2010 Eddie Ferrell Clinic

2010 Eddie Ferrell Memorial Sports Medicine Clinic

160 Jamerson Athletic Center (0502) Blacksburg, VA 24061 — OR —

Fax Completed Registration Form Attn: Katie Baer (540) 231-7335

With fee payment at registration on the day of the event.

Lodging available: Please contact The Inn at Virginia Tech and Skelton Conference Center for overnight lodging.

You may reach The Inn (540) 231-8000 or (877) 200-3360 (toll free) or www.innatvirginiatech.com When calling the Inn, please ask for the Eddie Ferrell Memorial Clinic Block for a special rate

It is the policy of the VCOM Medical Education Department to ensure balance, independence, objectivity, and scientific rigor in all its educational programs. All participating faculty are expected to disclose to the participants any real or apparent conflict of interest related to the content of their presentations.

VOMA Continuing Medical Education Policy

Evaluation data will be compiled and provided to the VCOM Director of Faculty Development and Continuing Medical Education. Comments and suggestions regarding program content, location and other program specific details will be considered when planning future activities.

Grievances regarding program administration and reporting of AOA CME credits will be handled on an individual basis by the Director of Faculty Development and Continuing Medical Education, Deborah Bourne, at dbourne@vcom. vt.edu or 540-231-5844. Participants with grievances that cannot be resolved by the Director will be sent to VCOM administration and then to the AOA CCME.

Who should attend?

This clinic is for athletic trainers, physical therapists, physical therapist assistants, physicians and any other interested allied health professionals.

Sponsors

This event is jointly sponsored by the Virginia Tech Sports Medicine Association and the Edward Via Virginia College of Osteopathic Medicine.

Continuing Education :

NATA: 10.0 CEUs

Pre-Approval for CME Credit is Pending Virginia Tech Sports Medicine is recognized by the NATA Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. Provider #P3004.

Eddie Ferrell Memorial Sports Medicine Clinic

Attn: Katie Baer

The Edward Via Virginia College of Osteopathic Medicine is accredited by the American Osteopathic Association (AOA) to provide continuing medical education for physicians. This program anticipates being approved for 8 hours of AOA Category 1A CME credit pending approval by the AOA CCME. Physicians should only claim credit commensurate with the extent of their participation in the activity.

160 Jamerson Athletic Center (0502)

Eddie Ferrell Memorial Clinic

Disclosure Statement

Blacksburg, VA 24061

Mail Completed Registration Form and Fee:

CME Credits – D.O.’s

7TH ANNUAL

Eddie Ferrell Memorial Sports Medicine Clinic Friday and Saturday, January 29 & 30, 2010 Edward Via Virginia College of Osteopathic Medicine (VCOM) 2265 Kraft Drive • Blacksburg, VA 24060 Sponsored by: The Virginia Tech Sports Medicine Association and the Edward Via Virginia College of Osteopathic Medicine (VCOM)

Dr. Mark Rogers, D.O., M.A. Assistant Professor, VCOM Assistant Team Physician, VT

• Cadaver lab for Shoulder

• Concepts in Shoulder Surgery

• Lenny Macrina Talk on Rehabilitation of Shoulder Injury and Surgery

Breakout Sessions Dr. Francine Anderson, P.T., Ph.D. Associate Dean for Post-Baccalaureate Pre-Med Program, VCOM

For more information as it becomes available, check our website at www.hokiesports. com/trainers/eddieferrell/

➤ Contact, Mailing and Lodging information on other side ➤

❑ Yes ❑ No Will you need lodging?

Place of Employment: ___________________________________________

❑ Yes ❑ No

Afternoon topics will include:

Will you be attending both Friday and Saturday's Sessions?

Lunch Provided

Occupation:__________________________________________________

• New Concepts in Ankle Injuries

E-mail: _____________________________________________________________________________________________________________________

• Cadaver Lab for Ankle

(home): __________________________________________________

Telephone Number (office):_ _________________________________________

Team Orthopaedic Surgeon Assistant Team Physician, VT

• PRP in athletics

City: __________________________________________________________________________ State: ____________ Zip:______________________

We encourage you to take advantage of this great opportunity to share information with fellow colleagues!

Dr. James Lebolt, D.O.

Mailing Address: _____________________________________________________________________________________________________________

The program schedule is subject to change. A complete agenda and materials will be provided to attendees upon arrival at the clinic.

Morning topics will include:

Name: _________________________________________________________________________________ Credentials: __________________________

Clinic Information

Saturday, January 30th

➤ Cost of Course is $150.00 ➤ Student Price (No CEV/CME Available) is $75 ➤ Please fill out one form for each person registering. ➤ Those bringing groups of 8 or more may have free registration for one participant.

The goal of our clinic is to provide an opportunity for learning and sharing techniques in managing current issues in athletics. Participants will have the ability to spend time in the state of the art cadaver laboratory at VCOM, where we will be working with prosected cadavers to identify major anatomical structures and injury scenarios that relate to the topics discussed. There will also be lectures and breakout groups that cover evaluation techniques, bracing, and rehabilitation tips.

Sponsored Social

Course Learning Objectives

Physical Medicine & Rehabilitation

• Thorax and Low Back Injuries and Treatment

✃

Sponsored by the Virginia Tech Sports Medicine Association and the Edward Via Virginia College of Osteopathic Medicine (VCOM).

Lenny Macrina is a sports certified physical therapist by the American Physical Therapy Association and a certified strength and conditioning specialist for Champion Sports Medicine in Birmingham, AL. His interests include rehabilitation of the shoulder, elbow and knee joints. Along with maintaining a full clinic schedule, he actively participates in clinical research with the American Sports Medicine Institute in Birmingham, AL and has co-authored various current concept papers, book chapters, research papers and a home study course for the APTA’s Orthopaedic section. Lenny also participates in yearly spring training physicals and data collection for the Tampa Bay Rays baseball organization. He has presented at various national conferences including APTA’s Combines Sections Meeting, ASMI’s “Injuries in Baseball Course”, and also is a course lecturer on “Shoulder Rehabilitation” for Physiotherapy Associates. Lenny received his Bachelor’s degree from Worcester Polytechnic Institute (MA) and his Master’s degree in physical therapy from Boston University.

Dr. Ethan Colliver, D.O.

Cadaver Course & Clinical Symposium:

health professionals.

• Cadaver Lab for Thorax and Low Back

FORM

and any other interested allied

Evening topics will include:

R E G I S T R AT I O N

therapist assistants, physicians

Lenny C. Macrina, M.S.P.T., S.C.S., C.S.C.S. Physical Therapist Sports Certified Specialist Certified Strength and Conditioning Specialist

Please print or type. Complete one registration form for each registrant. Photocopies are acceptable.

Include a check made payable to: VTSPSMA

Friday, January 29th

A clinic for athletic trainers, physical therapists, physical

Agenda

January 29-30, 2010 • VCOM, Blacksburg, VA

Featured Speaker

Tentative Speakers

Please cut and return

2010 Eddie Ferrell Memorial Sports Medicine Clinic

7th Annual Eddie Ferrell Sports Medicine Clinic

Please Join Us for the

Dr. Mark Rogers, D.O., M.A. Assistant Professor, VCOM Assistant Team Physician, VT

• Cadaver lab for Shoulder

• Concepts in Shoulder Surgery

• Lenny Macrina Talk on Rehabilitation of Shoulder Injury and Surgery

Breakout Sessions Dr. Francine Anderson, P.T., Ph.D. Associate Dean for Post-Baccalaureate Pre-Med Program, VCOM

For more information as it becomes available, check our website at www.hokiesports. com/trainers/eddieferrell/

➤ Contact, Mailing and Lodging information on other side ➤

❑ Yes ❑ No Will you need lodging?

Place of Employment: ___________________________________________

❑ Yes ❑ No

Afternoon topics will include:

Will you be attending both Friday and Saturday's Sessions?

Lunch Provided

Occupation:__________________________________________________

• New Concepts in Ankle Injuries

E-mail: _____________________________________________________________________________________________________________________

• Cadaver Lab for Ankle

(home): __________________________________________________

Telephone Number (office):_ _________________________________________

Team Orthopaedic Surgeon Assistant Team Physician, VT

• PRP in athletics

City: __________________________________________________________________________ State: ____________ Zip:______________________

We encourage you to take advantage of this great opportunity to share information with fellow colleagues!

Dr. James Lebolt, D.O.

Mailing Address: _____________________________________________________________________________________________________________

The program schedule is subject to change. A complete agenda and materials will be provided to attendees upon arrival at the clinic.

Morning topics will include:

Name: _________________________________________________________________________________ Credentials: __________________________

Clinic Information

Saturday, January 30th

➤ Cost of Course is $150.00 ➤ Student Price (No CEV/CME Available) is $75 ➤ Please fill out one form for each person registering. ➤ Those bringing groups of 8 or more may have free registration for one participant.

The goal of our clinic is to provide an opportunity for learning and sharing techniques in managing current issues in athletics. Participants will have the ability to spend time in the state of the art cadaver laboratory at VCOM, where we will be working with prosected cadavers to identify major anatomical structures and injury scenarios that relate to the topics discussed. There will also be lectures and breakout groups that cover evaluation techniques, bracing, and rehabilitation tips.

Sponsored Social

Course Learning Objectives

Physical Medicine & Rehabilitation

• Thorax and Low Back Injuries and Treatment

✃

Sponsored by the Virginia Tech Sports Medicine Association and the Edward Via Virginia College of Osteopathic Medicine (VCOM).

Lenny Macrina is a sports certified physical therapist by the American Physical Therapy Association and a certified strength and conditioning specialist for Champion Sports Medicine in Birmingham, AL. His interests include rehabilitation of the shoulder, elbow and knee joints. Along with maintaining a full clinic schedule, he actively participates in clinical research with the American Sports Medicine Institute in Birmingham, AL and has co-authored various current concept papers, book chapters, research papers and a home study course for the APTA’s Orthopaedic section. Lenny also participates in yearly spring training physicals and data collection for the Tampa Bay Rays baseball organization. He has presented at various national conferences including APTA’s Combines Sections Meeting, ASMI’s “Injuries in Baseball Course”, and also is a course lecturer on “Shoulder Rehabilitation” for Physiotherapy Associates. Lenny received his Bachelor’s degree from Worcester Polytechnic Institute (MA) and his Master’s degree in physical therapy from Boston University.

Dr. Ethan Colliver, D.O.

Cadaver Course & Clinical Symposium:

health professionals.

• Cadaver Lab for Thorax and Low Back

FORM

and any other interested allied

Evening topics will include:

R E G I S T R AT I O N

therapist assistants, physicians

Lenny C. Macrina, M.S.P.T., S.C.S., C.S.C.S. Physical Therapist Sports Certified Specialist Certified Strength and Conditioning Specialist

Please print or type. Complete one registration form for each registrant. Photocopies are acceptable.

Include a check made payable to: VTSPSMA

Friday, January 29th

A clinic for athletic trainers, physical therapists, physical

Agenda

January 29-30, 2010 • VCOM, Blacksburg, VA

Featured Speaker

Tentative Speakers

Please cut and return

2010 Eddie Ferrell Memorial Sports Medicine Clinic

7th Annual Eddie Ferrell Sports Medicine Clinic

Please Join Us for the

Dr. Mark Rogers, D.O., M.A. Assistant Professor, VCOM Assistant Team Physician, VT

• Cadaver lab for Shoulder

• Concepts in Shoulder Surgery

• Lenny Macrina Talk on Rehabilitation of Shoulder Injury and Surgery

Breakout Sessions Dr. Francine Anderson, P.T., Ph.D. Associate Dean for Post-Baccalaureate Pre-Med Program, VCOM

For more information as it becomes available, check our website at www.hokiesports. com/trainers/eddieferrell/

➤ Contact, Mailing and Lodging information on other side ➤

❑ Yes ❑ No Will you need lodging?

Place of Employment: ___________________________________________

❑ Yes ❑ No

Afternoon topics will include:

Will you be attending both Friday and Saturday's Sessions?

Lunch Provided

Occupation:__________________________________________________

• New Concepts in Ankle Injuries

E-mail: _____________________________________________________________________________________________________________________

• Cadaver Lab for Ankle

(home): __________________________________________________

Telephone Number (office):_ _________________________________________

Team Orthopaedic Surgeon Assistant Team Physician, VT

• PRP in athletics

City: __________________________________________________________________________ State: ____________ Zip:______________________

We encourage you to take advantage of this great opportunity to share information with fellow colleagues!

Dr. James Lebolt, D.O.

Mailing Address: _____________________________________________________________________________________________________________

The program schedule is subject to change. A complete agenda and materials will be provided to attendees upon arrival at the clinic.

Morning topics will include:

Name: _________________________________________________________________________________ Credentials: __________________________

Clinic Information

Saturday, January 30th

➤ Cost of Course is $150.00 ➤ Student Price (No CEV/CME Available) is $75 ➤ Please fill out one form for each person registering. ➤ Those bringing groups of 8 or more may have free registration for one participant.

The goal of our clinic is to provide an opportunity for learning and sharing techniques in managing current issues in athletics. Participants will have the ability to spend time in the state of the art cadaver laboratory at VCOM, where we will be working with prosected cadavers to identify major anatomical structures and injury scenarios that relate to the topics discussed. There will also be lectures and breakout groups that cover evaluation techniques, bracing, and rehabilitation tips.

Sponsored Social

Course Learning Objectives

Physical Medicine & Rehabilitation

• Thorax and Low Back Injuries and Treatment

✃

Sponsored by the Virginia Tech Sports Medicine Association and the Edward Via Virginia College of Osteopathic Medicine (VCOM).

Lenny Macrina is a sports certified physical therapist by the American Physical Therapy Association and a certified strength and conditioning specialist for Champion Sports Medicine in Birmingham, AL. His interests include rehabilitation of the shoulder, elbow and knee joints. Along with maintaining a full clinic schedule, he actively participates in clinical research with the American Sports Medicine Institute in Birmingham, AL and has co-authored various current concept papers, book chapters, research papers and a home study course for the APTA’s Orthopaedic section. Lenny also participates in yearly spring training physicals and data collection for the Tampa Bay Rays baseball organization. He has presented at various national conferences including APTA’s Combines Sections Meeting, ASMI’s “Injuries in Baseball Course”, and also is a course lecturer on “Shoulder Rehabilitation” for Physiotherapy Associates. Lenny received his Bachelor’s degree from Worcester Polytechnic Institute (MA) and his Master’s degree in physical therapy from Boston University.

Dr. Ethan Colliver, D.O.

Cadaver Course & Clinical Symposium:

health professionals.

• Cadaver Lab for Thorax and Low Back

FORM

and any other interested allied

Evening topics will include:

R E G I S T R AT I O N

therapist assistants, physicians

Lenny C. Macrina, M.S.P.T., S.C.S., C.S.C.S. Physical Therapist Sports Certified Specialist Certified Strength and Conditioning Specialist

Please print or type. Complete one registration form for each registrant. Photocopies are acceptable.

Include a check made payable to: VTSPSMA

Friday, January 29th

A clinic for athletic trainers, physical therapists, physical

Agenda

January 29-30, 2010 • VCOM, Blacksburg, VA

Featured Speaker

Tentative Speakers

Please cut and return

2010 Eddie Ferrell Memorial Sports Medicine Clinic

7th Annual Eddie Ferrell Sports Medicine Clinic

Please Join Us for the

Dr. Mark Rogers, D.O., M.A. Assistant Professor, VCOM Assistant Team Physician, VT

• Cadaver lab for Shoulder

• Concepts in Shoulder Surgery

• Lenny Macrina Talk on Rehabilitation of Shoulder Injury and Surgery

Breakout Sessions Dr. Francine Anderson, P.T., Ph.D. Associate Dean for Post-Baccalaureate Pre-Med Program, VCOM

For more information as it becomes available, check our website at www.hokiesports. com/trainers/eddieferrell/

➤ Contact, Mailing and Lodging information on other side ➤

❑ Yes ❑ No Will you need lodging?

Place of Employment: ___________________________________________

❑ Yes ❑ No

Afternoon topics will include:

Will you be attending both Friday and Saturday's Sessions?

Lunch Provided

Occupation:__________________________________________________

• New Concepts in Ankle Injuries

E-mail: _____________________________________________________________________________________________________________________

• Cadaver Lab for Ankle

(home): __________________________________________________

Telephone Number (office):_ _________________________________________

Team Orthopaedic Surgeon Assistant Team Physician, VT

• PRP in athletics

City: __________________________________________________________________________ State: ____________ Zip:______________________

We encourage you to take advantage of this great opportunity to share information with fellow colleagues!

Dr. James Lebolt, D.O.

Mailing Address: _____________________________________________________________________________________________________________

The program schedule is subject to change. A complete agenda and materials will be provided to attendees upon arrival at the clinic.

Morning topics will include:

Name: _________________________________________________________________________________ Credentials: __________________________

Clinic Information

Saturday, January 30th

➤ Cost of Course is $150.00 ➤ Student Price (No CEV/CME Available) is $75 ➤ Please fill out one form for each person registering. ➤ Those bringing groups of 8 or more may have free registration for one participant.

The goal of our clinic is to provide an opportunity for learning and sharing techniques in managing current issues in athletics. Participants will have the ability to spend time in the state of the art cadaver laboratory at VCOM, where we will be working with prosected cadavers to identify major anatomical structures and injury scenarios that relate to the topics discussed. There will also be lectures and breakout groups that cover evaluation techniques, bracing, and rehabilitation tips.

Sponsored Social

Course Learning Objectives

Physical Medicine & Rehabilitation

• Thorax and Low Back Injuries and Treatment

✃

Sponsored by the Virginia Tech Sports Medicine Association and the Edward Via Virginia College of Osteopathic Medicine (VCOM).

Lenny Macrina is a sports certified physical therapist by the American Physical Therapy Association and a certified strength and conditioning specialist for Champion Sports Medicine in Birmingham, AL. His interests include rehabilitation of the shoulder, elbow and knee joints. Along with maintaining a full clinic schedule, he actively participates in clinical research with the American Sports Medicine Institute in Birmingham, AL and has co-authored various current concept papers, book chapters, research papers and a home study course for the APTA’s Orthopaedic section. Lenny also participates in yearly spring training physicals and data collection for the Tampa Bay Rays baseball organization. He has presented at various national conferences including APTA’s Combines Sections Meeting, ASMI’s “Injuries in Baseball Course”, and also is a course lecturer on “Shoulder Rehabilitation” for Physiotherapy Associates. Lenny received his Bachelor’s degree from Worcester Polytechnic Institute (MA) and his Master’s degree in physical therapy from Boston University.

Dr. Ethan Colliver, D.O.

Cadaver Course & Clinical Symposium:

health professionals.

• Cadaver Lab for Thorax and Low Back

FORM

and any other interested allied

Evening topics will include:

R E G I S T R AT I O N

therapist assistants, physicians

Lenny C. Macrina, M.S.P.T., S.C.S., C.S.C.S. Physical Therapist Sports Certified Specialist Certified Strength and Conditioning Specialist

Please print or type. Complete one registration form for each registrant. Photocopies are acceptable.

Include a check made payable to: VTSPSMA

Friday, January 29th

A clinic for athletic trainers, physical therapists, physical

Agenda

January 29-30, 2010 • VCOM, Blacksburg, VA

Featured Speaker

Tentative Speakers

Please cut and return

2010 Eddie Ferrell Memorial Sports Medicine Clinic

7th Annual Eddie Ferrell Sports Medicine Clinic

Please Join Us for the

2010 Eddie Ferrell Memorial Sports Medicine Clinic

160 Jamerson Athletic Center (0502) Blacksburg, VA 24061 — OR —

Fax Completed Registration Form Attn: Katie Baer (540) 231-7335

With fee payment at registration on the day of the event.

Lodging available: Please contact The Inn at Virginia Tech and Skelton Conference Center for overnight lodging.

You may reach The Inn (540) 231-8000 or (877) 200-3360 (toll free) or www.innatvirginiatech.com When calling the Inn, please ask for the Eddie Ferrell Memorial Clinic Block for a special rate

It is the policy of the VCOM Medical Education Department to ensure balance, independence, objectivity, and scientific rigor in all its educational programs. All participating faculty are expected to disclose to the participants any real or apparent conflict of interest related to the content of their presentations.

VOMA Continuing Medical Education Policy

Evaluation data will be compiled and provided to the VCOM Director of Faculty Development and Continuing Medical Education. Comments and suggestions regarding program content, location and other program specific details will be considered when planning future activities.

Grievances regarding program administration and reporting of AOA CME credits will be handled on an individual basis by the Director of Faculty Development and Continuing Medical Education, Deborah Bourne, at dbourne@vcom. vt.edu or 540-231-5844. Participants with grievances that cannot be resolved by the Director will be sent to VCOM administration and then to the AOA CCME.

Who should attend?

This clinic is for athletic trainers, physical therapists, physical therapist assistants, physicians and any other interested allied health professionals.

Sponsors

This event is jointly sponsored by the Virginia Tech Sports Medicine Association and the Edward Via Virginia College of Osteopathic Medicine.

Continuing Education :

NATA: 10.0 CEUs

Pre-Approval for CME Credit is Pending Virginia Tech Sports Medicine is recognized by the NATA Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. Provider #P3004.

Eddie Ferrell Memorial Sports Medicine Clinic

Attn: Katie Baer

The Edward Via Virginia College of Osteopathic Medicine is accredited by the American Osteopathic Association (AOA) to provide continuing medical education for physicians. This program anticipates being approved for 8 hours of AOA Category 1A CME credit pending approval by the AOA CCME. Physicians should only claim credit commensurate with the extent of their participation in the activity.

160 Jamerson Athletic Center (0502)

Eddie Ferrell Memorial Clinic

Disclosure Statement

Blacksburg, VA 24061

Mail Completed Registration Form and Fee:

CME Credits – D.O.’s

7TH ANNUAL

Eddie Ferrell Memorial Sports Medicine Clinic Friday and Saturday, January 29 & 30, 2010 Edward Via Virginia College of Osteopathic Medicine (VCOM) 2265 Kraft Drive • Blacksburg, VA 24060 Sponsored by: The Virginia Tech Sports Medicine Association and the Edward Via Virginia College of Osteopathic Medicine (VCOM)

2010 Eddie Ferrell Memorial Sports Medicine Clinic

160 Jamerson Athletic Center (0502) Blacksburg, VA 24061 — OR —

Fax Completed Registration Form Attn: Katie Baer (540) 231-7335

With fee payment at registration on the day of the event.

Lodging available: Please contact The Inn at Virginia Tech and Skelton Conference Center for overnight lodging.

You may reach The Inn (540) 231-8000 or (877) 200-3360 (toll free) or www.innatvirginiatech.com When calling the Inn, please ask for the Eddie Ferrell Memorial Clinic Block for a special rate

It is the policy of the VCOM Medical Education Department to ensure balance, independence, objectivity, and scientific rigor in all its educational programs. All participating faculty are expected to disclose to the participants any real or apparent conflict of interest related to the content of their presentations.

VOMA Continuing Medical Education Policy

Evaluation data will be compiled and provided to the VCOM Director of Faculty Development and Continuing Medical Education. Comments and suggestions regarding program content, location and other program specific details will be considered when planning future activities.

Grievances regarding program administration and reporting of AOA CME credits will be handled on an individual basis by the Director of Faculty Development and Continuing Medical Education, Deborah Bourne, at dbourne@vcom. vt.edu or 540-231-5844. Participants with grievances that cannot be resolved by the Director will be sent to VCOM administration and then to the AOA CCME.

Who should attend?

This clinic is for athletic trainers, physical therapists, physical therapist assistants, physicians and any other interested allied health professionals.

Sponsors

This event is jointly sponsored by the Virginia Tech Sports Medicine Association and the Edward Via Virginia College of Osteopathic Medicine.

Continuing Education :

NATA: 10.0 CEUs

Pre-Approval for CME Credit is Pending Virginia Tech Sports Medicine is recognized by the NATA Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. Provider #P3004.

Eddie Ferrell Memorial Sports Medicine Clinic

Attn: Katie Baer

The Edward Via Virginia College of Osteopathic Medicine is accredited by the American Osteopathic Association (AOA) to provide continuing medical education for physicians. This program anticipates being approved for 8 hours of AOA Category 1A CME credit pending approval by the AOA CCME. Physicians should only claim credit commensurate with the extent of their participation in the activity.

160 Jamerson Athletic Center (0502)

Eddie Ferrell Memorial Clinic

Disclosure Statement

Blacksburg, VA 24061

Mail Completed Registration Form and Fee:

CME Credits – D.O.’s

7TH ANNUAL

Eddie Ferrell Memorial Sports Medicine Clinic Friday and Saturday, January 29 & 30, 2010 Edward Via Virginia College of Osteopathic Medicine (VCOM) 2265 Kraft Drive • Blacksburg, VA 24060 Sponsored by: The Virginia Tech Sports Medicine Association and the Edward Via Virginia College of Osteopathic Medicine (VCOM)

2010 Eddie Ferrell Memorial Sports Medicine Clinic

160 Jamerson Athletic Center (0502) Blacksburg, VA 24061 — OR —

Fax Completed Registration Form Attn: Katie Baer (540) 231-7335

With fee payment at registration on the day of the event.

Lodging available: Please contact The Inn at Virginia Tech and Skelton Conference Center for overnight lodging.

You may reach The Inn (540) 231-8000 or (877) 200-3360 (toll free) or www.innatvirginiatech.com When calling the Inn, please ask for the Eddie Ferrell Memorial Clinic Block for a special rate

It is the policy of the VCOM Medical Education Department to ensure balance, independence, objectivity, and scientific rigor in all its educational programs. All participating faculty are expected to disclose to the participants any real or apparent conflict of interest related to the content of their presentations.

VOMA Continuing Medical Education Policy

Evaluation data will be compiled and provided to the VCOM Director of Faculty Development and Continuing Medical Education. Comments and suggestions regarding program content, location and other program specific details will be considered when planning future activities.

Grievances regarding program administration and reporting of AOA CME credits will be handled on an individual basis by the Director of Faculty Development and Continuing Medical Education, Deborah Bourne, at dbourne@vcom. vt.edu or 540-231-5844. Participants with grievances that cannot be resolved by the Director will be sent to VCOM administration and then to the AOA CCME.

Who should attend?

This clinic is for athletic trainers, physical therapists, physical therapist assistants, physicians and any other interested allied health professionals.

Sponsors

This event is jointly sponsored by the Virginia Tech Sports Medicine Association and the Edward Via Virginia College of Osteopathic Medicine.

Continuing Education :

NATA: 10.0 CEUs

Pre-Approval for CME Credit is Pending Virginia Tech Sports Medicine is recognized by the NATA Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. Provider #P3004.

Eddie Ferrell Memorial Sports Medicine Clinic

Attn: Katie Baer

The Edward Via Virginia College of Osteopathic Medicine is accredited by the American Osteopathic Association (AOA) to provide continuing medical education for physicians. This program anticipates being approved for 8 hours of AOA Category 1A CME credit pending approval by the AOA CCME. Physicians should only claim credit commensurate with the extent of their participation in the activity.

160 Jamerson Athletic Center (0502)

Eddie Ferrell Memorial Clinic

Disclosure Statement

Blacksburg, VA 24061

Mail Completed Registration Form and Fee:

CME Credits – D.O.’s

7TH ANNUAL

Eddie Ferrell Memorial Sports Medicine Clinic Friday and Saturday, January 29 & 30, 2010 Edward Via Virginia College of Osteopathic Medicine (VCOM) 2265 Kraft Drive • Blacksburg, VA 24060 Sponsored by: The Virginia Tech Sports Medicine Association and the Edward Via Virginia College of Osteopathic Medicine (VCOM)