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