REGISTRATION FORM EROC 2010 Healthy Patient- Healthy ...
REGISTRATION FORM EROC 2010 Healthy Patient- Healthy ...
REGISTRATION FORM EROC 2010 Healthy Patient- Healthy ...
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<strong>REGISTRATION</strong> <strong>FORM</strong><br />
<strong>EROC</strong> <strong>2010</strong><br />
<strong>Healthy</strong> <strong>Patient</strong>- <strong>Healthy</strong> Physician - <strong>Healthy</strong> Practice<br />
Name (please print legibly) Degree(s) AOA#<br />
Street Address (Home____) (Office____)<br />
City State Zip Code<br />
Phone (Office___) Other (Home___) (Cell___)<br />
Email (Important for Convention Updates)<br />
PAYMENT<br />
Circle Amount(s)<br />
$$$Registration<br />
Active Member*: $500<br />
Non-NYSOMS Member: $675<br />
Life Member: $325<br />
Intern/Resident/Fellows Member $125<br />
One Day (Members* only) Circle: Thurs Fri Sat Sun $250<br />
Florida Program as part of <strong>EROC</strong><br />
(Limited space Pre-registration required)<br />
No additional fee<br />
One Day Only Florida Program ONLY Sat April 10<br />
(Not attending <strong>EROC</strong> / Members* only) $250<br />
Intern/Resident/Fellows Member Friday April 9 (preregistration required)<br />
No fee<br />
Additional Programs (Must register for conference)<br />
Thursday Infection Control and Barrier Precautions Course $25<br />
Friday Morning Dermatology Workshop $50<br />
Saturday Morning OMM Workshop $50<br />
Late registration 3/31/10 or later $50<br />
Optional<br />
<strong>2010</strong> NYSOMS membership (May 1, <strong>2010</strong>-April 30, 2011) $175<br />
Thursday April 8 at 6pm: Dinner Lecture (no CME Credit) ___Yes ___No<br />
Friday April 9 at 6pm: President’s Reception ___Yes ___No<br />
Saturday April 10 at 5:30pm: NYCOM Graduates: Alumni Dinner ___Yes ___No<br />
Total Amount: Early Registration $ Registration 2/28 or later $<br />
*Member of NYSOMS or local state osteopathic medical society<br />
Check___ (Payable to: NYSOMS) Charge: ____AMEX ____VISA ____MasterCard ____Discover<br />
Card Number #<br />
/<br />
Exp Date<br />
Mail to: NYSOMS (<strong>EROC</strong> <strong>2010</strong>) Fax to: 212-261-1786 (Credit Card Payments Only)<br />
1855 Broadway<br />
New York, NY 10023-7606<br />
Questions: Call: 800-841-4131 or e-mail: nysoms@nysoms.org<br />
Full refund minus $50.00 processing fee for cancellation received on or before March 31, <strong>2010</strong>.<br />
No refund for cancellations received after March 31, <strong>2010</strong>. All requests must be made in writing.
EASTERN REGIONAL OSTEOPATHIC CONVENTION <strong>2010</strong><br />
<strong>Healthy</strong> <strong>Patient</strong> - <strong>Healthy</strong> Physician - <strong>Healthy</strong> Practice<br />
April 8-11, <strong>2010</strong><br />
Program (tentative)<br />
Thursday April 8, <strong>2010</strong> 12 Noon 6:15 PM<br />
Prevention and Treatment of Allergic Disorders: Marianne Frieri,<br />
MD, PhD<br />
Periodontal Disease and Systemic Disease: Ray C. Williams, DMD<br />
Complete Medicare Billing Update for <strong>2010</strong> (2 hours): Empire Blue<br />
Cross<br />
Bone Health and Fall Prevention in the Elderly: Brian Bowers, DO<br />
Osteopathic Principles Applied in the Genomic Era: Michael J.<br />
Terzella, DO<br />
Friday April 9, <strong>2010</strong> 8 AM 5:30 PM<br />
Smoking Cessation: Louis Reznick, DO<br />
Sleep Apnea: Dean Berman, DO<br />
Assisting the Impaired Physician:<br />
Jeffrey Selzer, MD (Committee for Physician’s Health)<br />
Pharmacogenetics and Personalized Medicine: David Tegay, DO<br />
NYSOMS Annual Meeting and Election of Officers [Luncheon]<br />
<strong>Healthy</strong> Skin: Prevention of Skin Cancer and Other Dermatological<br />
Disorders: Suzanne Sirota Rozenberg, DO<br />
What is New Radiology?: Steven D. Mendelsohn, DO<br />
Contemporary Management of Type 2 Diabetes Mellitus-<br />
Perspective from ADA Treatment Guidelines and Standards:<br />
Gerald Ginsberg, MD<br />
Prevention and Treatment of Hypertension and JNC 9 Update:<br />
Douglas Lax, DO<br />
Saturday April 10, <strong>2010</strong> 8 AM 4:15 PM<br />
EMR Implementation-The Time is Now: Thomas Zimmerman, DO<br />
Avoiding a Professional Disciplinary Action – Surviving the<br />
Minefields of Medical Practice: Alan Lambert, MD, Esq<br />
Contemporary Management of Cervical & Lumbar Disc Disease:<br />
Donald S. Krieff, DO<br />
What’s the Deal with Radiation Therapy?: Arvin Adler, DO<br />
Eric Sheflin, DO Memorial Lecture and Luncheon:<br />
Business Strategies for a Successful Medical Practice<br />
Controversies & Concerns Regarding the Most Common Plastic<br />
Surgical Procedures-Breast Augmentation, Liposuction &<br />
Abdominalplasty: Douglas A. Taranow, DO<br />
Urology-Older Men’s Health: Matthew P. Mene, DO<br />
Vaccination Update and Anticipatory Guidelines for the Well<br />
Pediatric and Adolescent Visit: Donna-Marie McMahon, DO<br />
This program anticipates being approved for at least<br />
28 AOA Category 1-A CME credit pending approval by the AOA CCME<br />
Sunday April 11, <strong>2010</strong> 8 AM 2:15 PM<br />
Nutrition and Stress: Shan Ahmed, DO<br />
Treatment Resistant Major Depressive Disorder: Tailoring Treatment<br />
Strategies for Enhanced Outcomes: Roger S. McIntyre, MD<br />
Platelet Rich Plasma Therapy: Roger Kasendorf, DO<br />
Prevention and Treatment of Common Orthopedic Injuries: Gus<br />
Katsigiorgis, DO<br />
Addressing Obesity: Richard R. Terry, DO<br />
Care for the Peri and Postmenopausal Woman: Lisa Eng, DO<br />
Workshops & Special Programs<br />
Thursday Afternoon-Infection Control and Barrier Precautions Course- Lewis Bass, DO<br />
Friday Morning- Dermatology Workshop - Suzanne Sirota-Rozenberg, DO<br />
Saturday Morning-OMM Without Tables - Dennis J. Dowling, DO<br />
Saturday 1:15-6:30 PM-Florida 5 hour CME requirement for licensure for <strong>2010</strong>-2012 Cycle<br />
Florida Laws & Rules ● Prevention of Medical Errors<br />
Federal & State Laws Related to the Prescribing Of Controlled Substances ● Professional & Medical Ethics<br />
Friday April 9, <strong>2010</strong><br />
Intern/Resident Research Poster Competition<br />
Open to all Osteopathic Interns & Residents<br />
NYSOMS members<br />
NYSOMS Annual Business Meeting & Luncheon<br />
Report to Membership and Election of Officers<br />
Resident Program<br />
11:15am Contracts and Avoidance of Employment Pitfalls:<br />
Mathew J. Levy, JD<br />
Student Meeting<br />
AOA Trustee Martin S. Levine, DO, MPH invited to meet<br />
with students<br />
President’s Reception & Awards Presentation<br />
Saturday April 10, <strong>2010</strong><br />
Fit for Life Power Walk<br />
Eric J. Sheflin, DO Memorial Lecture and Luncheon<br />
Florida 5 hour CME requirement for licensure for<br />
<strong>2010</strong>-2012 Cycle<br />
NYCOM Alumni Reception & Dinner<br />
Madison Steak House<br />
630 Motor Parkway - Hauppauge, NY<br />
Please RSVP by April 6, <strong>2010</strong> to Esther Hevia at (516) 686-<br />
3801 or ehevia@nyit.edu<br />
Hotel Reservations Sheraton Long Island Hotel<br />
110 Vanderbilt Motor Parkway<br />
Hauppauge, NY 11788 (631) 231-1100<br />
Preferred Room Rate: Double/Single $ 109 per night<br />
Deadline: March 7, <strong>2010</strong><br />
Reservations: 888-627-7144 Reference: NYS Osteopathic<br />
Medical Society<br />
EXHIBIT HALL<br />
Thursday April 8 – 11am-6pm<br />
Friday April 9 – 7am-6pm<br />
Saturday April 10 – 7am-5pm<br />
Program Updates: www.nysoms.org ● Additional information: 800-841-4131 or nysoms@nysoms.org