OOS Registration Brochure

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ohio osteopathic symposium A Collaboration of Ohio University Heritage College of Osteopathic Medicine and Ohio Osteopathic Foundation

April 19–22, 2012 Hilton Columbus Easton Town Center


Welcome from the

OU-HCOM Society of Alumni & Friends and the Ohio Osteopathic Foundation

Jeffrey A. Stanley, D.O., (’82), FACOS President, Ohio University Heritage College of Osteopathic Medicine Society of Alumni and Friends

The Ohio Osteopathic Symposium continues to be the premier osteopathic CME program in Ohio. In collaboration, the Ohio University Heritage College of Osteopathic Medicine and the Ohio Osteopathic Foundation have created the Symposium focused on evidence based medicine with great success. We’ve built on that success to present a conference to meet the needs of osteopathic physicians in various specialties. We invite you to join us for 3.5 days of professional education that highlights our changing health care system and seeks to overall improve the quality of patient care. Sessions will feature interactive lectures and discussions led by leaders in the field. Your participation and support will help stimulate teamwork and networking within our profession. We look forward to seeing you April 19 – 22 in Columbus.

Albert M. Salomon, D.O., FACOI President, Ohio Osteopathic Association, 2011-2012

..................................................................................................

Program Co-Chairs

This symposium provides an engaging, intelligent and stimulating view of the various arts of medicine and allows at the same time a unique opportunity to unite and connect the osteopathic field. It is always well

Timothy J. Barreiro, D.O., (’97), FCCP, FACOI, FACP Program Co-Chair, Ohio University Heritage College of Osteopathic Medicine Society of Alumni and Friends

’’

constructed and provides practice evidence to help you in your everyday practice.

Timothy J. Barreiro, D.O., (’97), FCCP, FACOI, FACP

The 2012 Symposium offers an excellent agenda. There is quite a mix, including resident programming, specialty lectures, pain management sessions, OMM workshops, medical home, and more. In addition to the CME, the

’’

meeting provides an important opportunity to reunite our osteopathic family. Robert L. Hunter, D.O., FACOFP, FACOEP Program Co-Chair, Ohio Osteopathic Association

Robert L. Hunter, D.O., FACOFP, FACOEP

Featured on the cover: Valerie Van Ravenswaay, BA, MPH, OMS, OU-HCOM Class of 2014, SGA President (2011-2012), Class of 2014 President (2010-2011) OU-HCOM Student Representative to the OOA Board of Trustees (2011-2012)

Martin S. Levine, D.O., President, American Osteopathic Association S p e c i a l P r e s e n tat i o n

“Think Osteopathically: Practice it, Prove it, Publish it and Promote it”

The American Osteopathic Association (AOA) installed Martin S. Levine, D.O., an AOA board-certified family physician, as its 115th president during its annual business meeting in Chicago in July 2011. Dr. Levine has deep roots in the osteopathic medical profession as one of 20 osteopathic physicians (D.O.s) in his family. As president of the AOA, he follows in the footsteps of his father, Howard M. Levine, D.O., who served as president of the AOA from 1997 to 1998.

A distinguished fellow of the American College of Osteopathic Family Physicians, Dr. Levine has a family practice in Bayonne, N.J., and Jersey City, N.J. He serves as associate dean for educational development at the Touro College of Osteopathic Medicine in the Harlem neighborhood of New York City. Dr. Levine also serves as discipline chief of family medicine and associate professor of clinical family medicine at the University of New England College of Osteopathic Medicine’s New Jersey Clinical Campus based at Seton Hall University School of Health and Medical Sciences. After earning his osteopathic medical degree from what is now the Kirksville (Mo.) College of Osteopathic Medicine-A.T. Still University, Dr. Levine completed his internship and residency training at Kennedy Memorial Hospital in Stratford, N.J., where he served as chief resident. Dr. Levine has been the recipient of many honors and awards, including being named to the Best Doctor listing in New York magazine every year since 1999 and NJAOPS Physician of the Year. In addition, Dr. Levine has served as a sports medicine physician for Boston and New York marathons for more than 25 years, as well as for Olympic and professional sports teams.

Andrea Amalfitano, D.O., Ph.D. J . O . W at s o n , D . O . M e m o r i a l L e c t u r e

“Expanding the Frontiers of Osteopathic Research to Address 21st Century Medical Needs” Andrea Amalfitano D.O., Ph.D. is currently Professor of Pediatrics, Microbiology and Molecular Genetics, and holds the Osteopathic Heritage Foundation Endowed Chair in the College of Osteopathic Medicine at Michigan State University. Dr. Amalfitano received his Doctorate of Philosophy in 1989, as well his Osteopathic Medical Degree in 1990 at Michigan State University. He then completed Internal Medicine and Pediatrics Residency training at Mt. Clemens General Hospital in Michigan, and the Mayo Clinic in Rochester Minnesota, before completing his Medical Genetics Fellowship training in Human Medical Genetics at the University of Michigan. Dr. Amalfitano has been a Fellow of the American Board of Medical Genetics since 1996. Dr. Amalfitano became Assistant Professor at Duke University Medical Center in the Departments of Pediatrics (Division of Medical Genetics) and Microbiology in 1996. While there, he became an expert in diagnosing and treating patients affected by any number of rare and sometimes devastating genetic diseases and established a successful independent research effort focused on engineering viruses for use in clinical medicine. Dr. Amalfitano co-led the first-in-manstudy of a novel therapy for a muscular dystrophy, a drug that was infused into babies dying from a rare genetic disease known as Pompe disease. As a direct result of that pioneering effort, that same drug now known as “Myozyme” has been approved for human use in Pompe patients world-wide. In 2005, Dr. Amalfitano was very pleased to accept the Osteopathic Heritage Foundation Endowed Chair, an honor that allowed him to return to his alma mater, Michigan State University where he continues to pursue his goal of translating basic research efforts into practical solutions for many of today’s most difficult medical problems. This is now coupled with his efforts to teach Medical Genetics and Virology to all MSU medical students as well as a number of graduate students from a number of disciplines. Dr. Amalfitano also continues to see children and adults with common and rare forms of genetic disease as both an Inpatient consultant at Sparrow Hospital in Lansing, Michigan, as well as part of the MSU Health Team in the Department of Pediatrics.

John (Jack) A. Brose, D.O., FAAFP, Dean, Ohio University Heritage College of Osteopathic Medicine S p e c i a l R e c o g n i t i o n R e c e p t i o n – A R e t i r e m e n t C e l e b r at i o n

Honoring Jack Brose, D.O., for Excellence in Osteopathic Medical Education and Leadership For more than ten years Jack Brose, D.O. has served as the dean of the Ohio University Heritage College of Osteopathic Medicine. His leadership has guided the college through a decade of extraordinary growth, including a 40 percent increase in enrollment, redevelopment of the curriculum, and expansion of the college’s system of teaching hospitals across the state – the Centers for Osteopathic Research and Education (CORE) has doubled under his deanship. Dr. Brose initiated a strategic planning process in 2009 for the college’s next 10 years that culminated last April with the announcement of the $105 million gift the college received from the Osteopathic Heritage Foundations. The gift has led to transformational changes that are taking place now, such as a new central Ohio extension campus and new Athens-based research and care facilities. These advancements support the college’s mission to establish itself as a national model for primary care education and service, and to become a leading research institution. In 1982, Dr. Brose came to the college as an assistant professor of family medicine and was promoted to full professor in 1993. He has served as director of the Pre-doctoral Family Medicine Fellowship Program, associate chair of the Department of Family Medicine, assistant dean for Educational Development and Research, and Assistant Dean for Clinical Research. Prior to his tenure at OU-HCOM, Dr. Brose earned his undergraduate degree in biology from Gettysburg College in 1972 and attended the University of North Texas Health Science Center at Fort Worth‒Texas College of Osteopathic Medicine, where he earned his Doctor of Osteopathic Medicine degree in 1976. He completed a residency in family practice in 1979 at the Scott Air Force Medical Center in Illinois, where he was chief resident from 1978 to 1979, and completed a Teaching and Research Fellowship at The Ohio State University College of Medicine in Columbus. Dr. Brose has received 26 “outstanding instructor awards” at OU-HCOM. He also served on The Ohio State University College of Medicine faculty and was named “Faculty of the Year” by the OSU Family Practice residents. In 2001, the Ohio Academy of Family Physicians named him as “Ohio Educator of the Year.” Having served as the chairman of the Ohio Council of Medical School Deans for two terms, Dr. Brose has been commended for bringing together Ohio’s medical schools to advocate on behalf of medical education in the Ohio General Assembly. He also is the author of numerous academic and research publications, including a book entitled Guide to EKG Interpretation. Dr. Brose announced plans to assume a new leadership role within Ohio University when he retires as dean as of July 1, 2012. He will continue his faculty role at the medical school under the university’s faculty early retirement program. He also will assume new responsibilities within the Office of the Provost and will advise on the development of the OU-HCOM extension campus as well as other medicine and allied health-related programs and initiatives across Ohio.


WEDNESDAY, April 18, 2012

PROGRAM AGENDA

7:00 p.m. – 9:00 p.m. Exhibitor Set-Up and Registration........... Easton Lobby 7:00 p.m. – 9:00 p.m. Registration Packet Pick-up Pre-Registered Only...................................... Easton Lobby 7:30 p.m. – 9:30 p.m. Ohio ACOFP Dinner/Board Meeting....................... Lilac

THURSDAY, April 19, 2012 7:00 a.m. – 5:00 p.m. Registration..................................................... Easton Lobby 7:00 a.m. – 8:00 a.m. Buffet Breakfast: Novo Nordisk PRODUCT THEATER No CME Offered/Diabetes Product Line #1 Pre-registration required...........................Regent Ballroom 8:00 a.m. – 5:00 p.m. Exhibits Open................................................... Easton Lobby 8:00 a.m. – 9:00 a.m. Dermatology – HIV and the Skin: Clinical Cases from Botswana........................ Easton A/B Shannon M. Campbell, D.O., (‘06) FAOCD 9 :00 a.m. – 10:00 a.m. Pain Management – How Did it Go So Wrong? And How Do We Fix It?...................................... Easton A/B David Schwartz, Ph.D. 10:00 a.m. – 10:30 a.m. Refreshment Break/Visit Exhibits............. Easton Lobby 1 0:30 a.m. – 11:30 a.m. Maintenance of Licensure/ Osteopathic Continuous Certification......... Easton A/B Richard Whitehouse, J.D. Robert S. Juhasz, D.O., FACOI 1 1:30 a.m. – 12:30 p.m. Delirium in Advanced Illness: Could an Ounce of Prevention be Worth a Pound of Cure?.. Easton A/B Cleanne Cass, D.O.

5:00 p.m. – 6:30 p.m. Dinner on Your Own 6:30 p.m. – 7:30 p.m. Friend Me, Tweet Me or LinkedIn: Social Media and Medicine..........................Easton C/D/E Olivia Sheehan, Ph.D. 7:30 p.m. – 8:30 p.m. How to Effectively Review Journal Articles/ Research and Conducting Journal Club......Easton C/D/E Robbin Kirkland, Ph.D.

Medical & Invasive Pain: Case Studies............. Juniper Charles Van Barrett, D.O. (‘89)

7:00 a.m. – 7:00 p.m. Registration..................................................... Easton Lobby

5:30 p.m. – 7:00 p.m. Celebration Reception Honoring John (Jack) A. Brose, D.O., FAAFP....Regent Ballroom 2

7:00 a.m. – 8:00 a.m. Buffet Breakfast: ACOFP Awards ........Regent Ballroom 8:00 a.m. – 12:00 p.m. Exhibits Open................................................... Easton Lobby 8:00 a.m. – 4:00 p.m. Resident Leadership Program...................... Sports Club 8:00 a.m. – 9:00 a.m. PediatricS – When Seconds Count: Proper Anaphylaxis Treatment......................... Easton A/B Robert W. Hostoffer, Jr., D.O. 9 :00 a.m. – 10:00 a.m.

Common Viral Infections in Rheumatologic Diagnosis and Management........................... Easton A/B Leonard Calabrese, D.O. , Theodore F Classen D.O. Chair of Osteopathic Research and Education

9:00 a.m. –12:00 p.m. Breakfast: Advocates & General Meeting........... Lilac 10:00 a.m. – 10:30 a.m. Refreshment Break/Visit Exhibits............. Easton Lobby

1:30 p.m. – 2:30 p.m. Diabetes Case Review...................................... Easton A/B Comprehensive Session #1 Jay H. Shubrook Jr., D.O. (‘96), FACOFP, FAAFP Frank L Schwartz, M.D., FACE, J.O. Watson Chair Aili Guo, M.D., PH.D. Allison Petznick, D.O. (‘06)

10:45 a.m. – 12:00 p.m. Expanding the Frontiers of Osteopathic Research to Address 21st Century Medical Needs J.O. WATSON, DO MEMORIAL LECTURE........... Easton A/B Andrea Amalfitano, D.O., Ph.D.

Ophthalmology – State of the Art Refractive Surgery........................................................ Easton C/D/E Charles H. Davis, D.O.

1 2:00 p.m. – 1:30 p.m. Luncheon : OOA Awards and Installation....................................................Regent Ballroom

OR

Ophthalmology – Red Eye Emergencies Not to Be Missed.............................................Easton C/D/E Carrie A. Lembach, D.O. (‘03) 2:00 p.m. – 4:00 p.m. Advocates (AOOA) Board Meeting......................... Lilac 2:00 p.m. – 4:00 p.m. Ohio Osteopathic Foundation (OOF) Board Meeting....................................................... Magnolia 3:30 p.m. – 4:00 p.m. Refreshment Break/Visit Exhibits............. Easton Lobby 4:00 p.m. – 5:00 p.m. Diabetes Case Review...................................... Easton A/B Comprehensive Session #3 Jay H. Shubrook Jr., D.O. (‘96), FACOFP, FAAFP Frank L Schwartz, M.D., FACE, J.O. Watson Chair Aili Guo, M.D., PH.D. Allison Petznick, D.O. (‘06)

OR

Ophthalmology – Diabetes & Eye Care ...Easton C/D/E Richard Lockwood, D.O. (‘86)

4:30 p.m. – 5:30 p.m. EMERGENCY MEDICINE – The Best EM Literature of the Past Year.................................... Juniper Michael J. Pallaci, D.O.

FRIDAY, April 20, 2012

1 0:30 a.m. – 10:45 a.m. Think Osteopathically: Practice It, Prove It, Publish It and Promote It................................ Easton A/B Martin S. Levine, D.O. AOA President

2:30 p.m. – 3:30 p.m. Diabetes Case Review...................................... Easton A/B Comprehensive Session #2 Jay H. Shubrook Jr., D.O. (‘96), FACOFP, FAAFP Frank L Schwartz, M.D., FACE, J.O. Watson Chair Aili Guo, M.D., PH.D. Allison Petznick, D.O. (‘06)

OR

NEUROLOGY – Update on Neurodiagnostics ... Juniper Martin T. Taylor, D.O., Ph. D.

OR

1 2:30 p.m. – 1:30 p.m. Welcome Lunch...........................................Regent Ballroom OU-HCOM Society of Alumni & Friends Update – Jeffrey A. Stanley, D.O. (‘82), FACOS State of the State – Albert M. Salomon, D.O., FACOI

OR

3:30 p.m. – 4:30 p.m. Pediatrics – Neonatal Abstinence Syndrome......................... Juniper Carl R. Backes, D.O.

12:00 p.m. Exhibits Close

1:30 p.m. – 3:30 p.m. House of Delegates........................................Easton C/D/E 1:30 p.m. – 2:30 p.m. A Look at Health Disparities: Ohio Perspective................................................ Easton A/B Timothy J. Barreiro, D.O. (‘97), FCCP, FACOI, FACP

OR

Orthopedic Surgery - Differentials and Treatments for Conditions of the Hand and Upper Extremity............................................... Juniper Gregory Hill, D.O. (‘86), FAOAO 2:30 p.m. – 3:30 p.m. Health Policy in Ohio: a Primer for Physicians.................................... Easton A/B Robert L. Hunter, D.O., FACOFP, FACOEP

OR

Orthopedic Surgery – Upper Extremity Rotator Cuff............................................................... Juniper Timothy P. Duffey, D.O. 3:30 p.m. – 5:30 p.m. House of Delegates – Reference Committees Professional Affairs............................................. Magnolia Constitution & Bylaws................................................ Lilac Public Affairs.....................................................Easton C/D/E

SATURDAY, April 21, 2012 7:00 a.m. – 5:00 p.m. Registration..................................................... Easton Lobby 7:00 a.m. – 8:00 a.m. Buffet Breakfast: Novo Nordisk PRODUCT THEATER No CME Offered/ Diabetes Product Line #2 Pre-registration required...........................Regent Ballroom 7:30 a.m. – 8:45 a.m. Breakfast: OU-HCOM Society of Alumni & Friends Board of Directors......................... New Albany Board Room 8:00 a.m. – 2:00 p.m. Poster Exhibition............................................ Easton Lobby 8:00 a.m. – 9:00 a.m.

Ohio Department of Health Primary Care Collaborative (Medical Home)................................................... Easton A/B Ted Wymyslo, M.D.

2:00 p.m. – 3:00 p.m. Office Based Opioid Treatment (OBOT)......... Easton A/B Comprehensive Session #1 Willia.m. Morrone, D.O., MS, CPE, DAAPM Special Certification Available - Must Pre-Register

OR

Emergency Medicine: Traumatic Brain Injury.............................................. Juniper Eric H. Beck, D.O. (‘08) 3:00 p.m. – 4:00 p.m. Office Based Opioid Treatment (OBOT)......... Easton A/B Comprehensive Session #2 William Morrone, D.O., MS, CPE, DAAPM . OR House Bill 93: Mandated Changes to Your Practice.................... Juniper John C. Whittington, D.O. (‘87), R.Ph. 4:00 p.m. – 5:00 p.m. Office Based Opioid Treatment (OBOT)......... Easton A/B Comprehensive Session #3 William Morrone, D.O., MS, CPE, DAAPM

OR

OMM Cases Workshop.......................................... Magnolia Comprehensive Session #1 Jeffrey L. Hunter, D.O. (‘94) and Robin A. Hunter, D.C. 5:00 p.m. – 6:00 p.m. Office Based Opioid Treatment (OBOT)......... Easton A/B Comprehensive Session #4 William Morrone, D.O., MS, CPE, DAAPM . OR OMM Cases Workshop.......................................... Magnolia Comprehensive Session #2 Jeffrey L. Hunter, D.O. (‘94) and Robin A. Hunter, D.C.

9 :00a.m. – 10:00 a.m. Medical Home and the Clinical Assessment Program......................... Easton A/B Richard J. Snow, D.O., MPH

3:30 p.m. – 5:30 p.m. House of Delegates..........................................Easton C/D/E

9:00 a.m.- 11:00 a.m. Advocates Board Meeting...........Columbus Board Room

Evening on Your Own

5:30 p.m. – 7:00 p.m. House of Delegates/ Past Presidents Reception................................ Easton CDE

10:00 a.m. – 10:30 a.m. Refreshment Break – Poster Viewing..... Easton Lobby 1 0:00 a.m. – 11:30 a.m. Columbus District Academy Caucus Meeting............................... Room: TBA 1 0:30 a.m. – 11:30 a.m. Emerging Trends That Will Change Your Approach to Common Pulmonary Problems...................... Easton A/B Daniel A. Culver, D.O. (‘96), FCCP 1 1:30 a.m. - 12:30 p.m. Management of a Stroke for the Primary Care Physician: Update on Treatment and Controversies . with Anticoagulation........................................ Easton A/B John Kylan Lynch, D.O., MPH National Institutes of Health 12:45 p.m. – 1:45 p.m. Luncheon: OU-HCOM State of the College ... Easton A/B John A. Brose, D.O., FAAFP, Dean, Ohio University . Heritage College of Osteopathic Medicine Society of Alumni & Friends Presentation Jeffrey A. Stanley, D.O. (‘82), FACOS 1:45 p.m. – 2:45 p.m. Cleveland District Academy Caucus Meeting................................ Sports Club Dayton District Academy Caucus Meeting................................ Easton CDE Small Academies District Caucus Meeting...................Gahanna Board Room

• Agenda times and speakers may be subject to change

SUNDAY, April 22, 2012 8:00 a.m. – 9:00 a.m. OOA Board Meeting – New Board Member Orientation.....................Juniper BC 8:00 a.m. – 9:00 a.m. Pediatrics – Childhood Obesity Case Studies..................Easton C/D/E Tyree M.S. Winters, D.O. (‘07) 9 :00 a.m. – 10:00 a.m. Dermatology – Update for Primary Care: Common Cases and Treatment Pearls........Easton C/D/E Dawn L. Sammons, D.O. (‘03) 10:00 a.m. – 11:00 a.m. SURGERY – Breast Reduction: Indications for Primary Care.........................Easton C/D/E Mark A. Foglietti, D.O. (‘82), FACOS 11:00 a.m. – 12:30 p.m. Farewell Brunch.......................................................Easton B

Join Us in Celebration

Honoring Jack Brose, D.O., for Excellence in Osteopathic Medical Education and Leadership We will honor John (Jack) A. Brose, D.O., FAAFP, Dean, Ohio University Heritage College of Osteopathic Medicine for his leadership in Osteopathic Medical Education, service to our region and our state and for his commitment to innovation, expansion and growth. The vision, passion and unwavering dedication Dr. Brose conveys created a tradition of excellence in Ohio and a promise for our future in Osteopathic Medicine. Friday, 5:30 p.m. – 7:00 p.m. .............Regent Ballroom 2


Return this form by mail or fax to:

CME Credit

Ohio Osteopathic Symposium Registration Form

This program has been approved for 28.5 hours of Category 1A CME credit from the American Osteopathic Association. The Ohio University Heritage College of Osteopathic Medicine will submit your credit hours to the AOA and provide attendance certificates for your records. To receive credit, you will need to sign in at the registration table upon arrival and complete the CME Verification Request Form before departing the Symposium. A breakdown of credit hours available by day will be posted on the www.oucom.ohiou.edu/oos/ web site and available on-site. Credits cannot be issued to physicians failing to sign in.

Please print Name _____________________________________________________________________________ AOA Number __________________________________

Registration Desk

Registration Information

Pre-Registration Deadline The Symposium Registration Form, along with payment, must be received no later than April 1, 2012, to receive the early-bird rate. Registrations received after April 1 will be charged the full rate. Online registration is available 24 hours a day at www.ooanet.org/cme or www.oucom.ohiou.edu/oos/.

Spouse/Guest Name ___________________________________________________________________ Business Address _________________________________________________________________________________________________________________

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Luncheon: State of the College and OU-HCOM Society of Alumni and Friends Presentation Saturday, April 21, 12:45 p.m. – 1:45 p.m. - all attendees welcome

Office Based Opioid Treatment (OBOT) Certification:

Pre-Registration Required In conjunction with the American Osteopathic Academy of Addiction Medicine, we are pleased to offer The Physicians’ Clinical Support System - Buprenorphine Half and Half course.*

The first half of the course includes 3.75 hours of CD-based training. You will receive a CD containing training on substance abuse treatment, opioids, and the use of buprenorphine in the treatment of opioid use disorders from office-based practices. An examination on the CD must be printed and successfully completed as part of the process to obtain a certificate for prescribing buprenorphine. The other half of the course is 4.25 hours of face-to-face, classroom-style training. The training focuses on specifics of treating patients with opioid use disorders in office-based settings and clinical vignettes to help trainees think through “real life” experiences in opioid use disorders treatment. The combined CD and face-to-face training will provide the required 8 hours needed to obtain the certificate to prescribe buprenorphine in office-based treatment of opioid disorders.

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Check enclosed (payable to Ohio Osteopathic Foundation)

Name as it appears on card ________________________________________________ Signature ___________________________________________________ Credit Card Billing Address ____________________________________________________________________________________________________________ Billing City_____________________________________________________________________ Billing State _________ Billing Zip Code ____________________ * Note: Your credit card will not be charged until our staff has confirmed your information and charges

Rates All packages include all meal functions, lectures and special events.

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House of Delegates

Friday, April 20, from 5:30 p.m. – 7:00 p.m. - all attendees welcome

MasterCard

Security Code (Last 3 digits on back of card. AmEx card users-4 digit number on front of card) ________________

Special Events

Celebration Reception Honoring John (Jack) A. Brose, D.O., FAAFP, Dean OU-HCOM

E-mail Address ________________________________________________________________ Fax ________________________________________________

Card number* _____________________________________________________________________Expiration Date (e.g. 05/2013) ________________________

Refunds for cancellation will be granted in full if notification is received by April 15, 2012. After this date, an administrative fee of $75 will be assessed. This program is designed to comply with Uniform Guidelines for Accrediting Agencies of Continuing Medical Education. All grievances will be responded to within 30 days of receipt. All grievances will be responded to within 30 days of receipt. Initially, all grievances should be directed to the OU-HCOM CME Office. Additional information concerning compliance may be obtained by contacting the AOA Division of CME at 1.800.621.1773.

Friday, April 20, 12:00 p.m. – 1:30 p.m. - all attendees welcome

Business State _________ Business Zip Code _____________________________ Business Telephone ________________________________________________

Visa

Cancellations, Refunds and Grievances

OOA President’s Installation Luncheon & Awards

Business City ____________________________________________________________________________________________________________________

Check type of credit card:

The Resident Leadership Workshop is sponsored by ORAC and is only open to residents in the CORE. There is no charge for workshop attendance only. Please contact Deborah Turpening at 64-544-1684 or turpening@oucom.ohiou.edu to register for this program. Residents wishing to attend clinical lectures must register and pay the $50.00 registration fee. Please register for clinical lectures online at www.ooanet.org/cme or complete the attached form.

The OOA House of Delegates will meet April 20 – 21. If you are attending the meeting as a Delegate only, there is no registration form, fee, meal tickets, or CME credits. Delegates are automatically registered via the Academy and will receive the House schedule and other information directly from the OOA. If you want to attend lectures, meal functions and receive AOA Category 1-A credit, please contact the OOA at 1-800-234-4848.

Phone: 614.299.2107, Fax: 614.294.0457 Register online at www.ooanet.org/cme

Registration must be received by April 1, 2012, for the reduced rate. Today’s date: ________________________

An additional 2.5 category 1-A credits are available should you choose to complete an Outcomes Assessment Survey which will be emailed to you within 90 days after the Symposium. Credits may be awarded in the following areas: Family Medicine, Internal Medicine, Pediatrics, Opthalmology, Dermatology, Orthopedic Surgery, Emergency Medicine and Surgery.

Pre-registered and on-site registration packets may be picked up at the Ohio Osteopathic Symposium registration desk in the Easton Ballroom Lobby during the following times: Friday, April 20, 7:00 a.m. – 7:00 p.m. Wednesday, April 18, 7:00 p.m. – 9:00 p.m. Saturday, April 21, 7:00 a.m. – 5:00 p.m. Thursday, April 19, 7:00 a.m. – 5:00 p.m.

Ohio Osteopathic Foundation Post Office Box 8130 Columbus, OH 43201-0130

On or Before April 1, 2012 OOA Member or OU-HCOM Graduate: $425 Non-OOA Member or Non-OU-HCOM Graduate: $525 Retired Physician: $250 Spouse/Guest: $50 Intern/Resident: $50 Medical Student: No Fee

After April 1, 2012 OOA Member or OU-HCOM Graduate: $525 Non-OOA Member or Non-OU-HCOM Graduate: $650 Retired Physician: $300 Spouse/Guest: $50 Intern/Resident: $50 Medical Student: No Fee

Total Amount Enclosed $ _____________________________________________________ ................................................................................................................................................................................................................................................................................

Office Based Opioid Treatment (OBOT) Certification: Pre-Registration Required In conjunction with the American Osteopathic Academy of Addiction Medicine, we are pleased to offer The Physicians’ Clinical Support System - Buprenorphine Half and Half course.*

YOU MUST REGISTER FOR THIS COURSE IF YOU WISH TO OBTAIN THE certificate. REGISTRATION IS LIMITED TO 100 PARTICIPANTS. (You may attend the program even if you don’t want the certificate. You will not receive the coursework on CD.) I would like to register for this course. I would like to obtain the certificate.

I would like to attend this course but do not need the certificate.

*“Funding for this conference was made possible (in part) by (1H79T1022022) from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not

necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.”

................................................................................................................................................................................................................................................................................

Novo Nordisk Product Theater Registration: Pre-Registration Required All are invited to attend. Thursday, April 19, 7:00 a.m. – 8:00 a.m.: No Fee, No CME Available Saturday, April 21, 7:00 a.m. – 8:00 a.m.: No Fee, No CME Available

Diabetes Product Line #1 Diabetes Product Line #2


Office of Medical Development and Alumni Affairs 209 Grosvenor Hall Athens OH 45701

Celebrating Osteopathic Physicians and the Distinct Care They Provide.

Earn 28.5 Hours of 1-A CME Credit Book Your Room Now!

Room reservation deadline is March 27, 2012 however, the earlier you make your reservation, the more assurance you will have of obtaining the Symposium rate of $169.00/night. Complimentary in-room internet access provided. Visit www.ooanet.org/cme or call the Hilton Columbus at Easton 614.414.5000 to reserve your room

Hilton Columbus at Easton

3900 Chagrin Drive, Columbus, Ohio 43219 Tel: 614.414.5000, Fax: 614.414.5100 The 100% smoke-free Hilton Easton is a AAA 4-Diamond, full service, upscale, hotel located in the heart of Easton Town Center, a dining, shopping and entertainment destination.

Directions:

From Interstate 270 north or south, take the Easton Exit (#33). Exit onto Easton Way. Remain on Easton Way through second stoplight. Turn Right on Chagrin Drive. Hotel is on the right.

ohio osteopathic symposium A Collaboration of Ohio University Heritage College of Osteopathic Medicine and Ohio Osteopathic Foundation

Parking:

Self Parking: No Charge (surface lot & garage) Valet Parking: $10 per day In/Out privileges and covered parking available

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