Ladies and Gentlemen, “The Heart Writes a Best Seller, Learn to Read it Well.” HJL Marriott

1. AMERICAN BOARD OF CARDIOVASCULAR MEDICINE CMT Board Certified HOUSTONTX February24, 2012 The Society’s Mission is Twofold:1) To provide Evidence-Based Practice Standards, Educational Guidelines, Certification opportunities for Cardiac Monitor Technicians, EKG Technicians, and Cardiovascular Telemetry Nurses, and…2) To provide Cardiac Monitoring Center Accreditation to Hospitals and facilities who demonstrate an acceptable standard of practice in their system-wide monitoring of cardiac patients.Why you should not miss this Basic EKG Essentials Course and Exam Opportunity: Ladies and Gentlemen, “The Heart Writes a Best Seller, Learn to Read it Well.” HJL Marriott Basic EKG Essentials CoursePrepare for and Pass your EKG or CMT Board Exams First of all, our staff were all trained by the late Henry J. L. Marriott, MD, FACC who set the standards for cardiac monitoring that we have further evolved to meet the needs of all cardiovascular areas of practice. What Marriott brought to Cardiac Monitoring Practice was “Pride of Practice and Accuracy in Lead Placement and Interpretation,” for all Cardiovascular Professionals, not just the Doctors. The Society of Cardiac Monitoring offers you the highest Standard of Practice and Education in the industry, and they are leading the Nation in setting and implementing Standards of Practice for Cardiac Monitor Technicians, EKG Technicians, and Telemetry Nurses. And second, the Society provides you the opportunity to raise the standard of care in your workplace, by assisting you in becoming Board Certified as a Cardiac Monitor Technician, EKG Technician, and/or Telemetry Nurse. Society of Cardiac MonitoringA Subsidiary of the Marriott Heart Foundation

2. 7:30am Registration 8:00-4:30pm – Basic EKG Essentials Course 4:45pm – Optional Cardiac Monitor Technician Board Certification Exam for Techs, and Basic EKG Board Certification Exam for Telemetry Nurses Basic EKG Essentials Course Objectives and Outline of Topics Presented: Upon completion of this Basic EKG Essentials Course, the participant should be able to Identify the following: Bedside monitoring practice standards Sinus rhythms Atrial rhythms Junctional rhythms Ventricular rhythms AV block patterns Myocardial ischemia Myocardial injury Bundle branch blocks Hemiblocks Electrolyte disturbances Responding to the Emergency EKG Email us at bbryant@accn.net or call (813)394-4968, or visit the SCM on the web at www.marriottheart.org and\ then click on the Society of Cardiac Monitoring; visit the American Board of Cardiovascular Medicine who offers the EKG Certifications at www.ecgcertify.org. AMERICAN BOARD OF CARDIOVASCULAR MEDICINE AMERICAN BOARD OF CARDIOVASCULAR MEDICINE CMT Board Certified Basic EKG Essentials Course Registration Houston, TX – Feb. 24, 2012q I will attend the Basic EKG Essentials Courseq I will sit for my CMT or Basic EKG Board Certification Exam at the completion of the Course, or at a later date by proctor. Name: ________________________________________Title: ___________________Home Address: _________________________________City: ________________ State: _____ Zip: ___________Home Phone: ___________________________________Home Email: ___________________________________Place of Employment: ____________________________Area of Employment: _____________________________Early Bird Course Registration: $95 if received by 2/10 or $115 if received after 2/10.Early Bird Exam Registration: $100 if received by 2/10 or $120 if received after 2/10Make checks payable to the Society of Cardiac Monitoring and mail to: MHF/SCM, P.O. Box 3395, Riverview, FL 33568.May combine payments for Course and Exams into one. Course Location: Houston Marriott Hotel at the Texas Medical Center, 6580 Fannin Street, Houston, TX, 77030; Texas residents call 713-796-0080 for reservations, and 1-800-228-9290 if out of the state. A small block of rooms has been reserved for out of town guests for $159 (State you are with the Marriott Heart Foundation or the Society of Cardiac Monitoring to receive your room discount by February 10th. EKG Board Certified

3. First name:  _______________________________ Middle initial: ____________ Last name:________________________________ Degree title: _________________ Professional certifications held: ________________ Job title: _________________________________  Male      Female Home address:_____________________________ City: _____________________________________ State: ___________Zip: _____________ Home email:_______________________________ Work email: _______________________________ Home phone number: _______________________ Name of Employer:__________________________ Phone Number of Employer: __________________ Exam I wish to take the:  CVRN Level I on 2/26  CVRN Level II on 2/26  Basic EKG on 2/24, or 2/26  Cardiac Monitor Technician on 2/24, or 2/26  12-Lead EKG on 2/26 What area of cardiology do you work in? ______________________________________ How long have you worked in this area?_________ What other areas of cardiology do you have experience in? __________________________ How many hours per week do you work in cardiology? _____________ Have you had formal training in cardiology? ______  If so, what specialty degree or certification do you hold in cardiology?____________________ Does your hospital have an in-house training program for critical care and telemetry nurses? ______ Does your hospital have an in-house training program for ECG and monitor technicians? ______ Is your hospital a Magnet facility or are they seeking Magnet status? ________ AMERICAN BOARD OF CARDIOVASCULAR MEDICINE ABCM Board Certification Exam Application – Houston, TX – February 24-26 Applications must be complete or you will not be able to sit for your Board Exam…print and answer all questions.

4. AMERICAN BOARD OF CARDIOVASCULAR MEDICINE, INC. Awards Basic ECG Level IA Cardiac Monitoring Board Certification Status to: Awarding the elite title of CMT-BC to be displayed after her name Cardiac Monitoring Board Certification Status is Awarded to Victoria Chala for Outstanding Performance in the Passing of the Basic ECG Level IA Cardiac Monitoring Board Certification Exam (telemetry level). CMT Board Certification Credentials are valid for a three year renewable term. Herstatus was entered into the National CMT Board Registry Databank of Board Certified Cardiac Monitor Technicians. Certification Credential Issued: 12/02/2010 ECG Board Certification Exam Director: Jonni Cooper Expires 12/02/2013 Certificate #120210VCAmerican Board of Cardiovascular Medicine, Inc., P.O. Box 3395, Riverview, FL 33568 (813)394-4968 Victoria Chala, CMT-BC Sample Certificate