Mayo ClinicPediatric DaysMayo School of Continuous Professional DevelopmentSeptember 23-24, 2013Westin Michigan Avenue • Chicago, IllinoisCourse Information and Registration:http://www.mayo.edu/cme/pediatricdays2013Course Directors:Walter J. Cook, M.D.Jonathan N. Johnson, M.D.New this year!Sunday, September 22Optional Pre-Course Session -American Board of PediatricsMaintenance of CertificationPart 2 Self-AssessmentSee details inside.
Pediatric DaysSeptember 23-24, 2013September 22, 2013 Optional Pre-Course SessionWestin Michigan Avenue • Chicago, IllinoisREGISTRATION FORM 2013R810Mail form and payment to:Mayo School of CPD Phone 800-323-2688 or 507-284-2509Plummer 2-60 FAX 507-284-0532200 First Street SW E-mail firstname.lastname@example.orgRochester, MN 55905 Web site www.mayo.edu/cmeType of credit available: AMA/PRA Category 1™ AAFP AAP OtherRegistration Fee: Physicians/Scientists $560 $ ________ Residents, Fellows, Physician Assistants, Nurse Practitioners, Allied Health $530 $ ________Optional Pre-Course MOC Part 2 Session (September 22, 2013) $100 $ ________Printed Syllabus (Pre-order only): $50 $ ________(Please note that the electronic syllabus will be complimentary with course registration.)Total Payment Enclosed: $ ________Contact InformationName of Registrant – first name, middle name or initial, and last name Degree – select all that applyMD PhD DO PA NPOther specifyName of Institution Medical SpecialtyPreferred Mailing Address – select one Work/Business HomeWork/Business Address – street address Work Phone – include all country and city/area codes asneeded along with complete phone numberCity State or Province ZIP or Postal Code CountryHome Address – street address Home Phone – include all country and city/area codes asneeded along with complete phone numberCity State or Province ZIP or Postal Code CountryE-mail Address FAX – include all country and city/area codes as needed along with complete phone numberFAX Location – select oneWork/BusinessHomeIf you have special assistance needs or dietary restrictions, describe here:SPECIALNEEDSCredit Card - select oneDiscover MasterCard VisaCheck is enclosed in the amount shown at right- make checks payable to Mayo ClinicPayment TotalAccount Number Exp Date - mm/yyName of Cardholder - as appears on the card Signature of Cardholder - requiredXRegister on-line athttp://www.mayo.edu/cme/pediatricdays2013
CANCELLATION POLICYIf you cancel your participation in this course, your registration fee, less a $75 administrative fee,will be refunded when written notification is received by Mayo School of CPD before September 9, 2013(email@example.com or fax#: 507-284-0532). No refunds will be made on or after September 9, 2013.Canceled registrations are non-transferable.Mayo School of CPD reserves the right to cancel or postpone any course due to unforeseen circumstances.In the unlikely event Mayo School of CPD must cancel or postpone this course, Mayo School of CPD willrefund the registration fee, but is not responsible for any related costs, charges, or expenses to participants,including fees assessed by airline/travel/lodging agencies.LODGING ACCOMMODATIONSGuest rooms have been reserved for attendees and their guests with special course rates at the WestinMichigan Avenue. In order to receive the special rate, reservations must be made before the room blockis filled or before Sunday, September 1, 2013, whichever comes first. Reservations will be taken followingthis date based on space and rate availability. Hotel reservations for the event can be made by individualattendees directly by calling (888) 627-8385 or by visiting www.starwoodmeeting.com/Book/pediatricdays.Please identify yourself as a participant of the Mayo Clinic Pediatric Days course when making yourreservation.Single/Double/Triple/Quad: $249.00Hotel room rates are subject to applicable state and local taxes in effect at the time of check-out.Check-in: 3:00 p.m.Check-out: 12:00 p.m.More information can be found on the hotel’s web site: www.westin.com/michiganaveLodging arrangements are the sole responsibility of the individual registrant.Mayo School of CPD is not responsible for expenses incurred by an individual who is not confirmed and forwhom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees orpenalties are the responsibility of the registrant.GROUND TRANSPORTATION PARKINGAirport TransportationThe Westin Michigan Avenue Chicago offers transportation service through GO Airport Express atwww.airportexpress.comApproximate one-way fare is:O’Hare International Airport - $27 per personMidway - $22 per personTaxi cabs are easily accessible and are approximately $35-$45 one way to O’Hare or Midway Airport.ParkingOvernight parking at the hotel is currently $59.All rates are subject to change without notice.Ground transportation and parking are the sole responsibility of the individual registrant.General Information
SUNDAY, SEPTEMBER 22, 2013• American Board of Pediatrics Maintenance of CertificationPre-Course Part 2 Self-Assessment Session - 2013 Pediatric Cardiology Self-Assessment (10 MOC Part 2 Points) - 2013 Pediatric Emergency Medicine Self-Assessment (10 MOC Part 2 Points)MONDAY, SEPTEMBER 23, 2013• The Pediatrician and the Athlete Bryan C. Cannon, M.D., James L. Homme, M.D., David C. Agerter, M.D.• 24 Hours in the Hospital – Common Controversies Jason H. Homme, M.D., Thomas G. Boyce, M.D., James L. Homme, M.D., Garth F. Asay, M.D.• Amberg-Hemholz Professorship Luncheon: Social Media in the Pediatrician’s Office Farris K. Timimi, M.D.• Grand Rounds in the Windy City Dawn Marie R. Davis, M.D., Salman Kirmani, MBBS• Meet the Professor Sessions Jonathan N. Johnson, M.D., Salman Kirmani, MBBS, Dawn Marie R. Davis, M.D., David C. Agerter, M.D., James L. Homme, M.D., Jason H. Homme, M.D., Garth F. Asay, M.D.,Thomas G. Boyce, M.D., Bryan C. Cannon, M.D.TUESDAY, SEPTEMBER 24, 2013• Meet the Professor Sessions Walter J. Cook, M.D., James R. Phillips, M.D., Mark G. Bartlett, M.D., Kenneth J. Mack, M.D.,Ph.D.,Philip R. Fischer, M.D., John E. Huxsahl, M.D., Megha M. Tollefson, M.D., Robert M. Jacobson, M.D.,Shelley P. Ahrens, R.N., C.N.P. and Dawn E. Nelson, R.N.• Chronic Complaints and Conditions James R. Phillips, M.D., Mark G. Bartlett, M.D., Kenneth J. Mack, M.D., Ph.D., Philip R. Fischer, M.D.• Vaccine Update Robert M. Jacobson, M.D.• Multiple breakout sessions on a variety of topics presented by well known Mayo Clinic facultyFor a complete program schedule, please visit our course website:http://www.mayo.edu/cme/pediatricdays2013Optional Pre-Course Session ~ Sunday, September 22, 2013American Board of Pediatrics (ABP) Maintenance of Certification Part 2 Self-AssessmentThe optional pre-course American Board of Pediatrics (ABP) Maintenance of Certification Part2 Self-Assessment session is chaired by expert faculty who will analyze reference articles andmodule questions to explain why they are important for the field and provide key points andclinical pearls. Session attendees actively participate through verbal discussion and understandingof current evidence and a common consensus would be achieved in answering these questions.The collective information gathered in these interactive sessions enhances individual knowledgeand longer retention of current medical information.Attendees are required to bring their laptops to the session in order to log in to their personalportfolio on www.abp.org and go to the activity under the MOC section. ABP recommends alaptop computer be used to take this self-assessment. Mobile device technology, including iPad,may experience difficulty. After the completion of this interactive module, credit for MOC Part 2will be entered directly into your ABP portfolio.There is an additional cost of $100 to attend this session.Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in theperformance of any procedures which may be discussed or taught in this course. Course Highlights
General InformationCOURSE DESCRIPTIONMayo Clinic Pediatric Days is designed toprovide current information on a variety ofmedical and surgical conditions affectinginfants, children and adolescents. Thishighly successful national continuingmedical education program presents thelatest advances in the field of pediatricand adolescent medicine. Outstandingfaculty from Mayo Clinic will offer plenarypresentations, concurrent sessions, andround table discussions on a variety of topics,including but not limited to:Adolescent MedicineAnesthesiology and Resuscitative MedicineCardiologyCritical CareDermatologyEmergency MedicineGastroenterologyGeneral PediatricsGeneticsImmunization PracticeInfectious DiseaseNeonatologyNephrologyPerinatologyPsychiatryPulmonologySports MedicineCOURSE LEARNING OBJECTIVESUpon conclusion of this program, participantsshould be able to:• Incorporate medical information fromreviews of commonly encountered clinicalscenarios into the daily practice of pediatricand adolescent medicine.• Describe the implications for evaluationand management of patients frominformation provided during in-depthreviews of the topics of subjects.• Implement effective clinical strategies fordiagnosing and managing a wide array ofchallenging problems in clinical practice.Attendance at this Mayo course doesnot indicate nor guarantee competenceor proficiency in the performance of anyprocedures which may be discussed or taughtin this course.INTENDED AUDIENCEMayo Clinic Pediatric Days is designedfor pediatricians, pediatric specialists,family medicine physicians, pediatricnurse practitioners, family medicine nursepractitioners, physicians in residency training,nurses and physician assistants.CREDITCollege of Medicine, Mayo Clinic, is accredited bythe Accreditation Council for Continuing MedicalEducation to provide continuing medical educationfor physicians.College of Medicine, Mayo Clinic, designates thislive activity for a maximum of 14.50 AMA PRACategory 1 Credits™. Physicians should claim onlythe credit commensurate with the extent of theirparticipation in the activity.AAFPApplication for CME credit has been filed with theAmerican Academy of Family Physicians.Determination of credit is pending.AAPApplication for CME credit has been filed with theAmerican Academy of Pediatrics.Determination of credit is pending.Other Health Care ProfessionalsA certificate of attendance will be provided to otherhealth care professionals for requesting credits inaccordance with state nursing boards, specialtysocieties, or other professional associations.DATE AND LOCATIONThe Pediatric Days course will be held September 23-24, 2013. Course headquarters will be locatedat the Westin Michigan Avenue Chicago. The hotel islocated on Chicago’s famed Magnificent Mile stepsfrom Lake Michigan, award-winning restaurants andpremier shopping. Plus, it’s within walkingdistance to the Midwest’s most popular tourist andleisure destination, Navy Pier.Web site: www.westin.com/michiganaveREGISTRATIONTo register online, visit http://www.mayo.edu/cme/pediatricdays2013 or complete the attachedregistration form and return by mail or fax. Theregistration fee includes tuition, comprehensiveelectronic course syllabus, continental breakfasts,Amberg-Helmholz Professorship Luncheon, andbreak refreshments. Although it is not Mayo Schoolof CPD policy to limit the number of registrants fora course, conference room facilities may necessitateclosing of enrollment; therefore, early registration isadvised. A letter of confirmation will be sent uponreceipt of payment and completed registration form.Please present the confirmation letter when checkingin at the meeting registration desk.For additional information, contact:Mayo School of Continuous ProfessionalDevelopmentPlummer 2-60200 First Street SWRochester, MN 55905Website: www.mayo.edu/cmeE-mail: firstname.lastname@example.orgPhone: 800-323-2688 or 507-284-2509Fax: 507-284-0532