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Mayo School of Continuous Professional Development

Course Director:Robert D. Ficalora, M.D.

Course Co-Directors:Margaret Beliveau, M.D.

Nicole P. Sandhu, M.D., Ph.D.Amy T. Wang, M.D.

21st Annual Internal Medicine

Board Review: Certification and

Maintenance of Certification

July 9-14, 2012Pre-Course ABIM Modules - Sunday, July 8

Siebens Medical Education BuildingMayo Clinic

Rochester, MinnesotaScholarships

Available

COURSE DESCRIPTIONThe 21st Annual Internal Medicine Board Review (IMBR) course is an intensive course designed to help candidates apply the “finishing touch” to their preparations for the 2012 American Board of Internal Medicine (ABIM) Certification and Maintenance of Certification Examinations. The course also provides a comprehensive overview of all areas in internal medicine for practicing physicians. COURSE LEARNING OBJECTIVESUpon conclusion of this program, participants should be able to:

• Applyclinicalreasoningtouncommonmanifestation of common problems.

• Applyclinicalreasoningtocommonsymptoms of uncommon medical problems.

• Reviewkeyimagesandkeypointstoenhanceunderstandingofnewknowledge.

• Implementstrategiesregardingevaluationand management of internal medicine diseases.

Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

COURSE HIGHLIGHTS• ComprehensivereviewofInternal

Medicine• CoursefocusonABIMobjectives• Interactivelearningenvironment• Internationallyrecognizedfaculty

CREDIT College of Medicine, Mayo Clinic, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

College of Medicine, Mayo Clinic, designates this live activity for a maximum of 51.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Professionals - A certificate of attendance will be provided to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

INTENDED AUDIENCE• InternalMedicineResidentspreparingfor

the ABIM Certification examination • PhysicianspreparingfortheABIM

Maintenance of Certification examination • Physiciansandalliedhealthprofessionals

interested in a comprehensive review of Internal Medicine

• Physicianstryingtocompletetheirmaintenanceofcertificationknowledgemodules in order to meet the requirements to sit for the ABIM Maintenance of Certification examination

DATE AND LOCATIONThe 21st Annual Internal Medicine Board Review will be held July 9-14, 2012. Course headquarters will be located in Phillips Hall on the first floor of the Siebens Medical Education Building, Mayo Clinic, 100 Second AvenueSouthwest,Rochester,Minnesota.Meeting facilities are easily accessible by skywayandpedestriansubway,whichconnect Mayo Clinic to shops, restaurants, and hotels.

REGISTRATIONTo register online, visit http://www.mayo.edu/cme/imreview2012, or complete the attached registration form and return by mail or fax. The registration fee includes tuition, comprehensive electronic coursesyllabus,QuestionandAnswerBook,9thEditionInternalMedicineReviewtextbook,BoardSimulatedquestionandanswersessions,continentalbreakfasts,breakrefreshments, lunches and a welcome reception. Although it is not Mayo School of CPD policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. An email confirmation will be sent upon receipt of payment and completed registration form. Please present the confirmation letter when checkinginatthemeetingregistrationdesk.

For additional information, contact:Mayo School of CPDPlummer 2-60200 First Street SWRochester,MN55905

Website: www.mayo.edu/cmeE-mail: cme@mayo.eduPhone: 800-323-2688 or 507-284-2509Fax: 507-284-0532

CANCELLATION POLICYIf you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo School of CPD before June 25, 2012. (cme@mayo.edu or fax#: 507-284-0532).NorefundswillbemadeonorafterJune 25, 2012.

Mayo School of CPD reserves the right to cancel or postpone any course due to unforeseencircumstances.Intheunlikelyevent Mayo School of CPD must cancel or postpone this course, Mayo School of CPD will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

TRAVELRochester,Minnesota,isacitythatgreetsthousands of visitors from around the world each year. The city is serviced by an international airport with multiple flights daily via American or Delta Airlines. Access to and from the airport is provided by taxi, shuttle service, and rental car. The airport is located approximately 10 miles from the Mayo Clinic campus.

NotetoTravelers:SeveralcitiesintheUnitedStatesarenamedRochester.Whenyoumakeairlinereservationsandcheckyourbaggage,besurethatyourdestinationisRochester,Minnesota(RST)andthatyourbaggagehasbeen properly tagged.

Travel arrangements are the sole responsibility of the individual registrant.

LODGING ACCOMMODATIONSGuest rooms have been reserved for attendees and their guests with special course rates at eachofthefollowingdowntownRochesterhotels. In order to receive the special rate, reservations must be made before the room block is filled or before the cutoff date of June 18, 2012, whichever comes first.Reservationswillbetakenfollowingthisdatebasedonspaceand rate availability. Please identify yourself as a participant of the 21st Annual Internal MedicineBoardReviewwhenmakingyourreservation.

Hilton Garden Inn Doubletree Hotel225 South Broadway 150 South Broadway800-445-8667 507-281-8000507-285-1234 $129 single/double$109 single/double

Kahler Grand Hotel Rochester Marriott 20 Second Avenue SW Hotel800-533-1655 101 First Avenue SW507-282-2581 877-632-7775$95 single/double 507-280-6000 $155 single/double

Thehotelslistedareconnectedbyskywayandpedestrian subway to conference facilities, downtown shops, and restaurants. You may wishtovisittheRochesterConventionandVisitors Bureau website (www.rochestercvb.org) for additional accommodation options and area information.

Lodging arrangements are the sole responsibility of the individual registrant.

Mayo School of CPD is not responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the registrant.

PARKINGParkingisavailableinhotel,city,andMayopatient/visitorramps.Thecostforparkingisnot included in the registration fee.

SOCIAL PROGRAMS Welcome Reception – Monday, July 9, 2012Attendees and their guest(s) are cordially invitedtojointhecoursefacultyfortheWelcomeReceptiononMonday,July9,2012.This casual reception officially opens the course, and offers you the perfect opportunity tomakeconnectionswithexistingandnewcolleagues. Pre-registration is requested.

FACULTYCourse DirectorRobert D. Ficalora, M.D.Associate Professor of MedicineDivision of General Internal Medicine

Course Co-DirectorsMargaret Believeau, M.D.Assistant Professor of MedicineDivision of General Internal Medicine

Nicole P. Sandhu, M.D., Ph.D.Assistant Professor of MedicineDivision of General Internal Medicine

Amy T. Wang, M.D.Assistant Professor of MedicineDivision of General Internal Medicine

Mayo Faculty Distinguished Mayo Clinic faculty from multiple specialties including cardiology, dermatology, endocrinology, gastroenterology, infectious diseases, neurology, rheumatology, and internal medicine, will participate in this program.

COURSE DESCRIPTIONThe optional pre course sessions are chairedbyexpertfacultywhowillanalyzeeach module question, review current evidenceandkeypointsandsummarizeclinical pearls. Session attendees actively participate using an audience response systemandverbalizetheirunderstandingof current evidence and a common consensus would be achieved in answering these questions. The collective information gathered in these interactive sessions enhancesindividualknowledgeandlongerretention of current medical information.

INTENDED AUDIENCEGeneral internists and subspecialists preparing for maintenance of their certification in internal medicine.

CREDIT College of Medicine, Mayo Clinic, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

College of Medicine, Mayo Clinic, designates this live activity for a maximum of 5.0 AMA PRA Category 1 CreditsTM or 2.5 per module. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

SESSION LEARNING OBJECTIVESUpon conclusion of the 2012 Update in Internal Medicine module, participants should be able to:•Identifykeyissuesinthe2011Updatein

Internal Medicine SEP Medical Knowledge Module.

•SummarizerecentadvancesinInternalMedicine based on case discussions.

•Completethe2011UpdateinInternalMedicine SEP Medical Knowledge Module.

•ExplaincurrentABIMMaintenanceofCertification requirements.

Upon conclusion of the 2011 Update in Hospital Medicine, participants should be able to:•Identifykeyissuesinthe2011Updatein

Hospital Medicine SEP Medical Knowledge Module.

•SummarizerecentadvancesinHospitalMedicine based on case discussions.

•Completethe2011UpdateinHospitalMedicine SEP Medical Knowledge Module.

•ExplaincurrentABIMMaintenanceofCertification requirements.

Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or

taught in this course.

Optional Pre-Course Sessions ~ Sunday, July 8, 2012ABIM SEP Medical Knowledge Modules:

2011 Update in Internal Medicine

2011 Update in Hospital Medicine

FACULTY DISCLOSUREAs a provider accredited by ACCME, College of Medicine, Mayo Clinic (Mayo School of ContinuousProfessionalDevelopment)mustensurebalance,independence,objectivityandscientific rigor in its educational activities. Course director(s), planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to discloseallrelevantfinancialrelationshipswithanycommercialinterestrelatedtothesubjectmatter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in coursematerialssothoseparticipantsintheactivitymayformulatetheirownjudgmentsregarding the presentation.

21st Annual Internal Medicine Board Review July 9-14, 2012 • Siebens Medical Education Building • Mayo Clinic • Rochester, Minnesota

Register online at: http://www.mayo.edu/cme/imreview2012

Mayo School of CPD Phone: 800-323-2688 or 507-284-2509 Plummer 2-60 FAX: 507-284-0532 200 First Street SW E-mail: cme@mayo.edu Rochester, MN 55905 Web site: http://www.mayo.edu/cme/imreview2012

(Please print or type all information. You may duplicate this form for multiple registrations.)

REGISTRATION FORM 2012R436

Name of Registrant – first name, middle name or initial, and last name Degree – select all that apply

MD DO PhD PA NP Other - specify

Name of Institution Medical Specialty

Preferred Mailing Address – select one Work/Business Home

Work/Business Address – street address Work Phone – include all country and city/area codes as needed along with complete phone number

City State or Province ZIP or Postal Code Country

Home Address – street address Home Phone – include all country and city/area codes as needed along with complete phone number

City State or Province ZIP or Postal Code Country

E-mail Address FAX – include all country and city/area codes as needed along with complete phone number

FAX Location – select one

Work/Business Home

If you have special assistance needs or dietary restrictions, describe here:SPECIALNEEDS

Contact Information

Internal Medicine Board Review Physicians $1299 $____________Residents, Physician Assistants and Nurse Practitioners $1199 $____________

Pre-Course ABIM SEP Module – Sunday, July 8, 2012 2012 Update in Internal Medicine $200 $____________2011 Update in Hospital Medicine $200 $____________

Syllabus Paper Syllabus $75 $____________ Electronic Syllabus (Complimentary and included with course registration fee.) $0

Reception ~ Monday, July 9, 2012Internal Medicine Board Review Attendee (Complimentary) I plan to attend Yes No Guest Fee – $25 # of guests _________ X $25 $____________

Total Payment Enclosed (US currency): $____________

Registration

* (US funds only. Wire transfers will be assessed a $25 USD fee.)

Check is enclosed in the amount shown at right – make checks payable to Mayo Clinic Credit Card – select one Account Number Exp Date – mm/yy

Discover MasterCard VisaName of Cardholder – as it appears on the card Signature of Cardholder – required

X

Payment*

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