician’s working years so they can plan to optimize their tax situation in retirement.Whether discussing contract negotiation, interviewing, debt management or retirement planning, the remedy to this concerning statistic is to universally “Plan for the End in the Beginning.”
- Clinical trials in Cardiology | Heart Failure and Cardiomyopathies
Livia Stocco Sanches Valentin
University of Sao Paulo, Brazil
Worcester Polytechnic Institute, USA
Title: Patient-specific MRI-based active contraction and relaxation right ventricle models with different zero-load diastole and systole geometries for better stress and strain calculations
Time : 12:05-12:35
Dalin Tang received his PhD from UW-Madison in 1988. He is Professor of Mathematics and Biomedical Engineering at WPI (since 1988). He was named John E. Sinclair Professor of Mathematics in 2003-2006. He received WPI Trustee’s research award, the highest honor for faculty research at WPI. He was elected Fellow of AHA in 2011, Fellow of ASME in 2016. His research interest is image-based modeling for ventricles and vulnerable plaques. He has received 29 grants including 3 NIH R01 grants and one NSF/NIGMS grant ($1.8M). He served on various NSF, NIH, and AHA panels. AE of PLOS One and BMEO.
Accurate assessment of ventricular stress and strain is critical for cardiovascular investigations. From a mechanical point of view, zero-stress ventricular geometry information is required for correct stress/strain calculations. Sarcomere shortening in active contraction leads to change of ventricular zero-stress configurations during the cardiac cycle. A new model using different zero-load geometries (diastole and systole) was introduced to provide more accurate diastolic and systolic stress/strain calculations. Cardiac magnetic resonance (CMR) data were obtained from 16 patients with repaired tetralogy of Fallot (TOF) prior to pulmonary valve replacement (8 male; mean age 34.5 years). CMR-based patient-specific computational right and left ventricular (RV and LV) models using one zero-load geometry (old model) and two zero-load geometries (no-load diastole and systole geometries, new model) were constructed and RV mechanical stress and strain were obtained for analysis. Based on the average values from the 16 patients, peak-systolic stress from the new model was 28% higher than that from the old model. Peak-systolic strain from the new model was 40% higher than that from the old model. The new model also provided end-systole and end-diastole stress and strain values that were not available from the old model. The new 2-geometry model may be able to provide more accurate ventricular stress and strain calculations by using different zero-load geometries for the diastole and systole phases, respectively. The new model may be used in patient studies to further examine its impact on risk stratification and planning surgical interventions.
University of São Paulo, Brazil
Title: Cognitive dysfunction rehabilitation using MentalPlus® digital game- A possible future tool to cognitive rehabilitation in POCD
Time : 13:20-13:50
Livia Valentin has completed her PhD from University of São Paulo School of Medicine- FMUSP and postdoctoral from Harvard Medical School; David Geffen School of Medicine at UCLA; Cleveland Clinic Lerner College of Medicine of Case Werstern University; University of Copenhagen; Utrecht University; Max Planck Institute and Karolinska Institute as a multicenter study. She is the Principal Investigator of the RCT Evaluation of POCD through the MentalPlus® digital game. She has published papers in anesthesia and neuropsychology journals and has been serving as an editorial board member of a indexed journal and reviewer of journal about anesthesiology and neuroscience.
POCD remains a common postoperative complication associated with higher morbidity and mortality, especially in elderly patients and cardiac surgery. Research on digital games may not relate directly to postoperative cognitive dysfunction, but it can illuminate the possibilities of games related cognitive improvement in people with cognitive dysfunction. MentalPlus® is a digital game developed first to evaluate the cognitive dysfunction, in special POCD. This study investigated the association between the use of MentalPlus® game series of sessions in cardiac surgery patients with cognitive dysfunction and their results after them. Based on these findings, the scientific community could have interest to develop a major project to evaluate the impact of its usefulness for POCD rehabilitation.