an intensive review and update of pediatric...

Earn a Maximum of 34.25 AMA PRA Category 1 CreditsTM

*Continuing Professional Development

August 6-10, 2016 • Chicago, ILRadisson Blu Aqua Hotel

Register by July 6, 2016 for Early Bird Rates!

The Self-Assessment portion of this course is approved through the AAP MOC Portfolio Program for 10 points by the American Board of Pediatrics for MOC Part 2.

You should attend PREP®:EM if you are:

• Seeking a comprehensive review of pediatric emergency medicine.

• An emergency medicine or urgent care physician who provides care for children.

• A general pediatrician, family physician, hospitalist, or prehospital/emergency medicine service provider.

• A physician assistant, nurse practitioner, urgent care specialist or other allied health professional who cares for children.

• Preparing for board certification or Maintenance of Certification™ in Pediatric Emergency Medicine.

• Interested in updating your clinical skills in acute-care pediatrics.

An Intensive Review and Update of Pediatric Emergency MedicineSponsored by the American Academy of Pediatrics (AAP), the AAP Section on Emergency Medicine and the American College of Emergency Physicians (ACEP)

The Best Pediatric CME/CPD* For The Best Pediatric Care

2016

Register online at shop.aap.org/prepem2016 or call toll-free, 866/843-2271.

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WHEN YOU ATTEND PREP®:EM, YOU WILL BE PREPARED TO:

• Practice state-of-the-art pediatric emergency medicine.

• Assess new developments in pediatric emergency medicine.

• Integrate new management strategies for acute pediatric illness and injury into your practice.

THIS CME ACTIVITY IS DESIGNED TO:

• Disseminate information on recent developments in theory, diagnosis, and management of pediatric medical and surgical emergencies.

• Offer opportunities for participants to maintain or improve current abilities by reviewing and reinforcing their cognitive base for medical practice.

• Provide an intensive review of topics in pediatric emergency medicine identified in the American Board of Pediatrics Subspecialty Certifying Examination Content Outline developed by the Sub-Board of Pediatric Emergency Medicine.

THIS CME ACTIVITY IS DESIGNED FOR:

• General and Subspecialty Pediatricians

• Emergency and Family Medicine Physicians

• Pediatric and Emergency Medicine Residents and Fellows

• Pediatric and Emergency Medicine Advanced Practice Providers

• Pediatric Hospitalists

• Pre-hospital Care Providers

• Urgent Care Specialists

CONTINUING MEDICAL EDUCATION CREDIT

The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The AAP designates this live activity for a maximum of 34.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity is acceptable for a maximum of 34.25 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the AAP.

The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME. Physician assistants may receive a maximum of 34.25 hours of Category 1 credit for completing this program.

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

This program is accredited for 34.25 NAPNAP CE contact hours; pharmacology (Rx), psychopharmacology, and controlled substance contact hours to be determined per the National Association of Pediatric Nurse Practitioners (NAPNAP) Continuing Education Guidelines.

Application for ACEP Category 1 Credit is pending.

PREP®:EM

Prepare for Maintenance of Certification (MOC), review for examination, and earn CME credit with

the online self-assessment program that delivers clinically relevant, peer-reviewed questions, in-depth discussions of preferred answers, and references for further study.

PREP® E-Med is approved for 20 points of MOC Part 2 credit by the American Board of Pediatrics (ABP) through the AAP MOC Portfolio Program.*

Special offer: Order 2016 PREP® E-Med for only $149 if you purchase during course registration.**

* All approved activities must be completed by the MOC Credit Approval End Date. All deadlines and MOC point values should be confirmed on the ABP’s Activity Catalog within each physician’s ABP Portfolio.

** Limited offer good only during PREP®:EM registration. Does not apply to renewals and previously purchased subscriptions.

Register online at shop.aap.org/prepem2016 or call toll-free 866/843-2271.

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AMERICAN ACADEMY OF PEDIATRICS (AAP)The AAP is an organization of 64,000 primary care pediatricians, pediatric medical subspecialists, and pediatric surgical subspecialists committed to the attainment of optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults.

For more information, visit www.aap.org.

AMERICAN ACADEMY OF PEDIATRICS SECTION ON EMERGENCY MEDICINE (SOEM)Founded in 1981, the AAP Section on Emergency Medicine (SOEM) is comprised of 1,277 members with a mission to sustain, develop and promote the delivery of optimal emergency care to all acutely ill or injured children and adolescents. The Section works to promote access to high-quality, safe and cost-effective emergency care based on evidence-based medicine, the advancement of research in Pediatric Emergency Medicine, and the development of innovative programs for the education, training, and leadership development of its members.

For more information, visit the SOEM website at: www.aap.org/sections/pem.

AMERICAN COLLEGE OF EMERGENCY PHYSICIANS (ACEP)

Founded in 1968, the American College of Emergency Physicians (ACEP) has promoted the highest quality of emergency care and is the leading advocate for emergency physicians, their patients and the public. Headquartered in Dallas, Texas, ACEP has more than 34,000 members and 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies. Emergency physicians are recognized and valued for their commitment to high quality patient care, teaching, leadership, research and innovation.

To learn more about ACEP, visit www.acep.org.

REGISTRATION

Using your Visa, MasterCard, American Express, or Discover, you can register online at shop.aap.org/prepem2016, or call toll-free 866/843-2271. Outside the United States and Canada, call 847/434-4000, option 3.

Please have your credit card and concurrent session selections ready prior to calling. If your membership status has changed or lapsed, the registration staff will charge the appropriate fees accordingly.

Educational sessions as well as food and beverages provided during the course are intended for course attendees only. Lodging and meals, other than specified, are not included in the registration fee.

Onsite registrants are welcome if space is available. Availability of course materials cannot be guaranteed for these registrants, however, until after the course.

REGISTRANT TYPE/FEES (U.S. Currency)

Register by July 6, 2016 for Early Bird Rates. Save $150! Early Bird Rates Full Rates

AAP Section on Emergency Medicine Members $1195 $1345

ACEP Pediatric Section Members $1195 $1345

AAP/ACEP Fellows/Candidate Members/International Members (Section Nonmembers) $1260 $1410

AAP/ACEP Resident/Post-Residency Training Members $950 $950Nonmember Physicians $1575 $1725Family Physicians $1325 $1475Nonmember Residents $1450 $1450Nurse Practitioners $1070 $1220Physician Assistants $1070 $1220Allied Health Professionals $1070 $1220Printed Syllabus* $100 $250Fees subject to change without notice.

Registration


*Order printed syllabus for $100 by July 6, 2016. After July 6, price is $250.

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PREP®:EM PLANNING GROUP

Karen Santucci, MD, FAAP, ChairNew Haven, Connecticut

Martha S. Wright, MD, MEd, FAAP, Immediate Past ChairCleveland, Ohio

Christopher S. Amato, MD, FACEP, FAAPParsippany, New Jersey

Lalit Bajaj, MD, MPH, FAAPAurora, Colorado

Deborah Hsu, MD, MEd, FAAPHouston, Texas

John Loiselle, MD, FAAPWilmington, Delaware

Angela Lumba-Brown, MD, FAAPSaint Louis, Missouri

Ron Paul, MD, FAAPLouisville, Kentucky

PREP®:EM FACULTY

Jeffrey R. Avner, MD, FAAPBronx, New York

M. Douglas Baker, MD, FAAPBaltimore, Maryland

Christine Cho, MD, MPH, MEd, FAAPLos Angeles, California

Andrea Cruz, MD, MPH, FAAPHouston, Texas

Susan M. Fuchs, MD, FAAPChicago, Illinois

Gary L. Geis, MD, FAAPCincinnati, Ohio

Javier A. Gonzalez del Rey, MD, MEd, FAAPCincinnati, Ohio

Sandra Herr, MD, FAAPLouisville, Kentucky

Mark Joffe, MD, FAAPPhiladelphia, Pennsylvania

Steve E. Krug, MD, FAAPChicago, Illinois

Joshua Nagler, MD, MHPEd, FAAPBoston, Massachusetts

Richard A. Saladino, MD, FAAPPittsburgh, Pennsylvania

Richard Scarfone, MD, FAAPPhiladelphia, Pennsylvania

Milton Tenenbein, MD, FRCPC, FAACT, FACMT, FAAPWinnipeg, Manitoba, Canada

Planning Group & Faculty


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Schedule

Saturday, August 6, 201611:30 am - 6:15 pm AAP Registration Desk Open

12:30 - 1:00 pm Introduction Karen Santucci, MD, FAAP

1:00 - 2:00 pm Past, Present, & Future of Pediatric Emergency Medicine M. Douglas Baker, MD, FAAP

2:00 - 3:00 pm Pediatric and Neonatal Resuscitation Richard A. Saladino, MD, FAAP

3:00 - 3:30 pm Shock Steve E. Krug, MD, FAAP

3:30 - 4:00 pm Question & Answer Session

4:00 - 4:15 pm Break

4:15 - 4:45 pm Medicolegal Issues Sandra Herr, MD, FAAP

4:45 - 5:15 pm Non-Invasive Airway Emergency Management Susan M. Fuchs, MD, FAAP

5:15 - 5:45 pm Visual Diagnosis I Richard A. Saladino, MD, FAAP


6:15 pm Adjourn for the Day

Maximum CME Credits for Saturday: 5.0

Sunday, August 7, 2016THEME – GENERAL EMERGENCIES I

7:00 - 7:30 am Breakfast/Visit the Exhibits

7:30 - 8:00 am Mock Review Questions

8:00 - 8:30 am Non-Traumatic Abdominal Emergencies Richard A. Saladino, MD, FAAP

8:30 - 9:00 am Toxicology I Sandra Herr, MD, FAAP

9:00 - 9:30 am Upper Airway Obstruction M. Douglas Baker, MD, FAAP

9:30 - 10:00 am Question & Answer Session

10:00 - 10:15 am Break/Visit the Exhibits

10:15 - 11:00 am Lower Airway Emergencies Richard Scarfone, MD, FAAP

11:00 - 11:45 am Altered Mental Status Jeffrey R. Avner, MD, FAAP

11:45 am - 12:15 pm Question & Answer Session

12:15 - 12:45 pm Boxed Lunch

12:45 - 1:25 pm Concurrent Breakout Sessions A1. Pain Management Sandra Herr, MD, FAAP A2. Fever M. Douglas Baker, MD, FAAP and Richard Scarfone, MD, FAAP A3. Board Examination/ Maintenance of Certification™ Review (Study PREP, Practice Questions, EMS) Jeffrey R. Avner, MD, FAAP A4. Major Procedures Richard A. Saladino, MD, FAAP

1:25 - 1:35 pm Move Break

1:35 - 2:15 pm Concurrent Breakout Sessions (Repeated) B1. Pain Management Sandra Herr, MD, FAAP B2. Fever M. Douglas Baker, MD, FAAP and Richard Scarfone, MD, FAAP B3. Board Examination/ Maintenance of Certification™ Review (Study PREP, Practice Questions, EMS) Jeffrey R. Avner, MD, FAAP B4. Major Procedures Richard A. Saladino, MD, FAAP

2:15 - 2:30 pm Break/Visit the Exhibits

2:30 - 3:00 pm Sedation Christine Cho, MD, MPH, MEd, FAAP

3:00 - 3:30 pm Fluid and Electrolytes Mark Joffe, MD, FAAP

3:30 - 4:00 pm Visual Diagnosis II Christine Cho, MD, MPH, MEd, FAAP



Maximum CME Credits for Sunday: 8.0


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Monday, August 8, 2016THEME – TRAUMA



8:00 - 8:30 am Head Trauma Mark Joffe, MD, FAAP

8:30 - 9:00 am Neck Trauma Jeffrey R. Avner, MD, FAAP



9:45 - 10:15 am Upper Extremity Injuries Gary L. Geis, MD, FAAP

10:15 - 11:00 am Chest/Abdominal Trauma Christine Cho, MD, MPH, MEd, FAAP


11:15 am - 1:15 pm Lunch on Your Own

1:15 - 1:55 pm Concurrent Breakout Sessions C5. Burns Mark Joffe, MD, FAAP C6. Board Examination/ Maintenance of Certification™ Review (Statistics, Practice Questions) Jeffrey R. Avner, MD, FAAP C7. Technologically and Medically Complex Children Christine Cho, MD, MPH, MEd, FAAP and Joshua Nagler, MD, MHPEd, FAAP C8. Diagnostic Imaging Gary L. Geis, MD, FAAP


2:00 - 2:40 pm Concurrent Breakout Sessions (Repeated) D5. Burns Mark Joffe, MD, FAAP D6. Board Examination/ Maintenance of Certification™ Review (Statistics, Practice Questions) Jeffrey R. Avner, MD, FAAP D7. Technologically and Medically Complex Children Christine Cho, MD, MPH, MEd, FAAP and Joshua Nagler, MD, MHPEd, FAAP D8. Diagnostic Imaging Gary L. Geis, MD, FAAP


3:00 - 3:30 pm Lower Extremity Injuries Gary L. Geis, MD, FAAP

3:30 - 4:00 pm Physical Abuse Susan M. Fuchs, MD, FAAP


4:15 - 5:15 pm Mock Review Questions Richard Scarfone, MD, FAAP


5:30 - 6:30 pm Networking Reception

Maximum CME Credits for Monday: 7.25

Tuesday, August 9, 2016THEME – SUBSPECIALTY EMERGENCIES



8:00 - 8:30 am Oral, Maxillofacial, and Dental Trauma Steve E. Krug, MD, FAAP

8:30 - 9:00 am Hematology and Oncology Emergencies Christine Cho, MD, MPH, MEd, FAAP

9:00 - 9:30 am Renal and Hypertensive Emergencies Joshua Nagler, MD, MHPEd, FAAP

9:30 - 10:00 am Question and Answer Session


10:15 - 10:45 am Cardiac Emergencies Andrea Cruz, MD, MPH, FAAP

10:45 - 11:15 am Gynecology Emergencies Javier A. Gonzalez del Rey, MD, MEd, FAAP

11:15 - 11:45 am Genitourinary Emergencies Joshua Nagler, MD, MHPEd, FAAP

11:45 am - 12:15 pm Question and Answer Session

12:15 - 12:45 pm Boxed Lunch

Schedule


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Schedule

12:45 - 1:25 pm Concurrent Breakout Sessions E9. Board Examination/ Maintenance of Certification™ Review (Practice Questions and PEM General Review: eg. X-rays, EKGs, etc.) Javier A. Gonzalez del Rey, MD, MEd, FAAP E10. Rheumatology Susan M. Fuchs, MD, FAAP E11. Fever Phobia/Infectious Disease Emergencies Milton Tenenbein, MD, FRCPC, FAACT, FACMT, FAAP and Andrea Cruz, MD, MPH, FAAP E12. Minor Procedures Steve E. Krug, MD, FAAP and Joshua Nagler, MD, MHPEd


1:35 - 2:15 pm Concurrent Breakout Sessions (Repeated) F9. Board Examination/ Maintenance of Certification™ Review (Practice Questions and PEM General Review: eg. X-rays, EKGs, etc) Javier A. Gonzalez del Rey, MD, MEd, FAAP F10. Rheumatology Susan M. Fuchs, MD, FAAP F11. Fever Phobia/Infectious Disease Emergencies Milton Tenenbein, MD, FRCPC, FAACT, FACMT, FAAP and Andrea Cruz, MD, MPH, FAAP F12. Minor Procedures Steve E. Krug, MD, FAAP and Joshua Nagler, MD, MHPEd


2:30 - 3:00 pm Psychiatric Emergencies Susan M. Fuchs, MD, FAAP

3:00 - 3:30 pm Endocrinology Emergencies Joshua Nagler, MD, MHPEd, FAAP

3:30 - 4:00 pm Ophthalmology Emergencies Steve E. Krug, MD, FAAP

4:00 - 4:30 pm Neurological Emergencies Andrea Cruz, MD, MPH, FAAP

4:30 - 5:00 pm Question and Answer Session

5:00 - 6:00 pm Pediatric Emergency Medicine Jeopardy Javier A. Gonzalez del Rey, MD, MEd, FAAP


Maximum CME Credits for Tuesday: 9.5

Wednesday, August 10, 2016THEME – GENERAL EMERGENCIES II



8:00 - 8:40 am Management of the Overdose Patient Milton Tenenbein, MD, FRCPC, FAACT, FACMT, FAAP

8:40 - 9:10 am Bites and Stings Javier A. Gonzalez del Rey, MD, MEd, FAAP

9:10 - 9:40 am Environmental Emergencies Andrea Cruz, MD, MPH, FAAP

9:40 - 10:00 am Question and Answer Session

10:00 - 10:15 am Break

10:15 - 10:45 am Non-Traumatic Orthopaedic Emergencies Andrea Cruz, MD, MPH, FAAP

10:45 - 11:45 am Visual Diagnosis III Milton Tenenbein, MD, FRCPC, FAACT, FACMT, FAAP

11:45 am - 12:15 pm Question and Answer Session

12:15 - 12:30 pm Closing Remarks

12:30 pm Adjourn

Maximum CME Credits for Wednesday: 4.5

Maximum AMA PRA Category 1 Credits™ for Course: 34.25


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DISCLOSURE OF FINANCIAL RELATIONSHIPS AND RESOLUTION OF CONFLICTS OF INTEREST

The AAP Policy on Disclosure of Financial Relationships and Resolution of Conflicts of Interest is designed to ensure quality, objective, balanced, and scientifically rigorous AAP CME activities. All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners that they either have no relevant financial relationships or any financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in CME activities. All potential conflicts of interest are identified and resolved prior to an individual’s confirmation of service at an AAP CME activity. Beyond disclosure of financial relationships, AAP CME faculty are required to disclose to the AAP and to learners when they plan to discuss or demonstrate pharmaceuticals and/or medical devices and/or medical or surgical procedures that involve “off-label” use of a device or pharmaceutical. The AAP is committed to providing learners with commercially unbiased CME activities.

The content of this CME activity does not necessarily reflect the views or policies of the AAP.

SCHEDULE AND FACULTY

Because we are always striving to improve the quality of your educational experience, schedules are subject to change. The AAP may substitute faculty with comparable expertise on rare occasions necessitated by illness or scheduling conflicts. Please visit shop.aap.org/prepem2016 for schedule, faculty, and session updates.

RADISSON BLU AQUA HOTEL

221 N. Columbus DriveChicago, IL 60601www.radissonbluchicago.com Direct Phone Number: 312/565-5258Toll-free Phone Number: 800/333-3333Guest Fax Number: 312/540-3878

Special group rates beginning at $219.00 per night, plus tax, for single or double occupancy, have been negotiated at the Radisson Blu Aqua Hotel, Chicago. These rates represent substantial savings from published rates. The cutoff date for reservations at the group rate is July 8, 2016. Call the hotel’s toll free reservations line at 800/333-3333 to make your reservations and mention the AAP PREP Emergency Medicine group.

A limited number of guest rooms have been reserved, and they are assigned based on availability (first-come, first-served). Please be aware that some or all of the dates in our discounted room block may become sold-out prior to July 8, 2016 ; in such a case, neither the group rate nor guest room availability can be guaranteed. The AAP, therefore, recommends that you make your reservations as early as possible.

CANCELLATIONS

Cancellations must be received in writing ([email protected]) by July 22, 2016 to receive a refund. An administrative charge of $50 will be deducted.

GROUND TRANSPORTATION

The hotel does not offer shuttle service from Chicago O’Hare International (ORD) or Chicago Midway (MDW) airports. Taxis and rental cars are available from the airports. GO Airport Express shared shuttle service may also be arranged by calling 888/284-3826 or booking online at www.airportexpress.com.

PARKING

The hotel offers both on-site self-parking and valet parking. Both require a daily fee.

ELECTRONIC COURSE SYLLABUS

In order to provide high quality images and graphics and in the spirit of going green, the syllabus for the 2016 PREP®:EM Course will be available to all attendees online for download in advance of the course. If you would like to receive a printed copy of the syllabus, it can be ordered for $100 by the course's early bird deadline and will be available for pick up at the AAP course registration desk. A limited number of printed syllabi will be available for purchase on-site for $250, but availability cannot be guaranteed.

Note: Please include your email address on your registration form to ensure that you receive instructions for accessing the online syllabus. Please contact AAP registration if you do not receive an email approximately one week prior to the course.

Electrical power for laptop and tablet use will not be available for full-time use by each course attendee throughout the educational sessions. A limited number of power outlets will be available for brief recharging of computers and tablets during the courses.

General Information


9

General Information

SPECIAL NEEDS

The AAP is sensitive to the special needs of its attendees. Please indicate any accommodations you may need on your registration form. Scooter and wheelchair rentals are available by contacting ScootAroundInc, toll-free at 888/441-7575, by e-mail at [email protected], through their website at www.scootaround.com, or by fax at 204/478-1172.

EARN MOC PART 2 POINTS!

2016 PREP®:EM attendees can earn 10 MOC Part 2 Points by successfully completing online pre- and post-course self-assessment tests. Instructions will be provided to registrants by email approximately two weeks before the course begins.

Note: You are not eligible to claim MOC Part 2 credit for this course-related self-assessment if you have received MOC Part 2 credit for completing the AAP’s 2013 PREP® Emergency Medicine Self-Assessment. All approved activities must be completed by the MOC Credit Approval End Date. All deadlines and MOC point values should be confirmed by checking the ABP Activity Catalog within each physician’s ABP Portfolio. Consult your ABP portfolio at www.abp.org for details about your specific certification requirements.

NETWORKING RECEPTION

Help us celebrate the 20th anniversary of the first PREP® :EM course! Please join us on Monday, August 8, 2016 at 5:30PM to network with faculty and colleagues to share ideas and discuss practice issues in an informal setting.


Earn a Maximum of 34.25 AMA PRA Category 1 CreditsTM

*Continuing Professional Development

Chicago, IL • August 6-10, 2016 Radisson Blu Aqua Hotel

Register online at shop.aap.org/prepem2016 or call toll-free, 866/843-2271.

Register by July 6, 2016 for Early Bird

Rates!

An Intensive Review and Update of Pediatric Emergency Medicine

2016

Sponsored by the American Academy of Pediatrics (AAP), the AAP Section on Emergency Medicine and the American College of Emergency Physicians (ACEP)

The Best Pediatric CME/CPD* For The Best Pediatric Care

Please Type or Print

Name _____________________________________________________________________________________________________________ First Last (Surname) MD, DO, Other (Specify)

Address ___________________________________________________________________________________________________________

City / State / Province ________________________________________________________________________________________________

Zip Code / Postal Code / Country ________________________________________________________________________________________

Daytime Phone ( ______ ) _________________________________ Cell Number ( ______ ) __________________________________

E-mail Address _________________________________________ AAP ID # ______________________________________________(required to receive instructions for accessing online course information)

Emergency Contact Name/Phone _______________________________________________________________________________________

Please indicate any special needs (e.g., breastfeeding accommodations, dietary restrictions/allergies, physical disabilities).

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

w Sign me up for the CME Listserv to receive information on upcoming AAP CME activities

Concurrent Sessions Please list your top two choices for each day and time:

Sunday, August 7

12:45 – 1:25 pm First ______________________________________ Second ________________________________________

1:35 – 2:15 pm First ______________________________________ Second ________________________________________

Monday, August 8

1:15 – 1:55 pm First ______________________________________ Second ________________________________________

2:00 – 2:40 pm First ______________________________________ Second ________________________________________

Tuesday, August 9

12:45 – 1:25 pm First ______________________________________ Second ________________________________________

1:35 – 2:15 pm First ______________________________________ Second ________________________________________

w SL1: Check here to order a printed syllabus for an additional $100, which will be distributed at the course. Order printed syllabus for $100 by July 6, 2016. After July 6, price is $250.w JL1: Check here to order the 2016 PREP® E-Med at $149 (39% off retail rates).

Registration form continued on reverse side

Registration Form

Chicago, Illinois • August 6-10, 2016Radisson Blu Aqua Hotel

An Intensive Review and Update of Pediatric Emergency MedicineSave $150! Register by July 6, 2016

REGISTER USING ONE OF THE FOLLOWING OPTIONS:Online at: shop.aap.org/prepem2016

Call toll-free: 866/843-2271Outside the United States and Canada, call 847/434-4000, option 3

Mail this form with payment to:American Academy of Pediatrics/RegistrationP.O. Box 776442Chicago, Illinois 60677-6442

Fax this form to: 847/228-5059

http://shop.aap.org/prepem2016

Registration Form (cont.)

An Intensive Review and Update of Pediatric Emergency MedicineChicago, Illinois • August 6-10, 2016Radisson Blu Aqua Hotel

REGISTRATION FEES (U.S. Currency) Register by July 6, 2016 for Early Bird Rates.

Save $150! Early Bird Rates Full Rates

w Section on Emergency Medicine Members $1195 $1345

w ACEP Pediatric Section Members $1195 $1345

w AAP/ACEP Fellows/Candidate Members/International Members (Section Nonmembers) $1260 $1410

w AAP/ACEP Resident/Post-Residency Training Members $ 950 $ 950

w Nonmember Physicians $1575 $1725

w Family Physicians $1325 $1475

w Nonmember Residents $1450 $1450

w Nurse Practitioners $1070 $1220

w Physician Assistants $1070 $1220

w Allied Health Professionals $1070 $1220

w Printed Syllabus* $ 100 $ 250

Fees subject to change without notice.

*Order printed syllabus for $100 by July 6, 2016. After July 6, price is $250.

Your registration will be confirmed. Please contact AAP Registration if you do not receive a confirmation within 14 days. The AAP recommends that you do not make travel or hotel reservations that cannot be changed or cancelled without penalty until you receive your confirmation, as the AAP cannot be responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at this course. Costs incurred, such as airline or hotel penalties, are the responsibility of the individual. The AAP reserves the right to cancel this activity due to unforeseen circumstances or to limit enrollments, should attendance exceed capacity. Course educational sessions are open only to registered attendees.

PAYMENT INFORMATIONFull payment must accompany this form.

Charge it: w w w w

Card Number _______________________________________________________________ Expiration Date ______________________

Print Name As It Appears On Card ______________________________________________________________________________________

Or checks may be made payable to the American Academy of Pediatrics. (United States Only)

Check Number ______________________________________________________________ Amount _____________________________

Please do not send currency.

an intensive review and update of pediatric...

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