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Check Out Congress with Critical Connections Live

Can’t join us in Hawaii? You can still be part of the late-breaking and most controversial sessions from the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress. Tune in Monday, January 23, 2017, for Critical Connections Live.

Visit www.sccm.org/Live and follow hashtag #SCCMLive. Programming begins at 1:00 p.m. Eastern Standard Time (EST) (see more time zones).

To receive a reminder to tune in, please provide your contact information.

Critical Connections Live Program Schedule

1:00 p.m. – 1:30 p.m. EST
Congress highlights and interviews with key members of the critical care community, SCCM leaders and attendees.

1:30 p.m. – 2:45 p.m. EST
Hot Topics and Late-Breaking Science: Physician-Assisted Suicide and Euthanasia in the Intensive Care Unit: A Dialogue on Core Ethical Issues
Jan Bakker, MD, PhD, FCCP, and E. Wesley Ely, MD, MPH, FCCM

Live Post-Session Discussion Panelist #SCCMLive
Mitchell M. Levy, MD, MCCM

2:45 p.m. – 4:30 p.m. EST
Congress highlights and interviews featuring key sessions from Sunday’s opening session.

4:30 p.m. – 5:45 p.m. EST
International Guidelines for the Management of Sepsis and Septic Shock: 2016
Laura E. Evans, MD, FCCM, Andrew Rhodes, FRCP, FRCA, FFICM, and Mitchell M. Levy, MD, MCCM

Live Post-Session Discussion Panelists #SCCMLive
Lauren Epstein, MD, and R. Phillip Dellinger, MD, MCCM

Live from Congress Hosts
Richard H. Savel, MD, FCCM, and Christopher L. Carroll, MD, MS, FCCM

Critical Connections Live Broadcast from Congress

Can’t come to this year’s Critical Care Congress? View live sessions, interactive interviews and highlights at Critical Connections Live. Tune in Monday, January 23, 2017, beginning at 1:00 p.m. Eastern Standard Time (EST) (see more time zones). Join us at www.sccm.org/Live and follow the hashtag #SCCMLive.

To receive a reminder to tune in, please provide your contact information.

Critical Connections Live Program Schedule

1:00 p.m. – 1:30 p.m. EST
Congress highlights and interviews with key members of the critical care community, SCCM leaders and attendees.

1:30 p.m. – 2:45 p.m. EST
Hot Topics and Late-Breaking Science: Physician-Assisted Suicide and Euthanasia in the Intensive Care Unit: A Dialogue on Core Ethical Issues
A pro/con debate and panel discussion with Jan Bakker, MD, PhD, FCCP, and E. Wesley Ely, MD, MPH, FCCM, featuring their late-breaking article to be released at Congress in Critical Care Medicine just before the session.

Live Post-Session Discussion Panelist #SCCMLive
Mitchell M. Levy, MD, MCCM
Professor of Medicine
Division Chief, Pulmonary and Critical Care Medicine
Brown University School of Medicine
Providence, Rhode Island, USA

2:45 p.m. – 4:30 p.m. EST
Congress highlights and interviews featuring key sessions from Sunday’s opening session, including:

  • 2017 Presidential Address by Ruth M. Kleinpell, RN-CS, PhD, FCCM
  • Plenary session: “Fallen”: A Transdisciplinary Tale of Disturbance and Recovery, by Nalini Nadkarni, PhD

4:30 p.m. – 5:45 p.m. EST
International Guidelines for the Management of Sepsis and Septic Shock: 2016
Laura E. Evans, MD, FCCM, Andrew Rhodes, FRCP, FRCA, FFICM, and Mitchell M. Levy, MD, MCCM, review the methodology and what’s new in the Surviving Sepsis Campaign Guidelines, to be released at Congress in Critical Care Medicine just before the session.

Live Post-Session Discussion Panelists #SCCMLive
Lauren Epstein, MD
Medical Officer
Centers for Disease Control and Prevention
Atlanta, Georgia, USA

R. Phillip Dellinger, MD, MCCM
Chairman/Chief, Department of Medicine
Senior Critical Care Attending Physician
Cooper University Hospital
Camden, New Jersey, USA

Live from Congress Hosts
Richard H. Savel, MD, FCCM
Professor of Clinical Medicine and Neurology
Albert Einstein College of Medicine
New York, New York, USA

Christopher L. Carroll, MD, MS, FCCM
Connecticut Children’s Medical Center
Hartford, Connecticut, USA

Participate in Industry Education at Congress

The Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress will be packed with essential clinical information to keep you informed on the latest groundbreaking research and developments in critical care. Each year, industry partners invest significant resources in research and development, placing them at the cutting edge of clinical practice. Take advantage of one of the many industry education opportunities offered.

Promotional Symposia
These non-continuing medical education programs are directly sponsored by industry partners and provide insight into the latest developments, such as super-refractory status epilepticus, resistant gram-negative organisms, perioperative nutrition, and catecholamine-resistant hypotension.

Promotional symposia take place in a relaxed off-site setting, and attendance is complimentary.

In-Booth Education
Visit the Exhibit Hall to gain new ideas and a heightened level of awareness on clinical topics and new technologies through in-booth learning opportunities. In-booth education will take place during normal Exhibit Hall hours:

Sunday, January 22, 2017 – 7:30 a.m. – 2:00 p.m.
Monday, January 23, 2017 – 7:15 a.m. – 1:45 p.m.
Tuesday, January 24, 2017 – 7:15 a.m. – 1:45 p.m.

Exhibitor-Sponsored Industry Education Workshops
Attend a session on the show floor at the exhibitor-sponsored industry education workshops, located in the Exhibit Hall. Increase your learning opportunities and gain insight on a late-breaking technology or clinical technique.

For full details, visit the Congress Industry Education Web page.

Carry the Entire Congress Program in the Palm of Your Hand

Get ready for the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress by downloading the Congress App.

  • Access the most current listings of the sessions, business meetings, abstracts, research snapshot theaters, and more.
  • Check in to your attended sessions to expedite claiming continuing education credit.
  • Build your own schedule.
  • View faculty disclosures.
  • Connect with colleagues.
  • Access floor plans.

The Congress App is sponsored by Sage Therapeutics and is available within the SCCM App. Download the SCCM App and navigate to the SCCM Events icon.

Log in to get the most out of the Congress App. To log in, use your confirmation code, which is your SCCM Customer ID.

Apps designed specifically for the iPhone, iPad and Android are available now! Search “SCCM” in Google Play or the iTunes store. You can also download the SCCM App at www.sccm.org/SCCMApp.

All of SCCM’s resources are in one central location with the SCCM App! The SCCM App provides access to the 46th Critical Care Congress App, the new Critical Care Quiz, Surviving Sepsis Campaign App, iCritical Care episodes, SCCM Member Directory, Guidelines, News, Career Central, and much more!

Register for Congress online today using your Customer ID and password or contact SCCM Customer Service at +1 847 827-6888. The 2017 Congress curriculum will be packed with world-renowned speakers, interactive workshops, thought-provoking panel discussions, stimulating educational sessions, and the opportunity to earn continuing education credits.

Attend an Afternoon Symposium at Congress

Learn about clinical breakthroughs and advances in patient care during the educational symposia at the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress. Each stimulating session is presented by leading experts in critical care and offers a thorough analysis of the developments and issues affecting most intensive care unit (ICU) environments. These sessions are complimentary for all Congress registrants, and no additional registration is needed to attend.

Evidence-Based Management of Hepatorenal Syndrome Type 1 in Critical Care: Preserving Renal Function in Patients with Portal Hypertension
Supported by an educational grant from Mallinckrodt Pharmaceuticals
This session will review the current knowledge on pathology and definitions for hepatorenal syndrome (HRS) as well as assessment and differential diagnosis of HRS in cirrhotic patients. Critical care team decision-making regarding plasma revolumization and timing of pharmacologic options will also be discussed.

The Modern Approach to the Diagnosis and Treatment of Shock
Supported by an educational grant from La Jolla Pharmaceutical Company
This symposium will explore emerging therapeutic strategies, preserving end-organ perfusion and volumetric assessment in shock.

Anticoagulant Therapy: Where We Are and Where We Are Heading
This activity is supported by an independent educational grant from Boehringer Ingelheim Pharmaceuticals, Inc.
This session will discuss n
on-vitamin K antagonist oral anticoagulants, new antiplatelet agents (thienopyridines), and emergent management of bleeding and reversal of anticoagulant and antiplatelet agents.

These symposia will be held Sunday, January 22, 2017, at the Hilton Hawaiian Village in the Tapa Tower Ballrooms. Seating is on a first-come, first-served basis. Light refreshments and beverages will be available before each symposium, beginning at 3:00 p.m. The sessions will start promptly at 3:30 p.m. More information is available at www.sccm.org/AfternoonSymposia.

Register for Congress online today using your Customer ID and password. For details, visit www.sccm.org/Congress.

Discount Registration for Congress Ends December 14

Wednesday, December 14, 2016, is the last day to take advantage of advance registration discounts for the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress, to be held January 21 to 25, 2017, in Honolulu, Hawaii, USA.

Register online using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888. In addition, discounted hotel rates end December 14, 2016; make your hotel reservation online today!

Network and collaborate with critical care leaders, and explore new tools, technologies and processes. The 2017 Congress will include plenary sessions, which will feature presentations by authorities across disciplines on a wide array of clinical and research topics. Attendees can participate in cutting-edge educational sessions, hands-on workshops and an interactive debate theater.

Pre- and Post-Congress Educational Sessions

Enhance your experience by attending a pre- or postcourse. Each course is packed with essential clinical information to keep you well informed on a variety of critical care topics. An additional registration fee is required to attend.

This year’s courses include:

  • Advances in Veterinary Critical Care
  • ACCP/SCCM Critical Care Pharmacy Preparatory Review and Recertification Course
  • Current Concepts in Adult Critical Care
  • Current Concepts in Pediatric Critical Care
  • ECMO Management Workshop
  • Adult Airway Management in the Critically Ill
  • Adult Multidisciplinary ICU Simulation Bootcamp
  • Fundamentals Faculty Academy
  • Hemodynamic Monitoring: From Cardiovascular Physiology to Applied Intensive Care Medicine
  • Ho‘ola hou (Revive): Resuscitation Officers Training Program (Code Blue and Medical Emergency Teams)
  • Liver Failure in the ICU: Key Concepts and Management Principles
  • Nutrition Research Workshop: From Bench to Bedside
  • What You Need to Know to Manage the Neurologically Critically Ill Patient
  • Critical Care Ultrasound
  • Critical Care Ultrasound: Pediatric

For more information on Congress and to view the advance program, visit www.sccm.org/Congress.

Attend Popular Congress Events and Sessions

Network and collaborate with critical care leaders, and explore new tools, technologies and processes at the Society of Critical Care Medicine’s (SCCM’s) 46th Critical Care Congress. There is still time to save on registration rates. Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

The Society’s annual Congress will take place January 21-25, 2017, in Honolulu, Hawaii, USA. Learn about the latest developments in critical care by attending the always-popular abstract presentations offered at Congress:

Star Research Presentations
These presentations will be scheduled, unopposed, for two hours on Sunday, January 22, 2017. The top 64 abstracts submitted will be highlighted.

Research Snapshot Theaters
Research Snapshot award winners and authors of all accepted abstracts and case reports will present their submissions with time for questions and answers. Sessions will be moderated by noted faculty and experts to facilitate the exchange of ideas and commentary. Presentations will be held in designated sections of the Exhibit Hall on Sunday, January 22, through Tuesday, January 24, 2017.

Awards Presentations
Winners of SCCM’s abstract-based awards will be recognized during a ceremony on Tuesday, January 24, 2017.

For more information about Congress, or to view the Advance Program, visit www.sccm.org/Congress.

Free, Online CE Activities on Chronic Heart Failure

Earn free continuing education credits by viewing the educational content from the Society of Critical Care Medicine’s (SCCM) 2016 Congress session, Optimizing Treatment and Improving Care Transitions in Chronic Heart Failure, supported by an educational grant from Amgen. Available in two formats, you can choose from the webcast version, Optimizing Treatment and Improving Care Transitions in CHF, or the electronic publication, Chronic Heart Failure Monograph.

Both versions contain discussions from experts Nancy M. Albert, PhD, CCNS, CHFN, CCRN, NE-BC, FAHA, FCCM, FAAN, of Cleveland Clinic, Jeffrey S. Borer, MD, of The Howard Gilman Institute for Heart Valve Diseases and the Schiavone Cardiovascular Translational Research Institute, and Paul J. Hauptman, MD, of Saint Louis University School of Medicine. Topics include the epidemiology, pathophysiology and diagnosis of chronic heart failure and how strategies to decrease hospital readmission rates and overall costs through better diagnosis and disease management impact patient outcomes. Safety, efficacy and clinical application of the current and emerging therapeutics, the new recommendation for the management of chronic heart failure, and appropriate strategies to optimize pharmacologic treatment of chronic heart failure are also discussed.

Other Online CME Available
Whether you missed SCCM’s 2016 Critical Care Congress or couldn’t make it to all the sessions of interest, you can still participate in the most popular sessions online at your convenience. Earn free continuing medical education credits by viewing any of the following webcasts and then applying for credit:

Every Patient Has a Story: Individualizing the Management of Invasive Fungal Infections in the Critical Care Setting
Supported by an educational grant from Astellas Pharma Global Development, Inc.

Improving Clinical Outcomes and Pathogen-Directed Therapy for Serious Bacterial Infections in the Critical Care Setting
Supported by an educational grant from Merck & Co., Inc.

The Role of Biomarkers in Acute Kidney Injury Risk Assessment
Supported by an educational grant from Astute Medical, Inc.

Tailoring Therapy & Improving Outcomes in Patients with ADHF
(Available as a webcast or an electronic publication)
Supported by an educational grant from Novartis Pharmaceuticals Corporation

Congress Early Registration Ends Wednesday, November 16

Register by Wednesday, November 16, 2016, for the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress and save over 15% off the registration fee. Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

Network and collaborate with critical care leaders, and explore new tools, technologies and processes. The 2017 Congress will include plenary sessions, which will feature presentations by authorities across disciplines on a wide array of clinical and research topics. Attendees can participate in cutting-edge educational sessions, hands-on workshops and an interactive debate theater.

Join us January 21 to 25, 2017, in Honolulu, Hawaii, USA, as we work together to secure the highest-quality care for all critically ill and injured patients.

To secure hotel accommodations at the best rates, reserve your room online by December 14, 2016.

For more information about Congress, or to view the Advance Program, visit www.sccm.org/Congress.

2018 Congress Call for Session Proposals

Have an idea for a session at the Society of Critical Care Medicine’s (SCCM) 47th Critical Care Congress? Submit your suggestions by March 3, 2017, for possible inclusion in the 2018 program.

Session proposals are submitted using the Congress Session Builder on MySCCM.org under the MY INVOLVEMENT tab. You need not be an SCCM member to submit a session. Multiple sessions may be suggested for consideration. For complete instructions and to review frequently asked questions, visit www.sccm.org/SessionProposals or contact SCCM Customer Service at +1 847 827-6888.

Please note: The Congress Program Planning Committee reserves the right to change, alter, merge, and reject sessions, titles, content, moderators, and speakers to meet programming needs. Incomplete submissions will not be reviewed.

In 2018, SCCM will bring the critical care community to San Antonio, Texas, USA. Everything is bigger in Texas and the 47th Critical Care Congress will encourage you to embrace new perspectives and develop innovative ideas that push beyond limitations and challenge the current state of critical care. We invite you to join us February 24 to 28, 2018, for the largest multiprofessional critical care event of the year. Registration opens June 2017.

Free, Online CE Activities on Acute Decompensated Heart Failure

Obtain free continuing education credits by viewing the educational content from the Society of Critical Care Medicine’s (SCCM) 2016 Congress session, Tailoring Therapy and Improving Outcomes in Patients with Acute Decompensated Heart Failure (ADHF), supported by an educational grant from Novartis Pharmaceuticals Corporation. Available in two formats, you can choose from the webcast version, Tailoring Therapy & Improving Outcomes in Patients with ADHF, or the electronic publication, Acute Decompensated Heart Failure Monograph.

Both versions contain discussions from experts Ileana L. Piña, MD, MPH, of Montefiore Einstein Center for Heart and Vascular Care, Javed Butler, MD, MPH, FACC, FAHA, MBA, of Stony Brook University, and Peter S. Pang, MD, MS, FACEP, FACC, FAHA, of Indiana University School of Medicine. Topics include the diagnosis and classification of ADHF, existing therapies, new guidelines and safety and efficacy data for new and emerging treatment therapies, as well as strategies for individualizing therapy to improve patient outcomes. Physicians, nurses, and pharmacists are eligible to receive continuing education credits.

Other Online CME Available
Whether you missed SCCM’s 2016 Critical Care Congress or couldn’t make it to all the sessions of interest, you can still participate in the most popular sessions online at your convenience. Earn free continuing medical education (CME) credits by viewing any of the following webcasts and then applying for credit:

Every Patient Has a Story: Individualizing the Management of Invasive Fungal Infections in the Critical Care Setting
Supported by an educational grant from Astellas Pharma Global Development, Inc.

Improving Clinical Outcomes and Pathogen-Directed Therapy for Serious Bacterial Infections in the Critical Care Setting
Supported by an educational grant from Merck & Co., Inc.

Optimizing Treatment and Improving Care Transitions in Chronic Heart Failure
Supported by an educational grant from Amgen

The Role of Biomarkers in Acute Kidney Injury Assessment
Supported by an educational grant from Astute Medical, Inc.

Explore Hawaii During the 46th Critical Care Congress

The Society of Critical Care Medicine (SCCM) has arranged discounts and special offers on exciting sightseeing activities to enhance the Congress experience.

Aha Aina, A Royal Luau
Experience Waikiki’s only oceanfront dinner show! In ancient times the Hawaiian people came together to celebrate momentous occasions. These gatherings were called ‘Aha‘aina (which translates to “gathering for a meal”). The luau will be held Monday, January 23, 2017, at 5:30 p.m. at the Royal Hawaiian Resort in Honolulu, Hawaii, USA. The resort is located on sacred grounds and has created a modern, yet timeless Aha Aina, a Royal Luau, to honor the land’s majestic history through food, song, stories, hula, and culture—a true celebration!

To purchase discounted tickets, please call +1 808 921-4600 and use the code SCCM. Tickets are available on a first-come, first-served basis. For more information, visit the Congress Sightseeing Activities page.

Additional Sightseeing Activities
SCCM is also offering sightseeing tours for attendees who want to explore and discover all that this Pacific island paradise has to offer. Please visit the SCCM Congress activity website to make a reservation and for more details on the following:

  • Whale Watching
  • Turtle Snorkel Sail
  • Arizona Memorial Excursion
  • Diamond Head Crater Adventure
  • Jurassic Park Waterfalls Adventure
  • Volcano Tour
  • And much more!

No Cost, Online CE Activities on Acute Decompensated Heart Failure

Earn free continuing education credits by viewing the educational content from the Society of Critical Care Medicine’s (SCCM) 2016 Congress session, Tailoring Therapy and Improving Outcomes in Patients with Acute Decompensated Heart Failure (ADHF), supported by an educational grant from Novartis Pharmaceuticals Corporation. Available in two formats, you can choose from the webcast version, Tailoring Therapy & Improving Outcomes in Patients with ADHF, or the electronic publication, Acute Decompensated Heart Failure Monograph.

Both versions contain discussions from experts in the field on the diagnosis and classification of ADHF, existing therapies, new guidelines and safety and efficacy data for new and emerging treatment therapies, as well as strategies for individualizing therapy to improve patient outcomes. Physicians, nurses and pharmacists are eligible to receive continuing education credits.

Other Online CME Available

Whether you missed SCCM’s 2016 Critical Care Congress or couldn’t make it to all the sessions of interest, you can still participate in the most popular sessions online at your convenience. Earn free continuing medical education credits by viewing any of the following webcasts and then applying for credit:

Every Patient Has a Story: Individualizing the Management of Invasive Fungal Infections in the Critical Care Setting
Supported by an educational grant from Astellas Pharma Global Development, Inc.

Improving Clinical Outcomes and Pathogen-Directed Therapy for Serious Bacterial Infections in the Critical Care Setting
Supported by an educational grant from Merck & Co., Inc.

Optimizing Treatment and Improving Care Transitions in Chronic Heart Failure
Supported by an educational grant from Amgen

The Role of Biomarkers in Acute Kidney Injury Risk Assessment
Supported by an educational grant from Astute Medical, Inc.

Register for Pre- and Post-Congress Educational Sessions

The Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress will be packed with essential clinical information to keep you well-informed on the latest groundbreaking research and developments in critical care. The pre- and post-Congress educational sessions reflect the most up-to-date topics and evidence-based information so you can incorporate the latest clinical treatments and administrative strategies into your everyday practice.

Pre-Congress Educational Sessions
Friday, January 20 and Saturday, January 21

  • Advances in Veterinary Critical Care
  • Critical Care Pharmacy Preparatory Review Course
  • Current Concepts in Adult Critical Care
  • Current Concepts in Pediatric Critical Care
  • ECMO Management
    * This course will take place at the Ala Moana Hotel in Honolulu, Hawaii, USA.

Saturday, January 21

  • Adult Multidisciplinary ICU Simulation Bootcamp
    * This course will take place at the University of Hawaii Translational Health Science Simulation Center in Honolulu, Hawaii, USA.
  • Adult Airway Management in the Critically Ill
  • Fundamentals Faculty Academy
  • Hemodynamic Monitoring: From Cardiovascular Physiology to Applied Intensive Care Medicine
  • Ho’ola hou (Revive): Resuscitation Officers Training Program (Code Blue and Medical Emergency Teams)
  • Liver Failure in the ICU: Key Concepts and Management Principles
  • Nutrition Research Workshop: From Bench to Bedside
  • What You Need to Know to Manage the Neurologically Critically Ill Patient

Post-Congress Educational Session
Wednesday, January 25 and Thursday, January 26

  • Critical Care Ultrasound
  • Critical Care Ultrasound: Pediatric
    *These courses will take place at the Hilton Hawaiian Village, in Honolulu, Hawaii, USA.

Space for each course is limited, so register early to guarantee your top choice. To view course descriptions, visit the Congress Program page.

If you plan to attend a course in conjunction with Congress, register at www.sccm.org/Congress. If you plan to attend a course and not Congress, register in the SCCM store by searching the course title. If you are currently registered for Congress, please contact SCCM Customer Service at +1 847 827-6888 to add a pre- and/or post-Congress educational session to your existing registration and for answers to any of your questions.

Build your critical care knowledge and enhance the care you deliver to patients by attending SCCM’s 46th Critical Care Congress, to be held January 21 to 25, 2017, in Honolulu, Hawaii, USA. Join more than 6,000 members of the critical care community at this five-day event. When the right people come together in one place, ideas become reality. Register online today.

Free CE Credit Activities from the 45th Critical Care Congress

If you were unable to attend the Society of Critical Care Medicine’s (SCCM) 2016 Critical Care Congress in Orlando, Florida, USA, or simply couldn’t make it to all sessions of interest, you can still experience several popular industry-supported sessions online. Review the content at your own pace from the comfort and convenience of your home or office and earn free continuing education credit by viewing any of the following complimentary webcasts and then applying for credit.

Every Patient Has a Story: Individualizing the Management of Invasive Fungal Infections in the Critical Care Setting
Supported by an educational grant from Astellas Pharma Global Development, Inc.

Improving Clinical Outcomes and Pathogen-Directed Therapy for Serious Bacterial Infections in the Critical Care Setting
Supported by an educational grant from Merck & Co., Inc.

Optimizing Treatment and Improving Care Transitions in Chronic Heart Failure
Supported by an educational grant from Amgen

The Role of Biomarkers in Acute Kidney Injury Risk Assessment
Supported by an educational grant from Astute Medical, Inc.

Tailoring Therapy and Improving Outcomes in Patients with Acute Decompensated Heart Failure
Supported by an educational grant from Novartis Pharmaceuticals Corporation

Physicians, nurses and pharmacists are eligible to receive 1.5 hours of continuing education credit for each webcast. This opportunity is available through April 2017.

Please contact SCCM Customer Service at +1 847 827-6888 with any questions.