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37th Fall Family Practice Review 37th Fall Family Practice Review Document Transcript

  • Register Online www.temple.edu/cme 57.25 AMA PRA Category 1 Credits™ 57.25 AAFP Credits 57.20 Contact Hours Pass the Boards Guaranteed! March 17 - 22, 2013 September 29 - October 4, 2013 BEST VALUE FOR YOUR MONEY Registration fee includes syllabus, pre & post tests, 5 continental breakfasts, 5 lunches, 3 dinners, all refreshment breaks, 3 self-assessment modules and workshops. Presented by Temple University School of Medicine and Lancaster General Hospital At The Lancaster Host Golf Resort and Conference Center Lancaster, PA Visit our website at www.temple.edu/cme 37th Semi-Annual Spring and Fall FAMILY PRACTICE REVIEW COURSE 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page i
  • 1 F a m i l y P r a c t i c e R e v i e w E 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: Ⅲ Improve the diagnosis and treatment of common family practice problems Ⅲ Apply traditional modes of diagnosis and management more effectively Ⅲ Apply information to commonly asked questions in practice Ⅲ Increase proficiency and maintain competence by updating cognitive understanding of Family Medicine Ⅲ Improve psychomotor skills utilized in office practice Ⅲ Feel better prepared to pass the American Board of Family Medicine and American Board of Internal Medicine exam Ⅲ Evaluate controversial issues in family practice Ⅲ Earn up to 57.25 hours of Continuing Medical Education credits Ⅲ Navigate the Self-Assessment Modules required by the American Board of Family Medicine F e a t u r e s Ⅲ Earn all of your Continuing Medical Education credits in one week Ⅲ Cost effective – Modest tuition and living expenses. Registration fee includes workshops, syllabus, tote bag ($100.00 value), five continental breakfasts ($50.00 value), five lunches ($75.00 value), three dinners ($75.00 value) and all refreshment breaks ($90.00 value) Ⅲ Three Self Assessment Modules (S.A.M.): Childhood Illness, Depression and Cerebrovascular Disease Ⅲ Proven track record Ⅲ Curriculum based on needs of our targeted audience Ⅲ Outstanding faculty. All sessions moderated by highly respected family practice academicians Ⅲ Excellent preparation for certification or recertification examination of the American Board of Family Medicine and American Board of Internal Medicine Ⅲ Pre- and Post-testing with computerized analysis of performance (for your own use - no individual record kept) Ⅲ Complete printed syllabus for use during course and for reference following course. Electronic syllabus will be available online for download during and after course. Ⅲ Workshops conducted Sunday, Monday and Tuesday evenings and Wednesday and Friday afternoons Ⅲ We guarantee that if you do not pass the Family Practice Boards within one year of taking this course, you can attend another Family Practice Review within two years at no cost (hotel and travel not included) Ⅲ 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 Family Practice 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-serve basis. We cannot guarantee you will be assigned to the seminar or workshop of your choice. Early registration is encouraged. 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, Physicians 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 to February 15, 2013 for the Spring Course and September 1, 2013 for Fall Course. No refunds after February 15, 2013 for Spring Course and September 1, 2013 for Fall Course. Temple University School of Medicine reserves the right to cancel the program and return all course monies without further obligation if sufficient attendance is not secured. 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 1
  • C o n f e r e n c e S i t e a n d H 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 Practice Review Courses. All plenary sessions and workshops are held there. It is a completely self-contained/ convention complex with 330 well appointed and comfortable guest rooms on 225 beautiful acres in legendary Pennsylvania Dutch Country with all recreational activities available on site including indoor pool and outdoor tennis courts. You may register with the Host directly, without waiting for your 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 and Fall are $99.00 single or double plus 11% tax; $11.00 for each additional person in room over two people (age 18 and over); if under 18 years of age there will be no additional charge. Children under 13 eat for free. Register today by using the enclosed hotel reservation form or give our special code FPR#37 when calling the hotel at 717-299-5500. ALTERNATIVE HOTELS 2 Classic Inn 2302 Lincoln Highway E Lancaster, PA 17602-1114 (717) 291-4576 Adjacent to Lancaster Host Continental Inn* 2285 Lincoln Hwy E Lancaster, PA 17602 (717) 299-0421 www.continentalinn.com Across highway from Lancaster Host Red Roof Inn* 2307 Lincoln Hwy E Lancaster, PA 17602 (717) 299-9700 www.redroof.com Across highway from Lancaster Host Ramada Inn 2250 Lincoln Hwy. Lancaster, PA (717) 393-5499 www.ramada.com .1 mile from Lancaster Host Eastbrook Inn 21 Eastbrook Rd. Ronks, PA 17572 (717) 393-2550 1.2 miles from Lancaster Host Comfort Suites Amish Country 2343 Lincoln Highway East Lancaster, PA 17602 (717) 299-7000 .25 mile from Lancaster Host Country Inn 2133 Lincoln Highway East Lancaster, PA 17602 (717) 393-3413 1 mile from Lancaster Host Holiday Inn Express 24 South Willowdale Drive Lancaster, PA 17602 (717) 293-9500 www.hiexpress.com 1 mile from Lancaster Host Country Inn & Suites 2260 Lincoln Highway East, (Route 30) Lancaster, PA 17602 (717) 299-4460 (888) 201-1746 .2 miles from Lancaster Host Hawthorn Suites by Wyndham 2045 Lincoln Highway East Lancaster, PA 17602 (717) 290-7100 .5 miles from Lancaster Host Please contact hotels for their rates 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 2
  • 3 Accreditation Statement: Temple University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor Continuing Medical Education for physicians. Certification Statement: Temple University School of Medicine designates this live activity for a maximum of 57.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAFP Credit: This activity has been reviewed and is acceptable for up to 57.25 prescribed hours by the American Academy of Family Physicians. Nursing Accreditation Temple University School of Medicine is an approved provider of continuing nursing education by the PA State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Registered Nurses will receive up to 57.20 Contact Hours. Disclosure Policy: It is the policy of Temple University School of Medicine; The Albert J. Finestone, M.D., Office of Continuing Medical Education that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). Temple University School of Medicine, Office for Continuing Medical Education has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials. 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 3
  • SUNDAY March 17, 2013 September 29, 2013 PRE-CONFERENCE (Additional Registration Fee) MODERATOR: Stephen Ratcliffe, M.D. Director, Family Practice Residency Program Lancaster General Health Lancaster, PA 7:55 a.m. Greetings from Dr. Ratcliffe PEDIATRICS 8:00 a.m. i. 2013 Immunization Update 8:50 a.m. ii. Diabetes Mellitus in Children 9:20 a.m. iii. Diabetes Case Studies 9:30 a.m. iv. Attention Deficit Disorder 10:00 a.m. Questions and Answers 10:20 a.m. Break 10:30 a.m. v. Epilepsy 11:00 a.m. vi. Calcium Metabolism in Children: In Health and Disease 11:30 a.m. vii. Radiologic Evaluation of Kidney Disease 12:00 p.m. Questions and Answers 12:15 p.m. Adjourn SUNDAY March 17, 2013 September 29, 2013 4:00 p.m. Registration and Reception Lancaster Host Golf Resort and Conference Center 6:00 p.m. KEYNOTE LECTURE Albert J. Finestone, M.D. Annual Lectureship 1. Insulin Resistance and the Metabolic Syndrome 7:00 p.m. Questions and Answers 7:15 p.m. to Workshops 9:55 p.m. 4 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 4
  • MONDAY March 18, 2013 September 30, 2013 7:00 a.m. Registration and Continental Breakfast 8:00 a.m. Welcome and Introductions Nikitas J. Zervanos, M.D. Course Director Melinda Somasekhar, Ph.D. Assistant Dean, Office of CME PRE-TEST 8:30 a.m. Pre-Test (1 hour) MODERATOR: Steve Permut, M.D. Professor and Chair Department of Family and Community Medicine Temple University School of Medicine 9:30 a.m. Greetings from Dr. Permut PREVENTIVE MEDICINE 9:35 a.m. 2. Cancer Screening in 2013 10:05 a.m. 3. Hypo-Vitaminosis D: The Controversies and a 2013 Update 10:35 a.m. Break 10:50 a.m. 4. The PSA Controversy 11:15 a.m. 5. Non-invasive Evaluation of CVD Risk in Women: Role of Screening in the Prevention of Heart Attacks and Stroke 11:45 a.m. Questions and Answers 12:05 p.m. Lunch (Spouses may attend all lunch functions with the purchase of a ticket which will be collected at the door.) PULMONARY 1:00 p.m. 6. COPD: 2013 Update 1:30 p.m. 7. COPD Case Studies Including Pneumonia in the Elderly 2:00 p.m. 8. Asthma Update 2013 2:30 p.m. Questions and Answers 2:45 p.m. Break METABOLIC SYNDROME / CARDIOLOGY 3:00 p.m. 9. Diabetes Mellitus: 2013 Update 3:30 p.m. 10. Diabetes Mellitus: Case Studies 3:55 p.m. 11. Hypercholesterolemia: Controversies and 2013 Update 4:20 p.m. 12. Case Study approach in the Management of Hypercholesterolemia 4:45 p.m. 13. Hypertension: Current Controversies, 2013 Update 5:10 p.m. 14. Case Studies in Managing Hypertension 5:40 p.m. Questions and Answers 6:00 p.m. Dinner 7:00 p.m. to Workshops 9:40 p.m. 5 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 5
  • TUESDAY March 19, 2013 October 1, 2013 7:00 a.m. Preview of syllabus and continental breakfast MODERATOR: Christine Stabler, M.D. Vice President for Academic Affairs Lancaster General Hospital Lancaster, PA 7:45 a.m. Greetings from Dr. Stabler CARDIOLOGY 7:50 a.m. 15. Chest Pain 8:20 a.m. 16. AV Block 8:50 a.m. 17. Why Don’t Patients with NSTEMI or Unstable Angina Benefit from Immediate Reperfusion Therapy? 9:20 a.m. 18. Pre-op Evaluation in the Elderly 9:45 a.m. Questions and Answers 10:00 a.m. Break 10:15 a.m. 19. Prolonged QT Interval 10:45 a.m. 20. Congestive Heart Failure 11:15 a.m. 21. Atrial Fibrillation in the Elderly 11:45 a.m. Questions and Answers 12:05 p.m. Lunch GASTROENTEROLOGY 1:05 p.m. 22. Barrett’s Disease 1:35 p.m. 23. The Ubiquitous Hepatitis C 2:05 p.m. 24. Non-Alcoholic Steatohepatitis 2:35 p.m. Questions and Answers 3:00 p.m. Break DERMATOLOGY 3:10 p.m. 25. Lichen Planus 3:40 p.m. 26. Alopecia Areata 4:10 p.m. 27. Squamous Cell Carcinoma of the Oral Cavity 4:40 p.m. 28. Insect Bites 5:10 p.m. 29. When to Use Antibiotics 5:40 p.m. Questions and Answers 6:00 p.m. Dinner 7:00 p.m. to Workshops 9:40 p.m. 6 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 6
  • WEDNESDAY March 20, 2013 October 2, 2013 7:00 a.m. Preview of syllabus and continental breakfast MODERATOR: Mike Baxter, M.D. Chair of Family Medicine, Reading Hospital Medical Center Reading, PA Associate Clinical Professor Department of Family and Community Medicine Temple University School of Medicine 7:50 a.m. Greetings from Dr. Baxter NEPHROLOGY / UROLOGY 8:00 a.m. 30. Acute Renal Failure 8:30 a.m. 31. BPH 9:00 a.m. 32. Renal Calculi 9:30 a.m. Questions and Answers 9:45 a.m. Break NEUROLOGY 10:00 a.m. 33. Head Trauma 10:25 a.m. 34. Acute Headache 10:50 a.m. 35. Encephalopathy 11:20 a.m. 36. TIA and Strokes 11:45 a.m. Questions and Answers 12:00 p.m. Lunch INFECTIOUS DISEASE 1:00 p.m. 37. Lyme Disease, 2013 1:25 p.m. 38. Chronic Sinusitis (When to use antibiotics) 1:50 p.m. 39. Traveler’s Diarrhea 2:15 p.m. Questions and Answers ORTHOPEDICS 2:30 p.m. 40. Stenosing Tendinopathies of Hand & Wrist 2:55 p.m. 41. Sports-related Injuries and the Sports Preparticipation Physical: An Overview 3:20 p.m. 42. Evaluating Low Back Pain 3:45 p.m. 43. Restless Syndrome and Leg Cramps 4:10 p.m. Questions and Answers 4:20 p.m. Break 4:30 p.m. to Workshops 7:10 p.m. 7 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 7
  • THURSDAY March 21, 2013 October 3, 2013 6:45 a.m. Fun Run (2 miles) Weather permitting: Lancaster Host Golf Course Jogging Route. There is a prize for the top male and female runner. The top 10 runners will also receive a Temple University/LGH T-shirt. MODERATOR: Pam Vnenchak M.D. Deputy Director, Family Practice Residency Program Lancaster General Health Assistant Clinical Professor, Department of Family and Community Medicine Temple University School of Medicine 7:50 a.m. Greetings from Dr. Vnenchak GERIATRICS 7:55 a.m. 44. Alzheimer’s 8:20 a.m. 45. Abdominal Pain in the Elderly 8:45 a.m. 46. Parkinson’s Disease 9:10 a.m. 47. Alzheimer’s Case Studies 9:35 a.m. Questions and Answers 9:50 a.m. Break AUTOIMMUNE DISORDERS 9:55 a.m. 48. Rheumatoid & Psoriatic Arthritis 10:30 a.m. 49. Graves Disease 10:50 a.m. 50. Inflammatory Bowel Disease 11:20 a.m. 51. Multiple Sclerosis and Guillain-Barre Syndrome 11:45 a.m. Questions and Answers 12:00 p.m. Lunch HEMATOLOGY / ONCOLOGY 1:00 p.m. 52. Hemochromatosis 1:30 p.m. 53. Hemolytic Anemia 2:00 p.m. 54. Clotting Disorders 2:30 p.m. 55. Multiple Myeloma 3:00 p.m. Questions and Answers 3:20 p.m. Break 8 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 8
  • WOMEN’S HEALTH 3:35 p.m. 56. Bladder Problems 4:05 p.m. 57. Polycystic Ovarian Syndrome 4:30 p.m. 58. Common Medical Problems in the Pregnant Patient 4:50 p.m. 59. Sexual Dysfunction in Women 5:20 p.m. 60. Osteoporosis: Is There a Problem with Long-term Use of Bisphosphonates? 5:45 p.m. Questions and Answers 6:10 p.m. Dinner 8:00 p.m. 61. The 21st Annual Pennsylvania Academy of Family Physicians Mark A. Connelly Memorial Lecture: Mechanism of Pain 9:00 p.m. Questions and Answers 9:30 p.m. Adjourn FRIDAY March 22, 2013 October 4, 2013 7:00 a.m. Preview of syllabus and continental breakfast MODERATOR: Trisha Acri, M.D. Assistant Professor Department of Family and Community Medicine Temple University School of Medicine 6:55 a.m. The post course exam will be given at this time if you have to leave before noon today, but do not take the exam at this time if you are staying. 7:55 a.m. Greetings from Dr. Acri PSYCHIATRY / PAIN MANAGEMENT 8:00 a.m. 62. Major Depression vs. Dysthymia in Clinical Practice 8:25 a.m. 63. Management of Pain & How to Prescribe Narcotics Rationally 9:15 a.m. 64. Marijuana: Adverse Consequences of Chronic Use. How Does It Compare to Tobacco Addiction? 9:45 a.m. 65. Complex Regional Dystrophy (Sympathetic Reflex Syndrome) 10:15 a.m. Questions and Answers 10:30 a.m. Break OPHTHALMOLOGY / ENT 10:40 a.m. 66. Neck Mass 11:05 a.m. 67. The Aging Eye 11:35 a.m. 68. The Red Eye 12:00 p.m. Questions and Answers 12:15 p.m. Lunch 12:15 p.m. Post Course Examination (one hour) 2:00 p.m. to Workshops 4:40 p.m. 9 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 9
  • WORKSHOPS AND SEMINARS SUNDAY EVENING 7:15 – 9:55 p.m. (with ten minute break) MONDAY EVENING 7:00 – 9:40 p.m. (with ten minute break) TUESDAY EVENING 7:00 – 9:40 p.m. (with ten minute break) WEDNESDAY AFTERNOON 4:30 – 7:10 p.m. (with ten minute break) FRIDAY AFTERNOON 2:00 – 4:40 p.m. (with ten minute break) ALCOHOLIC ANONYMOUS/NARCOTICS ANONYMOUS On your own (Top Flight Lounge) Monday (5:40 – 6:10 p.m.) Tuesday (5:45 – 6:20 p.m.) SUNDAY (7:15 - 9:55 p.m.) March 17, 2013 September 29, 2013 69. Knowledge-based Learning for IM on Hypertension 70. Nutritional Issues in Primary Care Practice 71. Making Effective Use of Diagnostic Imaging 72. Immunization 73. SAM (ABFM) Workshop on Childhood Illness MONDAY (7:00 - 9:40 p.m.) March 18, 2013 September 30, 2013 74. Billing and Coding: Economic Consequences 75. Electrocardiography Part I, Basic – (Part II, Advanced on Tuesday) 76. Strategies for Taking the Family Medicine Board Examination 77. Occupational Medicine 78. Hyperlipidemia 10 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 10
  • TUESDAY (7:00 - 9:40 p.m.) March 19, 2013 October 1, 2013 79. SAM (ABFM) Workshop on Cerebrovascular Disease 80. Gastroenterology with Case Presentations 81. ABFM/ABIM Part IV, Performances in Practice Modules (PPM): What is it? How do you do it? What does it measure? 82. Electrocardiography Part II, Advanced – (Part I, Basic on Monday) 83. Diagnostic and Skin Biopsy Techniques in Dermatology WEDNESDAY (4:30 - 7:10 p.m.) March 20, 2013 October 2, 2013 84. Management and Treatment of Headaches 85. Dementia 86. Common Musculoskeletal Injuries in Athletes and During Exercise 87. Common Urologic Problems including Male Sexual Dysfunction in Office Practice 88. Rheumatology – Includes Joint Injection 89. CPR FRIDAY (2:00 - 4:40 p.m.) March 22, 2013 October 4, 2013 90. Alcoholism and Drug Abuse … Improving Physician Patient Interactions 91. Common Pain Syndromes and Their Management (Medication Safety Issues) 92. SAM (ABFM) Workshop on Depression 93. Maximizing the Use of Your Smart Phone: Medical Apps That Will Make Knowledge Instantly Available and Facilitate Your Medical Practice 94. Strategies for taking the American Board of Internal Medicine Boards 11 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 11
  • 12 Mark Your Calendar! 38th Semi-Annual Spring and Fall Family Practice Reviews March 24 - 29, 2014 October 6 - 11, 2014 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 12
  • CHECKONE:ⅪSpring:March17-22,2013ⅪFall:Sept.29-Oct.4,2013 RatesquotedperdayperpersonEuropeanPlan(RoomAccommodationonly) $99perday/perroom,SingleorDoubleOccupancyTriple$109.00 NOTE:Allratesaresubjectto11%StateSalesTax GUARANTEEDRESERVATIONSNOTCANCELLED48HOURSPRIOR TOTHEDAYOFARRIVALWILLBECHARGEDFORONENIGHT. CHECKTYPEOFROOMREQUESTED: ⅪSingleOccupancy ⅪDoubleOccupancy(KingBed) ⅪDoubleOccupancy(TwoDoubleBeds) ⅪWillBeSharingRoom** **Thehotelcannotberesponsibleforassigningroommates.Unlessroommateis stated,youwillbeassignedasingleoccupancyaccommodation. PLEASENOTE:ROOMTYPECANNOTBEGUARANTEED •FormsreceivedafterFebruary15,2013fortheSpringCourseand August15,2013fortheFallCoursewillbeconfirmedonan“ifavailablebasis”. •Depositoffirstroomnightrateperpersonplus11%salestaxmustconfirm reservation. •PleasemakecheckpayabletoTHELANCASTERHOSTRESORT •Majorcreditcardsareacceptedatthehotel,aswellasfordeposits. •Hotelconfirmationisrequiredforcheck-in •Sendformanddepositto THELANCASTERHOSTRESERVATIONS, 2300LINCOLNHIGHWAYEAST LANCASTER,PA17603 T(717)299-5500.F(717)295-5112 PLEASEFILLOUTONLYONEFORMFOREACHROOMNEEDED. PleasePrintorTypetheFollowingInformation: Name___________________________________________________________________ No.ofChildren__________Children’sAges__________________________________ Roommates______________________________________________________________ CompanyName__________________________________________________________ CompanyAddress________________________________________________________ HomeAddress___________________________________________________________ HomePhone_____________________________________________________________ BusinessPhone__________________________________________________________ ArrivalDate__________________Day______________________________________ DepartureDate__________________Day____________________________________ EmailAddress____________________________________________________________ *IfCreditCardDeposit ⅪAmericanExpressⅪVisaⅪMasterCardⅪDinersClubⅪDiscover Exp.Date_____________CardNo.__________________________________________ Signature________________________________________________________________ *CreditCardswillbechargeduponreceiptofreservation. 37thSemi-AnnualFamilyPracticeReview TheLancasterHostResortReservationForm 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 13
  • CHECKONE:ⅪSpring:March17-22,2013ⅪSpringPre-Con $60additionalfee ⅪFall:Sept.29-Oct.4,2013ⅪFallPre-Con $60additionalfee BasicRegistrationFees:$1395.00(USmoneyequivalent),$1225.00(Nurses, PA-C’sandFellows),$1225.00(Residents-withaletterfromDepartment Chairman)Plusanadditionalfeeof$60.00forthePre-Con*ifyouareregistered forthecourse.IfyouareregisteringforjustthePre-Con*thefeeis$100.00. 20%Discountforeachpersonwhen3ormoreregisterfromagroupor organizationorwhenapastparticipantbringsanewparticipant(someonewho hasneverattendedourSpringorFallFamilyPracticeReview).Youmustregister atthesametime(noexceptions). T-Shirts$10.00__S__M__L__XL GUESTMEALTICKETS(LUNCH)$15.00eachday (Pleasespecifyhowmanyticketsforeachday) __Monday__Tuesday__Wednesday__Thursday__Friday__Total#Tickets GUESTMEALTICKETS(DINNER/BUFFET)$20.00eachday _____Monday_____Tuesday_____#ofTickets Thursday’sDinnerforGuestsis$35.00_____#ofTickets Name______________________________________________________________ Address_____________________________________________________________ City_______________________________________State______Zip___________ DaytimeTelephone#____________________________Fax___________________ E-MailAddress______________________________________________________ Specialty____________________________________________________________ Mastercard/Visa#______________________________ExpirationDate_________ Signature___________________________________________________________ PleasenoteifallmealswillbevegetarianⅪ Howdidyouhearabouttheprogram: ⅪAdⅪDirectMailⅪPreviousRegistrantⅪWordofMouth ToRegister: •ByPhone–(800)23-TUCMEor(215)707-4787 •Online–www.temple.edu/CME •ByFax–CompleteFormandFaxto(215)707-8268 •ByMail–CompleteFormandMailto: CatherineThomas-King,CMP TempleUniversitySchoolofMedicine TheAlbertJ.Finestone,M.D. OfficeforContinuingMedicalEducation 3440NorthBroadStreet,Philadelphia,PA19140 MakecheckspayabletoTEMPLEUNIVERSITYPOSTGRADUATE NOCASHACCEPTED CancellationPolicy:Refundsforwithdrawalafterdeductionofa$100.00feemade onlyuponwrittenrequestpriortoFebruary15,2013fortheSpringCourseand September1,2013forFallCourse.NorefundsafterFebruary15,2013forSpring CourseandnorefundsafterSeptember1,2013fortheFallCourse.Temple UniversitySchoolofMedicinereservestherighttocanceltheprogramandreturn allcoursemonieswithoutfurtherobligationifsufficientattendanceisnotsecured. WORKSHOPS(Pleasespecify3workshopchoices,writeinWorkshopnumbers) SundayEvening ________1stChoice________2ndChoice________3rdChoice MondayEvening ________1stChoice________2ndChoice________3rdChoice TuesdayEvening ________1stChoice________2ndChoice________3rdChoice WednesdayAfternoon ________1stChoice________2ndChoice________3rdChoice FridayAfternoon ________1stChoice________2ndChoice________3rdChoice 37thSemi-AnnualFamilyPracticeReview Registrationfeeincludesprintedsyllabus,updatedsyllabus online,totebag,pre&posttests,5continentalbreakfasts, 5lunches,3dinners,allrefreshmentbreaksandworkshops. Registeronline:www.temple.edu/CME 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 14
  • NON-PROFITORG. U.S.POSTAGE PAID PERMITNO.226 PHILADELPHIA,PA Registrationfeeincludesprintedsyllabus, updatedsyllabusonline,totebag,pre&posttests, 5continentalbreakfasts,5lunches, 3dinners,3selfassessment modules,refreshmentbreaks andworkshops. www.temple.edu/CME TheAlbertJ.Finestone,MD OfficeforContinuingMedicalEducation 3440NorthBroadStreet Philadelphia,PA19140 REGISTER ONLINE! 100356I3a-#CD-100071I9a-BTC 9/20/12 10:24 AM Page 15