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  1. 1. Perinatal Dilemmas July 15-18, 2012 Jackson Hole, WYHome of the Grand Tetons .... Gateway to Yellowstone Register Early and Save! (see page 10 for details) Earn up to 18 CE Hours REGISTER TODAY!
  2. 2. Perinatal Dilemmas Highlights and BenefitsThe dilemmas … How do you stay current with research and best practices in obstetric and neonatal care? What is the impact of maternal illness and medications on the outcome of the neonate? How do you keep up with advances in new technologies for assessing maternal and fetal/neonatal well-being? What has experience taught us about working and communicating with families in high-stress situations? The solution …Attend the 15th Perinatal Dilemmas conference and explore these and other challenges that you confront daily in yourpractice. From preconception counseling to fetal monitoring challenges, and ethical dilemmas at the edge of viability tomanagement of neonatal pain, the faculty will address both the art and the science of caring for the high-risk dyad of motherand fetus/neonate.Highlights of this conference include: Interaction with nationally recognized experts, providing opportunities to examine diverse perspectives on perinatal and neonatal care. Presentations to the combined obstetric/neonatal audience addressing issues that impact both specialties. Separate obstetric and neonatal concurrent sessions, allowing you to discuss concerns and challenges unique to your specific area of practice. Provocative case study sessions to stimulate collaborative discussion.  breathtaking setting of the Grand Tetons, and a conference schedule designed for learning as well as relaxation and The exploration with family and friends.Enjoy dialogue and networking with both faculty and colleagues in a setting guaranteed to provide you with a freshperspective and well-deserved RR. See you there! Jay P. Goldsmith, MD Jeannine Strunk, BSN, RN Program Consultant Senior Program Manager Contemporary Forums2 Visit us to register today • Follow us on Facebook and Twitter (#Perinatal12)
  3. 3. Who Should Attend? What You Will LearnAnyone interested in the care of high-risk pregnant women This conference will enable the experienced clinician to:and their infants including…  mprove assessment and management skills in caring I for women with complicated pregnancies and their high- Neonatologists  Certified Nurse-Midwives risk infants. Perinatologists Obstetric and Neonatal   xplore developing trends in maternal and neonatal E OB/GYN Physicians Nurses outcomes and the factors influencing them. Family Physicians  Physician Assistants  valuate emerging technologies and diagnostic tools E Nurse Practitioners  Case Managers used in the care of high-risk pregnant women and their  You! sick newborns. Clinical Nurse Specialists Provide evidence-based care consistent with current  standards of practice in obstetrics and neonatology. RAVE REVIEWS!  xamine legal and ethical issues that impact perinatal E and neonatal care. “Outstanding conference – dynamic speakers covering topics that truly impact practice.” Janice Kitts Botkin, MS, BSN, RNC-OB – Fishersville, VA “Great conference – lots of useful hands-on information with plenty of time to enjoy the beautiful surroundings.” Susan Bellinson, MSN, CNM – Bronx, NY “Learning in the best possible environment. Second time to Jackson Hole, I love it! Will come back again!” Al Alagappan, MD – Houston, TX “Fantastic conference! New information and review of information very pertinent to current practice. Excellent, exciting location. Will definitely attend again in Jackson Hole!” Mary Ann Christensen, MS, APRN, NNP-BC – Salt Lake City, UT “This is my fifth Perinatal Dilemmas conference – they just seem to keep getting better.” Lenette Powers, BSN, RNC – Manteca, CA “The location in Jackson Hole is a definite draw. It is nice to attend a conference that addresses both nursing and physician issues in the field.” Reva Royal, RN, MSN – San Diego, CA “This conference targeted some of the most important issues facing us in perinatal nursing. The speakers addressed these issues with honesty and a willingness to think “out-of-the-box,” and challenged us to rethink our old strategies based on new evidence and practical concerns. The emphasis on solving problems with a team approach will serve our patients well.” Janet Swinburne, RNC, BSN – Manhasset, NY “Great speakers and current topics. Excellent conference site allowing for education and great activities. Just super!” Kathy Beall, MSN, CNNP – Atlanta, GA A Leader in Quality Continuing Education for Healthcare Professionals for 30 years 3
  4. 4. AccreditationA Certificate of Attendance will be available online after you complete the course requirements, enabling you to registeryour credit with the appropriate licensing boards or associations. To apply for credit not listed below, use the procedureestablished by the specific organization.Physicians: 18 hours Nurses and Nurse Practitioners:Contemporary Forums is accredited by the Accreditation 18 ANCC/21.6 CA BRN contact hoursCouncil for Continuing Medical Education to Contemporary Forums is accredited as a provider ofprovide continuing medical education for physicians. continuing nursing education by the American NursesContemporary Forums designates this Live Activity Credentialing Center’s Commission on Accreditation.for a maximum of 18 AMA PRA Category 1 Credits™. Contemporary Forums is approved by the CaliforniaPhysicians should claim only the credit commensurate Board of Registered Nursing, Provider #04516.with the extent of their participation in the activity. (CA BRN contact hour = 50 minutes)Application for credit has been filed with the American Nurse-Midwives: 18 hoursCollege of Obstetricians and Gynecologists. The Continuing Education Committee of the AmericanThis continuing medical education activity has been College of Nurse-Midwives grants reciprocity status toreviewed by the American Academy of Pediatrics and the Accreditation Council for Continuing Medical Educationis acceptable for a maximum of 18 AAP credits. These (ACCME) for Category 1 offerings, providing the program iscredits can be applied toward the AAP CME/CPD Award relevant to nurse-midwifery. A maximum of 18 hours mayavailable to Fellows and Candidate Members of the be reported.American Academy of Pediatrics. Pharmacology Credit for Prescriptive AuthorityApplication for CME credit has been filed with Neonatal: 3.5 hours availablethe American Academy of Family Physicians. Obstetric: 4 hours availableDetermination of credit is pending. Rx indicates sessions with pharmacology content. Because states’ requirements vary, contact your Board of Nursing for more information. Physician Assistants: 18 hours The American Academy of Physician Assistants accepts Category 1 CME approval from organizations accredited by the ACCME to grant Category 1 hours toward the Physician’s Recognition Award. PAs may report up to 18 hours of credit. Case Managers Application has been made for continuing education credit from the Commission for Case Manager Certification.4 Visit us to register today • Follow us on Facebook and Twitter (#Perinatal12)
  5. 5. Conference FacultySuzanne McMurtry Baird, MSN, RN Christine A. Gleason, MDAssistant Director, Clinical Practice W. Alan Hodson Endowed Chair in PediatricsWomen’s Services Professor of Pediatrics and Head, Division of NeonatologyTexas Children’s Hospital University of Washington School of MedicineHouston, Texas Seattle Children’s Hospital Seattle, WashingtonMadge E. Buus-Frank, MS, RN, APRN-BC, FAANNeonatal Nurse Practitioner Jay P. Goldsmith, MDThe Children’s Hospital at Dartmouth Program ConsultantInstructor in Pediatrics Clinical Professor of PediatricsDartmouth Medical School Tulane University School of MedicinePrincipal Consultant Co-Founder Chair Emeritus, Department of PediatricsDynamic Neonatal Solutions Ochsner Medical InstitutionsLebanon, New Hampshire New Orleans, LouisianaArmando Fuentes, MD Jordan H. Perlow, MDDirector of Perinatology Associate Director, Phoenix Perinatal Associates,Children’s Hospital Central California An Affiliate of Obstetrix Medical Group of Phoenix, PCFresno, California Director, Maternal-Fetal Medicine Banner Good Samaritan Medical Center Phoenix, Arizona Associate Clinical Professor of Obstetrics and Gynecology University of Arizona College of Medicine Tucson, Arizona Online CE Library Conference Attendees Registration includes: • Access your recorded sessions for 2 years • Earn additional free CE online for Concurrent Sessions • Share online sessions with 3 colleagues (CE credit optional $10 per session) Can’t Attend This Live Conference? Pre-purchase online access to this recorded conference for only $295! You must order before 7/15/12 to receive this special discount. Multimedia content will be available at 2-3 weeks after the end of conference. • Over 30 hours of ANCC/ACCME credit included with purchase • Share content with 3 colleagues (CE Credit optional $10 per session) • Unlimited online access for 2 years Place your order today by registering online at or on the registration form. Online CE Library Group Access Programs Available To request group account details and discount pricing, visit or call (925) 361-4811. A Leader in Quality Continuing Education for Healthcare Professionals for 30 years 5
  6. 6. CONFERENCE SCHEDULESaturday, July 14 Monday, July 16 3:30 - Early Registration • Check-In • Welcome 7:30 a.m. ontinental Breakfast for Conference C 5:30 p.m. Reception ParticipantsSunday, July 15 Concurrent Sessions Select Neonatal or Obstetric on your Registration Form. 7:00 a.m. egistration • Check-In R Continental Breakfast for Conference Participants Neonatal Session 8:00 Perinatal Trends 2030: Forecasting 8:00 Prenatal Drug Exposure: Management of Our Future with Words of Wit, Affected Newborns ( = .5 hr.) Wisdom and Wonder! Christine A. Gleason, MD Madge E. Buus-Frank, MS, RN, APRN-BC, FAAN 8:45 Human Milk for Human Infants: Strategies 9:00 Obesity and Pregnancy: A Dangerous Duo for Success ( = .25 hr.) Jordan H. Perlow, MD Madge E. Buus-Frank, MS, RN, APRN-BC, FAAN 9:45 Refreshment Break 9:30 Refreshment Break10:15 Treatment of Maternal Depression: 10:00 Management of Neonatal Pain and What Should We Worry About? ( = .5 hr.) Discomfort: Do We Know What Christine A. Gleason, MD We’re Doing? ( = .5 hr.) Christine A. Gleason, MD11:00 Fetus on Steroids: Antenatal The Corticosteroids and Perinatal Outcomes 10:45 Case Studies in NEC ( = .25 hr.) ( = .75 hr.) Madge E. Buus-Frank, MS, RN, APRN-BC, FAAN Jordan H. Perlow, MD 11:30 Telling Our NICU Stories:11:45 Safe Home Births: Oxymoron or Reflective Medical Writing Obtainable Goal? Christine A. Gleason, MD Christine A. Gleason, MD 12:15 p.m. uestions and Discussion Q12:30 p.m. uestions and Discussion Q Faculty Panel ( = .25 hr.) Faculty Panel ( = .25 hr.) 1:00 Adjourn 1:00 Adjourn Obstetric Session 8:00 Preconception Counseling: A View from the Trenches ( = .25 hr.) Jordan H. Perlow, MD 8:45 Thrombophilia and Pregnancy: When Clotting is a Problem ( = .25 hr.) Armando Fuentes, MD 9:30 Refreshment Break 10:00 Folic Acid and the Prevention of Neural Tube Defects: 20 Years Later ( = .75 hr.) Jordan H. Perlow, MD 10:45 Recognizing Maternal Compromise ( = .25 hr.) Suzanne McMurtry Baird, MSN, RN 11:30 Advanced Maternal Age: Perinatal Challenges for the Mature Gravida ( = .25 hr.) Jordan H. Perlow, MD 12:15 p.m. uestions and Discussion Q Faculty Panel ( = .25 hr.) 1:00 Adjourn = Pharmacology credit for Prescriptive Authority6 Visit us to register today • Follow us on Facebook and Twitter (#Perinatal12)
  7. 7. Tuesday, July 17 Wednesday, July 18 7:30 a.m. ontinental Breakfast for Conference C 7:30 a.m. Continental Breakfast for Conference Participants Participants 8:00 Medical-Legal Risks in Obstetric CareConcurrent Sessions Suzanne McMurtry Baird, MSN, RNSelect Neonatal or Obstetric on your Registration Form. 8:45 Medical-Legal Risks in Neonatal Care Jay P. Goldsmith, MDNeonatal Session 9:30 Questions and Discussion 8:00 Rigors of Neonatal Resuscitation: Real The Faculty Panel World Lessons from the Simulation Suite Madge E. Buus-Frank, MS, RN, APRN-BC, FAAN 9:45 Refreshment Break 8:45 CPAP: The Devil is in the Details 10:15 Recent Trends in Neonatal Outcomes Jay P. Goldsmith, MD Following IVF Armando Fuentes, MD 9:30 Refreshment Break 11:00 Interpreting Umbilical Cord Blood Gases10:00 What Is Your Unit’s BPD Rate? Quality Jay P. Goldsmith, MD Improvement in Respiratory Care Jay P. Goldsmith, MD 11:45 Ethical Dilemmas in Perinatal Management at the Lower Limits of Viability10:45 Mystery Case Studies: Because Babies Armando Fuentes, MD Don’t Come with Labels or Instructions ( = .25 hr.) 12:30 p.m. uestions and Discussion Q Madge E. Buus-Frank, MS, RN, APRN-BC, FAAN Faculty Panel11:30 Hyperbilirubinemia: Should Kernicterus 1:00 Adjourn Be a Never Event? Jay P. Goldsmith, MD12:15 p.m. uestions and Discussion Q Faculty Panel 1:00 AdjournObstetric Session 8:00 Necessary Steps to Preventing Maternal Deaths: What You Can Do Suzanne McMurtry Baird, MSN, RN 8:45 Prediction and Management of Preterm Birth ( = .25 hr.) Armando Fuentes, MD 9:30 Refreshment Break10:00 Obstetric Infection Leading to Sepsis Suzanne McMurtry Baird, MSN, RN10:45 Neuroprotective Role of Magnesium The Sulfate ( = .25 hr.) Armando Fuentes, MD11:30 Complex Fetal Monitoring Challenges: Case Studies Suzanne McMurtry Baird, MSN, RN12:15 p.m. uestions and Discussion Q Faculty Panel 1:00 Adjourn A Leader in Quality Continuing Education for Healthcare Professionals for 30 years 7
  8. 8. Jackson Hole, WYSummer in Jackson Hole – breathtaking in beauty, back- Jackson Hole offer menus to suit all tastes - from sourdoughcountry solitude, western ambience – offers an experience pancakes at Jedediah’s to delicious prime rib in the livelyunmatched anywhere. Located in the northwest corner of atmosphere of the Mangy Moose and wild game at the GunWyoming, Jackson Hole is a lovely alpine valley dwarfed Barrel Steak and Game House. Experience the authenticityby towering snowcapped mountains, ringed by majestic of a Paris bistro at Rendezvous Bistro or the creative cuisinestands of timber and dotted with high mountain lakes. Within and upscale atmosphere of Snake River Grill.its confines lie Grand Teton National Park, the NationalElk Refuge and the friendly town of Jackson – gateway to If you want a real taste of the Old West, Jackson HoleYellowstone National Park. Nowhere else will you find such a boasts some of the finest western entertainment and offersmagnificent display of nature mixed with unlimited activities. everything from an evening horseback ride and steak fry to an outdoor chuckwagon dinner. The picturesque stagecoachThe Grand Tetons may be the world’s greatest range ride around the town square and exciting shootout, heldof mountains – majestic by day, mysterious by night; there every evening for the last 45 years, complete thispurple-pink at dawn, slate-blue at dusk; sometimes misty, western flavor.sometimes clear, but always trimmed by snow. You can hikeat the base of these spectacular mountains and capture the The arts flourish in Jackson Hole during this time ofdazzling array of wild flowers, prolific wildlife and stunning year. The Grand Teton Music Festival offers nightlypeaks which are among the most photographed in the world. concerts from Beethoven to Bartok, performed by some of the nation’s finest musicians. There are numerous artThe Snake River, which winds its way along the base of galleries displaying the works of well-known artists whothe Tetons, provides a perfect playground for scenic float make their homes here. And you won’t want to miss thetrips as it uncoils its way through the valley, or a whitewater National Museum of Wildlife Art, situated on a dramatic cliffadventure through one of its canyons. Then ride to the overlooking the National Elk of Rendezvous Mountain for one of the world’s mostspectacular panoramic views on the high speed Aerial Tram Plan to extend your stay to tour Yellowstone, our country’swith its 4,139-foot vertical rise over 2.4 miles. first national park, for a unique opportunity to view a variety of wildlife including moose, elk, buffalo, eagles (maybe aIn the evening, kick up your heels western style to live bear!) and to visit the awesome thermal areas which haveentertainment at the Million Dollar Cowboy Bar or attend no rivals. The combination of the two contrasting elementsthe unique Jackson Hole rodeo. Over 40 restaurants in of fire and water have produced a land of natural wonders.8 Visit us to register today • Follow us on Facebook and Twitter (#Perinatal12)
  9. 9. Our conference site, the Snow King Resort, located at the Area Activitiesbase of Snow King Mountain, has a variety of activities and Listed below are the many activities and recreationalentertainment. Swim in the heated pool, relax in the Jacuzzi opportunities available in the Jackson Hole area. The Activitiesor take the chairlift to the top of Snow King Mountain to enjoy Coordinator at the Snow King Resort will mail activitythe view of the valley and the Tetons. descriptions, details, pricing and advance activity reservation forms to all registrants before the conference.With such a wide array of beautiful scenery and excitingattractions, you won’t want to miss this opportunity to visit • Whitewater River Raftingthe spectacular area of the Grand Tetons and Yellowstoneduring this conference. Bring your family and friends … it’ll • Wild West Jeep Tourbe a vacation like no other! • Scenic Float Trip on Snake River • Boat/Kayak RentalsWebsites to Visit • Yellowstone Park Tour (Lower Loop) • Wildlife • Covered Wagon Cookout and • Guided Hiking and Biking • Grand Teton National Park Tour • Hot Air Balloon RidesTravel Options • Jackson Hole RodeoSalt Lake City is 5 hours driving time from Jackson Holeand Idaho Falls is 3 hours. You may want to consider flying • Grand Teton Music Festivalinto one of these cities and renting a car. Flights to these • Horseback Ridingcities may be less expensive or more available than flying • Hang Gliding Ridesdirectly to Jackson Hole. To rent a car, call Hertz for specialdiscounted rates and refer to Contemporary Forums and • Guided Fishing Tripsthe conference discount code CV#03000259. A Leader in Quality Continuing Education for Healthcare Professionals for 30 years 9
  10. 10. Registration Information Registrations must include full tuition payment to be accepted. Registrations faxed without payment will not be  processed. Conference communications are sent via email. When registering please provide attendee’s best email address as some emails are filtered and blocked. Since conference registration and hotel rooms are limited, early registration is advised.  Out of consideration to registrants, children of any age and spouses may not attend the sessions.  Tuition (U.S. Funds) Nurses, Residents,** Other Health Professionals Physicians Early Registration Fee* (On/before June 4) $495 $595 Regular Registration Fee $545 $645 (After June 4)* Postmarked or phone/fax/online registration and fees received on/before June 4.** Residents: To qualify, submit facility verification of status with registration.Your tuition includes refreshment breaks, Certificate of Attendance, and Online CE Library access to presentation handouts before and after theconference. In addition, you will have complimentary Online CE Library access to all the recorded conference sessions for 2 years and may earnadditional CE credit online free of charge for Concurrent Sessions you did not attend. See page 5 for Library details. Group Discounts (Mail, fax or call in together. Online registration is not available.) Tuition discounts are given to groups of 3 or more registering for the complete conference. To qualify for the group discount, all registration information must be complete for all group members, payment included and forms sent together. If faxing, list all group members on cover sheet. Subtract the discount from the tuition fee. Groups may not be formed after individual registrations are received. $25 per person discount for 3 or 4 in a group $45 per person discount for 5 or more in a group Method of Tuition Payment Make payment by check (payable to Contemporary Forums and enclose with Registration Form), Visa, MasterCard, Discover, American Express or Purchase Order. A $30 fee is charged for any returned check. Personal checks are NOT accepted at the conference. Purchase Orders must be received with registration by the conference date and include the P.O. number, invoice address, tuition, approval signature, contact name, email address and phone number. Register Online, or by Phone, Fax or Mail (Payment is required to register.) Register only ONCE, online at, by mail or fax (800) 329-9923, or call (800) 377-7707, Monday-Friday, 8 a.m. – 5 p.m. (Pacific Time). Before calling, complete all registration information. Tax Deductibility Expenses of training, tuition, travel, lodging and meals to maintain or improve professional skills may be TAX DEDUCTIBLE. Consult your tax advisor. Partial Attendance (Online registration is not available.) Call Contemporary Forums for tuition and CE credit for individual days. Group discounts do not apply. Registrations may not be shared. Cancellations Cancellations may be made by phone or in writing. Cancellations received on/before June 4 receive a full tuition refund. Cancellations received after June 4 are assessed a $20 processing fee. No refunds for cancellations received after the conference begins or for “no shows.” If this meeting is cancelled for any reason, including labor strikes or acts of God, liability is limited to a full refund of registration fees. Program Changes Contemporary Forums reserves the right to make necessary changes in speakers, topics or schedule. The most current program can be found on our website. Questions? Contact Contemporary Forums at (800) 377-7707, Monday - Friday, 8 a.m. - 5 p.m. (Pacific Time) or email If you require special arrangements at this conference, call (800) 377-7707, at least 30 days prior to the conference.EASY WAYS TO REGISTER Online (Credit card only) Fax (Credit card or Phone (Credit card only) Mail - Attn: Registrar Visit us at Purchase Order) Monday - Friday Contemporary (800) 329-9923 (800) 377-7707 6377 Clark Avenue, Ste. 200 24 hours a day 8am - 5pm, Pacific Time Dublin, CA 94568 10 Visit us to register today • Follow us on Facebook and Twitter (#Perinatal12)
  11. 11. Hotel Accommodations Travel Discounts he conference will be held at the Snow King Resort, T Contemporary Forums has a special discount 400 East Snow King Avenue, Jackson Hole, WY 83001. agreement with United Airlines unavailable A limited block of rooms is being held for you and your to the general public. To obtain these special guests at special group rates which will be in effect, conference fares call the Special Meeting based on room availability, from July 13 to July 19. The Desk at (800) 521-4041, Account Code 510CW. Ticketing discounted room rate may be available before and after and payment can be done directly by you or through your the conference for those wishing to extend their stay. travel agent. To ensure the best flights and times, since Please inquire when making your hotel reservation. seats are limited, make your reservations early. Fares are guaranteed at the time of the ticket purchase. WARNING! The hotel room release date is June 13, 2012. In the past, rooms and condos have sold out as Hertz is the official car rental agency for early as four weeks before the hotel room block release the conference. Special rates will be in date, so make your reservations NOW. The rates listed effect throughout the conference as well as one week before below are available for reservations made before June and after. For special rates, call HERTZ at (800) 654-2240 13 or until the room block is full, whichever comes first. and refer to Contemporary Forums plus the conference To have access to the reduced rates, you must make discount code CV#03000259. your reservations before June 13. Call the hotel for availability and rates after this date. CONTEMPORARY FORUMS 2012 CONFERENCE CALENDAR Rates: $175 single/double (Partial listing) Rates are per room and subject to prevailing state and local taxes. limited number of condominiums, adjacent to the hotel, A The Young Child with Special Needs are available. All units except studios have kitchens and Las Vegas, NV • March 21-24 can sleep up to 10 people. PLEASE NOTE: Release date for condos is June 13, 2012 The National Conference of Neonatal Nursing Orlando, FL • March 21-24 Condominium rates per day: Contraceptive Technology $215 – studio Boston, MA • March 28-31 $225 – one bedroom $325 – two bedrooms A Slice of AACN NTI Las Vegas, NV • April 9-13 $355 – three bedrooms $445 – four bedrooms Obstetric Nursing Las Vegas, NV • April 15-18 Love Ridge Lodges at Grandview rates per day: $235 – suite Psychiatric Nursing Philadelphia, PA • April 18-21 $245 – one bedroom $450 – two bedrooms Pediatric Nursing: Care of the Hospitalized Child $475 – three bedrooms Boston, MA • May 2-5 or room reservations, call (800) 522-KING (5464) and F Psychiatric Nursing Las Vegas, NV • May 16-19 inform them that you are attending the Contemporary Forums’ conference, Perinatal Dilemmas. Request a Advances In Health Care for Women Over 40 confirmation number and written confirmation of your Las Vegas, NV • May 17-19 reservation. Reservations must include a first and last night’s Adolescent Health Care deposit. San Francisco, CA • May 31 - June 2 ontact the hotel regarding cancellation policy. For C Neonatal Pharmacology arrivals after 3 p.m., call the hotel on the day of travel to Washington, DC • June 7-9 reconfirm reservations. NETNEP 2012: 4 International Nurse Education Conference th Baltimore, MD • June 17-20 or additional hotel information, call the Snow King F Resort at (307) 733-5200. Hot Topics in Primary Care Jackson Hole, WY • July 29 - August 1 Office Gynecology Email Updates Snowmass, CO • August 5-8 Pharmacology for Advanced Practice Clinicians San Francisco, CA • September 10-16If you are not currently receiving Online CE Library orconference information and updates via email, please go Pediatric Critical Care Nursingto You Orlando, FL • September 12-15will then be notified of all conferences as soon as they areannounced as well as have access to special promotions.All email addresses are for Contemporary Forums use only. For complete conference information, visit www.ContemporaryForums. com, call toll-free at (800) 377-7707 or Contemporary Forums is a division of American Career College. A Leader in Quality Continuing Education for Healthcare Professionals for 30 years 11
  12. 12. Please Post Prominently or Forward to a Colleague if Unable to Attend Contemporary Forums U.S. POSTAGE PAID Registration Form: Perinatal Dilemmas PRSRT STDSend this form with full payment (U.S. Funds) to:Contemporary Forums, Attn: Registrar, 6377 Clark Avenue, Suite 200, Dublin, CA 94568Fax (800) 329-9923, Phone (800) 377-7707, or visit www.ContemporaryForums.comONLINE CE LIBRARY ONLY (Not Attending Conference - Details/Price Page 5) Conference Content via Library only (Complete all Registration Information, Professional Profile, and Payment Summary)ORREGISTER TO ATTEND CONFERENCE (July 15-18)REGISTRATION INFORMATION (Please Print Clearly) Please share with your colleagues*Name, License/Degrees, Place of Employment, City, State appear on your badge*First Name Social Security # (Last 4 Digits)*Last Name *License/Degrees*Place of Employment*City *State*Attendee’s E-mail For confirmation, receipt, access to posted presentation slides prior to conference,access to your Certificate of Attendance and Online CE Library. Please print clearly and provide your bestemail address as some emails are filtered and blocked. 6377 Clark Ave., Suite 200 Contemporary ForumsHome Address Dublin, CA 94568 PDFCity State ZipDaytime Phone(s) Code: CONCURRENT SESSIONS SELECTION (See pages 6-7)Please check one for each day. Sessions are limited in size and assignments are madein the order received.I wish to attend the following Concurrent Sessions: PAYMENT SUMMARY (#073612)Monday, July 16:  Neonatal  Obstetric Early Fee Postmark Deadline: June 4Tuesday, July 17:  Neonatal  Obstetric Conference Content via Library Only $PROFESSIONAL PROFILE ORChoose ONE category in each section that best applies to you. If you havemultiple roles, select the one that occupies the majority of your time. Use “Other” Conference Tuition (Attending) $only if none of the choices apply to you.1. ICENSE/PROFESSION/ L 3. CLINICAL SETTING Group Discount (See page 10 for details.) -$ SPECIALTY  Antepartum (Registration forms must be sent in together.) CNM/NM  Birth Center TOTAL PAYMENT ENCLOSED $ Family Practice  Clinic/Office Neonatal NP/PNP  Labor Delivery Neonatal Physician  LDRP/LDR Unit  Check/Money Order Payable to Contemporary Forums Neonatal RN/RNC  NICU/Neonatal OB/GYN NP  Pediatrics OB Physician  Postpartum Credit Card # OB RN/RNC  Public Health/Community Clinic OFFICE USE ONLY: C__________ D __________ E __________ PA/PA-C  University/Academia Pediatrics  Other:__________ Other:__________ Exp. Date2. OSITION/ P 4. EARS IN OBSTETRIC OR Y JOB FUNCTION NEONATAL PRACTICE Print Cardholder’s Name Case Manager 1 Clinical Specialist  2-3 Educator/Instructor  4-7 Billing Address Nurse-Midwife  8-10 Nurse Practitioner  11+ Nursing Management City State Zip Physician Assistant Private Practice Staff Position/Attending Payer Email Other:__________We collect this data in order to provide you with information about Contemporary Forums, Payer Phone #conferences, and the Online CE Library. If you prefer not to receive further information, pleasesee our Privacy Statement at