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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

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