March 1-2, 2018 Encore at Wynn Las Vegas February...

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March 1-2, 2018 Encore at Wynn Las Vegas A Comprehensive Tutorial in Musculoskeletal Imaging Using the Stoller Checklist Technique 18 Sessions of Didactic Lectures and Case-by-Case Tutorials Given Exclusively by David W. Stoller, M.D. February 28, 2018 Encore at Wynn Las Vegas Optional Mini-Fellowship Workshop LIMITED REGISTRATION This activity is jointly provided by Postgraduate Institute for Medicine and CME Science. There is no commercial support for this activity. www.StollerMSKCourse.com

Transcript of March 1-2, 2018 Encore at Wynn Las Vegas February...

March 1-2, 2018 • Encore at Wynn Las VegasA Comprehensive Tutorial in Musculoskeletal Imaging Using the Stoller Checklist Technique18 Sessions of Didactic Lectures and Case-by-Case TutorialsGiven Exclusively by David W. Stoller, M.D.

TechnologistsThis course is pending approval for up to 19.0 ARRT Category A CE credits for those technologists attending the entire course.

This course provides a one of a kind, unique opportunity to receive 18.0 hours of exclusive instruction from Dr. David Stoller, the author of the preeminent textbooks on orthopaedic imaging.

Board certified general radiologists and trainees interested in musculoskeletal imaging• Orthopedic Surgeons• Radiology fellows in training• Radiologist Assistants and MRI Technologists• Practicing physicians in sports medicine and related clinical

subspecialties who desire to familiarize themselves with the current role of imaging in patient evaluation

• Allied health care professionals who desire to have an update on the state of current imaging as an aid to patient management for diseases of the musculoskeletal system

Accreditation StatementThis activity has been planned and implemented in accordance with the Accreditation Requirements and policies of the Accreditation Council for Continuing Medical Educationthrough the joint providership of Postgraduate Institute for Medicine and CME Science. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.Credit DesignationPostgraduate Institute for Medicine designates this live activity for a maximum of 18.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Earn SAM CreditThis course has been qualified by the American Board of Radiology for two credits in meeting the criteria for selfassessment toward the purpose of fulfilling requirements inthe ABR Maintenance of Certification Program. SAM credits are required for radiologists certified since 2002.

Upon completion of program, participants should be able to:• Develop a shoulder checklist method including interpretation

techniques for the rotator cuff and interval, biceps labral complex, inferior glenohumeralligament complex, and capsular structures including the anterior band. Identify glenoid wear patterns in multidirectional instability, microinstability, anterior and posterior instability.

• Develop a knee checklist with foolproof ACL diagnosis and techniques for prospective diagnosis of all types of meniscal tears, differentiating circumferential surface from cross sectional tear patterns. Introduce strategies in the evaluation of the cruciate ligaments, posterolateral instability, and articular cartilage.

• Develop a femoroacetabular impingement checklist and distinguish between FAI and DDH pathology. Discuss approaches for accurate acetabular-labral tear identification. Introduce orthopedic articular cartilage classification for the acetabular roof.

• Develop an ankle checklist including articulations, ligaments, tendons and articular cartilage. Understand all types of soft tissue ankle impingement and posterior ligamentous and subtalar joint anatomy.

• Develop a wrist checklist with emphasis on the intrinsic and extrinsic ligaments and the triangular fibrocartilage. Understand the relevance of perilunate instability, SLAC and triscaphe arthritis.

February 28, 2018 • Encore at Wynn Las VegasOptional Mini-Fellowship Workshop

August 11-12, 2017Breast Imaging A to Z: How to Read Like(or Better Than!) the ExpertsSofitel Melbourne on Collins, Australia

October 12-14, 2017Breast Imaging A to Z: How to Read Like(or Better Than!) the ExpertsEncore at Wynn Las Vegas

February 15-17, 2018Atlas & Som: Case by Case Tutorial onNeuroradiology & Head & Neck ImagingEncore at Wynn Las Vegas

March 19-22, 2018Spring Imaging in HawaiiHyatt Regency MauiResort and Spa

September 7-8, 2017Federle’s Master Tutorial onAbdominal ImagingWyndham New Yorker, NYC

October 25-27, 2017Current Issues of MRI in Ortho & SportsMed & Mini-Fellowship WorkshopWynn Las Vegas

February 26-March 1, 2017Winter Imaging in Jackson HoleSnake River Lodge & SpaTeton Village, WY

April 13-14, 2018Federle’s Master Tutorial on Abdominal ImagingEncore at Wynn Las Vegas

September 9-10, 2017Breast Imaging A to Z: How to Read Like(or Better Than!) the ExpertsWyndham New Yorker, NYC

January 2-6, 2018Winter Imaging Update in Bachelor Gulch,The Ritz-Carlton Bachelor Gulch, Beaver Creek, CO

February 28-March 2, 2018Stoller: MSK Imaging and Optional Mini-Fellowship WorkshopEncore at Wynn Las Vegas

May 4-5, 2018Advanced PET Imaging, Nuclear Medicine, and Therapy Wynn Las Vegas

September 12-15, 2017Imaging in HawaiiGrand Hyatt Kauai Resort and Spa

January 17-19, 2018Stoller: MSK Imaging and Optional Mini-Fellowship Workshop Wynn Las Vegas

March 15-17, 2018Pediatric Imaging:A Comprehensive Review & Innovations Marriott Camelback Inn, Scottsdale, AZ

May 10-12, 2018Breast Imaging A to Z: How to Read Like(or Better Than!) the Experts Wynn Las Vegas

CONTINUING MEDICAL EDUCATION CALENDAR OF UPCOMING COURSES www.CMEScience.com

COURSE DESCRIPTION TARGET AUDIENCE

PHYSICIAN CONTINUING EDUCATION

COURSE OBJECTIVES

LIMITED REGISTRATION

This activity is jointly provided by Postgraduate Institute for Medicine and CME Science.

There is no commercial support for this activity.

www.StollerMSKCourse.com

18.5 category 1 CME plusStoller Tutorial Certificate

March 1-2, 2018 • Encore at Wynn Las VegasA Comprehensive Tutorial in Musculoskeletal Imaging Using the Stoller Checklist Technique18 Sessions of Didactic Lectures and Case-by-Case TutorialsGiven Exclusively by David W. Stoller, M.D.

TechnologistsThis course is pending approval for up to 19.0 ARRT Category A CE credits for those technologists attending the entire course.

This course provides a one of a kind, unique opportunity to receive 18.0 hours of exclusive instruction from Dr. David Stoller, the author of the preeminent textbooks on orthopaedic imaging.

Board certified general radiologists and trainees interested in musculoskeletal imaging• Orthopedic Surgeons• Radiology fellows in training• Radiologist Assistants and MRI Technologists• Practicing physicians in sports medicine and related clinical

subspecialties who desire to familiarize themselves with the current role of imaging in patient evaluation

• Allied health care professionals who desire to have an update on the state of current imaging as an aid to patient management for diseases of the musculoskeletal system

Accreditation StatementThis activity has been planned and implemented in accordance with the Accreditation Requirements and policies of the Accreditation Council for Continuing Medical Educationthrough the joint providership of Postgraduate Institute for Medicine and CME Science. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.Credit DesignationPostgraduate Institute for Medicine designates this live activity for a maximum of 18.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Earn SAM CreditThis course has been qualified by the American Board of Radiology for two credits in meeting the criteria for selfassessment toward the purpose of fulfilling requirements inthe ABR Maintenance of Certification Program. SAM credits are required for radiologists certified since 2002.

Upon completion of program, participants should be able to:• Develop a shoulder checklist method including interpretation

techniques for the rotator cuff and interval, biceps labral complex, inferior glenohumeralligament complex, and capsular structures including the anterior band. Identify glenoid wear patterns in multidirectional instability, microinstability, anterior and posterior instability.

• Develop a knee checklist with foolproof ACL diagnosis and techniques for prospective diagnosis of all types of meniscal tears, differentiating circumferential surface from cross sectional tear patterns. Introduce strategies in the evaluation of the cruciate ligaments, posterolateral instability, and articular cartilage.

• Develop a femoroacetabular impingement checklist and distinguish between FAI and DDH pathology. Discuss approaches for accurate acetabular-labral tear identification. Introduce orthopedic articular cartilage classification for the acetabular roof.

• Develop an ankle checklist including articulations, ligaments, tendons and articular cartilage. Understand all types of soft tissue ankle impingement and posterior ligamentous and subtalar joint anatomy.

• Develop a wrist checklist with emphasis on the intrinsic and extrinsic ligaments and the triangular fibrocartilage. Understand the relevance of perilunate instability, SLAC and triscaphe arthritis.

February 28, 2018 • Encore at Wynn Las VegasOptional Mini-Fellowship Workshop

August 11-12, 2017Breast Imaging A to Z: How to Read Like(or Better Than!) the ExpertsSofitel Melbourne on Collins, Australia

October 12-14, 2017Breast Imaging A to Z: How to Read Like(or Better Than!) the ExpertsEncore at Wynn Las Vegas

February 15-17, 2018Atlas & Som: Case by Case Tutorial onNeuroradiology & Head & Neck ImagingEncore at Wynn Las Vegas

March 19-22, 2018Spring Imaging in HawaiiHyatt Regency MauiResort and Spa

September 7-8, 2017Federle’s Master Tutorial onAbdominal ImagingWyndham New Yorker, NYC

October 25-27, 2017Current Issues of MRI in Ortho & SportsMed & Mini-Fellowship WorkshopWynn Las Vegas

February 26-March 1, 2017Winter Imaging in Jackson HoleSnake River Lodge & SpaTeton Village, WY

April 13-14, 2018Federle’s Master Tutorial on Abdominal ImagingEncore at Wynn Las Vegas

September 9-10, 2017Breast Imaging A to Z: How to Read Like(or Better Than!) the ExpertsWyndham New Yorker, NYC

January 2-6, 2018Winter Imaging Update in Bachelor Gulch,The Ritz-Carlton Bachelor Gulch, Beaver Creek, CO

February 28-March 2, 2018Stoller: MSK Imaging and Optional Mini-Fellowship WorkshopEncore at Wynn Las Vegas

May 4-5, 2018Advanced PET Imaging, Nuclear Medicine, and Therapy Wynn Las Vegas

September 12-15, 2017Imaging in HawaiiGrand Hyatt Kauai Resort and Spa

January 17-19, 2018Stoller: MSK Imaging and Optional Mini-Fellowship Workshop Wynn Las Vegas

March 15-17, 2018Pediatric Imaging:A Comprehensive Review & Innovations Marriott Camelback Inn, Scottsdale, AZ

May 10-12, 2018Breast Imaging A to Z: How to Read Like(or Better Than!) the Experts Wynn Las Vegas

CONTINUING MEDICAL EDUCATION CALENDAR OF UPCOMING COURSES www.CMEScience.com

COURSE DESCRIPTION TARGET AUDIENCE

PHYSICIAN CONTINUING EDUCATION

COURSE OBJECTIVES

LIMITED REGISTRATION

This activity is jointly provided by Postgraduate Institute for Medicine and CME Science.

There is no commercial support for this activity.

www.StollerMSKCourse.com

18.5 category 1 CME plusStoller Tutorial Certificate

WRISTSHOULDER

KNEEANKLE HIP

ELBOW HIPELBOW

SHOULDER

WRIST

ANKLEELBOW

WRIST

ANKLESHOULDER

KNEE

ELThe five star-five diamond Encore at Wynn Las Vegas is an all suite property located next door, and attached by the Esplande, to the flagship Wynn Las Vegas. Each suite offers the luxury of space in a comfortable residential setting. They feature floor to ceiling windows with dramatic views, advanced technologies and timeless design.

ACCOMMODATIONS

Friday, March 2 | 2018

Thursday, March 1 | 2018

Wednesday, February 28 | 2018 Optional Mini-Fellowship Workshop

7:30 - 8:00 AM8:00 - 8:108:10 - 8:258:25 - 8:508:50 - 10:1510:15 - 10:3010:30 - 12:3012:30-1:30 PM1:30 - 3:153:15 - 3:303:30 - 3:453:45 - 4:104:10 - 5:305:30 - 6:106:10 - 6:30

7:30 - 8:00 AM8:00-9:009:00-10:0010:00 - 10:1510:15-11:15 11:15-12:1512:15-1:15 PM1:15-2:30

2:30-3:15

3:15-3:303:30-4:15

4:15-5:00

5:00-5:30

Registration, Exhibits, and Continental BreakfastWelcome and Course Introduction – David W. Stoller, M.D.To Live or Die by Your MRI Dictation (Special Lecture)MRI of the Shoulder Part 1: Coronal, Sagittal and Axial ChecklistMRI of the Shoulder Part 2: Glenohumeral Labral Complex and SLAP TearsCoffee BreakMRI of the Shoulder Part 3: The Throwing Athlete, Biceps Labral Complex & Rotator Interval PathologyLunch on your ownMRI of the Shoulder Part 4: Rotator Cuff including Tendinopathy, Tear, and MicroinstabilityShoulder Questions and AnswersCoffee BreakMRI of the Knee Part 1: Coronal, Sagittal and Axial ChecklistMRI of the Knee Part 2: Menisci, Cruciate & Collateral LigamentsMRI of the Knee Part 3: Osseous and Cartilaginous Pathology, Extensor Mechanism & ArthritisKnee Questions and Answers

Registration, Check in and Continental BreakfastShoulder MR Checklist: Case presentations of the rotator cuff, labrum and capsuleSLAP lesions: Biceps labral complex and rotator cuff intervalCoffee BreakKnee Checklist and Case presentations of the Menisci and Cruciate Ligaments (Including Prospective Diagnosis of Meniscal Tears – Surface versus cross sectional tear patterns)Collateral Ligaments, Posterolateral Corner, Osseous, Cartilaginous Injuries And Extensor Mechanism PathologyLunch Break (on your own)Ankle and Foot Checklist: Case presentations of injuries of the tendons, ligaments including soft tissue impingement. Discussions also include fractures and soft tissue injury with anatomy and pathology of the turf toeHip Checklist: Case emphasis on AVN, insufficiency fractures, femoroacetabular impingement (FAI), and DDH. Muscle and soft tissue injuries will include case discussions, rectus femoris, abductor, adductor and hamstring injuriesCoffee BreakChecklist Approach for the Wrist: Illustrative cases of the intrinsic ligaments, instability, distal radial ulnar joint and fractures of the distal radius and carpusChecklist Strategies for the Elbow: Emphasis on the medial collateral and lateral collateral ligament complexes, extensor and flexor tendinosis, and epicondylitis. Illustrative cases will also be dedicated to neuropathy and osseous traumaReview of difficult cases from the audience if provided on USB

7:30 - 8:00 AM8:00 - 8:208:20 - 9:159:15 - 10:0510:05 - 10:1510:15 - 10:3010:30 -10:5010:50 -12:1512:15 - 12:3012:30 - 1:30 PM1:30 - 1:451:45 - 3:103:10 - 3:153:15 - 3:303:30 - 3:453:45 - 5:005:00 - 5:405:40 - 6:30

Registration, Exhibits and Coffee/Tea ServiceMRI of the Ankle Part 1: Sagittal, Axial and Coronal ChecklistMRI of the Ankle Part 2: Anatomy and Tendon & Ligament PathologyMRI of the Ankle Part 3: Osteochondral Lesions and Overuse InjuriesAnkle Questions and AnswersCoffee BreakMRI of the Hip Part 1: Coronal, Axial and Sagittal ChecklisMRI of the Hip Part 2: FAI Update Including the FAACD and Triple Impingement LesionHip Questions and AnswersLunch on your ownMRI of the Wrist Part 1: Coronal, Axial and Sagittal ChecklistMRI of the Wrist Part 2: Normal Anatomy including Intrinsic and Extrinsic Ligaments, Distal Radioulnar Joint (DRUJ), Fractures, AVN & ArthritisWrist Questions & AnswersCoffee BreakMRI of the Elbow Part 1: Coronal, Sagittal and Axial ChecklistMRI of the Elbow Part 2: Tendinopathy & Instability including Epicondylitis & Collateral Ligament InjuryHow to Dodge a Legal Bullet and Live to Talk About it (Special Lecture)Questions and Answers

David W. Stoller, M.D., F.A.C.R.National Director of Orthopaedic and Musculoskeletal Imaging Fellowship Program DirectorRadNet

PROGRAM SCHEDULE

COURSE DIRECTOR

March 1-2, 2018 • Stoller Ckecklist TechniqueFebruary 28, 2018 • Optional Mini-Fellowship Workshop

A special rate of $249.00 PLUS a daily resort fee of $25.00 per room per night for a Resort Suite has been reserved for our conference participants. This rate is for single or double occupancy for a room with one king bed and is subject to tax. To receive this special rate, please make your reservation no later than Jan 28, 2018, 5:00 p.m. Pacific Standard Time (“PST”). Rooms at this special rate have been reserved for attendees on a first-come, first-served basis and may sell out before the cut-off date.Don’t be disappointed by waiting too long; reserve your room online at http://resweb.passkey.com/go/stollermarch2018 or by contacting Encore Room Reservations Department by Phone: Toll Free at 1-866-770-7555 or direct at (702) 770-7000, or Fax: (702) 770-1571 or by email to [email protected]. Please identify yourself as a participant of the Stoller conference, group code 6MSK0218.For more information on Encore and Wynn Las Vegas Resort, please visit their website at www.encorelasvegas.com, or call (702) 770-8000.

4 WAYS TO REGISTER1 Register and pay online and receive instant confirmation at www.StollerMSKCourse.com 2 You can call us toll free at 1-855-383-7116 or direct at +1-(650) 440-4424 3 Fax this form to (650) 887-2113 4 You may also complete and mail this registration form to: CME Science, 3790 El Camino Real, Suite 2029, Palo Alto, CA, 94306

Refunds: Full refunds, less a $100 administrative fee, will be made to those providing written notification of withdrawal at least 30 days on advance. After that, no refunds will be given. On Site: All lectures will be held in the meeting rooms of Wynn Las Vegas. Registration and check-in will begin at 7:30 a.m. on Thursday, March 1, 2018. For Optional Mini-Fellowship Workshop at 7:30 a.m. on Wednesday, February 28, 2018.Americans with Disabilities Act: Event staff will be glad to assist you with any special needs (ie, physical, dietary, etc). Please contact CME Science prior to the live event at [email protected] of Conflicts of Interest:Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by PIM for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

TUITION AND REGISTRATION

NAME: TITLE:

STREET:

CITY: STATE: ZIP:

EMAIL: PHONE:

METHOD OF PAYMENT Visa Master Card American Express Check Please make checks payable to CME Science.

ACCOUNT NUMBER:

EXP. DATE: CARD SECURITY CODE:

LIMITED REGISTRATIONFor this unique exclusive instruction by Dr. Stoller (please check box): Practicing Physicians – $1,195.00/person Residents, Fellows, RRAs, RPAs, RTs, Allied Health Care – $995.00/person Mini-Fellowship Workshop – $995.00/person

WRISTSHOULDER

KNEEANKLE HIP

ELBOW HIPELBOW

SHOULDER

WRIST

ANKLEELBOW

WRIST

ANKLESHOULDER

KNEE

ELThe five star-five diamond Encore at Wynn Las Vegas is an all suite property located next door, and attached by the Esplande, to the flagship Wynn Las Vegas. Each suite offers the luxury of space in a comfortable residential setting. They feature floor to ceiling windows with dramatic views, advanced technologies and timeless design.

ACCOMMODATIONS

Friday, March 2 | 2018

Thursday, March 1 | 2018

Wednesday, February 28 | 2018 Optional Mini-Fellowship Workshop

7:30 - 8:00 AM8:00 - 8:108:10 - 8:258:25 - 8:508:50 - 10:1510:15 - 10:3010:30 - 12:3012:30-1:30 PM1:30 - 3:153:15 - 3:303:30 - 3:453:45 - 4:104:10 - 5:305:30 - 6:106:10 - 6:30

7:30 - 8:00 AM8:00-9:009:00-10:0010:00 - 10:1510:15-11:15 11:15-12:1512:15-1:15 PM1:15-2:30

2:30-3:15

3:15-3:303:30-4:15

4:15-5:00

5:00-5:30

Registration, Exhibits, and Continental BreakfastWelcome and Course Introduction – David W. Stoller, M.D.To Live or Die by Your MRI Dictation (Special Lecture)MRI of the Shoulder Part 1: Coronal, Sagittal and Axial ChecklistMRI of the Shoulder Part 2: Glenohumeral Labral Complex and SLAP TearsCoffee BreakMRI of the Shoulder Part 3: The Throwing Athlete, Biceps Labral Complex & Rotator Interval PathologyLunch on your ownMRI of the Shoulder Part 4: Rotator Cuff including Tendinopathy, Tear, and MicroinstabilityShoulder Questions and AnswersCoffee BreakMRI of the Knee Part 1: Coronal, Sagittal and Axial ChecklistMRI of the Knee Part 2: Menisci, Cruciate & Collateral LigamentsMRI of the Knee Part 3: Osseous and Cartilaginous Pathology, Extensor Mechanism & ArthritisKnee Questions and Answers

Registration, Check in and Continental BreakfastShoulder MR Checklist: Case presentations of the rotator cuff, labrum and capsuleSLAP lesions: Biceps labral complex and rotator cuff intervalCoffee BreakKnee Checklist and Case presentations of the Menisci and Cruciate Ligaments (Including Prospective Diagnosis of Meniscal Tears – Surface versus cross sectional tear patterns)Collateral Ligaments, Posterolateral Corner, Osseous, Cartilaginous Injuries And Extensor Mechanism PathologyLunch Break (on your own)Ankle and Foot Checklist: Case presentations of injuries of the tendons, ligaments including soft tissue impingement. Discussions also include fractures and soft tissue injury with anatomy and pathology of the turf toeHip Checklist: Case emphasis on AVN, insufficiency fractures, femoroacetabular impingement (FAI), and DDH. Muscle and soft tissue injuries will include case discussions, rectus femoris, abductor, adductor and hamstring injuriesCoffee BreakChecklist Approach for the Wrist: Illustrative cases of the intrinsic ligaments, instability, distal radial ulnar joint and fractures of the distal radius and carpusChecklist Strategies for the Elbow: Emphasis on the medial collateral and lateral collateral ligament complexes, extensor and flexor tendinosis, and epicondylitis. Illustrative cases will also be dedicated to neuropathy and osseous traumaReview of difficult cases from the audience if provided on USB

7:30 - 8:00 AM8:00 - 8:208:20 - 9:159:15 - 10:0510:05 - 10:1510:15 - 10:3010:30 -10:5010:50 -12:1512:15 - 12:3012:30 - 1:30 PM1:30 - 1:451:45 - 3:103:10 - 3:153:15 - 3:303:30 - 3:453:45 - 5:005:00 - 5:405:40 - 6:30

Registration, Exhibits and Coffee/Tea ServiceMRI of the Ankle Part 1: Sagittal, Axial and Coronal ChecklistMRI of the Ankle Part 2: Anatomy and Tendon & Ligament PathologyMRI of the Ankle Part 3: Osteochondral Lesions and Overuse InjuriesAnkle Questions and AnswersCoffee BreakMRI of the Hip Part 1: Coronal, Axial and Sagittal ChecklisMRI of the Hip Part 2: FAI Update Including the FAACD and Triple Impingement LesionHip Questions and AnswersLunch on your ownMRI of the Wrist Part 1: Coronal, Axial and Sagittal ChecklistMRI of the Wrist Part 2: Normal Anatomy including Intrinsic and Extrinsic Ligaments, Distal Radioulnar Joint (DRUJ), Fractures, AVN & ArthritisWrist Questions & AnswersCoffee BreakMRI of the Elbow Part 1: Coronal, Sagittal and Axial ChecklistMRI of the Elbow Part 2: Tendinopathy & Instability including Epicondylitis & Collateral Ligament InjuryHow to Dodge a Legal Bullet and Live to Talk About it (Special Lecture)Questions and Answers

David W. Stoller, M.D., F.A.C.R.National Director of Orthopaedic and Musculoskeletal Imaging Fellowship Program DirectorRadNet

PROGRAM SCHEDULE

COURSE DIRECTOR

March 1-2, 2018 • Stoller Ckecklist TechniqueFebruary 28, 2018 • Optional Mini-Fellowship Workshop

A special rate of $249.00 PLUS a daily resort fee of $25.00 per room per night for a Resort Suite has been reserved for our conference participants. This rate is for single or double occupancy for a room with one king bed and is subject to tax. To receive this special rate, please make your reservation no later than Jan 28, 2018, 5:00 p.m. Pacific Standard Time (“PST”). Rooms at this special rate have been reserved for attendees on a first-come, first-served basis and may sell out before the cut-off date.Don’t be disappointed by waiting too long; reserve your room online at http://resweb.passkey.com/go/stollermarch2018 or by contacting Encore Room Reservations Department by Phone: Toll Free at 1-866-770-7555 or direct at (702) 770-7000, or Fax: (702) 770-1571 or by email to [email protected]. Please identify yourself as a participant of the Stoller conference, group code 6MSK0218.For more information on Encore and Wynn Las Vegas Resort, please visit their website at www.encorelasvegas.com, or call (702) 770-8000.

4 WAYS TO REGISTER1 Register and pay online and receive instant confirmation at www.StollerMSKCourse.com 2 You can call us toll free at 1-855-383-7116 or direct at +1-(650) 440-4424 3 Fax this form to (650) 887-2113 4 You may also complete and mail this registration form to: CME Science, 3790 El Camino Real, Suite 2029, Palo Alto, CA, 94306

Refunds: Full refunds, less a $100 administrative fee, will be made to those providing written notification of withdrawal at least 30 days on advance. After that, no refunds will be given. On Site: All lectures will be held in the meeting rooms of Wynn Las Vegas. Registration and check-in will begin at 7:30 a.m. on Thursday, March 1, 2018. For Optional Mini-Fellowship Workshop at 7:30 a.m. on Wednesday, February 28, 2018.Americans with Disabilities Act: Event staff will be glad to assist you with any special needs (ie, physical, dietary, etc). Please contact CME Science prior to the live event at [email protected] of Conflicts of Interest:Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by PIM for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

TUITION AND REGISTRATION

NAME: TITLE:

STREET:

CITY: STATE: ZIP:

EMAIL: PHONE:

METHOD OF PAYMENT Visa Master Card American Express Check Please make checks payable to CME Science.

ACCOUNT NUMBER:

EXP. DATE: CARD SECURITY CODE:

LIMITED REGISTRATIONFor this unique exclusive instruction by Dr. Stoller (please check box): Practicing Physicians – $1,195.00/person Residents, Fellows, RRAs, RPAs, RTs, Allied Health Care – $995.00/person Mini-Fellowship Workshop – $995.00/person