Pediatric Hospital Medicine 2007

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Pediatric Hospital Medicine 2007

  1. 1. Pediatric Hospital Medicine 2007 Sponsored by the AAP Section on Hospital Medicine, the American Academy of Pediatrics (AAP), the Ambulatory Pediatric Association (APA), and the Society of Hospital Medicine (SHM) Salt Lake City, Utah • Salt Lake City Marriott Downtown • August 2-5, 2007 Register online at www.pedialink.org/cmefinder Earn a Maximum of 17.75 AMA PRA Category 1 Credits™ or call toll-free, 866/THE-AAP1 (866/843-2271) AMBULATORY PEDIATRIC ASSOCIATION
  2. 2. Pediatric Hospital Medicine 2007 What is Pediatric Hospital Medicine 2007? Continuing Medical Education Credit With the ultimate goal of improving patient care, The American Academy of Pediatrics (AAP) is accredited the Pediatric Hospital Medicine course provides an by the Accreditation Council for Continuing Medical educational forum for pediatric hospitalists and other Education (ACCME) to provide continuing medical clinicians involved in the care of pediatric inpatients. education for physicians. This educational activity seeks to increase participants’ The AAP designates this educational activity for a knowledge in the areas of clinical medicine, practice maximum of 17.75 AMA PRA Category 1 Credits.™ management, education, and research and to provide Physicians should only claim credit commensurate with the tools, skills, and strategies necessary to improve the extent of their participation in the activity. practice. It also offers an opportunity for networking and discussion among pediatric hospitalists as they This activity is acceptable for a maximum of 17.75 AAP engage in shaping the future of this rapidly evolving credits. These credits can be applied toward the AAP specialty in pediatric medicine. CME/CPD Award available to Fellows and Candidate Fellows of the AAP. Upon completion of this educational activity, Application for CME credit has been filed with participants should be able to: the American Academy of Family Physicians. • Apply knowledge gained to implement advances Determination of credit is pending. in the practice management, systems, and logistics areas of pediatric hospitalist medicine The American Academy of Physician Assistants accepts AMA PRA Category 1 Credits™ from organizations • Implement new methodologies for teaching accredited by the ACCME. and practicing pediatric hospital medicine This program is approved for 21.30 NAPNAP • Identify opportunities and mechanisms contact hours, pharmacology (Rx) contact hours for hospitalists to conduct pediatric to be determined. impatient research • Advocate for and influence the evolution Disclosure of Financial Relationships and of pediatric hospital medicine Resolution of Conflicts of Interest The AAP Policy on Disclosure of Financial Relationships You should attend Pediatric Hosptial and Resolution of Conflicts of Interest is designed to Medicine 2007 if you are a: ensure quality, objective, balanced, and scientifically • Pediatric Hospitalist rigorous AAP CME activities. All individuals in a position to influence and/or control the content of • Pediatric department chair AAP CME activities are required to disclose to the 2 • Pediatric teaching program director AAP and subsequently to learners that they either have no relevant financial relationships or any • Director of a general pediatric division financial relationships with the manufacturer(s) of any • General pediatric resident commercial product(s) and/or provider(s) of commercial services discussed in CME activities. All potential • Pediatric nurse practitioner conflicts of interest are identified and resolved prior to • Pediatric physician assistant an individual’s confirmation of service at an AAP CME activity. Beyond disclosure of financial relationships, • Physician who focuses on the medical AAP CME faculty are required to disclose to the care of hospitalized children AAP and to learners when they plan to discuss or demonstrate pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an unapproved or “off- label” use of an approved device or pharmaceutical. The AAP is committed to providing learners with commercially unbiased CME activities. Schedule and Faculty Because we are always striving to improve the quality of your educational experience, schedules are subject to change. The AAP may substitute faculty with comparable expertise on rare occasions necessitated by illness or scheduling conflicts. Please visit www.pedialink.org/cmefinder for schedule, faculty, Trolley Square and session updates.
  3. 3. Course Schedule Thursday, August 2, 2007 9:15- 10:45am COnCURREnT SESSIOnS – GROUP A 4:00pm Registration Desk Open A1 Death, Child Abuse, and Adverse 7:30-9:00pm Improving Quality in the neurological Outcomes in Inpatient Pediatric Setting Infants After an Apparent Life Charles J. Homer, MD Threatening Event (ALTE) Joshua L. Bonkowsky, MD Maximum CME Credits for Thursday: 1.5 A2 Pediatric Surgery for Friday, August 3, 2007 the Hospitalist Earl C. Downey, Jr, MD Tamara Simon, MD 7:00am Registration Desk Open A3 Evidence-based Medicine 7:00-8:00am C ontinental Breakfast/ IV Fluids Visit the Exhibits Lisa B. Zaoutis, MD 8:00-8:45am I ntroduction of Sponsoring Shawn L. Ralston, MD Organizations A4 Teaching Rounds Jay E. Berkelhamer, MD, Vincent W. Chiang, MD AAP President Peter G. Szilagyi, MD A5 Educational Research APA President-Elect Joseph O. Lopreiato, MD Russell L. Holman, MD A6 Quality Improvement SHM President-Elect Charles J. Homer, MD 8:45-9:00am Question-and-Answer Session 10:45-11:00am Break/Visit the Exhibits 9:00-9:15am Break/Visit the Exhibits 3 Golfing in Beautiful Salt Lake Register online at www.pedialink.org/cmefinder or call toll-free, 866/THE-AAP1 (866/843-2271)
  4. 4. Pediatric Hospital Medicine 2007 11:00am- COnCURREnT SESSIOnS – GROUP B 3:30- 12:30pm (REPEATED FROM GROUP A) 5:00pm COnCURREnT SESSIOnS – GROUP C B1 Death, Child Abuse, and Adverse C7 no Pain, All Gain: neurological Outcomes in A Systematic Approach to Infants After an Apparent Life Pediatric Pain Management Threatening Event (ALTE) William T. Zempsky, MD Joshua L. Bonkowsky, MD C8 Common Problems in B2 Pediatric Surgery for the Evaluation of Healthy the Hospitalist newborn Infants Earl C. Downey, Jr, MD Jennifer A. Daru, MD Tamara Simon, MD C9 Critical Care for the Pediatric B3 Evidence-based Medicine Hospitalist – Respiratory Failure IV Fluids James D. Swift, MD Lisa B. Zaoutis, MD Linda K. Snelling, MD Shawn L. Ralston, MD Christopher G. Maloney, MD B4 Teaching Rounds C10 Creating an Inpatient Vincent W. Chiang, MD Asthma Training Module (offered one time only) B5 Educational Research Daniel A. Rauch, MD Joseph O. Lopreiato, MD C11 Research 101: How to Get B6 Quality Improvement Started (and what it takes to Charles J. Homer, MD finish) with your Research Study 12:30-12:45pm Move Break Christopher P. Landrigan, MD 12:45-1:30pm Lunch C12 Building a Hospitalist Program PRIS Update: The need for From the Ground Up Collaborative Hospitalist Jeffrey Gill, MD Research in 2007 4 5:00pm Adjourn for the Day Christopher P. Landrigan, MD Maximum CME Credits for Friday: 6.75 1:30-1:45pm Break/Visit the Exhibits 1:45-3:15pm The Hospitalist and the Art of negotiation Linda K. Snelling, MD 3:15-3:30pm Break
  5. 5. Course Schedule Saturday, August 4, 2007 12:00-1:30pm Lunch (Participants may have 7:00-8:00am Continental Breakfast/ the opportunity for Visit the Exhibits informal, topic-specific round table discussions) 8:00- COnCURREnT SESSIOnS – GROUP D 9:30am (REPEATED FROM GROUP C) 1:30- 3:00pm COnCURREnT SESSIOnS – GROUP E D7 no Pain, All Gain: A Systematic Approach to E14 Using the Acute Hospitalization Pediatric Pain Management Period to Improve the Global Care William T. Zempsky, MD of Medically Fragile Patients: Overlooked Opportunities D8 Common Problems in Allison Ballantine, MD the Evaluation of Healthy Raj Srivastava, MD newborn Infants Jennifer A. Daru, MD E15 Practicing Top 10 Pediatrics Lisa B. Zaoutis, MD D9 Critical Care for the Pediatric Ron Keren, MD Hospitalist – Respiratory Failure James D. Swift, MD E16 Coding 101 for the Linda K. Snelling, MD Pediatric Hospitalist Christopher G. Maloney, MD Julia M. Pillsbury, DO D11 Research 101: How to Get E17 Sedating the Pediatric Patient: Started (and what it takes to Qualifications, Safety, and Rules finish) with your Research Study Douglas W. Carlson, MD Christopher P. Landrigan, MD E18 How to Contribute to and D12 Building a Hospitalist Program Publish in Pediatric Hospital From the Ground Up Medicine Literature Jeffrey Gill, MD Paul C. Young, MD Patrick H. Conway, MD D13 Common Care Issues of Vincent W. Chiang, MD 5 the Special needs Patient in the Hospital Setting E19 Asthma Pathways: From Design to (offered one time only) Implementation to Maintenance Allison Ballantine, MD Jeffrey Gill, MD Jeffrey M. Simmons, MD 9:30-10:00am Break/Visit the Exhibits Michael T. Vossmeyer, MD 10:00am- Scientific Presentations 3:00-3:30pm Break/Visit the Exhibits 12:00pm Key issues facing pediatric hospitalists and other clinicians involved in the care of pediatric inpatients, will be addressed through the presentation of the latest advances in the field. Each presentation will be 10 minutes plus 5 minutes for questions-and-answers. Register online at www.pedialink.org/cmefinder or call toll-free, 866/THE-AAP1 (866/843-2271)
  6. 6. Pediatric Hospital Medicine 2007 3:30- COnCURREnT SESSIOnS – GROUP F 5:00pm (REPEATED FROM GROUP E) G23 Teaching Out of Rounds is not Out of Bounds F14 Using the Acute Hospitalization Kenneth Pituch, MD Period to Improve the Global Care of Medically Fragile Patients: G24 Quality Improvement = Overlooked Opportunities Quality Research Allison Ballantine, MD Uma R. Kotagal, MD Raj Srivastava, MD G25 Avoiding Hospital Gridlock: F15 Practicing Top 10 Pediatrics Don’t Block the Box Lisa B. Zaoutis, MD James D. Swift, MD Ron Keren, MD Michael E. Ruhlen, MD Linda K. Snelling, MD F16 Coding 101 for Douglas W. Carlson, MD Pediatric Hospitalist Julia M. Pillsbury, DO 9:30-9:45am Break F17 Sedating the Pediatric Patient: Qualifications, Safety, and Rules 9:45- COnCURREnT SESSIOnS – GROUP H Douglas W. Carlson, MD 11:15am (REPEATED FROM GROUP G) F18 How to Contribute to and H20 Handoffs – Passing on the Publish in Pediatric Hospital Clinical Baton Medicine Literature Christopher G. Maloney, MD Paul C. Young, MD H21 Effective Utilization of Antibiotics Patrick H. Conway, MD for Common Inpatient Infections Vincent W. Chiang, MD Samir S. Shah, MD F19 Asthma Pathways: From Design to H22 Coding 201 for the Implementation to Maintenance Pediatric Hospitalist Jeffrey Gill, MD Julia M. Pillsbury, DO Jeffrey M. Simmons, MD 6 Michael T. Vossmeyer, MD H23 Teaching Out of Rounds is not Out of Bounds 5:00pm Adjourn for the Day Kenneth Pituch, MD Maximum CME Credits for Saturday: 6.5 H24 Quality Improvement = Quality Research Sunday, August 5, 2007 Uma R. Kotagal, MD H25 Avoiding Hospital Gridlock: 7:00-8:00am Continental Breakfast Don’t Block the Box 8:00- James D. Swift, MD 9:30am COnCURREnT SESSIOnS – GROUP G Michael E. Ruhlen, MD G20 Handoffs – Passing on the Linda K. Snelling, MD Clinical Baton Douglas W. Carlson, MD Christopher G. Maloney, MD 11:15am- G21 Effective Utilization of Antibiotics 12:00pm Review and Closing Remarks for Common Inpatient Infections Samir S. Shah, MD 12:00pm Adjourn G22 Coding 201 for the Maximum CME Credits for Sunday: 3.0 Maximum AMA PRA Category 1 Credits TM Pediatric Hospitalist for Course: 17.75 Julia M. Pillsbury, DO
  7. 7. Faculty/Guest Speakers Allison Ballantine, MD, FAAP Russell L. Holman, MD Director, Integrated Care Services President-Elect The Children's Hospital of Philadelphia Society of Hospital Medicine Philadelphia, Pennsylvania Philadelphia, Pennsylvania Chief Operating Officer Jay E. Berkelhamer, MD, FAAP Cogent Healthcare President Irvine, California American Academy of Pediatrics Elk Grove Village, Illinois Charles J. Homer, MD, MPH, FAAP Professor of Pediatrics Assistant Professor of Pediatrics Case Western Reserve University Harvard Medical School Cleveland, Ohio Boston, Massachusetts Joshua L. Bonkowsky, MD, PhD, FAAP Ron Keren, MD, MPH Instructor Assistant Professor of Pediatrics University of Utah School of Medicine Director, Pediatric Generalist Research Fellowship Salt Lake City, Utah University of Pennsylvania School of Medicine Philadelphia, Pennsylvania Douglas W. Carlson, MD, FAAP Associate Professor of Pediatrics Uma R. Kotagal, MD, MBBS, MSc, FAAP Washington University Professor of Pediatrics, Obstetrics and Gynecology St. Louis, Missouri University of Cincinnati Director, Health Policy and Clinical Effectiveness Vincent W. Chiang, MD, FAAP Cincinnati Children's Hospital Chief, Inpatient Services Cincinnati, Ohio Assistant Professor of Pediatrics Children's Hospital Boston Christopher P. Landrigan, MD, MPH, FAAP Harvard Medical School Assistant Professor of Pediatrics and Medicine Boston, Massachusetts Harvard Medical School Boston, Massachusetts Patrick H. Conway, MD Robert Wood Johnson Clinical Scholar Joseph O. Lopreiato, MD, MPH, FAAP University of Pennsylvania Associate Professor of Pediatrics Philadelphia, Pennsylvania Uniformed Services University Bethesda, Maryland Jennifer A. Daru, MD, FAAP 7 Assistant Professor of Clinical Pediatrics Christopher G. Maloney, MD, FAAP Northwestern University Feinberg Associate Professor of Pediatrics and School of Medicine Pediatric Critical Care Chicago, Illinois Chief, Pediatric Inpatient Medicine University of Utah Earl C. Downey, Jr., MD, FAAP Salt Lake City, Utah Associate Professor of Surgery University of Utah School of Medicine Julia M. Pillsbury, DO, FACOP, FAAP Salt Lake City, Utah PICU Medical Director (Level II) Kent General Hospital Jeff Gill, MD, FAAP Bayhealth Medical Center Chief Executive Officer Dover, Delaware Inpatient Specialists Medical Group, Inc. Brea, California Kenneth J. Pituch, MD, FAAP Medical Director-Pediatric Inpatient Unit Clinical Associate Professor of Pediatrics Administrative Director-Pediatric Adult Director, Pediatric Hospitalist Service Hospitalist Services University of Michigan Presbyterian Intercommunity Hospital Ann Arbor, Michigan Whittier, California Shawn L. Ralston, MD, FAAP Pediatric Hospitalist Presbyterian Hospital Albuquerque, New Mexico
  8. 8. Faculty/Guest Speakers/Planning Group Daniel A. Rauch, MD, FAAP Lisa B. Zaoutis, MD, FAAP Associate Professor of Pediatrics Assistant Professor of Pediatrics, New York University School of Medicine Section Chief of Inpatient Services New York, New York University of Pennsylvania School of Medicine Philadelphia, Pennsylvania Michael E. Ruhlen, MD, MHCM, FAAP Vice President, Medical Affairs William T. Zempsky, MD, FAAP Toledo Children’s Hospital Associate Professor of Pediatrics Toledo, Ohio Associate Director, Pain Relief Program University of Connecticut School of Medicine Samir S. Shah, MD, FAAP Connecticut Children’s Medical Center Assistant Professor of Pediatrics and Epidemiology Hartford, Connecticut University of Pennsylvania School of Medicine Philadelphia, Pennsylvania Planning Group Jeffrey M. Simmons, MD, FAAP Laura J. Mirkinson, MD, FAAP, Chairperson Clinical Instructor of Pediatrics Associate Professor of Pediatrics University of Cincinnati Cincinnati, Ohio George Washington University Washington, DC Tamara D. Simon, MD, MSPH Instructor, Division of Inpatient Medicine Jennifer A. Daru, MD, FAAP University of Utah Assistant Professor of Clinical Pediatrics Salt Lake City, Utah Northwestern University Feinberg School of Medicine Linda K. Snelling, MD, FAAP Chicago, Illinois Associate Professor of Pediatrics and Surgery Brown University Yong S. Han, MD, FAAP Providence, Rhode Island Assistant Professor of Pediatrics Raj Srivastava, MD, MPH, FAAP Section of Pediatric Emergency Medicine Assistant Professor of Pediatrics Baylor College of Medicine University of Utah Health Sciences Center Houston, Texas Salt Lake City, Utah Associate Director of Faculty Inpatient Service Texas Children’s Hospital James D. Swift, MD, FAAP Assistant Professor of Pediatrics Houston, Texas 8 University of Nevada School of Medicine Jack M. Percelay, MD, MPH, FAAP Chief of Pediatric Critical Care Medicine; Pediatric Inpatient Medicine; Pediatric Hospitalist Pediatric Emergency Medicine Hunterdon Medical Center Sunrise Children’s Hospital Saint Peters University Hospital Las Vegas, Nevada New York, New York Peter G. Szilagyi, MD, MPH Daniel A. Rauch, MD, FAAP President-Elect Associate Professor of Pediatrics Ambulatory Pediatric Association New York University School of Medicine McLean, Virginia New York, New York Professor of Pediatrics University of Rochester School of Medicine Raj Srivastava, MD, MPH, FAAP Rochester, New York Assistant Professor of Pediatrics University of Utah Health Sciences Center Michael T. Vossmeyer, MD, FAAP Medical Director, Generalist Inpatient Service Salt Lake City, Utah Assistant Professor of Clinical Pediatrics Cincinnati Children's Hospital Medical Center David G. Zipes, MD, FAAP Cincinnati, Ohio Director, St Vincent Pediatric Hospitalists St. Vincent Children’s Hospital Paul C. Young, MD, FAAP Indianapolis, Indiana Professor of Pediatrics University of Utah Salt Lake City, Utah
  9. 9. Sponsor/Location Information AAP Section on Hospital Medicine The AAP Section on Hospital Medicine (SOHM) serves as a forum for AAP members who have a special B e inspired by magnificent natural and man-made wonders in Salt Lake City. Nature abounds in the surrounding Wasatch and Oquirrh mountains, the interest and commitment to general inpatient pediatric Great Salt Lake, and the valley floor. Within the care. Membership in SOHM is open to pediatric gorgeously landscaped 10-acre Temple Square right hospitalists, general pediatricians, academicians, downtown stands the multispired Salt Lake Temple, primary care pediatricians, subspecialists, residents, and physician assistants who have an active interest the Tabernacle, the Assembly Hall, monuments, and and involvement in general inpatient pediatrics. visitors centers of The Church of Jesus Christ of SOHM focuses on relevant clinical issues as well Latter-day Saints. More history of the area is available as systems, logistics, and organization of general at Fort Douglas Military Museum and Trolley Square, inpatient pediatric care.www.aaphospmed.org and you can travel back in time on the Heber Valley Historic Railroad. Great entertainment awaits you at the Off Broadway Theatre for comedy, Hale Centre Theatre for family theater, and Sandy City The AAP and its members dedicate their efforts and Amphitheater (easily reached by light rail) for resources to the health, safety, and well-being of all everything from ballet to country music. For last- infants, children, adolescents, and young adults. The minute deals, a visitor guide and discount coupons, AAP has approximately 60,000 members in the United States, Canada, and Latin America. Members include and much more, visit www.slctravel.com. pediatricians, pediatric medical subspecialists, and pediatric surgical specialists. www.aap.org Horseback Riding at Snowbird The APA fosters the health AMBULATORY PEDIATRIC of children, adolescents, ASSOCIATION and families by promoting generalism in academic pediatrics and academics in general pediatrics. General pediatrics and generalism concern the whole child in the context of family and community. Our mission is accomplished through patient care, academics (teaching and research), and advocacy. General pediatric divisions 9 in academic settings have generalism as their primary focus. Other divisions may also have generalism as a stated goal; these often include emergency pediatrics, critical care, adolescent medicine, behavior and development, neonatology and hospital medicine. We welcome all who share our mission. www.ambpeds.org The SHM is dedicated to promoting the highest quality care for all hospitalized patients and excellence in the practice of hospital medicine Arches National Park through education, advocacy and Scenic Salt Lake research. SHM is the premier medical society representing hospitalists. The Society was established in 1997 specifically to support and enhance the practices of hospital doctors and the patients they serve. SHM serves as the leading resource and voice for hospitalists across the nation. www.hospitalmedicine.org
  10. 10. General Information Car Rental Discounts The AAP Travel Office is offering CME course attendees a reduced car rental rate through Hertz. Please ask your AAP Travel Agent for details or call Hertz directly at 800/654-2240 and mention code ITCV01570011-14511276. Parking Self and Valet parking are available at the hotel for a fee. Please contact the hotel concierge for detailed information about parking. Special needs Hotel and Travel Information The AAP is sensitive to the special needs of attendees. Salt Lake City Marriott Downtown Please indicate any special needs (dietary restrictions, 75 South West Temple physical limitations) on your registration form. Salt Lake City, Utah 84101 Scooter and wheelchair rentals are available Hotel Phone: 801/531-0800 by contacting ScootAround, Inc, toll-free at Reservations: 800/228-9290 888/441-7575, by fax at 204/478-1172, via e-mail Guest Fax: 801/532-4127 at info@scootaround.com, or through their Web Special group rates beginning at $135 per night, site at www.scootaround.com. plus tax, for single or double occupancy, have been negotiated at the Salt Lake City Marriott Downtown, Registration Salt Lake City, Utah. These rates represent substantial Space is limited so register early! Lodging and savings from published rates. meals, other than specified, are not included in the The cutoff date for reservations at the group rate is registration fee. Food and beverages provided during July 11, 2007. Call the hotel directly at 800/228-9290 the course are intended for registered participants only. to make your reservations and be sure to mention Using your VISA, MasterCard, American Express, that you are attending the AAP's Pediatric Hospital or Discover, you may register online at Medicine course. www.pedialink.org/cmefinder, fax your registration to 847/228-5059 or 847/228-5088, Air Transportation or call toll-free, 800/433-9016, option 3. 10 The AAP has negotiated discounted airfares to Outside the United States and Canada, please its CME courses. Please call the AAP Travel Office at call 847/434-4000, option 3. 888/227-1772. Outside the United States and Canada, Please have your credit card and concurrent session call 847/434-4000 and ask for the AAP Travel Office. selections ready prior to calling. If your membership AAP members may book their arrangements through status has changed or lapsed, the registration staff ResX, the official Internet booking engine for the will charge the appropriate fees accordingly. AAP Travel Office, by simply logging in to the Members Only Channel (MOC) of the AAP Web site Educational Materials (www.aap.org/moc). The ResX icon is located at the bottom right corner of the page. ResX may also be You will receive a complete syllabus of educational accessed directly at www.resx.com. materials (in both printed and CD-ROM format) when Company: AAP you arrive at the course. Feel free to bring your laptop User name: AAP USER (Use for first time only.) to view the presentations while you learn. Password: Leave blank and bypass the first time. Cancellations Once logged in, you will see the personal information sheet, along with login and password information. Cancellations must be received by July 18, 2007, to receive a refund. An administrative charge of Ground Transportation $50 will be deducted. The Salt Lake City Marriott Downtown is located approximately 6 miles from Salt Lake City Airport. For information on shuttle service, contact Express Shuttle at 800/397-0773. Taxi service is also available. Register online at www.pedialink.org/cmefinder or call toll-free, 866/THE-AAP1 (866/843-2271)
  11. 11. Registration Form Pediatric Hospital Medicine 2007 Salt Lake City, Utah • Salt Lake City Marriott Downtown • August 2-5, 2007 Register online at www.pedialink.org/cmefinder, call toll-free 866/THE-AAP1 (866/843-2271), fax 847/228-5059 or 847/228-5088 or mail this form with payment to: American Academy of Pediatrics/ Registration • 2862 Eagle Way, Chicago, Illinois 60678-1028 Please indicate your membership affiliation: AAP APA SHM Please type or print. nAME FIRST LAST (SURNAME) MD, DO, OTHER (SPECIFY) PLEASE InDICATE AnY SPECIAL nEEDS, I.E. DIETARY ADDRESS RESTRICTIOnS OR PHYSICAL DISABILITIES : CITY/STATE/PROVInCE ZIP CODE/POSTAL CODE/COUnTRY PHOnE FAx E-MAIL AAP ID# Concurrent Sessions Payment Information Full payment must accompany this form. Please fill in the letter and number of your first and second choices for session. Example: A5 Please indicate method of payment below: First Choice Second Choice Charge it: Group A _________ _________ Group B _________ _________ Group C _________ _________ Card number 11 Group D _________ _________ Expiration Date Group E _________ _________ Group F _________ _________ Print name as It Appears on Card Group G _________ _________ Group H _________ _________ Or checks may be made payable to the Registration Fees American Academy of Pediatrics. AAP SOHM/APA/SHM Member ......................................... $595 Check number Amount (United States only) AAP Fellow/Candidate Fellow/ Please do not send currency. International Member/(Section Nonmember) .................... $635 AAP Resident Fellow ........................................................... $395 Please describe your primary reason for attending Nonmember Physician ......................................................... $675 Pediatric Hospital Medicine 2007: Nonmember Resident .......................................................... $675 Allied Health Professional ................................................... $435 Your registration will be confirmed. Please contact the AAP at 800/433-9016, option 3, if you do not receive a confirmation within 14 days. The AAP cannot be responsible for expenses incurred by an individual who is not confirmed and for How did you hear about this course? whom space is not available at this workshop. Costs incurred, such as airline or hotel penalties, are the responsibility of the individual. The AAP reserves the right to cancel this activity due to unforeseen circumstances or to limit enrollments, should registration exceed capacity.
  12. 12. Pediatric Hospital Medicine 2007 Sponsored by the AAP Section on Hospital Medicine, the American Academy of Pediatrics (AAP), the Ambulatory Pediatric Association (APA), and the Society of Hospital Medicine (SHM) Salt Lake City, Utah • Salt Lake City Marriott Downtown • August 2-5, 2007 Register online at www.pedialink.org/cmefinder Earn a Maximum of 17.75 AMA PRA Category 1 Credits™ or call toll-free, 866/THE-AAP1 (866/843-2271) Non Profit Org U.S. Postage PAID Algonquin, IL 60102 141 Northwest Point Blvd Permit No. 14 Elk Grove Village, IL 60007-1098

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