Pediatric Hospital Medicine 2007

Pediatric Hospital Medicine 2007Sponsored 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

Earn a Maximum of 17.75 AMA PRA Category 1 Credits™ Register online at www.pedialink.org/cmefinder or call toll-free, 866/THE-AAP1 (866/843-2271)

AMBULATORY PEDIATRIC

ASSOCIATION

What is Pediatric Hospital Medicine 2007?With the ultimate goal of improving patient care, the Pediatric Hospital Medicine course provides an educational forum for pediatric hospitalists and other clinicians involved in the care of pediatric inpatients. This educational activity seeks to increase participants’ knowledge in the areas of clinical medicine, practice management, education, and research and to provide the tools, skills, and strategies necessary to improve practice. It also offers an opportunity for networking and discussion among pediatric hospitalists as they engage in shaping the future of this rapidly evolving specialty in pediatric medicine.

Upon completion of this educational activity, participants should be able to:• Apply knowledge gained to implement advances

in the practice management, systems, and logistics areas of pediatric hospitalist medicine

• Implement new methodologies for teaching and practicing pediatric hospital medicine

• Identify opportunities and mechanisms for hospitalists to conduct pediatric impatient research

• Advocate for and influence the evolution of pediatric hospital medicine

You should attend Pediatric Hosptial Medicine 2007 if you are a:• Pediatric Hospitalist

• Pediatric department chair

• Pediatric teaching program director

• Director of a general pediatric division

• General pediatric resident

• Pediatric nurse practitioner

• Pediatric physician assistant

• Physician who focuses on the medical care of hospitalized children

Continuing Medical Education CreditThe American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The AAP designates this educational activity for a maximum of 17.75 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity is acceptable for a maximum of 17.75 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Fellows of the AAP.

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

The American Academy of Physician Assistants accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME.

This program is approved for 21.30 NAPNAP contact hours, pharmacology (Rx) contact hours to be determined.

Disclosure of Financial Relationships and Resolution of Conflicts of InterestThe AAP Policy on Disclosure of Financial Relationships and Resolution of Conflicts of Interest is designed to ensure quality, objective, balanced, and scientifically rigorous AAP CME activities. All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners that they either have no relevant financial relationships or any financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in CME activities. All potential conflicts of interest are identified and resolved prior to an individual’s confirmation of service at an AAP CME activity. Beyond disclosure of financial relationships, AAP CME faculty are required to disclose to the 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 FacultyBecause 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, and session updates.

Pediatric Hospital Medicine 2007

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Trolley Square

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Course Schedule

Thursday, August 2, 2007

4:00pm Registration Desk Open

7:30-9:00pm Improving Quality in the Inpatient Pediatric Setting

Charles J. Homer, MD

Maximum CME Credits for Thursday: 1.5

Friday, August 3, 2007

7:00am Registration Desk Open

7:00-8:00am �Continental Breakfast/ Visit the Exhibits

8:00-8:45am �Introduction of Sponsoring Organizations

Jay E. Berkelhamer, MD, AAP President

Peter G. Szilagyi, MD APA President-Elect Russell L. Holman, MD SHM President-Elect

8:45-9:00am Question-and-Answer Session

9:00-9:15am Break/Visit the Exhibits

9:15- 10:45am COnCURREnT SESSIOnS – GROUP A

A1 Death, Child Abuse, and Adverse neurological Outcomes in Infants After an Apparent Life Threatening Event (ALTE)

Joshua L. Bonkowsky, MD

A2 Pediatric Surgery for the Hospitalist

Earl C. Downey, Jr, MD Tamara Simon, MD

A3 Evidence-based Medicine IV Fluids

Lisa B. Zaoutis, MD Shawn L. Ralston, MD

A4 Teaching Rounds Vincent W. Chiang, MD

A5 Educational Research Joseph O. Lopreiato, MD

A6 Quality Improvement Charles J. Homer, MD


Register online at www.pedialink.org/cmefinder or call toll-free, 866/THE-AAP1 (866/843-2271)

Golfing in Beautiful Salt Lake

11:00am- COnCURREnT SESSIOnS – GROUP B 12:30pm (REPEATED FROM GROUP A)

B1 Death, Child Abuse, and Adverse neurological Outcomes in Infants After an Apparent Life Threatening Event (ALTE)

Joshua L. Bonkowsky, MD

B2 Pediatric Surgery for the Hospitalist

Earl C. Downey, Jr, MD Tamara Simon, MD

B3 Evidence-based Medicine IV Fluids Lisa B. Zaoutis, MD Shawn L. Ralston, MD

B4 Teaching Rounds Vincent W. Chiang, MD

B5 Educational Research Joseph O. Lopreiato, MD

B6 Quality Improvement Charles J. Homer, MD

12:30-12:45pm Move Break

12:45-1:30pm Lunch PRIS Update: The need for

Collaborative Hospitalist Research in 2007

Christopher P. Landrigan, MD

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

3:30- 5:00pm COnCURREnT SESSIOnS – GROUP C

C7 no Pain, All Gain: A Systematic Approach to Pediatric Pain Management

William T. Zempsky, MD

C8 Common Problems in the Evaluation of Healthy newborn Infants

Jennifer A. Daru, MD

C9 Critical Care for the Pediatric Hospitalist – Respiratory Failure

James D. Swift, MD Linda K. Snelling, MD Christopher G. Maloney, MD

C10 Creating an Inpatient Asthma Training Module (offered one time only)

Daniel A. Rauch, MD

C11 Research 101: How to Get Started (and what it takes to finish) with your Research Study


C12 Building a Hospitalist Program From the Ground Up

Jeffrey Gill, MD

5:00pm Adjourn for the Day

Maximum CME Credits for Friday: 6.75


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Saturday, August 4, 2007

7:00-8:00am Continental Breakfast/ Visit the Exhibits

8:00- COnCURREnT SESSIOnS – GROUP D 9:30am (REPEATED FROM GROUP C)

D7 no Pain, All Gain: A Systematic Approach to Pediatric Pain Management William T. Zempsky, MD

D8 Common Problems in the Evaluation of Healthy newborn Infants Jennifer A. Daru, MD

D9 Critical Care for the Pediatric Hospitalist – Respiratory Failure James D. Swift, MD Linda K. Snelling, MD Christopher G. Maloney, MD

D11 Research 101: How to Get Started (and what it takes to finish) with your Research Study


D12 Building a Hospitalist Program From the Ground Up Jeffrey Gill, MD

D13 Common Care Issues of the Special needs Patient in the Hospital Setting (offered one time only) Allison Ballantine, MD


10:00am- Scientific Presentations 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.

12:00-1:30pm Lunch (Participants may have

the opportunity for informal, topic-specific round table discussions)

1:30- 3:00pm COnCURREnT SESSIOnS – GROUP E

E14 Using the Acute Hospitalization Period to Improve the Global Care of Medically Fragile Patients: Overlooked Opportunities

Allison Ballantine, MD Raj Srivastava, MD

E15 Practicing Top 10 Pediatrics Lisa B. Zaoutis, MD Ron Keren, MD

E16 Coding 101 for the Pediatric Hospitalist Julia M. Pillsbury, DO

E17 Sedating the Pediatric Patient: Qualifications, Safety, and Rules

Douglas W. Carlson, MD

E18 How to Contribute to and Publish in Pediatric Hospital Medicine Literature Paul C. Young, MD Patrick H. Conway, MD Vincent W. Chiang, MD

E19 Asthma Pathways: From Design to Implementation to Maintenance Jeffrey Gill, MD Jeffrey M. Simmons, MD Michael T. Vossmeyer, MD

3:00-3:30pm Break/Visit the Exhibits


Course Schedule

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3:30- COnCURREnT SESSIOnS – GROUP F 5:00pm (REPEATED FROM GROUP E)

F14 Using the Acute Hospitalization Period to Improve the Global Care of Medically Fragile Patients: Overlooked Opportunities

Allison Ballantine, MD Raj Srivastava, MD

F15 Practicing Top 10 Pediatrics Lisa B. Zaoutis, MD Ron Keren, MD

F16 Coding 101 for Pediatric Hospitalist Julia M. Pillsbury, DO

F17 Sedating the Pediatric Patient: Qualifications, Safety, and Rules

Douglas W. Carlson, MD

F18 How to Contribute to and Publish in Pediatric Hospital Medicine Literature

Paul C. Young, MD Patrick H. Conway, MD Vincent W. Chiang, MD

F19 Asthma Pathways: From Design to Implementation to Maintenance

Jeffrey Gill, MD Jeffrey M. Simmons, MD Michael T. Vossmeyer, MD

5:00pm Adjourn for the Day

Maximum CME Credits for Saturday: 6.5

Sunday, August 5, 2007

7:00-8:00am Continental Breakfast8:00- 9:30am COnCURREnT SESSIOnS – GROUP G

G20 Handoffs – Passing on the Clinical Baton

Christopher G. Maloney, MD

G21 Effective Utilization of Antibiotics for Common Inpatient Infections

Samir S. Shah, MD

G22 Coding 201 for the Pediatric Hospitalist

Julia M. Pillsbury, DO

G23 Teaching Out of Rounds

is not Out of Bounds Kenneth Pituch, MD

G24 Quality Improvement = Quality Research

Uma R. Kotagal, MD

G25 Avoiding Hospital Gridlock: Don’t Block the Box

James D. Swift, MD Michael E. Ruhlen, MD Linda K. Snelling, MD Douglas W. Carlson, MD

9:30-9:45am Break

9:45- COnCURREnT SESSIOnS – GROUP H 11:15am (REPEATED FROM GROUP G)

H20 Handoffs – Passing on the Clinical Baton

Christopher G. Maloney, MD

H21 Effective Utilization of Antibiotics for Common Inpatient Infections

Samir S. Shah, MD

H22 Coding 201 for the Pediatric Hospitalist

Julia M. Pillsbury, DO

H23 Teaching Out of Rounds is not Out of Bounds

Kenneth Pituch, MD

H24 Quality Improvement = Quality Research Uma R. Kotagal, MD

H25 Avoiding Hospital Gridlock: Don’t Block the Box James D. Swift, MD Michael E. Ruhlen, MD Linda K. Snelling, MD Douglas W. Carlson, MD

11:15am- 12:00pm Review and Closing Remarks

12:00pm Adjourn

Maximum CME Credits for Sunday: 3.0Maximum AMA PRA Category 1 Credits TM for Course: 17.75

Allison Ballantine, MD, FAAPDirector, Integrated Care ServicesThe Children's Hospital of PhiladelphiaPhiladelphia, Pennsylvania

Jay E. Berkelhamer, MD, FAAPPresidentAmerican Academy of PediatricsElk Grove Village, IllinoisProfessor of PediatricsCase Western Reserve UniversityCleveland, Ohio

Joshua L. Bonkowsky, MD, PhD, FAAPInstructorUniversity of Utah School of MedicineSalt Lake City, Utah

Douglas W. Carlson, MD, FAAPAssociate Professor of PediatricsWashington UniversitySt. Louis, Missouri

Vincent W. Chiang, MD, FAAPChief, Inpatient ServicesAssistant Professor of PediatricsChildren's Hospital BostonHarvard Medical SchoolBoston, Massachusetts

Patrick H. Conway, MDRobert Wood Johnson Clinical ScholarUniversity of PennsylvaniaPhiladelphia, Pennsylvania

Jennifer A. Daru, MD, FAAPAssistant Professor of Clinical PediatricsNorthwestern University Feinberg

School of MedicineChicago, Illinois

Earl C. Downey, Jr., MD, FAAPAssociate Professor of SurgeryUniversity of Utah School of MedicineSalt Lake City, Utah

Jeff Gill, MD, FAAPChief Executive OfficerInpatient Specialists Medical Group, Inc.Brea, CaliforniaMedical Director-Pediatric Inpatient Unit &

Administrative Director-Pediatric & Adult Hospitalist Services

Presbyterian Intercommunity HospitalWhittier, California

Russell L. Holman, MDPresident-ElectSociety of Hospital MedicinePhiladelphia, PennsylvaniaChief Operating OfficerCogent HealthcareIrvine, California

Charles J. Homer, MD, MPH, FAAPAssistant Professor of PediatricsHarvard Medical SchoolBoston, Massachusetts

Ron Keren, MD, MPHAssistant Professor of PediatricsDirector, Pediatric Generalist Research FellowshipUniversity of Pennsylvania School of MedicinePhiladelphia, Pennsylvania

Uma R. Kotagal, MD, MBBS, MSc, FAAPProfessor of Pediatrics, Obstetrics and GynecologyUniversity of CincinnatiDirector, Health Policy and Clinical EffectivenessCincinnati Children's HospitalCincinnati, Ohio

Christopher P. Landrigan, MD, MPH, FAAPAssistant Professor of Pediatrics and MedicineHarvard Medical SchoolBoston, Massachusetts

Joseph O. Lopreiato, MD, MPH, FAAPAssociate Professor of PediatricsUniformed Services UniversityBethesda, Maryland

Christopher G. Maloney, MD, FAAPAssociate Professor of Pediatrics and

Pediatric Critical CareChief, Pediatric Inpatient MedicineUniversity of UtahSalt Lake City, Utah

Julia M. Pillsbury, DO, FACOP, FAAPPICU Medical Director (Level II)Kent General HospitalBayhealth Medical CenterDover, Delaware

Kenneth J. Pituch, MD, FAAPClinical Associate Professor of PediatricsDirector, Pediatric Hospitalist ServiceUniversity of MichiganAnn Arbor, Michigan

Shawn L. Ralston, MD, FAAPPediatric HospitalistPresbyterian HospitalAlbuquerque, New Mexico

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Faculty/Guest Speakers

Daniel A. Rauch, MD, FAAPAssociate Professor of PediatricsNew York University School of MedicineNew York, New York

Michael E. Ruhlen, MD, MHCM, FAAPVice President, Medical AffairsToledo Children’s HospitalToledo, Ohio

Samir S. Shah, MD, FAAPAssistant Professor of Pediatrics and EpidemiologyUniversity of Pennsylvania School of MedicinePhiladelphia, Pennsylvania

Jeffrey M. Simmons, MD, FAAPClinical Instructor of PediatricsUniversity of CincinnatiCincinnati, Ohio

Tamara D. Simon, MD, MSPHInstructor, Division of Inpatient MedicineUniversity of UtahSalt Lake City, Utah

Linda K. Snelling, MD, FAAPAssociate Professor of Pediatrics and SurgeryBrown UniversityProvidence, Rhode Island

Raj Srivastava, MD, MPH, FAAPAssistant Professor of PediatricsUniversity of Utah Health Sciences CenterSalt Lake City, Utah

James D. Swift, MD, FAAPAssistant Professor of PediatricsUniversity of Nevada School of MedicineChief of Pediatric Critical Care Medicine;

Pediatric Inpatient Medicine; Pediatric Emergency Medicine

Sunrise Children’s HospitalLas Vegas, Nevada

Peter G. Szilagyi, MD, MPHPresident-ElectAmbulatory Pediatric AssociationMcLean, VirginiaProfessor of PediatricsUniversity of Rochester School of MedicineRochester, New York

Michael T. Vossmeyer, MD, FAAPMedical Director, Generalist Inpatient ServiceAssistant Professor of Clinical PediatricsCincinnati Children's Hospital Medical CenterCincinnati, Ohio

Paul C. Young, MD, FAAPProfessor of PediatricsUniversity of UtahSalt Lake City, Utah

Lisa B. Zaoutis, MD, FAAPAssistant Professor of Pediatrics,

Section Chief of Inpatient ServicesUniversity of Pennsylvania School of MedicinePhiladelphia, Pennsylvania

William T. Zempsky, MD, FAAPAssociate Professor of PediatricsAssociate Director, Pain Relief ProgramUniversity of Connecticut School of MedicineConnecticut Children’s Medical CenterHartford, Connecticut

Planning GroupLaura J. Mirkinson, MD, FAAP, ChairpersonAssociate Professor of PediatricsGeorge Washington UniversityWashington, DC

Jennifer A. Daru, MD, FAAPAssistant Professor of Clinical PediatricsNorthwestern University Feinberg School of MedicineChicago, Illinois

Yong S. Han, MD, FAAPAssistant Professor of PediatricsSection of Pediatric Emergency MedicineBaylor College of MedicineHouston, TexasAssociate Director of Faculty Inpatient ServiceTexas Children’s HospitalHouston, Texas

Jack M. Percelay, MD, MPH, FAAPPediatric HospitalistHunterdon Medical CenterSaint Peters University HospitalNew York, New York

Daniel A. Rauch, MD, FAAPAssociate Professor of PediatricsNew York University School of MedicineNew York, New York

Raj Srivastava, MD, MPH, FAAPAssistant Professor of PediatricsUniversity of Utah Health Sciences CenterSalt Lake City, Utah

David G. Zipes, MD, FAAPDirector, St Vincent Pediatric HospitalistsSt. Vincent Children’s HospitalIndianapolis, Indiana

Faculty/Guest Speakers/Planning Group

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AAP Section on Hospital MedicineThe AAP Section on Hospital Medicine (SOHM) serves as a forum for AAP members who have a special interest and commitment to general inpatient pediatric care. Membership in SOHM is open to pediatric hospitalists, general pediatricians, academicians, primary care pediatricians, subspecialists, residents, and physician assistants who have an active interest and involvement in general inpatient pediatrics. SOHM focuses on relevant clinical issues as well as systems, logistics, and organization of general inpatient pediatric care.www.aaphospmed.org

The AAP and its members dedicate their efforts and resources to the health, safety, and well-being of all infants, children, adolescents, and young adults. The AAP has approximately 60,000 members in the United States, Canada, and Latin America. Members include pediatricians, pediatric medical subspecialists, and pediatric surgical specialists. www.aap.org

The APA fosters the health of children, adolescents, 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 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 through education, advocacy and 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

Be inspired by magnificent natural and man-made wonders in Salt Lake City. Nature abounds in the

surrounding Wasatch and Oquirrh mountains, the Great Salt Lake, and the valley floor. Within the gorgeously landscaped 10-acre Temple Square right downtown stands the multispired Salt Lake Temple, the Tabernacle, the Assembly Hall, monuments, and visitors centers of The Church of Jesus Christ of Latter-day Saints. More history of the area is available at Fort Douglas Military Museum and Trolley Square, 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 Amphitheater (easily reached by light rail) for everything from ballet to country music. For last-minute deals, a visitor guide and discount coupons, and much more, visit www.slctravel.com.

Horseback Riding at Snowbird

Arches National Park

AMBULATORY PEDIATRIC

ASSOCIATION

Sponsor/Location Information

Scenic Salt Lake

Hotel and Travel InformationSalt Lake City Marriott Downtown75 South West TempleSalt Lake City, Utah 84101Hotel Phone: 801/531-0800Reservations: 800/228-9290Guest Fax: 801/532-4127

Special group rates beginning at $135 per night, plus tax, for single or double occupancy, have been negotiated at the Salt Lake City Marriott Downtown, Salt Lake City, Utah. These rates represent substantial savings from published rates.

The cutoff date for reservations at the group rate is July 11, 2007. Call the hotel directly at 800/228-9290 to make your reservations and be sure to mention that you are attending the AAP's Pediatric Hospital Medicine course.

Air TransportationThe AAP has negotiated discounted airfares to its CME courses. Please call the AAP Travel Office at 888/227-1772. Outside the United States and Canada, call 847/434-4000 and ask for the AAP Travel Office. AAP members may book their arrangements through ResX, the official Internet booking engine for the AAP Travel Office, by simply logging in to the Members Only Channel (MOC) of the AAP Web site (www.aap.org/moc). The ResX icon is located at the bottom right corner of the page. ResX may also be accessed directly at www.resx.com.Company: AAPUser name: AAP USER (Use for first time only.)Password: Leave blank and bypass the first time.Once logged in, you will see the personal information sheet, along with login and password information.

Ground TransportationThe 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.

Car Rental DiscountsThe 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.

ParkingSelf and Valet parking are available at the hotel for a fee. Please contact the hotel concierge for detailed information about parking.

Special needsThe AAP is sensitive to the special needs of attendees. Please indicate any special needs (dietary restrictions, physical limitations) on your registration form.

Scooter and wheelchair rentals are available by contacting ScootAround, Inc, toll-free at 888/441-7575, by fax at 204/478-1172, via e-mail at [email protected], or through their Web site at www.scootaround.com.

RegistrationSpace is limited so register early! Lodging and meals, other than specified, are not included in the registration fee. Food and beverages provided during the course are intended for registered participants only.

Using your VISA, MasterCard, American Express, or Discover, you may register online at www.pedialink.org/cmefinder, fax your registration to 847/228-5059 or 847/228-5088, or call toll-free, 800/433-9016, option 3. Outside the United States and Canada, please call 847/434-4000, option 3.

Please have your credit card and concurrent session selections ready prior to calling. If your membership status has changed or lapsed, the registration staff will charge the appropriate fees accordingly.

Educational MaterialsYou will receive a complete syllabus of educational materials (in both printed and CD-ROM format) when you arrive at the course. Feel free to bring your laptop to view the presentations while you learn.

CancellationsCancellations must be received by July 18, 2007, to receive a refund. An administrative charge of $50 will be deducted.

General Information

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Pediatric Hospital Medicine 2007Salt 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)

ADDRESS

CITY/STATE/PROVInCE

ZIP CODE/POSTAL CODE/COUnTRY

PHOnE FAx

E-MAIL

AAP ID#

Concurrent SessionsPlease fill in the letter and number of your first and second choices for session. Example: A5

First Choice Second Choice Group A _________ _________ Group B _________ _________Group C _________ _________Group D _________ _________Group E _________ _________Group F _________ _________Group G _________ _________Group H _________ _________

Registration Fees AAP SOHM/APA/SHM Member ......................................... $595

AAP Fellow/Candidate Fellow/ International Member/(Section Nonmember) .................... $635

AAP Resident Fellow ........................................................... $395

Nonmember Physician ......................................................... $675

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 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.

Payment InformationFull payment must accompany this form.

Please indicate method of payment below:

Charge it:

Card number

Expiration Date

Print name as It Appears on Card

Or checks may be made payable to the American Academy of Pediatrics.

Check number Amount (United States only)

Please do not send currency.

Please describe your primary reason for attending Pediatric Hospital Medicine 2007:

How did you hear about this course?

PLEASE InDICATE AnY SPECIAL nEEDS, I.E. DIETARY RESTRICTIOnS OR PHYSICAL DISABILITIES :

Registration Form

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141 Northwest Point Blvd Elk Grove Village, IL 60007-1098

Non Profit OrgU.S. Postage

P A I DAlgonquin, IL 60102

Permit No. 14

Pediatric Hospital Medicine 2007Sponsored 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

Earn a Maximum of 17.75 AMA PRA Category 1 Credits™ Register online at www.pedialink.org/cmefinder or call toll-free, 866/THE-AAP1 (866/843-2271)

Pediatric Hospital Medicine 2007

Documents

Transcript of Pediatric Hospital Medicine 2007