39th semi-annual fall family medicine review course · .2 miles from lancaster host hawthorn suites...

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Register Online www.temple.edu/cme 56.0 AMA PRA Category 1 Credits™ 56.0 AAFP Credits 56.0 Contact Hours Pass the Boards Guaranteed! October 4 - 9, 2015 BEST VALUE FOR YOUR MONEY Registration fee includes syllabus, pre & post tests, 5 continental breakfasts, 5 lunches, 4 dinners, 5 self-assessment modules and workshops. Presented by Temple University School of Medicine and Lancaster General Health At The Lancaster Host Resort and Conference Center Lancaster, PA Visit our website at www.temple.edu/cme 39th Semi-Annual Fall FAMILY MEDICINE REVIEW COURSE No Pharmaceutical Support! 105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page i

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Page 1: 39th Semi-Annual Fall FAMILY MEDICINE REVIEW COURSE · .2 miles from Lancaster Host Hawthorn Suites by Wyndham 2045 Lincoln Highway East Lancaster, PA 17602 (717) 290-7100.5 miles

Register Onlinewww.temple.edu/cme

56.0 AMA PRACategory 1 Credits™56.0 AAFP Credits56.0 Contact HoursPass the BoardsGuaranteed!

October 4 - 9, 2015

BEST VALUE FORYOUR MONEYRegistration fee includessyllabus, pre & post tests,

5 continental breakfasts, 5 lunches, 4 dinners, 5 self-assessment modules

and workshops.

Presented by

Temple University School of Medicine

and

Lancaster General Health

At

The Lancaster Host Resort and Conference Center

Lancaster, PA

Visit our website atwww.temple.edu/cme

39th Semi-Annual Fall

FAMILYMEDICINEREVIEWCOURSE

No Pharmaceutical

Support!

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F a m i l y M e d i c i n e R e v i e wE d u c a t i o n a l O b j e c t i v e s :Following completion of this program, participants should be able to:� Diagnose and treat common family practice problems� Apply traditional modes of diagnosis and management more effectively� Interpret information to commonly asked questions in practice� Increase proficiency and maintain competence by updating cognitive understanding of

Family Medicine� Improve psychomotor skills utilized in office practice� Feel better prepared to pass the American Board of Family Medicine and American Board of

Internal Medicine exam� Evaluate controversial issues in family practice� Navigate the Self-Assessment Modules required by the American Board of Family Medicine

F e a t u r e s� Earn all of your Continuing Medical Education credits in one week� Earn up to 56.0 hours of Continuing Medical Education credits� Cost effective – Modest tuition and living expenses. Registration fee includes workshops,

syllabus, tote bag, five continental breakfasts, five lunches and four dinners� Five Self Assessment Modules (S.A.M.): Health Behavior, Cerebrovascular Disease, Diabetes

Mellitus, Preventive Care, Hypertension.� Proven track record� Curriculum based on needs of our targeted audience� Outstanding faculty. All sessions moderated by highly respected academicians� Excellent preparation for certification or recertification examination of the American Board of

Family Medicine and American Board of Internal Medicine� Pre- and Post-testing with computerized analysis of performance (for your own use - no individual

record kept)� Complete printed syllabus for use during course and for reference following course. Electronic

syllabus will be available online for download during and after course.� Workshops conducted Sunday, Monday and Tuesday evenings and Wednesday and Friday afternoons� We guarantee that if you do not pass the Family Medicine Boards within one year of taking this

course, you can attend another Family Medicine Review within two years at no cost (hotel andtravel not included)

� 20% discount for each person when 3 or more register from a group or organization or when a pastparticipant brings a new participant (someone who has never attended our Spring or Fall FamilyMedicine Review). You must register at the same time to get these discounts (no exceptions)

(You must pre-register and be assigned to the workshop on a first-come, first-served basis. We cannotguarantee you will be assigned to the seminar or workshop of your choice. Early registration isencouraged. If the minimum number of registrants is not met, it may be cancelled.)

Ta r g e t A u d i e n c e :Family Practitioners, General Practitioners, Internists, Physician Assistants, Nurse Practitioners,and Nurses.

C a n c e l l a t i o n P o l i c y :Refunds for withdrawal after deduction of a $100.00 fee made only upon written request prior toSeptember 7, 2015 for Fall Course. No refunds after September 7, 2015 for Fall Course. TempleUniversity School of Medicine reserves the right to cancel the program and return all course monieswithout further obligation if sufficient attendance is not secured.

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C o n f e r e n c e S i t e a n dH o t e l I n f o r m a t i o n :The Lancaster Host Resort and Conference Center is the host site for the Family Medicine ReviewCourses. All plenary sessions and workshops are held there. It is a completely self-containedconvention complex with 330 well-appointed and comfortable guest rooms on 225 beautiful acres inlegendary Pennsylvania Dutch Country. All recreational activities are available on-site, includingindoor pool and outdoor tennis courts. You may register with the Host directly, without waiting foryour conference registration to be verified. Kindly use the registration form provided in this brochure.We strongly urge you to reserve your room(s) early as this facility fills quickly. Rates for Spring andFall are $99.00 single or double plus 11% tax; $11.00 for each additional person in room over twopeople (age 18 and over); if under 18 years of age there will be no additional charge. Children under13 eat for free. Register today by using the enclosed hotel reservation form or give our special codeFPR#39 when calling the hotel at 717-299-5500.

ALTERNATIVE HOTELS

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Classic Inn2302 Lincoln Highway ELancaster, PA 17602-1114(717) 291-4576Adjacent to Lancaster Host

Continental Inn2285 Lincoln Hwy ELancaster, PA 17602(717) 299-0421www.continentalinn.comAcross highway from Lancaster Host

Red Roof Inn2307 Lincoln Hwy ELancaster, PA 17602(717) 299-9700www.redroof.comAcross highway from Lancaster Host

Ramada Inn 2250 Lincoln Hwy.Lancaster, PA(717) 393-5499www.ramada.com.1 mile from Lancaster Host

Eastbrook Inn21 Eastbrook Rd.Ronks, PA 17572(717) 393-25501.2 miles from Lancaster Host

Courtyard Marriott1931 Hospitality DriveLancaster, PA 17601(717) 393-36003 miles from Lancaster Host

Comfort Suites Amish Country2343 Lincoln Highway EastLancaster, PA 17602(717) 299-7000.25 mile from Lancaster Host

Country Inn2133 Lincoln Highway EastLancaster, PA 17602(717) 393-34131 mile from Lancaster Host

Holiday Inn Express24 South Willowdale DriveLancaster, PA 17602(717) 293-9500www.hiexpress.com1 mile from Lancaster Host

Country Inn & Suites2260 Lincoln Highway East,(Route 30)Lancaster, PA 17602(717) 299-4460(888) 201-1746.2 miles from Lancaster Host

Hawthorn Suites by Wyndham2045 Lincoln Highway EastLancaster, PA 17602(717) 290-7100.5 miles from Lancaster Host

Please contact hotels for their rates

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Accreditation Statement:Temple University School of Medicine is accredited by the Accreditation Council for ContinuingMedical Education (ACCME) to provide Continuing Medical Education for physicians.

Certification Statement:Temple University School of Medicine designates this live activity for a maximum of 56.0 AMAPRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extentof their participation in the activity.

AAFP Credit:

This live activity, 39th Semi-Annual Family Medicine Review, with a beginning date ofMarch 22, 2015, has been reviewed and is acceptable for up to 56.0 Prescribed credit(s) by theAmerican Academy of Family Physicians. Physicians should claim only the credit commensuratewith the extent of their participation in the activity.

Nursing AccreditationTemple University School of Medicine is an approved provider of continuing nursing education bythe PA State Nurses Association, an accredited approver by the American Nurses CredentialingCenter’s Commission on Accreditation.

Registered Nurses will receive up to 56.0 Contact Hours.

Disclosure Policy:It is the policy of Temple University School of Medicine; The Albert J. Finestone, M.D., Office ofContinuing Medical Education that the speaker and provider disclose real or apparent conflicts ofinterest relating to the topics of this educational activity, and also disclose discussions ofunlabeled/unapproved uses of drugs or devices during their presentation(s). Temple UniversitySchool of Medicine, Office for Continuing Medical Education has established policies in place thatwill identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosurewill be made in the activity handout materials.

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SUNDAYOctober 4, 2015

12:15 p.m. RegistrationPlease wear your badge when in the Showroom. You should not be present in the Showroom if you are not registered.

1:00 p.m. Welcome and Introductions

Nikitas J. Zervanos, MD, Course Co-DirectorMelinda Somasekhar, PhD, Co-Director

MODERATOR: Stephen Ratcliffe, MDDirector, Department of Family and Community MedicineDirector, Family Medicine Residency ProgramLancaster General Health

1:05 p.m. Welcoming remarks

PEDIATRICS

1:10 p.m. P1. 2015 Immunization Update

2:00 p.m. P2. Vitamin D Issues in Children

2:25 p.m. P3. Exercise-Induced Asthma: Dx and Rx Considerations

2:50 p.m. P4. Eating Disorders: Anorexia and Bulimia Nervosa

3:20 p.m. P5. Oppositional Defiant Syndrome

3:50 p.m. P6. Does the Early Diagnosis and Treatment of Bipolar Depression and Schizophrenia inthe Adolescent Make a Difference in Prognosis?

4:15 p.m. Questions and Answers

4:30 p.m. Adjourn

4:30 p.m. Ongoing Registration and Dinner

6:00 p.m. KEYNOTE LECTUREThe Albert J. Finestone, MD Annual Lecture:

1. Beyond Meaningful Use: Information Technology to Enhance Clinical Care,Education and Research

7:00 - 7:10 p.m. Questions and Answers

7:10 - 9:40 p.m. Workshops

4

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MONDAYOctober 5, 2015

7:20 - 7:50 a.m. Welcome and Introductory Remarks

Nikitas J. Zervanos, MD, Director, TU FP/Primary Care ReviewDirector Emeritus, Family Medicine Residency Program, LG Health Clinical Professor, Department of Family and Community MedicineTemple University School of Medicine

Melinda Somasekhar, PhDAssistant Dean, The Albert J. Finestone, MD Office for CMECo-Director TU FP/Primary Care ReviewTemple University School of Medicine

7:50 - 8:50 a.m. Pre-Test

MODERATOR: Stephen Permut, MD, JDAssociate Dean for Academic AffiliationsChairperson and Professor, Family and Community MedicineTemple University School of Medicine

PUBLIC HEALTH AND PREVENTIVE MEDICINE8:55 a.m. 2. Adult Immunization

9:30 a.m. 3. Drug-Induced Nephrotoxicity: Clinical Considerations

9:55 a.m. 4. Treating Back Pain and Avoiding Narcotics, Dx and Rx Considerations

10:15 a.m. Questions and Answers

10:35 a.m. Break

10:45 a.m. 5. Supplements and Sports

11:10 a.m. 6. Cancer Screening

11:35 a.m. 7. Osteoporosis

12:00 p.m. Questions and Answers

12:15 p.m. Lunch (Spouses may attend all lunch and dinner functions with the purchase of a ticketwhich will be collected at the door.)

INFECTIOUS DISEASE1:15 p.m. 8. Hepatitis C

1:40 p.m. 9. Anti-Microbial Resistance

2:05 p.m. 10. HIV

2:30 p.m. 11. Common Infectious Disease Cases Found in the ER

2:55 p.m. 12. Sexually Transmitted Diseases

3:20 p.m. Questions and Answers

3:30 p.m. Break

PULMONARY3:40 p.m. 13. Asthma

4:10 p.m. 14. Treatment of COPD: The GOLD Guidelines Along with an Exercise Prescription

4:40 p.m. 15. Sarcoidosis: Dx and Rx Considerations

5:10 p.m. 16. Pulmonary Embolism: Are We Missing the Diagnosis? Dx & Rx

5:45 p.m. Questions and Answers

6:00 p.m. Dinner

7:00 - 9:30 p.m. Workshops

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TUESDAYOctober 6, 2015

MODERATOR:George Tzanis, MDClinical Assistant ProfessorAssociate Chief of Medicine for Primary CarePhiladelphia Veterans Administration Medical Center

7:55 a.m. Welcoming remarks

CARDIOLOGY

8:00 a.m. 17. CHF: Systolic vs. Diastolic Dysfunction: Dx & Rx Considerations

8:30 a.m. 18. ACC/AHA Guidelines for Management of Stroke

9:00 a.m. 19. Risk and Benefits of Aspirin Therapy

9:15 a.m. 20. Atrial Fibrillation: Dx and Rx Considerations

9:45 a.m. Questions and Answers

10:00 a.m. Break

10:10 a.m. 21. DVT and Anticoagulation

10:40 a.m. 22. Bradycardia and Sudden Death

11:00 a.m. 23. Hypertension and the New JNC-8 Guidelines

11:30 a.m. 24. Hypertension Case Studies

12:00 p.m. Questions and Answers

12:15 p.m. Lunch

METABOLIC DISORDERS / ENDOCRINOLOGY

1:15 p.m. 25. Diabetes

1:55 p.m. 26. Diabetes Case Studies

2:25 p.m. 27. Obesity

2:55 p.m. 28. Hypo and Hyperthyroidism

3:20 p.m. Questions and Answers

3:35 p.m. Break

3:45 p.m. 29. Hypercholesteromia

4:15 p.m. 30. Hypercholesteromia Case Studies

4:45 p.m. 31. Adrenal Disorder

5:15 p.m. 32. Pituitary and Its Role in Infertility

5:45 p.m. Questions and Answers

6:00 p.m. Dinner

7:00 - 9:30 p.m. Workshops

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WEDNESDAYOctober 7, 2015

MODERATOR: Christian Hermansen, MDAssistant Deputy DirectorFamily Medicine Residency ProgramLancaster General Health

7:55 a.m. Welcoming remarks

GASTROENTEROLOGY

8:00 a.m. 33. Gastrointestinal Complications of Diabetes

8:25 a.m. 34. The Pros & Cons of PPIs, 2015

8:45 a.m. 35. LLQ Abdominal Pain: Dx & Rx Considerations

9:05 a.m. 36. Pancreatitis: Clinical Considerations

9:25 a.m. 37. IBD

9:50 a.m. Questions and Answers

10:05 a.m. Break

NEPHROLOGY / UROLOGY

10:15 a.m. 38. Anemia and Chronic Kidney Disease: The Erythropoietin Factor

10:45 a.m. 39. The Medical Management of BPH

11:15 a.m. 40. Microscopic Hematuria: Dx and Rx Considerations

11:45 a.m. Questions and Answers

12:00 p.m. Lunch

NEUROLOGY / GERIATRICS

1:00 p.m. 41. Parkinson’s Disease

1:25 p.m. 42. Migraine Headache and Its Variants

2:00 p.m. 43. Recurrent Ischemic Stroke: Dx and Rx Considerations

2:25 p.m. 44. A Case-Based Approach to Alzheimer’s Disease

2:50 p.m. 45. End of Life Issues

3:20 p.m. Questions and Answers

3:35 p.m. Break

3:45 - 6:15 p.m. Workshops

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THURSDAYOctober 8, 2015

MODERATOR: Christine Stabler, MDVice President for Academic AffairsFamily Medicine Residency ProgramLancaster General Health

7:55 a.m. Welcoming remarks

WOMEN’S HEALTH ISSUES8:00 a.m. 46. Acute Coronary Syndrome Gender Differences

8:25 a.m. 47. Menopause and Its Clinical Challenges

8:50 a.m. 48. Contraception: How to Choose?

9:20 a.m. 49. Secondary Amenorrhea: Dx & Rx Considerations

9:50 a.m. Questions and Answers

10:05 a.m. Break

DERMATOLOGIC DISORDERS10:15 a.m. 50. Skin Cancer: The ABCD Approach in Diagnosis

10:35 a.m. 51. The Generalized Rash: Dx & Rx Considerations

10:55 a.m. 52. Common Tongue Conditions: Dx & Rx Considerations

11:20 a.m. 53. Fungal Skin Infections: Dx & Rx Considerations

11:45 a.m. Questions and Answers

12:00 p.m. Lunch

ORTHOPEDICS/ PAIN MANAGEMENT1:00 p.m. 54. Shoulder Pain: Dx & Rx Considerations

1:30 p.m. 55. Hip Pain: Dx & Rx Considerations

2:00 p.m. 56. Knee Pain: Dx & Rx Considerations

2:30 p.m. 57. Wrist Pain: Dx & Rx Considerations

3:00 p.m. 58. The Iatrogenic Opioid Addiction Problem: Avoiding Indiscriminate Prescribing

3:40 p.m. Questions and Answers

3:50 p.m. Break

HEMATOLOGY/ONCOLOGY4:00 p.m. 59. Alpha and Beta Thalassemia: Dx & Rx Considerations

4:30 p.m. 60. Lymphoma: Dx & Rx Considerations

5:00 p.m. 61. The New Anticoagulants vs. Warfarin

5:20 p.m. 62. Anemia in the Elderly

5:50 p.m. Questions and Answers

6:05 p.m. Dinner

8:00 p.m. 63. The 23rd Annual Pennsylvania Academy of Family Physicians Mark A. Connelly Memorial Lecture: Healthcare Reform

9:00 p.m. Questions and Answers

9:30 p.m. Adjournment

8

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FRIDAY October 9, 2015

If you have not already had an “Express Check Out” and you are leaving today,you are encouraged to check out before 11:00 a.m. You may leave your luggage inthe Temple Registration area (Lampeter Hall).

6:45 - 7:45 a.m. Post-course ExamIndividuals who must leave early may take the exam at this time. Everyone elseshould take the exam at the end of the last plenary session at 12:00 p.m.

MODERATOR: David O’Gurek, MDAssociate Professor, Department of Family and Community MedicineTemple University School of Medicine

7:50 a.m. Welcoming remarks

PSYCHIATRY

7:55 a.m. 64. Depression: Dx & Rx Considerations

8:20 a.m. 65. Cognitive Behavioral Therapy in Managing Obesity

8:45 a.m. 66. Alcoholism: Dx & Rx Considerations

9:10 a.m. 67. Medical Marijuana

9:45 a.m. Questions and Answers

10:05 a.m. Break

RHEUMATOLOGY / AUTOIMMUNE DISEASES

10:15 a.m. 68. Rheumatoid Arthritis

10:45 a.m. 69. Gout

11:15 a.m. 70. Multiple Sclerosis

11:45 a.m. Questions and Answers

12:00 - 1:00 p.m. Post-Course Exam or LunchYou have one hour to take the exam, and you may start any time after 12:00 p.m.but no later than 1:00 p.m. You must be finished by 2:00 p.m.

1:00 - 2:00 p.m. Lunch or Post-Course Exam

2:00 - 4:30 p.m. Workshops

4:30 p.m. AdjournmentReturn your completed credit request form and evaluation forms to the Templeregistration desk in Lampeter Hall and pick up your certificate before you depart.

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WORKSHOPS

SUNDAY EVENING7:10 - 9:40 p.m.

MONDAY EVENING7:00 - 9:30 p.m.

TUESDAY EVENING7:00 - 9:30 p.m.

WEDNESDAY AFTERNOON3:45 - 6:15 p.m.

FRIDAY AFTERNOON2:00 - 4:30 p.m.

ALCOHOLICS ANONYMOUS/NARCOTICS ANONYMOUSOn your own (Top Flight Lounge)

Monday (5:40 - 6:10 p.m.) - Tuesday (5:45 - 6:20 p.m.)

SUNDAY WORKSHOPS (7:10 - 9:40 p.m.)October 4, 2015

71. SAM (ABFM) Workshop on Health Behavior

72. Nutritional Issues in Primary Care Practice

73. Alcoholism, Marijuanaism, and Drug Abuse…Improving Physician Patient Interactions

74. Dementia

75. HIV and AIDS: Dx, Rx, and Px Considerations

76. Ophthalmology: “It’s All in the Eye”

77. Immunization

MONDAY WORKSHOPS (7:00 - 9:30 p.m.)October 5, 2015

78. SAM (ABFM) Workshop on Cerebrovascular Disease

79. ABIM Knowledge-Based Questions (Pulmonary)

80. Hyperlipidemia – Diagnosis and Management

81. Electrocardiography: Part I, Basic – (Part II, Advanced held on Tuesday)

82. Common Musculoskeletal Injuries in Athletes and During Exercise

83. Making Effective Use of Diagnostic Imaging

84. The Patient Centered Medical Home (PCMH)

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TUESDAY WORKSHOPS (7:00 - 9:30 p.m.)October 6, 2015

85. SAM (ABFM) Workshop on Diabetes Mellitus

86. Infectious Disease Workshop

87. Gastroenterology with Case Presentations

88. Electrocardiography: Part II, Advanced – (Part I, Basic held on Monday)

89. Common Urologic Problems including Male Sexual Dysfunction in Office Practice

90. Common Obstetrical Challenges

90A. Billing and Coding: Economic Consequences

90B. Strategies for Taking the Internal Medicine Board Examination

WEDNESDAY WORKSHOPS (3:45 - 6:15 p.m.)October 7, 2015

91. SAM (ABFM) Workshop on Preventive Care

92. ABFM Part IV, Performances in Practice Modules (PPM)What is it? How do you do it? What does it measure?

93. Common Pain Syndromes and Their Management (Medication Safety Issues)

94. CPR

95. Management and Treatment of Headaches

96. Rheumatology – Including Joint Injection

97. Diagnostic and Skin Biopsy Techniques in Dermatology

FRIDAY WORKSHOPS (2:00 - 4:30 p.m.)October 9, 2015

98. Office Gynecology Clinical Considerations (To include Medication Safety issues regarding Hormone Replacement therapy)

99. Child Abuse (approved by PA Department of Human Services – fulfills PA Act 31 requirement)

100. Occupational Medicine

101. Strategies for Taking the Family Medicine Board Examination

102. Billing and Coding: Economic Consequences [Moved to Tuesday (90A)]

103. SAM (ABFM) Workshop on Hypertension

11

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Mark Your Calendar!

40th Semi-AnnualSpring and Fall

Family Medicine Reviews

April 3-8, 2016September 25-30, 2016

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CHECK ONE:

�Fall: O

ctober 4-9, 2015

Rates quoted per day per person E

uropean Plan (Room Accom

modation only)

$99 per day/per room

, Single or Double Occupancy Triple $109.00

NOTE:All rates are subject to 11% State Sales Tax

GUARANTEED RESE

RVATIO

NS NOT CANCELLED 48 HOURS PRIO

RTO THE DAY OF ARRIVAL W

ILL BE CHARGED FOR ONE NIG

HT.

CHECK TYPE OF ROOM REQUEST

ED:

�Single Occupancy

�Double Occupancy (King Bed)

�Double Occupancy (Two Double Beds)

�Will Be Sharing Room**

**The hotel cannot be responsible for assigning room

mates. U

nless roommate is

stated, you will be assigned a single occupancy accom

modation.

PLEASE

NOTE: ROOM TYPE CANNOT BE GUARANTEED

•Forms received after September 7, 2015 for the Fall C

ourse will be confirm

ed on

an “if available basis”.

•Deposit of first room

night rate per person plus 11%

sales tax must confirm

reservation.

•Please make check payable to THE LA

NCASTER HOST RESORT

•Major credit cards are accepted at the hotel, as well as for deposits.

•Hotel confirmation is required for check-in

•Send form

and deposit to

THE LANCAST

ER HOST

RESE

RVATIO

NS,

2300 LIN

COLN HIG

HWAY EAST

LANCAST

ER, PA 17603

T (717) 299-5500. F (717) 295-5112

PLEASE

FILL OUT ONLY

ONE FORM FOR EACH ROOM NEEDED.

Please Print or Type the Following Information:

Nam

e___________________________________________________________________

No. of C

hildren__________ Children’s Ages__________________________________

Roommates______________________________________________________________

Com

pany Nam

e__________________________________________________________

Com

pany Address

________________________________________________________

Hom

e Address___________________________________________________________

Hom

e Phone_____________________________________________________________

Business Phone

__________________________________________________________

Arrival Date__________________ Day

______________________________________

Departure Date__________________ Day

____________________________________

Email A

ddress____________________________________________________________

*If C

redit C

ard Deposit

�American Express �

Visa

�MasterCard

�Diners Club

�Discover

Exp. D

ate_____________ Card No.__________________________________________

Signature________________________________________________________________

*Credit C

ards will be charged upon receipt of reservation.

39th Sem

i-Annual Fam

ily M

edicine Review

Th

e L

anca

ster

Hos

t R

esor

t R

eser

vati

on F

orm

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CHECK ONE:

�Fall: October 4-9, 2015

Basic Registration Fees:$1445.00(US money equivalent), $1275.00

(Nurses,

PA-C’s and Fellows), $1275.00(Residents - with a letter from

Department

Chairm

an)

20% Discount for each person when 3 or more register from

a group or

organization or when a past participant brings a new participant (someone who

has never attended our Spring or Fall Fam

ily M

edicine Review). You must

register at the sam

e tim

e (no exceptions).

T-Shirts$10.00 __S __M

__L __XL

GUEST

MEAL TICKETS (LUNCH)$20.00 each day

(Please specify how many tickets for each day)

__Monday __Tuesday __Wednesday __Thursday __Friday __Total # Tickets

GUEST

MEAL TICKETS (D

INNER/BUFFET)$25.00 each day

_____ Sunday _____ Monday _____ Tuesday _____ # of Tickets

Thursday’s D

inner for Guests is $35.00

_____ # of Tickets

Nam

e______________________________________________________________

Address_____________________________________________________________

City

_______________________________________State______ Z

ip___________

Daytim

e Telephone#____________________________Fax___________________

E-M

ail A

ddress

______________________________________________________

Specialty

____________________________________________________________

AMEX/Discover/Mastercard/Visa#

______________________________________

Expiration Date______________________________________________________

Signature___________________________________________________________

Please note if all m

eals will be vegetarian �

How did you hear about the program:

�Ad

�Direct M

ail

�Previous Registrant

�Word of Mouth

To Register:

• By Phone – (800) 23-TUCME or (215) 707-4787

• O

nline – www.temple.edu/CME

• By Fax – Com

plete Form and Fax to (215) 707-8268

• By Mail – Com

plete Form and Mail to:

Arnold I. Meyer, Ed.D., FA

CEH

PTemple University School of M

edicine

The Albert J. Finestone, M

.D.

Office for C

ontinuing Medical Education

3440 North Broad Street, Philadelphia, PA 19140

Make checks payable to TEMPLE UNIV

ERSITY POST

GRADUATE

NO CASH

ACCEPTED

Cancellation Policy:Refunds for w

ithdrawal after deduction of a $100.00 fee made

only upon written request prior to September 7, 2015 for Fall C

ourse. No refunds

after September 7, 2015 for the Fall C

ourse. Temple University School ofM

edicine

reserves the right to cancel the program and return all course monies w

ithout

further obligation if sufficient attendance is not secured.

WORKSH

OPS(Please specify workshop preferences by writing in workshop

numbers listed on pgs. 10-11).

Sunday Evening

________ 1st Choice ________ 2nd Choice ________ 3rd Choice

Monday Evening

________ 1st Choice ________ 2nd Choice ________ 3rd Choice

Tuesday Evening

________ 1st Choice ________ 2nd Choice ________ 3rd Choice

Wednesday Afternoon

________ 1st Choice ________ 2nd Choice ________ 3rd Choice

Friday Afternoon

________ 1st Choice ________ 2nd Choice ________ 3rd Choice

39th Sem

i-Annual Fam

ily M

edicine Review

Reg

istration fee in

cludes

printed syllabus, updated

syllabus

onlin

e, tote bag

, pre

&post tests, 5 continen

tal b

reakfasts,

5lunches, 4

dinners an

d w

orkshops.

Reg

ister onlin

e: w

ww.tem

ple.edu/CME

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 14

Page 16: 39th Semi-Annual Fall FAMILY MEDICINE REVIEW COURSE · .2 miles from Lancaster Host Hawthorn Suites by Wyndham 2045 Lincoln Highway East Lancaster, PA 17602 (717) 290-7100.5 miles

NO

N-P

ROFI

T O

RG.

U.S.

POST

AGE

PAID

PERM

IT N

O. 2

26PH

ILAD

ELPH

IA, P

A

Regi

stra

tion

fee

incl

udes

prin

ted

sylla

bus,

upda

ted

sylla

bus

onlin

e, to

te b

ag, p

re&

post

test

s,5

cont

inen

tal b

reak

fast

s, 5

lunc

hes,

4 di

nner

s, 5

self

asse

ssm

ent

mod

ules

and

wor

ksho

ps.

www.tem

ple.edu/CME

The Albert J. Finestone, M

DOffice for Continuing Medical Education

3440

Nor

th B

road

Str

eet

Phila

delp

hia,

PA

191

40

REG

ISTE

RO

NLI

NE!

NO PHARMACEUTICAL SUPPORT!

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 15