Harvard Medical School - HMS-CME

SPECIAL GUEST FACULTY
Mitchell T. Rabkin, M.D. is professor of medicine at Harvard Medical School; former president of Boston’s Beth Israel Hospital; and founding chief executive
officer of CareGroup, a healthcare delivery system consisting of parent corporations of Boston’s Beth Israel Deaconess Medical Center and Mount Auburn
Hospitals. In July, 1998, Dr. Rabkin retired as chief executive officer of CareGroup to join the Harvard Medical School Beth Israel Deaconess Mount Auburn
Institute for Education and Research, with the title of distinguished institute scholar. Among many other responsibilities, Dr. Rabkin was chairman of the
Association of American Medical Colleges (1996-1997), and has been a member of the Advisory Council of the Institute of Medicine of the National Academy
of Sciences. He is currently a member of the Trustee Advisory Board of the Duke University Health System.
James W. Holsinger, Jr., M.D., Ph.D. is chancellor of the Albert B. Chandler Medical Center at the University of Kentucky, a position he has held since July 1,
1994. In this role, Dr. Holsinger has responsibility at the executive level for the management of the Albert B. Chandler Medical Center. In addition, he serves as
the chief academic officer for the medical center. Dr. Holsinger serves as professor of medicine, surgery, anatomy and health care administration at the
University of Kentucky. On July 1, 1999, he was named Commonwealth Professor in the Health Sciences.
GENERAL
INFORMATION:
Location. The seminar is held at the Renaissance Bedford Hotel in Bedford, Massachusetts, a 40-minute limousine or taxi ride
from Boston’s Logan Airport. Room reservations are made automatically when places in the seminar are reserved; hotel and meal
charges are included in the seminar fee.
Time. The seminar begins with dinner Sunday evening and ends at 11:30 a.m. on Friday. Participants are expected to take part in
the entire week’s experience, leaving little room for social activities.
Cost. The fee for the 2006 seminar is $4,500. For scholarship information, please contact David Jackson at (617) 947-8394. This
all-inclusive fee covers the cost of instruction and materials, a single-room reservation for the duration of the seminar, meals and
socials with the group, and all gratuities for food and hotel services. A $325 deposit must accompany each application. The remaining
fee must be received by Harvard Medical School, Department of Continuing Education no later than one week prior to the seminar.
Because of the detailed preparations that have to be made, the $325 deposit is not refundable if an applicant withdraws within
10 days of the seminar. Withdrawals received outside of 10 days of the seminar will be refunded in full, less a $60 administrative
fee.
Please note: Program changes/substitutions may be made without notice.
Please make check payable to Harvard Medical School and mail with application form to: Harvard Medical School, Department of
Continuing Education, P.O. Box 825, Boston, MA 02117-0825. All foreign payments must be made by a draft on a U.S. bank. If
paying by credit card, fax the completed registration form to (617) 384-8686, or mail it to the above address. Inquiries should be
directed to the above address, made by phone at (617) 384-8600, Monday-Friday, 10 a.m. to 4 p.m. (EST), or by e-mail at
hms-cme@hms.harvard.edu.
ONLINE INFORMATION: To view course information online, visit our home page: http://www.cme.hms.harvard.edu. To ensure proper registration, please
add the first three letters of the source code found at the bottom of the registration form.
TRAVEL:
For information regarding reduced airfare call Harvard Medical School, Department of Continuing Education at (617) 384-8600,
Monday-Friday, 10 a.m. to 4 p.m. (EST).
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REGISTRATION FORM
March 26-31, 2006 Leadership for Physician Executives Fee: $4,500 (USD)
Course #262397
PLEASE NOTE: Information provided on this form will be used in the compilation of participant profiles. Please print clearly or type.
Full name ______________________________________________________________ Nickname (for nametag): ___________________________________
Title/position: _________________________________________________________ Daytime phone: _________________________________________
Organization: ___________________________________________________________ Fax: ____________________________________________________
Organization address: _____________________________________________________ E-mail:__________________________________________________
❏ Please check if you wish to be excluded from receiving e-mail notices of future
Harvard Medical School, Department of Continuing Education programs.
City: ____________________________ State: __________ Zip: ____________ Country: __________________ Age: _______ Gender: ❏ Male ❏ Female
Description of organization: ______________________________________________________________________________________________________
Description of your accountabilities: ___________________________________________________________________________________________________
Previous position with present or past company: _________________________________________________________________________________________
Medical school attended ________________________________ Specialty _______________ Year of graduation _______ Board certified ❏ Y ❏ N
A $325 deposit must accompany this application
Form of Payment (please check one):
❏ Check is enclosed: Please make your check payable to Harvard Medical School and mail it with this registration form to:
Harvard Medical School, Department of Continuing Education, P.O. Box 825, Boston, MA 02117-0825
❏ Bill my credit card: ❏ VISA ❏ MASTERCARD _____ - _____ - _____ - _____
Credit Card Number
Tuition fee $_______ _____________________________ _____________________________________________________
Expiration date Signature
Registrations paid by credit card can be faxed to (617) 384-8686, or mailed to the above listed address.
Online registrants--add the first three letters of the source code here ➔ Source Code: WEB