AGA-ASGE Clinical Congress of Gastroenterology and Hepatology

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AGA-ASGE Clinical Congress of Gastroenterology and Hepatology

  1. 1. AGA-ASGE Clinical Congress ofGastroenterology and Hepatology Best Clinical Practices: 2013 Jan. 17-19, 2013 Hotel Del Coronado San Diego, CA NEW Hands-On Courses: State-of-the-Art Expert Techniques 2013 Upper GI Endoscopy: Esophagus and Gastric Therapies Lower GI Endoscopy: Colonic and Intestinal Therapies Register early to take advantage of discounted rates and save. www.gastro.org/clinicalcongress
  2. 2. Table of ContentsLetter from the Program Director. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3AGA-ASGE Clinical Congress. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Target Audience. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Directors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Clinical Congress Learning Objectives. . . . . . . . . . . . . . . . . . . . . 5 Regular Sessions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Breakout Sessions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Clinical Congress CME Information . . . . . . . . . . . . . . . . . . . . . . . 9ASGE-AGA Hands-on Upper GIand Lower GI Endoscopy Courses . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Sessions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Target Audience. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Directors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Endoscopy Courses Learning Objectives . . . . . . . . . . . . . . . . . . 11 Hands-on Endoscopy Courses CME Information. . . . . . . . . . . . 11Exhibit Hall. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Faculty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Hotel Accommodations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Refund Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Join AGA or ASGE and Save. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Online Registration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Registration Form. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Trainee Verification Form. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Registration Fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Payment Method. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
  3. 3. Dear Colleague,It is my great pleasure to invite you to attend the 2013 AGA-ASGE ClinicalCongress of Gastroenterology and Hepatology. Designed by GI clinicians forGI clinicians, this congress will provide you with comprehensive updates in allareas of the GI field along with immediately applicable information for bothhospital and practice settings.As a busy GI clinician myself, I know the challenges you face keeping current with the latestadvances in the field, in addition to continually delivering quality patient care. The Clinical Congressis your solution as it provides you with information tailored to your needs and your schedule.For the first time in its existence, the congress will be sponsored by both AGA and ASGE. Bothorganizations’ long-standing expertise within the GI community is reflected in the program. Theprogram features a highly interactive learning format, including real-world cases, hands-on learningand lectures with Q&A. Here are a few of the program highlights: • In-depth information on recent advancements in the detection, management and treatment of the full spectrum of GI and liver disorders. • Expert analysis of difficult clinical issues occurring in practice today. • Information on forward-thinking topics such as the gut microbiome and how this may affect your practice. • Extensive opportunities for networking and peer-to-peer interaction.Smaller breakout sessions allow you to maximize learning opportunities, enabling you to focuson areas of particular interest and relevance.The addition of hands-on endoscopy courses to this year’s program further adds to the overall congressexperience. Leading practitioners from both academia and private practice offer guidance on state-of-the-art techniques for upper and lower GI endoscopy practice. Each section will feature didacticpresentations about optimal approaches to diagnosis and management of the topic under discussion.By AGA and ASGE partnering together to deliver in-depth programming, the 2013 congress issure to offer something for all who attend. You do not want to miss this opportunity to fine-tuneyour clinical decision-making and connect with your peers. I hope you encourage your colleaguesto attend as well.Remember to register early to take advantage of discounted rates.See you in San Diego.All the best,David A. Lieberman, MD, AGAF, FASGE2013 Clinical Congress DirectorP.S. While you are at the congress, don’t forget to explore the sights and attractions of the HotelDel Coronado and its surrounding community. Take a ferry or taxi to downtown San Diego foradditional entertainment options. Regardless of what you decide, you are sure to find world-class dining, exciting nightlife and much more.
  4. 4. AGA-ASGE Clinical Congress Best Clinical Practices: 2013 Expand Your Knowledge, Enhance Your Clinical Decision- Making Skill Set Get practical and immediately applicable solutions on how to improve patient outcomes and strengthen professional competence in a rapidly changing GI field. Attendees will explore recent developments in the detection, management and treatment of GI and liver disorders. Case-based learning, small-group breakouts and extensive faculty-attendee interaction come together to deliver a unique learning experience. Clinicians will find that information gained at the congress can be utilized in both the hospital and practice settings.4 Common GI disorders discussed include: • Viral hepatitis • GERD • Crohn’s disease • Ulcerative colitis • Pancreatitis • Cirrhosis Complex GI disorders discussed include: • Colorectal cancer • Biliary strictures • Barrett’s esophagus • Celiac disease • Eosinophilic esophagitis • Gatroparesis Make sure to visit the exhibit hall for the latest advances in technology and therapeutics from leading companies around the world. AGA-ASGE Clinical Congress of Gastroenterology and Hepatology
  5. 5. AGA-ASGE Clinical CongressBest Clinical Practices: 2013Target AudiencePhysicians, Fellows in Training, Nurse Practitioners, Physician Assistants, Other Health Care ProfessionalsCongress DirectorDavid A. Lieberman, MD, AGAF, FASGECongress Co-DirectorsGary W. Falk, MD, MS, AGAF, FASGE and John A. Martin, MD, FASGE 5Learning ObjectivesUpon completion of the congress, you will be able to: • evelop an evidence-based approach to eosinophilic esophagitis, esophageal physiologic D studies, dilemmas in PPI use and refractory GERD. • Identify state-of-the-art management of inflammatory bowel disease. • Implement recent advances in the management of viral hepatitis, autoimmune hepatitis, cirrhosis and screening of hepatocellular carcinoma. • istinguish between the various approaches for managing pancreatic cystic lesions, acute D pancreatitis and chronic pancreatitis. • Apply the latest screening and surveillance practices for average and high-risk CRC. • Identify the current clinical significance of ongoing research developments of the gastrointestinal microbiome. www.gastro.org/clinicalcongress
  6. 6. Thursday, Jan. 17, 2013 Hands-on Courses: State of the Art Expert Techniques 2013 (Course Director: John A Martin, MD, FASGE) See p. 10 for complete descriptions. 12:30 – 2:30 p.m. Upper GI Endoscopy: Esophagus and Gastric Therapies 4–6 p.m. Lower GI Endoscopy: Colonic and Intestinal Therapies Friday, Jan. 18, 2013 6:30–7:45 a.m. Continental Breakfast 7:50–8 a.m. Welcome and Introduction6 David A. Lieberman, MD, AGAF, FASGE Session 1 - Esophagus (Moderator: Gary W. Falk, MD, MS, AGAF, FASGE) 8–8:20 a.m. Refractory GERD: What to do When PPI’s Aren’t Enough? John E. Pandolfino, MD, AGAF 8:20–8:40 a.m. New Barrett’s Imaging Techniques: What to Use, When, and How Prateek Sharma, MD 8:40–9 a.m. Dealing with Dysplasia: What to do When Barrett’s Goes Bad Nicholas J. Shaheen, MD, MPH, AGAF 9–9:20 a.m. Eosinophilic Esophagitis in 2013: Where Do Things Stand? Evan S. Dellon, MD 9:20–9:40 a.m. Moderator Wrap-Up and QA 9:40–10:10 a.m. Break Session 2 - Stomach/Small Bowel (Moderator: Sheila E. Crowe, MD, AGAF) 10:10–10:30 a.m. Intestinal Metaplasia and Gastric Polyps – Changing Paradigms Kenneth K. Wang, MD, AGAF, FASGE 10:30–10:50 a.m. Managing Upper GI Bleeding: What’s Changed, and What’s Still the Same? Loren Laine, MD, AGAF 10:50-11:10 a.m. Small Bowel Imaging — Video Capsule Endoscopy and Deep Enteroscopy: A Match Made in Heaven Andrew S. Ross, MD, FASGE 11:10–11:30 a.m. Celiac 101 in a Gluten-Free Era and What About Gluten Sensitivity? Sheila E. Crowe, MD, AGAF 11:30–11:50 a.m. Moderator Wrap-Up and QA AGA-ASGE Clinical Congress of Gastroenterology and Hepatology
  7. 7. Session 2 - Stomach/Small Bowel (Continued) 11:50 a.m.–12:30 p.m. Powell Lecture: The Gut Microbiome and Its Potential Don for Research and Discovery Gail A. Hecht, MD, MS, AGAF 12:30–1:30 p.m. Lunch 1:30–2:30 p.m. Breakout Sessions (see page 9 for selections) 2:30–2:45 p.m. BreakSession 3 - Colon (Moderator: David A. Lieberman, MD, AGAF, FASGE) 2:45–3:05 p.m. Serrated Colonic Lesions: Not Just Your Average Polyp! Charles J. Kahi, MD, AGAF 7 3:05–3:25 p.m. Optimizing ADR – What Else to do Now? Aasma Shaukat, MD, MPH 3:25–3:45 p.m. IBS 2013: Can We Cure with Diet? Drugs? Philip S. Schoenfeld, MD, MSc 3:45–4:05 p.m. Demystifying Colorectal Hereditary Syndromes Marcia R. Cruz-Correa, MD, PhD, AGAF, FASGE 4:05–4:25 p.m. Moderator Wrap-Up and QA 4:30–5:30 p.m. Wine and Cheese ReceptionSaturday, Jan. 19, 2013 6:30–7:45 a.m. Continental BreakfastSession 4 - Inflammatory Bowel Disease (Moderator: Brian G. Feagan, MD) 8–8:20 a.m. Crohn’s Disease in 2013 Maria T. Abreu, MD, AGAF 8:20–8:40 a.m. Ulcerative Colitis in 2013 Brian G. Feagan, MD 8:40-9 a.m. Cancer Surveillance: What’s New? Gary R. Lichtenstein, MD, AGAF 9–9:20 a.m. Managing the Pregnant IBD Patient David T. Rubin, MD, AGAF 9:20–9:40 a.m. Moderator Wrap-Up and QA www.gastro.org/clinicalcongress
  8. 8. Saturday, Jan. 19, 2013 (Continued)8 Session 5 - Liver (Moderator: Hashem B. El-Serag, MD, MPH) 9:40–10 a.m. Hepatitis C for 2013 Anna Lok, MD, AGAF 10–10:20 a.m. Hepatitis B for 2013 Norah A. Terrault, MD, MPH 10:20–10:40 a.m. Autoimmune Hepatitis/PBC Paul Martin, MD, FACP, AGAF 10:40–11 a.m. Screening/Surveillance/Outcomes HCC Hashem B. El-Serag, MD, MPH 11–11:20 a.m. Moderator Wrap-Up and QA 11:20–11:40 a.m. Break 11:40 a.m.–12:40 p.m. Breakout Sessions (see page 9 for selections) 12:45–1:45 p.m. Lunch Session 6 - Pancreatico-Biliary (Moderator: John A. Martin, MD, FASGE) 1:45–2:05 p.m. Acute Pancreatitis: Diagnose, Treat, Prevent Like an Expert Martin L. Freeman, MD, FASGE 2:05–2:25 p.m. Chronic Pancreatitis: Doctor, Is There Anything New? Christopher E. Forsmark, MD, AGAF 2:25-2:45 p.m. Pancreatic Cystic Lesions: Shedding Some Light Marcia I. Canto, MD, MHS, FASGE 2:45-3:05 p.m. Diagnosis and Management of Biliary Strictures: Novel Techniques, Latest Technologies Raj J. Shah, MD, AGAF, FASGE 3:05-3:25 p.m. Moderator Wrap-Up and QA 3:25 p.m. Adjourn AGA-ASGE Clinical Congress of Gastroenterology and Hepatology
  9. 9. Breakout SessionsSelect from seven breakout sessions that are repeated on Friday and Saturday. Select one sessionper day. Breakout sessions are on a first-come, first-served basis. Use the registration codes below toindicate your selections on the registration form. Sessions Friday Saturday CC01F CC01S Esophageal Physiology Testing (manometry, impedance, pH testing) John E. Pandolfino, MD, AGAF CC02F CC02S Food Allergies: What the Gastroenterologist Needs to Know Sheila E. Crowe, MD, AGAF CC03F CC03S PPI Issues Michael F. Vaezi, MD, PhD CC04F CC04S Colon Surveillance After Polypectomy 9 David A. Lieberman, MD, AGAF, FASGE CC05F CC05S Microscopic Colitis Darrell S. Pardi, MD, MSc, AGAF CC06F CC06S Primer on Biologics and Immune Modulators: What You Need to Monitor Maria T. Abreu, MD, AGAF and David T. Rubin, MD, AGAF CC07F CC07S Cirrhosis/Portal Hypertension: Management Pearls Paul Martin, MD, FACP, AGAF CC08F CC08S Not Attending a Breakout SessionClinical Congress CME InformationThe AGA Institute is accredited by the Accreditation Council for Continuing Medical Education toprovide continuing medical education for physicians. The AGA Institute designates this live activity fora maximum of 12.5 AMA PRA Category 1 Credits™.Physicians should only claim credit commensurate with the extent of their participation in the activity.Note: Credits for the hands-on endoscopy courses are provided by ASGE. www.gastro.org/clinicalcongress
  10. 10. ASGE-AGA Hands-On Endoscopy Courses: State-of-the-Art Expert Techniques 2013 Upper GI Endoscopy: Esophagus and Gastric Therapies Focused on endoscopic techniques and therapies for the upper GI tract, this course features comprehensive coverage of the latest endoscopic technologies for the management of esophageal, gastric, and duodenal lesions and disorders. This course provides timely, stem-to-stern coverage of upper GI endoscopic therapies taught by world-renowned expert faculty. Expert application of essential techniques as well as the latest technologies will be demonstrated in the following: • Clip hemostasis • Radio frequency ablation • rgon plasma A • Endoscopic mucosal coagulation resection • Cryotherapy • Esophageal stenting10 Lower GI Endoscopy: Colonic and Intestinal Therapies This hands-on course features comprehensive coverage of the most up-to-date colonoscopy and deep enteroscopy techniques and technologies taught by world-renowned faculty, from essential techniques to advanced technologies. Techniques in the prevention and treatment of post-polypectomy bleeding will include: • Hemostatic clipping • Argon plasma coagulation • Detachable snares (loops) • Injection therapies Target Audience Advanced technologies will feature: Practitioners in • Balloon enteroscopy • erforation management P gastrointestinal techniques with cutting- endoscopy, especially • ye-spraying and other D edge closure technologies gastroenterologists, enhanced endoscopy techniques • olonic and intestinal C gastrointestinal surgeons, stenting gastrointestinal nurses, • Hemorrhoid treatments and trainees. Learning Objectives As a result of attending these courses, participants will be able to: • pply advanced endoscopic skills and A • Evaluate the benefits, techniques to clinical practice in upper applications, and limitations of and lower GI endoscopy advanced endoscopic devices Endoscopy Courses Director Endoscopy Courses Moderators John A. Martin, MD, FASGE Gary W. Falk, MD, MS, AGAF, FASGE and David A. Lieberman, MD, AGAF, FASGE AGA-ASGE Clinical Congress of Gastroenterology and Hepatology
  11. 11. Upper GI Endoscopy: Esophagus and Gastric TherapiesThursday, Jan. 17, 2013, 12:30–2:30 p.m. Stations 1, 2 APC/Clips Evan S. Dellon, MD and Andrew S. Ross, MD, FASGE Stations 3, 4 EMR Norio Fukami, MD, FASGE and Kenneth K. Wang, MD, AGAF, FASGE Stations 5, 6 Esophageal Stenting Raj J. Shah, MD, AGAF, FASGE and Marcia R. Cruz-Correa, MD, PhD, AGAF, FASGE Stations 7, 8 RFA Ablation Nicholas J. Shaheen, MD, MPH, AGAF and Prateek Sharma, MD Station 9 Cryotherapy Ablation Marcia I. Canto, MD, MHS, FASGE 11Lower GI Endoscopy: Colonic and Intestinal TherapiesThursday, Jan. 17, 2013, 4–6 p.m. Stations 1, 2 Balloon Enteroscopy Andrew S. Ross, MD, FASGE and Raj J. Shah, MD, AGAF, FASGE Stations 3, 4 Defect Closure Kenneth K. Wang, MD, AGAF, FASGE and Norio Fukami, MD, FASGE Stations 5, 6 Clips/Loops/APC/Injection Charles J. Kahi, MD, AGAF and Aasma Shaukat, MD, MPH Stations 7, 8 Colonic/Duodenal/Intestinal Stenting Christopher E. Forsmark, MD, AGAF and Martin L. Freeman, MD, FASGE Station 9 Hemorrhoidal Therapies vs. Advanced Imaging Maria T. Abreu, MD, AGAF and Marcia R. Cruz-Correa, MD, PhD, AGAF, FASGENote: All stations are subject to change.Hands-on Endoscopy Courses CME InformationThe American Society for Gastrointestinal Endoscopy (ASGE) is accredited by the Accreditation Councilfor Continuing Medical Education to provide continuing medical education for physicians.ASGE designates each hands-on course for a maximum of 2.0 AMA PRA Category 1 Credits™.Physicians should claim only the credit commensurate with the extent of their participation inthe activity.Note: Credits for the Clinical Congress and its breakout sessions are provided by AGA. www.gastro.org/clinicalcongress
  12. 12. Exhibit Hall Visit the exhibit hall to learn about the latest products and services for GI clinicians and enter a daily drawing to win a Kindle®. Exhibit Hall Hours/Events FRIDAY, JAN. 18, 2013 SATURDAY, JAN. 19, 2013 Hours: Noon–1:30 p.m. 2:30–5:30 p.m. Hours: 11–11:45 a.m. 12:30–2 p.m. Events: Lunch, Afternoon Break, Wine and Events: Morning Break, Lunch Cheese Reception12 Faculty Marcia R. Cruz-Correa, MD, PhD, AGAF, FASGE Associate Professor of Medicine and Biochemistry University of Puerto Rico, San Juan Clinical Congress Director David A. Lieberman, MD, AGAF, FASGE Evan S. Dellon, MD Chief, Division of Gastroenterology Assistant Professor of Medicine Oregon Health and Science University, Portland Division of Gastroenterology and Hepatology University of North Carolina School of Medicine, Chapel Hill Clinical Congress Co-Director Gary W. Falk, MD, MS, AGAF, FASGE Hashem B. El-Serag, MD, MPH Professor of Medicine Professor of Medicine Hospital of the University of Pennsylvania, Philadelphia Chief, Gastroenterology and Hepatology Section Baylor College of Medicine Clinical Congress Co-Director John A. Martin, MD, FASGE Brian G. Feagan, MD Associate Professor of Medicine Director, Clinical Trials Gastroenterology and Hepatology, and Surgery Robarts Research Institute Feinberg School of Medicine Martin L. Freeman, MD, FASGE Northwestern University Director, Division of Gastroenterology, Maria T. Abreu, MD, AGAF Hepatology and Nutrition Professor of Medicine Medical Director, Total Pancreatectomy Chief, Division of Gastroenterology and Islet Autotransplantation Leonard M. Miller School of Medicine Director, Advanced Pancreaticobiliary University of Miami, Florida Endoscopy Fellowship University of Minnesota Medical School, Minneapolis Marcia I. Canto, MD, MHS, FASGE Christopher E. Forsmark, MD, AGAF Associate Professor of Medicine and Oncology Director of Clinical Research Professor of Medicine Johns Hopkins University Chief, Division of Gastroenterology, Hepatology and Nutrition Sheila E. Crowe, MD, AGAF University of Florida College of Medicine, Gainesville Professor of Medicine Director of Research Norio Fukami, MD, FASGE Division of Gastroenterology Associate Professor University of California, San Diego Division of Gastroenterology University of Colorado Denver School of Medicine, Denver AGA-ASGE Clinical Congress of Gastroenterology and Hepatology
  13. 13. Gail A. Hecht, MD, MS, AGAF Raj J. Shah, MD, AGAF, FASGEProfessor of Medicine Associate Professor of MedicineChief, Digestive Disease and Nutrition Director of Pancreaticobiliary EndoscopyCollege of Medicine University of Colorado Denver School of Medicine, AuroraUniversity of Illinois at Chicago Nicholas J. Shaheen, MD, MPH, AGAFCharles J. Kahi, MD, AGAF Professor of Medicine and EpidemiologyProfessor of Medicine Director, Center for Esophageal DiseasesDivision of Gastroenterology and Hepatology and SwallowingIndiana University School of Medicine, Indianapolis University of North Carolina School of Medicine, Chapel HillLoren Laine, MD, AGAF Prateek Sharma, MDPresident, AGA Institute Professor of MedicineProfessor of Medicine, Digestive Diseases University of Kansas School of Medicine, Kansas CityYale School of Medicine Aasma Shaukat, MD, MPHGary R. Lichtenstein, MD, AGAF Assistant Professor of Medicine, Division of GastroenterologyProfessor of Medicine University of Minnesota School of Medicine, MinneapolisDirector, Center for IBDPerelman School of Medicine Norah A. Terrault, MD, MPH 13University of Pennsylvania, Philadelphia Professor of Clinical Medicine Director of Viral Hepatitis Research in Liver TransplantationAnna Lok, MD, AGAF University of California San FranciscoProfessor of Internal MedicineDirector, Clinical Hepatology Michael F. Vaezi, MD, PhDUniversity of Michigan School of Medicine, Ann Arbor Professor of Medicine Clinical Director, GI DivisionPaul Martin, MD, FACP, AGAF Vanderbilt University School of MedicineProfessor of MedicineChief, Division of Hepatology Kenneth K. Wang, MD, AGAF, FASGELeonard M. Miller School of Medicine Professor of MedicineUniversity of Miami, Florida Gastroenterology and Hepatology Mayo ClinicJohn E. Pandolfino, MD, AGAFProfessor of MedicineGastroenterology and HepatologyFeinberg School of MedicineNorthwestern UniversityDarrell S. Pardi, MD, MSc, AGAFAssociate Professor of MedicineDirector, GI Fellowship ProgramMayo ClinicAndrew S. Ross, MD, FASGEGastroenterologyVirginia Mason Medical CenterDavid T. Rubin, MD, AGAFProfessor of MedicineCo-Director, Inflammatory Bowel Disease CenterAssociate Section Chief for Education ProgramsUniversity of Chicago Medical Center, IllinoisPhilip S. Schoenfeld, MD, MScAssociate Professor of MedicineDirector, Training Program in GI Epidemiology GastroenterologyUniversity of Michigan School of Medicine, Ann Arbor www.gastro.org/clinicalcongress
  14. 14. 14 AGA-ASGE Clinical Congress of Gastroenterology and Hepatology
  15. 15. AccommodationsHotel Reservation Deadline: Dec. 17, 2012A block of rooms has been reserved for attendees and exhibitors at:The Hotel Del Coronado1500 Orange AvenueCoronado, CA 92118Ph: +1-800-468-3533Fax: +1-619-522-8238Room rate: $255 single/double per night, 8.5 percent tax (tax is subject to change).In addition to the room rate, there is a resort charge of $15 per room, per night, which covers high-speed internet access and other amenities. Contact the hotel for a complete list of amenities coveredby the resort charge.Reserve a hotel room by using the phone or fax numbers provided above. Be sure to mention that youare attending the AGA-ASGE Clinical Congress to receive the discounted rate. Reservations must be 15guaranteed with a credit card. The hotel will charge one night’s room/tax as a deposit and refunding ofdeposits will be made when reservations are canceled at least seven (7) days prior to the arrival date.Refund PolicyWritten cancellations must be faxed to AGA Member Services For Moreat 301-272-1774 or emailed to member@gastro.org by Jan. Information4, 2013. There is a $50 nonrefundable processing fee for all Contact Maura Davis atcancellations, which will be charged to your credit card. Refunds mdavis@gastro.org forwill be issued upon cancellation, less the $50 processing fee. more information regardingRefunds will not be issued after Jan. 4. the program.Refund policy for complimentary registration — cancellation For all registration inquiresof complimentary registration must be made by Jan. 4, 2013. contact AGA MemberCancellations made after this date as well as “no-shows” will be Services at member@assessed a $50 cancellation fee. gastro.org or 301-941-2651.Not a member of AGA or ASGE?Join and save.Submit a membership application with your registration form and receive the discounted member rate.Visit www.gastro.org/membership to join AGA or www.asge.org/join for ASGE membership.If you are submitting an AGA membership application with your congress registration, fax it to301-272-1774 or email to member@gastro.org. www.gastro.org/clinicalcongress
  16. 16. 16 Save Time, Register Online Registering for the congress and/or hands-on courses is easy. 1. Visit www.gastro.org/clinicalcongress 2. Click the “Register Online” button. Registration 3. ign in to your AGA account. S Information 4. elect your member affiliation (AGA member, S Early Bird Registration ASGE member, nonmember). Deadline: Wednesday, Nov. 21, 2012 5. Indicate which event you will be registering for (congress, endoscopy courses, all). Fees increase after this date. 6. lick next and follow the registration wizard C instructions to complete your registration. Note: Make sure to indicate if you will or WILL NOT be attending breakout sessions. If you prefer not to register online, please fill out the form on the next two pages. AGA-ASGE Clinical Congress of Gastroenterology and Hepatology
  17. 17. Registration FormAGA-ASGE Clinical Congressof Gastroenterology and HepatologyNEW Hands-On Courses: State-of-the-Art Expert Techniques 2013Jan. 17-19, 2013 • Hotel Del Coronado, San Diego, CA Please be sure to fill out both sides of the registration form.AGA Member ID (if known) ASGE Member ID (if known) 17First Name MI L Name Suffix astDegreeeAddress1Address 2City State ZipProvince CountryPhone EmailTrainee Verification FormNonmember Trainees must fill out the trainee verification form to receive discounted rates. Have yourprogram director complete the following:I, , verify that Dr. Name of Program Director (Print) Trainee’s Name (Print)is a resident/trainee at . name of location / /Signature of Program Director dateThree Ways to Register gastro.org/clinicalcongress 301-272-1774 AGA Institute, PO Box 758779, Baltimore, MD 21275-8779 www.gastro.org/clinicalcongress
  18. 18. Member ID Full Name Please print Registration Fees Clinical Congress Check the appropriate box to indicate your registration category. Fee includes Friday reception, breakfast, coffee breaks and lunch both days, and congress syllabus on a flash drive. Online registration ends Jan. 13, 2013. After this Early Bird Standard Onsite date, only onsite registration is available. (Aug. 1-Nov. 21) (Nov. 22-Jan.13) (Jan. 17-19) AGA/ASGE Member Physician q $482 q $582 q $632 Nonmember Physician q $632 q $732 q $782 AGA/ASGE Member Nurse Practitioner/Physician q $257 q $357 q $407 Assistant/Nurse Nonmember Nurse Practitioner/Physician Assistant/Nurse q $407 q $507 q $55718 AGA/ASGE Member Trainee q $0 q $107 q $157 *Nonmember Trainee q $157 q $257 q $307 Congress Breakout Sessions Friday, Jan. 18 Saturday, Jan. 19 Selection Required Choice 1: Choice 1: Note: There is no printed syllabus. Choice 2: Choice 2: Hands-on Endoscopy Courses Check the appropriate box to indicate your registration category. Both courses are limited to 45 attendees and are first come, first served. Congress registration is not required to attend either course. Early Bird (Aug. 1-Nov. 21) Standard/Onsite (Nov. 22-Jan.17) Online registration ends Jan. 13, 2013. After this date, only onsite registration Upper Lower Upper Lower is available. GI Only GI Only Both GI Only GI Only Both ASGE/AGA Member Physician q $275 q $275 q $500 q $325 q $325 q $600 Nonmember Physician q $350 q $350 q $650 q $395 q $395 q $740 ASGE/AGA Member Trainee/Nurse/Physician q $195 q $195 q $340 q $250 q $250 q $450 Assistant/Nurse Practitioner Nonmember Trainee*/Nurse/Physician q $250 q $250 q $450 q $295 q $295 q $540 Assistant/Nurse Practitioner * Nonmember Trainees must fill out the Trainee Verification Form (on previous page) to receive discounted rates. Payment Method Note to AGA/ASGE Trainees: You must provide a credit card with your registration. Your card will only be used in the event that you incur a cancellation fee. Credit Card (check one of the following) q Visa q MasterCard q AMEX Grand Total: Credit Card # Expiration Date Signature MAIL: Check enclosed in the amount of $ made payable to the AGA Institute in U.S. dollars, PO Box 758779, Baltimore, MD 21275-8779. AGA-ASGE Clinical Congress of Gastroenterology and Hepatology
  19. 19. Notes 19 www.gastro.org/clinicalcongress

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