RPVI and Vascular Interpretation

Date of Original Release: 9/18/2015
This edition valid for credit through: 9/18/2018

Price:  $845.00 (12 months access)
Code: OC-RPVI151
22.00 AMA PRA Category 1 Credit(s)™



I. Physics and Instrumentation

  1. Hemodynamics, Principles, and Doppler Fundamentals
  2. Instrumentation: Transducers, Imaging Modes and Artifacts
  3. Mock Exam I: Physics and Instrumentation

II. Carotid, Vertebrobasilar, Cerebrovascular Anatomy and Physiology

  1. Normal Carotid Anatomy, Waveforms and Scan Protocol 
  2. Overview of Abnormal Carotid Waveform - Characteristics & Diagnostic Criteria
  3. Abnormalities of the Vertebrobasilar System and Transcranial Doppler 
  4. Integration of Data: Study Interpretation & Reporting 
  5. Interactive Carotid and TCD Cases 
  6. Abdominal Aorta and Aortic Endografts 
  7. Mock Exam II: Vascular Anatomy and Physiology

III. Peripheral Arterial

  1. Peripheral Arterial: Protocols and Methods of Evaluating Disease
  2. Arterial Grafts and Intraoperative Duplex
  3. Arterial Assessment of Upper Extremities
  4. Abdominal Visceral Duplex: Renal, Mesenteric and Hepatic
  5. Mock Exam III: Peripheral Arterial and Abdominal

IV. Venous

  1. Peripheral Venous: Protocols and Methods to Detect DVT
  2. Venous Insufficiency and Physiologic Testing 
  3. Venous Imaging of the Upper Extremity
  4. Interactive Cases Peripheral Arterial and Venous 
  5. Quality Assurance, Safety, and Bioeffects

V. Case Studies

  1. Mock Exam IV: Venous and Miscellaneous
  2. Carotid Case Study Review
  3. Peripheral Arterial Case Study Review
  4. Abdominal Case Study Review
  5. Miscellaneous Case Study Review

Case Studies
For medical professionals seeking case studies, here is the breakdown of the case studies covered.

  Case Study Type Count
  Carotid 52
  Abdominal/Visceral 20
  Miscellaneous 9
  Physics 22
  Peripheral Vascular 79
  Transcranial Doppler 6
Total  Cases   188

Method of Participation:

Online course. A combination of streaming video, recommended reading, and web-based quizzes. The estimated time of completion for this course is 22.0 hours.

To receive a maximum of 22.0 AMA PRA Category 1 Credits™ you should:

  1. View the presentations for this online course in its entirety.
  2. Read the course information summary document fully.
  3. Complete the requirements (video, reading, etc.) for each of the course modules.
  4. Complete each of the quizzes for each module and obtain a passing score (70%).
  5. Click the Apply/Claim CME credit link.
  6. Complete the course evaluation.
  7. Affirm your participation and credit value(s) for program(s).
  8. Print your certificate.
Topics & Objectives
  • Hemodynamic Principles and Doppler Fundamentals
  • Instrumentation: Transducers, Imaging Modes, and Artifacts
  • Normal Carotid Anatomy, Waveforms, and Scan Protocol
  • Abnormal Carotid Waveform: Characteristics and Diagnostic Criteria
  • Abnormalities of the Vertebrobasilar System & TCD
  • Integration of Data: Study Interpretation and Reporting
  • Carotid and TCD Cases
  • Abdominal Aorta and Aortic Endografts
  • Peripheral Arterial: Protocols and Methods of Evaluating Disease
  • Arterial Grafts and Intraoperative Duplex
  • Arterial Assessment: Upper Extremities
  • Abdominal Visceral Duplex: Renal, Mesenteric & Hepatic
  • Peripheral Venous: Protocols and Methods to Detect DVT
  • Venous Insufficiency and Physiologic Testing
  • Venous Imaging: Upper Extremities
  • Peripheral Arterial and Venous Cases
  • Quality Assurance, Safety and Bioeffects
  • Carotid Cases
  • Peripheral Arterial Case Studies
  • Abdominal Case Studies
  • Miscellaneous Case Studies


Upon completion of these enduring materials, the viewer should be able to accomplish the following:

  1. Increase the participants’ knowledge and competence to perform and/or interpret vascular ultrasound examinations
  2. Analyze Doppler/Color physics factors that affect optimal Doppler examinations and commonly seen Doppler/Color artifacts, which may affect diagnostic accuracy
  3. Recognize normal/abnormal imaging, spectral Doppler and Color Doppler findings seen with carotid and peripheral arterial and venous disease
  4. Cite the role of indirect testing in the evaluation of lower extremity arterial disease
  5. Apply diagnostic criteria for evaluation of carotid, peripheral venous and arterial disease
  6. Interpret complex carotid and peripheral vascular case studies in an interactive interpretation session format
  7. Recognize ultrasound findings associated with aortic endograft leaks
  8. Differentiate normal and abnormal spectral Doppler characteristics associated with renal artery and dialysis access graft evaluations
  9. Integrate the key diagnostic elements into a structured report
  10. Increase confidence to incorporate protocols, techniques and diagnostic criteria to improve diagnosis/treatment accuracy
Target Audience
Sonographers, physicians, nurse practitioners, PA’s or other medical professional performing and/or interpreting: physicians, and other clinicians preparing to take their RPVI ultrasound examination or who desire a comprehensive review to enhance vascular ultrasound interpretation skills. Sonographers and other medical professionals may also attend to improve vascular ultrasound diagnostic skills. Physician participants may include (but is not limited to) : radiology, internal medicine, primary care, vascular surgery, general surgery, cardiology
Course Instructors

Robert Atnip


Chief, Vascular Surgery Section, Dept. of Surgery , The Pennsylvania State University College of Medicine , Professor of Surgery and Radiology , Milton S. Hershey Medical Center , Hershey, PA
No relevant financial relationship(s) exist.

Marsha M. Neumyer


Intl' Dir, Vascular Diagnostic Educational Services & Vascular Resource Associates, Former Assistant Prof of Surgery & Dir., The Milton S. Hershey Medical Center, Hershey, PA, Ultrasound Consultant for Unetixs Vascular Inc.
No relevant financial relationship(s) exist.

Rob Daigle


Ultrasound Consultant, Littleton, CO, Commercial Relationships to disclose:, President & Owner- Summer Publishing, Consultant for Biosound Esaote
No relevant financial relationship(s) exist.

Faculty & Content Disclosures...
Faculty Disclosure
Gulfcoast Ultrasound Institute, Inc. adheres to ACCME Essential Areas, Standards, and Policies regarding industry support of CME. Speakers will disclose any relevant commercial relationships prior to the start of the educational activity.

Content Validation
All presentations for this CME activity were reviewed and approved by members of the GUI CME Review Committee to determine content validity and to ensure that no conflicts of interest exist prior to the activity commencement or material compilation.

Disclosure of Individuals in Control of Content
In addition to the faculty listed the following individuals are recognized by GUI as being in control of content of this program:

James Mateer, MD, RDMS (Medical Director-planner, QI Task Force Subcommittee)
Medical Director, Gulfcoast Ultrasound Institute
No relevant financial relationships to disclose.

Andreas Dewitz, MD, RDMS(Member of Advisory Board, QI Task Force Subcommittee)
Associate Professor of Emergency Medicine
Vice Chair of Ultrasound Education
Boston Medical Center
Boston, MA
No relevant financial relationships to disclose

Lori Green, BA, RT, RDMS, RDCS, RVT (Program Director/planner and reviewer, QI Task Force Subcommittee)
President, Gulfcoast Ultrasound Institute, Inc.
No relevant financial relationships to disclose

Brian Schenker, MBA, RDMS, RVT
Program Coordinator, Gulfcoast Ultrasound Institute, Inc.
No relevant financial relationships to disclose

show less...
Continuing Education Credits
The Gulfcoast Ultrasound Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Gulfcoast Ultrasound Institute designates this live activity for a maximum of 22.00 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course also meets CME/CEU requirements for ARDMS. Note: While offering the CME credit hours noted above, activities are not intended to provide extensive training or certification for exam performance or interpretation.