Pediatric Hospital Medicine 2007

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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 Earn a Maximum of 17.75 AMA PRA Category 1 Credits Register online at or call toll-free, 866/THE-AAP1 (866/843-2271) AMBULATORY PEDIATRIC ASSOCIATION

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  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 Earn a Maximum of 17.75 AMA PRA Category 1 Credits or call toll-free, 866/THE-AAP1 (866/843-2271)AMBULATORY PEDIATRICASSOCIATION
  2. 2. Pediatric Hospital Medicine 2007What 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 anby the Accreditation Council for Continuing Medical educational forum for pediatric hospitalists and otherEducation (ACCME) to provide continuing medical clinicians involved in the care of pediatric 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 advancesDetermination 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 teachingaccredited 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 evolutionDisclosure of Financial Relationships and of pediatric hospital medicineResolution of Conflicts of Interest The AAP Policy on Disclosure of Financial Relationships You should attend Pediatric Hosptialand 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 chairAAP 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 divisionfinancial relationships with the manufacturer(s) of any General pediatric residentcommercial product(s) and/or provider(s) of commercial services discussed in CME activities. All potential Pediatric nurse practitionerconflicts of interest are identified and resolved prior to Pediatric physician assistant an individuals confirmation of service at an AAP CME activity. Beyond disclosure of financial relationships, Physician who focuses on the medicalAAP 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 for schedule, faculty, Trolley Squareand session updates.
  3. 3. Course ScheduleThursday, August 2, 2007 9:15-10:45am COnCURREnT SESSIOnS GROUP A 4:00pmRegistration Desk Open A1Death, Child Abuse, and Adverse 7:30-9:00pm Improving Quality in the neurological Outcomes in Inpatient Pediatric SettingInfants After an Apparent Life Charles J. Homer, MD Threatening Event (ALTE)Joshua L. Bonkowsky, MD Maximum CME Credits for Thursday: 1.5A2Pediatric Surgery for Friday, August 3, 2007 the HospitalistEarl C. Downey, Jr, MDTamara Simon, MD 7:00amRegistration Desk OpenA3Evidence-based Medicine 7:00-8:00amContinental Breakfast/IV Fluids Visit the ExhibitsLisa B. Zaoutis, MD 8:00-8:45amIntroduction of SponsoringShawn L. Ralston, MD OrganizationsA4Teaching Rounds Jay E. Berkelhamer, MD,Vincent W. Chiang, MDAAP President Peter G. Szilagyi, MDA5Educational ResearchAPA President-Elect Joseph O. Lopreiato, MD Russell L. Holman, MDA6Quality ImprovementSHM President-ElectCharles J. Homer, MD 8:45-9:00amQuestion-and-Answer Session10:45-11:00am Break/Visit the Exhibits 9:00-9:15amBreak/Visit the Exhibits 3 Golfing in Beautiful Salt LakeRegister online at or call toll-free, 866/THE-AAP1 (866/843-2271)
  4. 4. Pediatric Hospital Medicine 2007 11:00am- COnCURREnT SESSIOnS GROUP B3:30- 12:30pm (REPEATED FROM GROUP A) 5:00pmCOnCURREnT SESSIOnS GROUP C B1Death, 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 B2Pediatric Surgery forthe Evaluation of Healthy the Hospitalistnewborn Infants Earl C. Downey, Jr, MD Jennifer A. Daru, MD Tamara Simon, MD C9 Critical Care for the Pediatric B3Evidence-based MedicineHospitalist Respiratory Failure IV FluidsJames D. Swift, MD Lisa B. Zaoutis, MDLinda K. Snelling, MD Shawn L. Ralston, MD Christopher G. Maloney, MD B4Teaching Rounds C10 Creating an Inpatient Vincent W. Chiang, MD Asthma Training Module (offered one time only) B5Educational Research Daniel A. Rauch, MD Joseph O. Lopreiato, MD C11 Research 101: How to Get B6Quality Improvement Started (and what it takes to Charles J. Homer, MD finish) with your Research Study 12:30-12:45pm Move BreakChristopher P. Landrigan, MD12:45-1:30pmLunch 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, MD3:15-3:30pm Break
  5. 5. Course ScheduleSaturday, August 4, 200712:00-1:30pm Lunch(Participants may have 7:00-8:00amContinental Breakfast/the opportunity forVisit the Exhibitsinformal, topic-specificround 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 HospitalizationPediatric Pain ManagementPeriod to Improve the Global CareWilliam T. Zempsky, MD of Medically Fragile Patients: Overlooked Opportunities D8 Common Problems in Allison Ballantine, MDthe Evaluation of Healthy Raj Srivastava, MDnewborn InfantsJennifer A. Daru, MD E15 Practicing Top 10 Pediatrics Lisa B. Zaoutis, MD D9 Critical Care for the Pediatric Ron Keren, MDHospitalist Respiratory FailureJames D. Swift, MD E16 Coding 101 for theLinda K. Snelling, MDPediatric HospitalistChristopher G. Maloney, MD Julia M. Pillsbury, DOD11 Research 101: How to GetE17 Sedating the Pediatric Patient: Started (and what it takes to Qualifications, Safety, and Rules finish) with your Research StudyDouglas W. Carlson, MD Christopher P. Landrigan, MDE18 How to Contribute to and D12 Building a Hospitalist ProgramPublish in Pediatric Hospital From the Ground UpMedicine Literature Jeffrey Gill, MDPaul 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, MDJeffrey Gill, MD Jeffrey M. Simmons, MD 9:30-10:00am Break/Visit the Exhibits Michael T. Vossmeyer, MD 10:00am- Scientific Presentations 3:00-3:30pmBreak/Visit the Exhibits 12:00pmKey issues facing pediatrichospitalists and other cliniciansinvolved in the care of pediatricinpatients, will be addressedthrough the presentation of thelatest advances in the field. Eachpresentation will be 10 minutes plus5 minutes for questions-and-answers.Register online at 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 BoundsF14 Using the Acute Hospitalization Kenneth Pituch, MDPeriod to Improve the Global Careof Medically Fragile Patients: G24 Quality Improvement =Overlooked Opportunities Quality ResearchAllison Ballantine, MD Uma R. Kotagal, MDRaj Srivastava, MD G25 Avoiding Hospital Gridlock:F15 Practicing Top 10 Pediatrics Dont Block the BoxLisa B. Zaoutis, MDJames D. Swift, MDRon Keren, MDMichael E. Ruhlen, MD Linda K. Snelling, MDF16 Coding 101 for Douglas W. Carlson, MDPediatric HospitalistJulia M. Pillsbury, DO 9:30-9:45amBreakF17 Sedating the Pediatric Patient:Qualifications, Safety, and Rules9:45- COnCURREnT SESSIOnS GROUP HDouglas W. Carlson, MD 11:15am (REPEATED FROM GROUP G) F18 How to Contribute to and H20 Handoffs Passing on thePublish in Pediatric HospitalClinical BatonMedicine LiteratureChristopher G. Maloney, MDPaul C. Young, MDH21 Effective Utilization of AntibioticsPatrick H. Conway, MDfor Common Inpatient InfectionsVincent W. Chiang, MDSamir S. Shah, MDF19 Asthma Pathways: From Design toH22 Coding 201 for theImplementation to MaintenancePediatric HospitalistJeffrey Gill, MD Julia M. Pillsbury, DOJeffrey M. Simmons, MD 6Michael T. Vossmeyer, MD H23 Teaching Out of Rounds is not Out of Bounds 5:00pm Adjourn for the DayKenneth Pituch, MD Maximum CME Credits for Saturday: 6.5 H24 Quality Improvement = Quality Research Sunday, August 5, 2007Uma R. Kotagal, MD H25 Avoiding Hospital Gridlock: 7:00-8:00amContinental BreakfastDont Block the Box 8:00- James D. Swift, MD 9:30am COnCURREnT SESSIOnS GROUP GMichael E. Ruhlen, MDG20 Handoffs Passing on theLinda K. Snelling, MDClinical Baton Douglas W. Carlson, MDChristopher G. Maloney, MD 11:15am-G21 Effective Utilization of Antibiotics 12:00pm Review and Closing Remarksfor Common Inpatient InfectionsSamir S. Shah, MD12:00pm Adjourn G22 Coding 201 for the Maximum CME Credits for Sunday: 3.0 Maximum AMA PRA Category 1 Credits TMPediatric Hospitalistfor Course: 17.75Julia M. Pillsbury, DO
  7. 7. Faculty/Guest Speakers Allison Ballantine, MD, FAAPRussell L. Holman, MD Director, Integrated Care ServicesPresident-Elect The Children's Hospital of Philadelphia Society of Hospital Medicine Philadelphia, PennsylvaniaPhiladelphia, Pennsylvania Chief Operating Officer Jay E. Berkelhamer, MD, FAAPCogent 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, FAAPRon Keren, MD, MPH InstructorAssistant Professor of Pediatrics University of Utah School of Medicine Director, Pediatric Generalist Research Fellowship Salt Lake City, UtahUniversity 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 BostonChristopher P. Landrigan, MD, MPH, FAAP Harvard Medical SchoolAssistant Professor of Pediatrics and Medicine Boston, Massachusetts Harvard Medical School Boston, Massachusetts Patrick H. Conway, MD Robert Wood Johnson Clinical ScholarJoseph O. Lopreiato, MD, MPH, FAAP University of PennsylvaniaAssociate Professor of Pediatrics Philadelphia, PennsylvaniaUniformed Services University Bethesda, Maryland Jennifer A. Daru, MD, FAAP 7 Assistant Professor of Clinical PediatricsChristopher G. Maloney, MD, FAAP Northwestern University FeinbergAssociate Professor of Pediatrics andSchool of MedicinePediatric 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, UtahPICU 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, CaliforniaKenneth J. Pituch, MD, FAAP Medical Director-Pediatric Inpatient UnitClinical Associate Professor of Pediatrics Administrative Director-PediatricAdult Director, Pediatric Hospitalist Service Hospitalist ServicesUniversity of Michigan Presbyterian Intercommunity HospitalAnn 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, FAAPLisa B. Zaoutis, MD, FAAP Associate Professor of PediatricsAssistant Professor of Pediatrics, New York University School of MedicineSection Chief of Inpatient Services New York, New York University of Pennsylvania School of MedicinePhiladelphia, Pennsylvania Michael E. Ruhlen, MD, MHCM, FAAP Vice President, Medical AffairsWilliam T. Zempsky, MD, FAAP Toledo Childrens Hospital Associate Professor of Pediatrics Toledo, Ohio Associate Director, Pain Relief ProgramUniversity of Connecticut School of Medicine Samir S. Shah, MD, FAAPConnecticut Childrens Medical Center Assistant Professor of Pediatrics and Epidemiology Hartford, Connecticut University of Pennsylvania School of Medicine Philadelphia, PennsylvaniaPlanning Group Jeffrey M. Simmons, MD, FAAP Laura J. Mirkinson, MD, FAAP, Chairperson Clinical Instructor of PediatricsAssociate Professor of Pediatrics University of Cincinnati Cincinnati, Ohio George Washington UniversityWashington, 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 UniversityFeinberg School of Medicine Linda K. Snelling, MD, FAAPChicago, Illinois Associate Professor of Pediatrics and Surgery Brown University Yong S. Han, MD, FAAP Providence, Rhode IslandAssistant Professor of Pediatrics Raj Srivastava, MD, MPH, FAAPSection of Pediatric Emergency Medicine Assistant Professor of PediatricsBaylor College of Medicine University of Utah Health Sciences CenterHouston, Texas Salt Lake City, Utah Associate Director of Faculty Inpatient ServiceTexas Childrens Hospital James D. Swift, MD, FAAP Assistant Professor of PediatricsHouston, Texas 8 University of Nevada School of MedicineJack M. Percelay, MD, MPH, FAAP Chief of Pediatric Critical Care Medicine;Pediatric Inpatient Medicine; Pediatric HospitalistPediatric Emergency MedicineHunterdon Medical Center Sunrise Childrens HospitalSaint Peters University Hospital Las Vegas, NevadaNew York, New YorkPeter G. Szilagyi, MD, MPH Daniel A. Rauch, MD, FAAP President-ElectAssociate 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 YorkAssistant Professor of PediatricsUniversity 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 CenterDavid G. Zipes, MD, FAAP Cincinnati, Ohio Director, St Vincent Pediatric HospitalistsSt. Vincent Childrens Hospital Paul C. Young, MD, FAAPIndianapolis, Indiana Professor of Pediatrics University of Utah Salt Lake City, Utah
  9. 9. Sponsor/Location InformationAAP 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 pediatricGreat 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 interestthe 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 wellLatter-day Saints. More history of the area is available as systems, logistics, and organization of generalat Fort Douglas Military Museum and Trolley Square, inpatient pediatric 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 andAmphitheater (easily reached by light rail) for resources to the health, safety, and well-being of alleverything 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 includeand much more, visit pediatricians, pediatric medical subspecialists, and pediatric surgical specialists. www.aap.orgHorseback Riding at Snowbird The APA fosters the healthAMBULATORY PEDIATRICof children, adolescents,ASSOCIATION and families by promotinggeneralism 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. The SHM is dedicated to promoting the highest quality care for all hospitalized patients and excellence in the practice of hospital medicineArches National Park through education, advocacy andScenic 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.
  10. 10. General Information Car Rental DiscountsThe AAP Travel Office is offering CME course attendeesa reduced car rental rate through Hertz. Pleaseask your AAP Travel Agent for details or callHertz directly at 800/654-2240 and mention codeITCV01570011-14511276. ParkingSelf and Valet parking are available at the hotel fora fee. Please contact the hotel concierge for detailedinformation about parking. Special needsHotel and Travel InformationThe AAP is sensitive to the special needs of attendees.Salt Lake City Marriott DowntownPlease indicate any special needs (dietary restrictions,75 South West Templephysical limitations) on your registration form.Salt Lake City, Utah 84101Scooter and wheelchair rentals are availableHotel Phone: 801/531-0800by contacting ScootAround, Inc, toll-free atReservations: 800/228-9290888/441-7575, by fax at 204/478-1172, via e-mailGuest Fax: 801/532-4127at [email protected], or through their WebSpecial group rates beginning at $135 per night,site at tax, for single or double occupancy, have beennegotiated at the Salt Lake City Marriott Downtown, RegistrationSalt Lake City, Utah. These rates represent substantial Space is limited so register early! Lodging andsavings from published rates. meals, other than specified, are not included in theThe cutoff date for reservations at the group rate is registration fee. Food and beverages provided duringJuly 11, 2007. Call the hotel directly at 800/228-9290the course are intended for registered participants make your reservations and be sure to mentionUsing your VISA, MasterCard, American Express,that you are attending the AAP's Pediatric Hospital or Discover, you may register online atMedicine, fax yourregistration to 847/228-5059 or 847/228-5088,Air Transportationor call toll-free, 800/433-9016, option 3. 10 The AAP has negotiated discounted airfares to Outside the United States and Canada, pleaseits 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 sessioncall 847/434-4000 and ask for the AAP Travel Office.selections ready prior to calling. If your membershipAAP members may book their arrangements throughstatus has changed or lapsed, the registration staffResX, the official Internet booking engine for thewill charge the appropriate fees accordingly.AAP Travel Office, by simply logging in to theMembers Only Channel (MOC) of the AAP Web siteEducational Materials( The ResX icon is located at thebottom right corner of the page. ResX may also be You will receive a complete syllabus of educationalaccessed directly at (in both printed and CD-ROM format) whenCompany: AAPyou arrive at the course. Feel free to bring your laptopUser name: AAP USER (Use for first time only.)to view the presentations while you learn.Password: Leave blank and bypass the first time.CancellationsOnce logged in, you will see the personal informationsheet, along with login and password information. Cancellations must be received by July 18, 2007,to receive a refund. An administrative charge ofGround Transportation $50 will be deducted.The Salt Lake City Marriott Downtown is locatedapproximately 6 miles from Salt Lake City Airport. Forinformation on shuttle service, contact Express Shuttleat 800/397-0773. Taxi service is also available.Register online at or call toll-free, 866/THE-AAP1 (866/843-2271)
  11. 11. Registration FormPediatric Hospital Medicine 2007 Salt Lake City, Utah Salt Lake City Marriott Downtown August 2-5, 2007 Register online at, 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 APASHM Please type or print.nAMEFIRSTLAST (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 PHOnEFAx 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: A5Please indicate method of payment below:First Choice Second ChoiceCharge it: Group A__________________ Group B__________________ Group C__________________ Card number 11 Group D__________________ Expiration Date Group E__________________ Group F__________________ Print name as It Appears on CardGroup G__________________ Group H__________________ Or checks may be made payable to the Registration Fees American Academy of Pediatrics.AAP SOHM/APA/SHM Member ......................................... $595Check number Amount (United States only) AAP Fellow/Candidate Fellow/ Please do not send currency. International Member/(Section Nonmember) .................... $635 AAP Resident Fellow ........................................................... $395Please describe your primary reason for attending Nonmember Physician ......................................................... $675Pediatric Hospital Medicine 2007:Nonmember Resident .......................................................... $675 Allied Health Professional ................................................... $435Your 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 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 60102141 Northwest Point BlvdPermit No. 14Elk Grove Village, IL 60007-1098