NONPROFIT ORG.U.S. POSTAGE

PAIDBELLMAWR, NJ

PERMIT NO. 2134

Office of Continuing Medical EducationJohns Hopkins University School of MedicineTurner 20, 720 Rutland AvenueBaltimore, Maryland 21205-2195

Gastroenterology and Hepatology

The Ritz-Carlton Cancun, MexicoMarch 6 – 9, 2018

Viva la Vida18th Annual

JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE DIVISION OF GASTROENTEROLOGY AND HEPATOLOGYAND THE INSTITUTE FOR JOHNS HOPKINS NURSING present

Gastroenterologyand Hepatology

March 6 – 9, 2018The Ritz-Carlton Cancun, Mexico

Viva la Vida

18th Annual

CONTINUING MEDICAL EDUCATION

• Cases from Johns Hopkins • Interactive Audience Response System • Nursing Track Featuring:

Check out our mobile app CloudCME

Organization Code: HopkinsCME

https://hopkinscme.cloud-cme.com/aph.aspx?P=5&EID=10683

Unfortunately, due to concerns surrounding the current state of affairs of Puerto Rico as a result of Hurricane Irma, this activity has had to relocate for 2018. Cancun is sure not to disappoint as this new location boasts all the amenities you were accustomed to in Puerto Rico.

Thoughts and prayers are with Puerto Rico and all the families affected by the disaster. We expect to return to San Juan once again in 2019.

neW

LOCatiOn

FOr 2018

Participants will earn MOC (ABIM) points.This activity has been approved for AMA PRA Category 1 CreditsTM.

DescriptionThe 18th Annual Gastroenterology and Hepatology: Viva la Vida will provide, through formal lectures, questions and answer sessions, as well as interactive sessions such as hands-on demonstrations and interactive endoscopic cases from the Johns Hopkins Hospital, presentations of various gastrointestinal and liver disorders that will be of interest to practitioners in the field. Course attendees will be updated in a series of symposia to include current approaches to patients with IBD, fatty liver disease, pancreatitis, hepatocellular cancer, advances in Hepatitis C treatment and hot new and emerging topics including anal intraepithelial neoplasia, considerations for anesthesia, surgical interventions for GERD, submucosal endoscopy and endoscopic palliative bypass procedures. There will be a special symposia on bariatric weight loss including surgical options, endoscopic approaches and guidelines on how to build a bariatric program in your center. This year, the conference will focus on common clinical challenges faced by practitioners with clinical cases ranging from persistent abdominal pain, management of esophageal reflux, and intractable bloating.

Who Should AttendThis activity is intended for gastroenterologists, hepatologists, surgeons, fellows, residents, physician assistants, nurses, nurse practitioners, and allied health professionals who are interested in gastroenterology and hepatology. A special session on Thursday will be devoted to nurses and nurse practitioners.

ObjectivesAfter attending this activity, the participant will demonstrate the ability to:• Describe recent advances in inflammatory bowel

disease including the role of surgery and the detection of cancer in these patients.

• Discuss new medical and surgical advances in treating liver disease, including pregnant patients.

• Discuss recent developments in the management of pancreatic disease, including pancreatic cysts, pancreatitis and pancreatic cancer.

• Discuss the management of the various esophageal diseases with recent developments in therapy.

• Describe recent advances in therapeutic endoscopy with a focus on endoscopic technique.

Accreditation StatementsThis activity has been planned and implemented in accordance with the accreditation require-ments and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing. The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Credit Designation StatementThe Johns Hopkins University School of Medicine designates this live activity for a maximum of 24.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other CreditsThis 24 contact hour educational activity is jointly provided with The Institute for Johns Hopkins Nursing. American Academy of Nurse Practitioners National Certification Program accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME. American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit ™ from organizations accredited by ACCME. Physician assistants may receive a maximum of 24.25 AAPA Category 1 CME credits for completing this program. The Johns Hopkins University has approved this activity for 24.25 contact hours for non-physicians.

Maintenance of CertificationSuccessful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 24.25 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Policy on Speaker and Provider DisclosureIt is the policy of the Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing that the speaker and provider globally disclose conflicts of interest. The Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the instructional materials

General Information Early RegistrationMonday, March 5, 2018 • 4:30 - 6:30 p.m.

RegistrationTuesday, March 6, 2018 • 7:00 - 7:25 a.m.

LocationThe Ritz-Carlton, Cancun Reservations: 1-800-240-2492Retorno del Rey No. 36, Hotel: 52-998-881-0808Zona Hotelera Fax: 52-998-881-070577500 Cancun, Quintana Roo, MéxicoHOTEL RESERVATION CUT-OFF DATE: JANUARY 18, 2018Check-In Time: 4:00 p.m. • Check-Out Time: 12:00 noonA limited block of sleeping rooms has been reserved for your convenience and will be available on a first-come, first-served basis. The hotel is located 20 minutes from Cancun International Airport. Transportation services are available through the hotel’s Destination Service Department, advance arrangements required. Make your overnight accommodations online at https://tinyurl.com/ybdotfml. Or call the reservations department at 1 (800) 240-2492 and mention the Johns Hopkins Gastroenterology and Hepatology Viva program to receive the special group rate of $299, plus taxes, per night.

Additional charges apply:Bell Service $8 USD PER PERSON, ONE TIME FEEHousekeeping Gratuities $8 USD PER ROOM, PER NIGHT16% Resort Fee will be applied on property.VAT tax exemption has been requested.Please be prepared to show passport at check-in.

Travel InformationPlease note the new location is considered international travel outside the U.S. and all passengers (including U.S. citizens and children, regardless of age) must have a valid passport book in order to travel to and from the United States by the time of travel. Please refer to www.travel.state.gov or call the U.S. National Passport Information Center at 1-877-4USA-PPT (1-877-487-2778) for further details on these passport requirements and information about obtaining or renewing passports.

FeesRegister Online: https://hopkinscme.cloud-cme.com/aph.aspx?P=5&EID=10683Methods of Payment: We require full payment prior to the start of the activity. On-site payments by credit card only. The registration fee includes instructional materials, breakfasts and refreshment breaks. Physicians . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $425Residents*/Fellows*/Nurses/NPs/PAs/ Allied Health Professionals . . . . . . . . . . . . . . . . . . . . . . . . . . $225*with verification of statusNursing Track** (Thursday Only) . . . . . . . . . . . . . . . . . . . . . . . . . $50**Pre-registration is required

You will receive a confirmation by e-mail. If you have not received it by February 26, 2018, call (410) 502-9636 to confirm that you are registered. A transcript of attendance will be available upon attestation of your credit hours and submission of the post activity online evaluation. The Johns Hopkins University reserves the right to cancel or postpone any activity due to unforeseen circumstances. In this event, the University will refund the registration fee but is not responsible for travel expenses. Additionally, we reserve the right to change the venue to a comparable venue. Under such circumstances registrants will be notified as soon as possible.

Late Fee and Refund PolicyA $50 late fee applies to registrations received after 5:00 p.m. ET on February 26, 2018. A handling fee of $50 will be deducted for cancellation. An additional fee may apply for cancellation of other events, including workshops and social activities. Refund requests must be received by fax or mail by February 26, 2018. No refunds will be made thereafter. Transfer of registration to another Johns Hopkins conference in lieu of cancellation is not possible.SyllabusThe syllabus will be accessible online and via your mobile device in the CloudCME App prior to the activity.

Welcome ReceptionA complimentary reception for registrants, faculty and guests will be held on Tuesday, March 6, 2018 from 6:00 - 7:30 p.m. Please indicate your attendance on the Registration Form. NOTE: The commercial support received is solely for the educational component of this activity and will not be used to support this social event.

Emergency CallsDuring the days of this activity only, March 6–9, 2018, direct emergency calls to the hotel operator at 52-998-881-0808 and ask for a message to be delivered to the Johns Hopkins Registration Desk.

How to Obtain CreditPost activity, an online evaluation will be available to attendees to evaluate the activity and individual presentations and to identify future educational needs. Upon completion of the evaluation, the learner must attest to the number of hours in attendance. Credits earned will be added to the learner’s transcript and immediately available for print. The last day to access the evaluation and attest to your credits is April 23, 2018.

An outcome survey will be sent to all physician attendees within two months post activity to assist us in determining what impact this activity had on the learner’s practice.

Americans with Disabilities ActThe Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing fully comply with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs.

AcknowledgementApplications for commercial support from health care related industries are pending. A complete list of contributors will be provided in the syllabus. Please note that commercial support received is solely for the educational component of the activity and will not be used to provide food and beverage.

Please note: The Physician Payments Sunshine Act was enacted by Congress to increase public awareness of financial relationships between drug and medical device manufacturers and physicians. In compliance with the requirements of this Act, the commercial supporter/s of this activity may require the Johns Hopkins University School of Medicine to report certain professional information (such as name, address, National Provider Identifier (NPI), and State License number) of physician attendees who receive complimentary food and beverage in conjunction with a CME activity. The commercial supporter is required to submit the collected data to the Centers for Medicare and Medicaid Services which will then publish the data on its website.

The symposium is endorsed by the American Society for Gastrointestinal Endoscopy (ASGE).

Program

Monday, March 5, 2018 Evening 4:30 - 6:30 Early Registration – Pick up your

conference materials.Tuesday, March 6, 2018 7:00 - 7:25 Registration, Breakfast and Exhibits 7:25 - 7:30 Welcome, Introduction and

Conference Goals Anthony Kalloo, MD

SYMPOSIUM: Inflammatory Bowel DiseaseModerator: Mark Lazarev, MD 7:30 - 7:50 Anal Intraepithelial Neoplasia:

A Growing Disease Alyssa Parian, MD

7:50 - 8:10 Optimization of Biologic Therapy in Crohn's Disease Mark Lazarev, MD

8:10 - 8:30 Diagnosis and Management of Colorectal Dysplasia in IBD Alyssa Parian, MD

8:30 - 8:50 Management of Severe Acute Ulcerative Colitis Mark Lazarev, MD

8:50 - 9:10 Cancer Screening in Your IBD Patient Marcia Cruz-Correra, MD, PhD

9:10 - 9:40 Questions and Answers 9:40 - 10:00 Refreshment Break and Exhibits

SYMPOSIUM: Liver DiseaseModerator: Zhiping Li, MD 10:00 - 10:20 Update on Viral Hepatitis Management

Zhiping Li, MD 10:20 - 10:40 Managing Fatty Liver Patients:

Who and What to Treat? James Hamilton, MD

10:40 - 11:00 Approach to Abnormal LFTs in Your Pregnant Patient Keith Williams, MD

11:00 - 11:20 Treatment of PBC: Can We Halt Disease Progression? James Hamilton, MD

11:20 - 11:40 Medical Treatment of Hepatocellular Cancer Zhiping Li, MD

11:40 - 12:10 Questions and Answers

HANDS-ON WORKSHOP 12:30 - 2:00 Hands On Demo 1: High Resolution

Anoscopy for Anal Intraepithelial Neoplasia (AIN) Olaya Brewer-Gutierrez, MD, Alyssa Parian, MD, Elisheva Weiser, RN and Juliana Yang, MD

Wednesday, March 7, 2018 7:00 - 7:30 Breakfast and Exhibits

SYMPOSIUM: Bariatric Weight LossModerator: Vivek Kumbhari, MD 7:30 - 7:50 Update in Endoscopic Approaches for

Weight Loss Vivek Kumbhari, MD

7:50 - 8:10 How to Start a Bariatric Weight Loss Program Margo Dunlap, RN

8:10 - 8:30 Minimally Invasive Surgical Weight Loss Options Alisa Coker, MD

8:30 - 8:50 New Evidence-Based Nutritional Guidelines for Weight Loss Gerard Mullin, MD

8:50 - 9:10 Challenging Bariatric Endoscopic Cases Vivek Kumbhari, MD

9:10 - 9:40 Questions and Answers

9:40 - 10:00 Refreshment Break and Exhibits

SYMPOSIUM: PancreasModerator: Anne Marie Lennon, MD, PhD 10:00 - 10:20 Pancreatic Cysts: Current

Management and Future Directions Anne Marie Lennon, MD, PhD

10:20 - 10:40 New Approaches to Preventing PEP Pancreatitis Vikesh Singh, MD, MSc

10:40 - 11:00 Early Management of Acute Pancreatitis Eun Ji Shin, MD, PhD

11:00 - 11:20 Autoimmune Pancreatitis Anne Marie Lennon, MD, PhD

11:20 - 11:40 Management of Abdominal Pain in Chronic Pancreatitis Vikesh Singh, MD, MSc

11:40 - 12:10 Questions and Answers

HANDS-ON WORKSHOP 12:30 - 2:00 Hands On Demo 2: Endoscopic

Weight Loss Techniques Olaya Brewer-Gutierrez, MD, Margo Dunlap, BSN, RN, Vivek Kumbhari, MD and Juliana Yang, MD

Thursday, March 8, 2018 7:00 - 7:30 Breakfast and Exhibits

SYMPOSIUM: Motility DisordersModerator: Ellen Stein, MD 7:30 - 7:50 Refractory Constipation:

Evaluation and Interventions Tsion Abdi, MD

7:50 - 8:10 Approach to the Diagnosis of Extraesophageal GERD Ellen Stein, MD

8:10 - 8:30 Non-Pharmacological Treatments for Functional Bowel Disorders Tsion Abdi, MD

8:30 - 8:50 Dysphagia in the Era of Manometry, Endoflip and Esophograms Ellen Stein, MD

8:50 - 9:10 New Surgical Options for GERD Alisa Coker, MD

9:10 - 9:40 Questions and Answers 9:40 - 10:00 Refreshment Break and Exhibits

SYMPOSIUM: General GIModerator: Eduardo Gonzalez-Velez, MD 10:00 - 10:20 Anesthesia Guidelines in the

Pregnant Patient Haitham Al-Grain, MD

10:20 - 10:40 Developments in Diagnosis and Management of Celiac Christopher Fain, MD

10:40 - 11:00 The FODMAPs Diet for IBS: What is the Evidence? Gerard Mullin, MD

11:00 - 11:20 New Trends in Managing GI Bleeding Christopher Fain, MD

11:20 - 11:40 Eosinophilic Esophagitis: Diagnosis and Management Eduardo Gonzalez-Velez, MD

11:40 - 12:10 Pre-Op Evaluation of Your High Risk Patient Undergoing Endoscopy Haitham Al-Grain, MD

12:10 - 12:30 Questions and Answers

HANDS-ON WORKSHOP 12:30 - 2:00 Hands On Demo 3: Motility Testing

Tsion Abdi, MD, Olaya Brewer-Gutierrez, MD, Ellen Stein, MD and Juliana Yang, MD

Friday, March 9, 2018 7:00 - 7:30 Breakfast and Exhibits

SYMPOSIUM: Therapeutic EndoscopyModerator: Marcia Canto, MD, MHS 7:30 - 7:50 Poetry of Submucosal Endoscopy

Mouen Khashab, MD 7:50 - 8:10 Endoscopic Treatment of GERD

Marcia Canto, MD, MHS 8:10 - 8:30 Large Colorectal Polyps

Saowanee Ngamruengphong, MD 8:30 - 8:50 Endoscopic Palliative Bypass

Procedures Mouen Khashab, MD

8:50 - 9:10 EMR, ESD and FTR: Techniques and Indications Eun Ji Shin, MD, PhD

9:10 - 9:40 Questions and Answers 9:40 - 10:00 Refreshment Break and Exhibits

SYMPOSIUM: A Tempest of Challenging Clinical CasesModerator: Eun Ji Shin, MD, PhD 10:00 - 10:20 Harvey Rain is a 55 Year Old Attorney

with Persistent RUQ Pain Eun Ji Shin, MD, PhD

10:20 - 10:40 Irma Wind is a 29 Year Old Professional Tennis Player with Intractable Bloating Tsion Abdi, MD

10:40 - 11:00 Maria Waves is 72 Year Old Senator with Falling Hematocrit and Negative Endoscopy Saowanee Ngamruengphong, MD

11:00 - 11:20 Katia Surf is a 42 Year Old Chef with Known Celiac and Progressive Weight Loss Eduardo Gonzalez-Velez, MD

11:20 - 11:40 Lee Beaches is a 60 Year Old Opera Singer with Hoarseness and Heartburn after Laparoscopic Nissen Fundoplication Marcia Canto, MD, MHS

11:40 - 12:10 Questions and Answers 12:10 Adjourn You will receive an email notification to complete

the evaluation form and to attest to the number of hours in attendance. The registration desk will remain open during conference hours.

HANDS-ON WORKSHOP 12:30 - 2:00 Hands On Demo 4: New Devices in

Therapeutic Endoscopy Olaya Brewer-Gutierrez, MD, Anthony Kalloo, MD, Mouen Khashab, MD and Juliana Yang, MD

NURSING TRACK Thursday, March 8, 2018

SYMPOSIUM: Clinical Nursing in Gastroenterology and HepatologyModerator: Megan Walker, RN 7:00 - 7:15 Registration, Breakfast and Exhibits 7:15 - 7:20 Welcome, Introductions and Goals

Megan Walker, RN 7:20 - 7:40 Guidelines for Follow-Up

After Polypectomy Katie Fritch, RN

7:40 - 8:00 Chronic Constipation: Treatment and Support Angela Chang Chiu, MSN, RN

8:00 - 8:20 Effective Modalities for Managing Chronic Abdominal Pain Megan Walker, RN

8:20 - 8:40 Endoscopic Ultrasound: A Primer Margaret Malleis, RN

8:40 - 9:00 New and Upcoming Biologics for Your IBD Patient Julie White, RN

9:00 - 9:20 Your Patient with Diarrhea: Solid Advice for Solid Stools Lisa Silva, BSN, RN

9:20 - 9:40 SIBO: Medical and Dietary Intervention Elisheva Weiser, BSN, RN

9:40 - 10:00 GERD: New Endoscopic Therapies Margaret Malleis, RN

10:00 - 10:30 Refreshment Break and Exhibits 10:30 - 10:50 Nursing in 2018: Improving Outcomes in

the Age of Electronic Communication Julie White, RN

10:50 - 11:00 Gastroparesis, Or Is It? Angela Chang Chiu, MSN, RN

11:00 - 11:20 Nutritional Interventions for Your GI Patient Katie Fritch, RN

11:20 - 11:40 Preventative Care in Your IBD Patient Elisheva Weiser, BSN, RN

11:40 - 12:00 Update on Viral Hepatitis Treatment Lisa Silva, BSN, RN

12:00 - 12:20 Current Endoscopic Weight Loss Options Margo Dunlap, BSN, RN

12:00 - 12:20 Questions and Answers 12:30 Adjourn You will receive an email notification to complete

the evaluation form and to attest to the number of hours in attendance. The registration desk will remain open during conference hours.

The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing take responsibility for the content, quality

and scientific integrity of this CME activity. This schedule is subject to change.

SpeakersActivity DirectorAnthony Kalloo, MDThe Moses and Helen Golden Paulsen

Professor of MedicineDirector, Division of Gastroenterology

and Hepatology

Johns Hopkins SpeakersTsion Abdi, MD Assistant Professor of Medicine Haitham Al-Grain, MDAssistant Professor of Medicine and Anesthesiology

and Critical Care Medicine

Olaya Brewer Gutierrez, MDAdvanced Endoscopy Fellow

Marcia Canto, MD, MHSProfessor of Medicine and OncologyDirector of Clinical Research

Alisa Coker, MDAssistant Professor of Surgery

Marcia Cruz-Correra, MD, PhDVisiting Associate Professor of MedicineJohns Hopkins University School of MedicineAssociate Professor of Medicine and BiochemistryUniversity of Puerto Rico Comprehensive Cancer CenterSan Juan, Puerto Rico

Christopher Fain, MDAssistant Professor of Medicine

Eduardo Gonzalez-Velez, MDAssistant Professor of Medicine

James Hamilton, MDAssistant Professor of Medicine

Mouen Khashab, MDAssociate Professor of MedicineDirector, Therapeutic Endoscopy

Vivek Kumbhari, MDAssistant Professor of MedicineDirector, Bariatric Endoscopy

Mark Lazarev, MDAssistant Professor of Medicine

Anne Marie Lennon, MD, PhDAssociate Professor of Medicine, Surgery, Radiology

and Radiological Science, and OncologyClinical Director of GastroenterologyDirector, Multidisciplinary Pancreatic Cyst Program

Zhiping Li, MDAssociate Professor of MedicineDirector, Hepatology

Gerard Mullin, MDAssociate Professor of Medicine

Saowanee Ngamruengphong, MDAssistant Professor of MedicineDivision of Gastroenterology and Hepatology

Alyssa Parian, MDAssistant Professor of Medicine

Eun Ji Shin, MD, PhDAssistant Professor of Medicine

Vikesh Singh, MD, MScAssociate Professor of MedicineDirector, Pancreatitis CenterMedical Director of Pancreatic Islet Cell

Autotransplantation Program

Ellen Stein, MDAssistant Professor of Medicine

Juliana Yang, MDAdvanced Endoscopy Fellow

Guest SpeakerKeith Williams, MDProfessor and ChairDepartment of Obstetrics and GynecologyRowan University School of MedicineStratford, New Jersey

Johns Hopkins NursesAngela Chang Chiu, MSN, RNMargo Dunlap, BSN, RN Katie Fritch, BSN, RNMargaret Malleis, BSN, RN Lisa Silva, BSN, RNMegan Walker, RN Elisheva Weiser, BSN, RNJulia White, RN

Registration Form Course Number 80043660/10683

To Register or For Further InformationRegister Online https://hopkinscme.cloud-cme.com/aph.aspx?P=5&EID=10683 Register by Phone (410) 502-9636Register by Fax (866) 510-7088Confirmation/Certificates/Transcripts (410) 502-9636General Information (410) 955-2959E-mail the Office of CME cmenet@jhmi.eduFollow us on Twitter: http://twitter.com/HopkinsCMEFacebook: http://www.facebook.com/HopkinsCMEFor general information, the direct link for this CME activity web page is: https://hopkinscme.cloud-cme.com/aph.aspx?P=5&EID=10683Sponsoring Division Website: www.hopkins-gi.org

Check out our mobile app CloudCME Organization Code: HopkinsCME For website and CloudCME mobile app technical difficulties, email: cmetechsupport@jhmi.edu

18th Annual Gastroenterology and Hepatology: Viva la VidaMarch 6-9, 2018

To Register: Online: https://hopkinscme.cloud-cme.com/aph.aspx?P=5&EID=10683 By fax: (866) 510-7088 By phone: (410) 502-9636

Or mail this form to the Johns Hopkins University, Office of Continuing Medical Education, 720 Rutland Avenue, Turner Room 20, Baltimore, Maryland 21205-2195.

Include e-check or credit card information below.FULL PAYMENT IS REQUIRED PRIOR TO THE START OF ACTIVITY.

M I am a Johns Hopkins speaker for this activity.Please type or print clearly:

last name first name m.i.

highest degree primary specialty Hopkins faculty/staff only JHED ID

For Physicians Only: NPI – 10 digit # State License # State of License

ABIM # Birth Month Birth Day

M I provide permission for my MOC completion information to be shared and transmitted to the Accreditation Council for Continuing Medical Education (ACCME).

organization mailing address

city state ZIP + 4 Code country

daytime telephone fax number

e-mail (required)

M Check here if you wish to receive e-mail notices about upcoming CME activities.

What do you hope to learn by attending this activity? ________________________________

________________________________________________________________________

Please notify us if you have any special needs. _____________________________________

________________________________________________________________________

ReceptionM Yes, I plan to attend the Tuesday evening Welcome Reception from 6:00 – 7:30 p.m. with

# of guests.

FeesM Physicians .....................................................................................................................................$425M Residents*/Fellows*/Nurses/NPs/PAs/Allied Health Professionals .....................................$225 *with verification of status

M Nursing Track (Thursday Only) .......................................................................................................$50 **Pre-registration is required.

Hands-on WorkshopM Yes I plan to attend the Hands-On Diagnostic. Choose Workshop Number 1 / 2 / 3 / 4: _________

1) High Resolution Anoscopy for Anal Intraepithelial Neoplasia (AIN)

2) Endoscopic Weight Loss Techniques

3) Motility Testing4) New Devices in Therapeutic Endoscopy

$25 x #_____ = _________

The registration fee includes instructional materials and food and beverage. For registrations received after 5:00 p.m. ET on February 26, 2018, include a $50 late fee. On-site registrations are payable only by credit card. Total amount $ _________________________Payment Type:

JHU Faculty/Staff Only: If you are using your Tuition Remission Benefit or an ION budget, please upload your fully completed and approved form in the payment section of the online activity link above.M TR Form: http://benefits.jhu.edu/documents/trffacandstaff.pdf M ION Form: http://hopkinscme.edu/migration/IonRequest.pdf

M e-Check Routing #: Account #: _________________________

M Credit Card: M VISA M MASTERCARD M DISCOVER M AMEX

Card # - - - Exp. Date ______________

Billing Zipcode Security Code _________________________

Name on Card Signature and Date

Hands-on WorkshopsA limited number of hands-on workshops are available. Please guarantee your reservation on the meeting registration form. All workshops will include lunch.