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DIATRIC DERMATOLOGYTHE SOCIETY FOR1975www.pedsderm.netJuly 11-14, 2013The Pfister Hotel - Milwaukee, Wisconsin39th Annual ...
PEDIATRIC DERMATOLOGY1975COURSE DIRECTORSBeth Drolet, MDProfessor, Medical College of WisconsinYvonne Chiu, MDAssistant Pr...
www.pedsderm.net | 3PEDIATRIC DERMATHE SOCIETY1975 Research: So You Want to Do Clinical Research?Amy Paller, MD, Northwes...
OCIETY FORCALL FOR CASE, POSTER FORUM PRESENTATIONSAttendees are invited to submit case summaries and poster ab-stracts fo...
www.pedsderm.net | 5SPECIAL EVENTS  ACTIVITIESPEDIATRIC DERM1975 THURSDAY, JULY 11Fellows  Young Leaders Reception6:00 PM...
| SPD 2013 Milwaukee, Wisconsin6REGISTRATION INFORMATIONPEDIATRIC DERMATOLOGYTHE SOCIETY FOR1975PEDIATRIC DERMATOLOGY1975C...
www.pedsderm.net | 7First Name: _________________________________ Last Name: ___________________________________________ D...
PEDITHE SOCIETY FO1975The Society for Pediatric Dermatology8365 Keystone Crossing, Suite 107Indianapolis, IN 46240RETURN S...
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39th Annual Meeting of the Society for Pediatric Dermatology

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Transcript of "39th Annual Meeting of the Society for Pediatric Dermatology"

  1. 1. DIATRIC DERMATOLOGYTHE SOCIETY FOR1975www.pedsderm.netJuly 11-14, 2013The Pfister Hotel - Milwaukee, Wisconsin39th Annual MeetingSociety for Pediatric Dermatology
  2. 2. PEDIATRIC DERMATOLOGY1975COURSE DIRECTORSBeth Drolet, MDProfessor, Medical College of WisconsinYvonne Chiu, MDAssistant Professor, Medical College of WisconsinSheila Galbraith, MDAssistant Professor, Medical College of WisconsinKristen Holland, MDAssistant Professor, Medical College of WisconsinValerie Lyon, MDMadison Medical AffiliatesDESTINATION:Milwaukee, WisconsinAn ideal destination for families, Milwaukee offers an abundanceof fun and unique activities. With everything from dynamic andunique cuisine to the vibrant arts scene, from dozens of muse-ums and cultural facilities to their breweries, Milwaukee is a cityfor visitors of all ages. Stroll the RiverWalk which winds along theMilwaukee River with access to some of the city’s best restaurants,brewpubs, shops and waterfront nightlife or get ready to rumblewith The Great American Motorcycle, Harley Davidson, which hasbeen a Milwaukee tradition for more than a century. Enjoy Mil-waukee County Parks’ 15,000 acres of recreational enjoymentwhich includes beaches or bike along the 100-mile Oak Leaf Trail.Without a doubt, this“city of cool”has world class attractions add-ing to their beautiful lakefront location.ABOUT THE HOTELThe Pfister Hotel424 East Wisconsin Avenue, Milwaukee, WI 53202Phone: (800) 558-8222Online Reservations: Visit www.pedsderm.net and click on SPD2013 Annual Meeting. Select“Hotel Accommodations”to reserve your room online.Group Code: Society for Pediatric DermatologyThe Pfister Hotel, built in 1893, has been thepremier downtown Milwaukee hotel for overa century, and continues to celebrate a tradi-tion of gracious services and impeccable style.Three blocks from the shores of Lake Michigan,The Pfister Hotel overlooks downtown Milwau-kee’s east side and is moments from excitingattractions including the Milwaukee Art Museum. Meanwhile, thehotel is just walking distance from theater, shopping, nightlifeand many dining options. Renovated in 2008, The Pfister Hotel inMilwaukee has received accolades as being the best of downtownMilwaukee hotels since it opened and madeTripAdvisor’sTraveler’sChoice Top 25 Luxury Hotel List in 2012.| SPD 2013 Milwaukee, Wisconsin2PROGRAM AT A GLANCE THURSDAY – July 116:00 PM – 7:00 PM Fellows and Young Leaders Reception7:00 PM – 9:00 PM Welcome Reception FRIDAY – JULY 126:45 AM – 7:45 AM Breakfast7:00 AM – 2:00 PM Registration7:45 AM – 7:50 AMIntroduction and Welcome2013 Course Directors7:50 AM – 8:00 AMGuess the DiagnosisJoseph Conlon, MD, Springfield Clinic8:00 AM – 8:35 AMThrombotic Considerations for Hormonal ContraceptionCameron Trenor, MD, Boston Children’s Hospital8:35 AM – 9:10 AMPolycystic Ovary Syndrome: Special Diagnosticand Therapeutic Considerations in the Pediatric PopulationKanade Shinkai, MD, Ph.D., University of California, San Francisco9:10 AM – 9:50 AMHURWITZ LECTUREHow My Pop-Up Toaster Dream Came TrueErvin Epstein, MD, Children’s Hospital Oakland Research Institute9:50 AM – 10:10 AMDEVELOPING COUNTRY AWARD LECTUREIntroduced by Neil Prose, MD, Duke University,International Task Force Chair10:10 AM – 10:15 AMResearch Grant AwardsJeff Sugarman, MD, Ph.D., University of California, San FranciscoAwards Goals Chair10:15 AM – 10:45 AM Poster Viewing Break10:45 AM – 11:15 AMUpdate on Comorbidities in Children with PsoriasisKelly Cordoro, MD, University of California, San Francisco11:15 AM – 11:45 AMHidradenitis Suppurativa:An Update on Pathogenesis and ManagementAndrea Zaenglein, MD, Penn State University11:45 AM – 12:15 PMResearch ForumAmy Paller, MD, Northwestern University, Feinberg School of Medicine12:15 PM – 1:15 PMSAM WEINBERG’S CASES OF THE YEAR: PART 1Kimberly Horii, MD, Children’s Mercy Hospital (moderator)2:30 PM – 5:30 PM Optional Activities
  3. 3. www.pedsderm.net | 3PEDIATRIC DERMATHE SOCIETY1975 Research: So You Want to Do Clinical Research?Amy Paller, MD, Northwestern University, Feinberg School of MedicineJeff Sugarman, MD, Ph.D., University of California – San FranciscoKeith Choate, MD, Yale University School of Medicine (moderators)Research is integral to the field of pediatric dermatology as we continue to learnand grow. Yet many are daunted by the idea of research, not sure how or whereto start. This session is aimed at encouraging members of our field to participatein research and providing you with the tools to conduct research. There will bepresentations by guest experts on the IRB approval process, regulatory issues,conducting multisite trials, and working with industry. An experienced panel willprovide key tips for developing a research infrastructure for doing pediatric der-matology clinical research and answer audience questions.• The IRB Approval Process: J. Paul Scott, MD• Regulatory Issues: Dennis West, Ph.D.• Multisite Clinical Trials: Marcio Malogolowkin, MD• Panel Discussion: Amy Paller, MD, Jeff Sugarman, MD, Ph.D., Keith Choate, MD,Lawrence Eichenfield, MD, Anita Haggstrom, MD Academic Practice: What I Wish I KnewJohn Browning, MD, University of Texas at San AntonioDawn Davis, MD, Mayo Clinic Rochester (moderators)Are you thinking about an academic career but you are not sure what to expect?This symposium will provide practical tips for trainees and junior faculty fromthe perspective of colleagues who have been in your shoes. We will explain thenuances that help you understand the complicated finances of an academic in-stitution. Tips for juggling work and life are reviewed. Knowledgeable panelistswill give you practical tips based on their experience with an opportunity foraudience participation.• Academic Finances for Dummies: Moise Levy, MD• Work-life UN-balance: Sheila Friedlander, MD• Panel Discussion: Dawn Davis, MD, John Browning, MD, Alanna Bree, MD,Jon Dyer, MD, Brandie Metz, MD Private Practice: What You Need to KnowFred Ghali, MD, Pedi Derm North TX (moderator)More and more pediatric dermatologists are choosing a career in private prac-tice and have questions on the best way to maximize their success. This sympo-sium will provide practical tips for those currently practicing in or contemplatingprivate practice. We will cover the essential steps in laying the foundation andgrowing your practice. Business topics necessary for starting a successful privatepractice in pediatric dermatology will be reviewed. A practical updated reviewof billing and coding will be provided to maximize your collections. An expertpanel will provide valuable insight into the pros/cons of private practice, with aninteractive discussion of the various challenges.• Laying the Foundation: Fred Ghali, MD• Billing Coding Tips: Kenneth Bloom, MD• Panel Discussion: Fred Ghali, MD, Kenneth Bloom, MD, Robert Silverman, MD, Pearl Kwong, MD MOC Self-Assessment: Pediatric DermatologyHoward Pride, MD, Geisinger Medical CenterAndrea Zaenglein, MD, Penn State UniversityThis session is geared specifically for those currently enrolled in MOC-D. It fea-tures short case studies that relate to the diagnosis, treatment and managementof pediatric dermatology conditions. Participants will answer questions, see howtheir colleagues responded and then engage in a detailed review of all the re-sponses. Upon completion, attendees will earn credit for 35 of the 100 self-as-sessment questions they must complete every three (3) years in MOC. Note thatthis is a different program than the one offered at each AAD Annual Meeting. Aminimum of 25 people will be required to hold this session. SATURDAY – JULY 136:45 AM – 7:45 AM Breakfast7:45 AM – 7:50 AM Opening Comments7:50 AM – 8:00 AMGuess the DiagnosisSamantha Hill, MD, Dell Children’s Medical Center8:00 AM – 8:30 AMClinical-Pathologic Correlation:Vascular…Or Not?Paula North, MD, Ph.D., Medical College of Wisconsin8:30 AM – 9:10 AMFOUNDER’S LECTUREDysmorphology for the Pediatric DermatologistVirginia Sybert, MD, University of Washington9:10 AM – 9:25 AMPresentation of the AAP Section onDermatology Alvin Jacobs Award9:25 AM – 9:35 AMGuess the Pediatric DermatologistBeth Drolet, MD, Yvonne Chiu, MD,Sheila Galbraith, MD, Kristen Holland, MD,and Valerie Lyon, MD9:35 AM – 10:05 AMPanel Discussion: Treatment of Alopecia AreataDean Morrell, MD, UNC Hospitals-Dermatology10:05 AM – 10:35 AM Poster Viewing and Break10:35 AM – 11:10 AMMolecular and Proteomic Characterization ofLangerhans Cell Histiocytosis: Biology InformsClinical CharacteristicsKenneth McClain, MD, Ph.D., Texas Children’sCancer Hematology Centers11:10 AM – 11:45 AMOpen Wide: Tips for Diagnosing the MostCommon Oral Lesions from Tots to TeensCatherine Flaitz, DDS, MS,The University of Texas School of Dentistry11:45 AM – 12:15 PMYear in Review: PediatricsErin Mathes, MD, University of California, San Francisco12:15 PM – 12:45 PMJUNIOR FACULTY FELLOWS FORUMSabra Leitenberger, MD, OHSU Kristen Hook, MD,University of Minnesota (moderators)2:30 PM – 4:30 PMPARALLEL AFTERNOON SESSIONS (4)See descriptions (right)6:00 PM – 9:00 PMReception DinnerMilwaukee Art Museum
  4. 4. OCIETY FORCALL FOR CASE, POSTER FORUM PRESENTATIONSAttendees are invited to submit case summaries and poster ab-stracts for review and selection to be presented during SPD’s39th Annual Meeting. There are four (4) categories:CASES OF THE YEARThis category includes cases with a known diagnosis. It shouldhave attendant teaching value. SPD encourages all those inter-ested in submitting a case of the year to first review the examplesposted online at http://www.pedsderm.net/sections/casepre-sentations.php. The “template” cases will help to provide guide-lines for preparing a submission.Kimberly Horii, MD, Children’s Mercy Hospital (moderator)Please note that if a submitted case is chosen to be presentedas one of SPD’s “Cases of the Year”, it will not be simultaneouslyassigned poster space. Submitted cases not chosen for a “Casesof the Year”oral presentation may be presented as a poster, how-ever the SPD will give preferred assignment of space to research-oriented work.RESEARCH FORUMThe Research Forum will highlight outstanding research by mem-bers in our field. Three (3) abstracts abstracts will be selected fororal presentation during the plenary session of the meeting.Original basic science or clinical research projects are eligible forconsideration.Amy Paller, MDNorthwestern University, Feinberg School of Medicine (chair)FELLOWS/JUNIOR FACULTY FORUMThis category includes basic science or clinical research projects,which may include case series of clinical interest with accompa-nying literature reviews, which have been conceived and/or con-ducted by pediatric dermatology fellows and/or junior facultywho have been out of training for 5 years or less.Sabra Leitenberger, MD, OHSUKristen Hook, MD, University of Minnesota (moderators)POSTER PRESENTATIONSLimited to 40 posters. Awards will be presented for the best post-ers. Dimensions of the poster are not to exceed 4’x 8’.Jon Dyer, MD, University of Missouri (chair)All case summaries or poster abstracts should be submitted on-line at: www.pedsderm.net/sections/casepresentations.phpPlease remember that representative photos (jpg files preferred)must be submitted at the time of application for cases of the yearor the case will not be considered.| SPD 2013 Milwaukee, Wisconsin4 SUNDAY – JULY 147:00 AM – 7:45 AM Breakfast7:10 AM – 7:40 AM Business Meeting7:40 AM – 7:45 AM Opening Comments7:45 AM – 8:00 AMGuess the Diagnosis: The AnswersJoseph Conlon, MD, Springfield ClinicSamantha Hill, MD, Dell Children’s Medical Center8:00 AM – 8:30 AMThe Dreaded Friday Bone Marrow TransplantConsult: What You Need to Know Before You GoDavid Margolis, MD, Medical College of Wisconsin8:30 AM – 9:00 AMStem Cell Transplant for Severe EpidermolysisBullosaJohn Wagner, MD, University of Minnesota9:00 AM – 9:10 AMGuess the Pediatric Dermatologist2013 Course Directors (moderators)9:10 AM – 9:40 AMPractical Aspects of Biologic Therapy:Choices and ChallengesWynnis Tom, MD, Rady’s Children’s Hospital/UCSD9:40 AM – 9:50 AMResident Research Award PresentationSpeaker TBA9:50 AM – 10:20 AM Poster Viewing and Break10:20 AM – 10:35 AMPoster Award PresentationJon Dyer, MD, University of Missouri (chair)10:35 AM – 11:05 AMPediatric Acne: What’s Erupting?Lawrence Eichenfield, MD, Rady’s Children Hospital/UCSD11:05 AM – 11:35 AMXeroderma Pigmentosum and Guatemala: Lessonsfrom a Remote Village with First World ApplicationsBari Cunningham, MD, Comprehensive Dermatology Group11:35 AM – 12:05 PMThe Year in Review: DermatologyLiborka Kos, MD, Children’s Hospital of Wisconsin12:05 PM – 12:45 PMSAM WEINBERG’S CASES OF THE YEAR: PART 2Kimberly Horii, MD, Children’s Mercy Hospital (moderator)1:00 PM Meeting Adjourns
  5. 5. www.pedsderm.net | 5SPECIAL EVENTS ACTIVITIESPEDIATRIC DERM1975 THURSDAY, JULY 11Fellows Young Leaders Reception6:00 PM – 7:00 PMIf you are a fellow or out of training for five years or less, then thisevent is for you! Come network and share experiences with otheryoung dermatologists.No cost to attend — pre-registration is required.Welcome Reception7:00 pm – 9:00 pmGreet your friends and colleagues at theWelcome Reception whileenjoying cocktails, hors d’oeuvres and entertainment.Badges will be required for entry. FRIDAY, JULY 12Milwaukee Boat Tour2:30 pm – 5:30 pmThere’s simply no better way to see Milwaukeethan from its waterfront. Explore Milwaukee’s riv-ers, harbors and Lake Michigan on this live nar-rated tour provided by Historic Milwaukee certified tour guides, aswell as the captain. Enjoy unforgettable views and a unique per-spective of Milwaukee’s history and architecture, in addition to anunforgettable view of the Milwaukee skyline.Pre-Registration required. Limited to the first 150 people who register.Sprecher Brewery Tour2:30 pm – 5:30 pmMilwaukee’s long and rich brewing heritage datesback to the 1840s, and they continue to remaina true brew city. As a micro-brewery, Sprecheris able to focus more on its specialty “craft beers” with an eye onthe highest quality and tradition of European style brewing whileproducing less than 15,000 barrels a year. This guided tour of thebrewhouse will take you through their aging cellar to their bot-tling line and warehouse. At the end of the tour, all adults 21 andolder will have the opportunity to sample 4 different beers andwill receive a souvenir glass to take home. This family friendly touris open to participants of all ages and samples of Sprecher’s sodaswill be available to younger participants.Pre-Registration required. Limited to the first 75 people who register.Harley-Davidson Back RoadsVIP Tour2:30 pm – 5:30 pmThe Harley-Davidson Museum is no ordinary mu-seum. The Great American Motorcycle has beena Milwaukee tradition for more than a century. William S. Harleyand the Davidson brothers created the iconic Harley-Davidsonmotorcycle in Milwaukee in 1903. Get to know the muscle behindthe machines on this special-guided tour that offers an in-depthexplanation of Museum exhibits and glimpses into the private ar-eas of the Harley-Davidson Archives. Allow yourself to experiencea glimpse of American history and culture like you’ve never seen itbefore.Pre-Registration required. Limited to the first 50 people who register.Schlitz Audubon NatureCenter Guided Grounds Tour2:30 pm – 5:30 pmThe“going green”movementisgoingstronginMil-waukee. 15,000 acres of parkland shoreline along aGreat Lake and three rivers running through the city offer easy ac-cess to nature. The Schlitz Audubon Nature Center connects peoplewith nature and inspires them to become responsible stewards ofthe natural world. This guided grounds tour is a nature hike on thenature center’s 185-acre natural area which has 6 ½ miles of trails toponds, through prairies, forests and down to the shores of “Great”Lake Michigan. The center is also home to raptors, eagles, owls, fal-cons and other birds which delight visitors of all ages. Immerse your-self and learn about the natural world that surrounds you.Pre-Registration required. Limited to the first 25 people who register. SATURDAY, JULY 13Dinner ReceptionMilwaukee Art Museum6:00 pm – 9:00 pmWith 1,500 pieces on display at one time, the Mil-waukee Art Museum has more art than most visi-tors can see in a day. From its roots in Milwaukee’s first art galleryin 1888, the Museum has grown today to be an icon for Milwaukeeand a resource for the entire state. The Milwaukee Art Museum hasa total of 30,000 works of art that they have been collecting for 125years.This 341,000 square foot Museum includes theWar MemorialCenter (1957) designed by Finnish-American architect Eero Saarin-en, the Kahler Building (1975) by David Kahler and the QuadracciPavilion (2001) created by Spanish architect Santiago Calatrava.Central to the Museum’s mission is its role as a premier educationalresource, with educational programs that are among the largest inthe nation.Tickets are required and not included with registration fee.
  6. 6. | SPD 2013 Milwaukee, Wisconsin6REGISTRATION INFORMATIONPEDIATRIC DERMATOLOGYTHE SOCIETY FOR1975PEDIATRIC DERMATOLOGY1975CANCELLATION/REFUND POLICYRegistration fees, less a $100 administration fee, will be refundedfollowing the meeting. In order to qualify for a refund of fees, can-cellation notice must be received in writing no later than May 31,2013. There will be no refund of fees for cancellation received afterthat date.SPOUSES, CHILDREN GUESTSPlease note that all spouses, children and guests must be officiallyregistered as an accompanying guest to attend the meeting to par-ticipate in any of the meal functions (including breakfast) or socialactivities. Badges will be required to be worn during these activi-ties to gain admittance.CME CREDITThis activity has been planned and implemented in accordancewith the Essential Areas and policies of the Accreditation Councilfor Continuing Medical Education through the joint sponsorshipof Blackwell Futura Media Services and The Society for PediatricDermatology. Blackwell Futura Media Services is accredited by theACCME to provide continuing medical education for physicians.Physicians should only claim credit commensurate with the extentof their participation in the activity. SPD’s Annual Meeting is alsorecognized by the American Academy of Dermatology and may beused toward the American Academy of Dermatology’s ContinuingMedical Education Award.EVALUATIONPlease be advised that all CME requests and seminar evaluations forSPD 2013 will be managed online to ensure that you receive a CMEcertificate in a timely manner. You will be given a small CME Book-let in your conference materials where you should evaluate the ses-sions you attend. On July 12, attendees who pre-registered for themeeting will be sent an email that provides login instructions tocomplete an online evaluation for the sessions you attended. Makesure you still have your booklet so you can enter the appropriateinformation. Upon completion of the online evaluation, your CMEcertificate will be made available for immediate download or tohave emailed. Attendees who registered on-site will receive a simi-lar email with instructions the week of July 22. There will also be aCME Sign In sheet, which must be signed daily. It will be located ona marked table in the Conference Lobby Area.DISCLOSURE OF INTERESTIn keeping with the rules of the Accreditation Council for Continu-ing Medical Education, conflict of interest disclosure is required ofall faculty and other participants in the Annual Meeting. Speakersfrom the audience are also required to indicate any relevant con-flict of interest during discussion of a given topic.TRAVEL AWARDSTravel awards are now available on a competitive basis to fellows,residents, and medical students who present cases (Cases of theYear) or posters at the SPD Annual Meeting. This is an effort to en-courage participation among trainees interested in pediatric der-matology and helps provide recognition for exceptional work aswell as financial assistance to attend the meeting.There will be two$1,000 awards available for the SPD 2013 Annual Meeting. Mem-bers who qualify will apply through the SPD website at the timeof submission of cases and posters. The SPD’s Awards and GoalsCommittee will evaluate the quality of the case/poster, focusingon whether it presents “new” information, is relevant to care ofchildren with skin diseases, quality of data, and approved consentprocess.AIR TRAVEL INFORMATION TRANSPORTATIONThe Pfister Hotel is approximately 8 miles from the General MitchellInternational Airport (MKE). Taxi service from the General MitchellInternational Airport is approximately $20 one-way.The hotel doesnot have an airport shuttle.Parking at The Pfister Hotel:Self-Parking is $25 with unlimited in and out privilegesValet Parking is $30 daily with unlimited in and out privilegesNearby alternate parking is also available.HOTEL ACOMMODATIONSA special room rate of $209 per night single/double is available atThe Pfister Hotel. This rate is offered on a space-available basis onlythrough June 9, 2013. Reservation requests made after June 9 willbe confirmed on a space available basis at prevailing hotel rates.Reservations can be made by calling (800) 558-8222 or online atwww.pedsderm.net. Please indicate you are with the Society forPediatric Dermatology Annual Meeting to receive the special roomrate. Please note there are a limited number of rooms available, somake your reservations early.NEED A ROOMMATE?Contact the SPD office at (317) 202-0224 or via email at spd@hp-assoc.com no later than May 31, 2013 if you would like to share aroom with another attendee (and split the cost of the room). Pleaseindicate whether you are male or female and your anticipated ar-rival and departure dates.FOR FURTHER INFORMATIONOR QUESTIONS?Please contact SPD via phoneat (317) 202-0224, fax (317) 205-9481,or email: spd@hp-assoc.com.REGISTRATION INFORMATION
  7. 7. www.pedsderm.net | 7First Name: _________________________________ Last Name: ___________________________________________ Degree: ________________________Nickname for Badge: _____________________________________________ Affiliation for badge: _________________________________________________Address:_____________________________________________________________________________________________________________________City:__________________________________________________ State:_______ Zip:_________________ Country:_______________________________Phone: ___________________________________________ Email: _____________________________________________________________________Registration Type:(please check all that apply) I’m a: q SPD Member q Non Memberq FirstTime Attendee q New Member q Resident q Fellow q Junior Faculty (out of training less than 5 yrs)REGISTRATION FEES: Before 6/1/13 After 6/1/13 ON-SITE FEESq SPD Member $575 $675 $775 $ ______q Non Member $675 $775 $875 $ ______ q Nurse Practitioners and Physician Assistants $475 $525 $575 $ ______q Resident or Fellow - entire meeting $225 $275 $300 $ ______q Resident or Fellow - one day pass $125 $150 $175 $ ______ q Fri., July 12 q Sat., July 13 q Sun., July 14q Accompanying Adult Child 12 years $150 $150 $150 $ ______Guest Name(s): ________________________________________________q Accompanying Child 12 years $50 $50 $50 $ ______Children’s Name: _______________________________________________ SPECIAL EVENTS:q Young Leaders Reception -Thurs., July 11 No of ppl. ______ q Welcome Reception -Thurs., July 11 No of ppl. ______ q DinnerTicket - adult - Sat., July 13 $75 $80 $85 $ ______ q DinnerTicket - resident/fellow - Sat., July 13 $35 $40 $45 $ ______ q DinnerTicket - child - Sat., July 13 $50 $55 $60 $ ______ q Vegetarian meal or special dietary needs: __________________________________________________ OPTIONAL EVENTS - FRIDAY, JULY 12:(please select only one)q Milwaukee BoatTour No of ppl. ______ q Sprecher BreweryTour No of ppl. ______ q Harley-Davidson Back RoadsVIPTour No of ppl. ______q Schlitz Audubon Nature Center Guided GroundsTour No of ppl. ______Optional WorkshopS - Saturday, July 13:(please select only one)q Research: SoYouWant to Do Clinical Research? q MOC Self-Assessment: Pediatric Dermatology q Academic Practice:What IWish I Knew q Private Practice:WhatYou Need to KnowT-SHIRT SIZE: (SPD Commemorative T-Shirt) Sizes: q S q M q L q XL q 2XLTOTAL REGISTRATION FEES: $ _______________Method of PaymENT: q Check** q Visa q Mastercard q AMEXCard #: _______________________________________________________________________________________ Exp. Date: ___________________Cardholder Name (please print): __________________________________________ Signature: _______________________________________________**Payable to Society for Pediatric Dermatology or SPD. All checks must be made in U.S. dollars, drawn on U.S. Banks.Registration fees, less $100 ad-ministration fee, will be refund-ed following the meeting uponwritten notice of cancellation tothe SPD headquarters office. Inorder to qualify for a refund offees, cancellation notice mustbe received in writing to spd@hp-assoc.com no later than May31,2013.There will be no refundof fees for cancellation receivedafter that date.PHONE REGISTRATION NOTACCEPTED.Please select one of thefollowing three options:www.pedsderm.netBy Fax (Visa/MC/AMEX)(317) 205-9481SPD8365 Keystone CrossingSuite 107,Indianapolis,IN 46240(Check/Visa/MC/AMEX)It is very important that youenjoy SPD 2013. If due to adisability, you have any spe-cial needs or requirements,please call (317) 202-0224and we will do our best toaccommodate your needs.SPD 39th Annual Meeting Registration
  8. 8. PEDITHE SOCIETY FO1975The Society for Pediatric Dermatology8365 Keystone Crossing, Suite 107Indianapolis, IN 46240RETURN SERVICE REQUESTEDPRESORTEDFIRST-CLASS MAILU.S. POSTAGEPA I DINDIANAPOLIS, INPermit No. 9059PEDIATRIC DERMATOLOGYTHE SOCIETY FOR1975The Society for Pediatric Dermatology gratefully acknowledges the followingcompanies who have provided grants to support our 2013 educational programsand initiatives:PLATINUM $25,000 or moreGaldermaPierre-FabreGOLD $10,000 - $24,999Hill DermaceuticalsJohnson JohnsonMustelaRanbaxySILVER $5,000 - $9,999National Rehab • Proctor Gamble/Pampers • Summers LaboratoriesBRONZE $1,000 - $4,999GeneDx • TopMD Skin CareRECOGNITION OF SPONSORS www.pedsderm.net

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