GERIATRIC MEDICINE LEADERSHIP TRAINING - GeroNet - UCLA

COURSE OUTLINEFriday, March 24, 20068:00 Continental Breakfast andRegistration8:30 Introduction to theProgram and Post-CourseActivityDan Osterweil, MD, CMD9:00 Overview of Long TermCareDan Osterweil, MD, CMD10:00 Break10:15 Leadership: Lessons fromBusinessDavid B. Reuben, MD11:15 Management of HealthSystemsAlfredo Czerwinski, MD12:45 Lunch1:45 Organizational Structureand Culture: Lessons fromBusinessDavid Schmidt2:45 Break3:00 Caring for the ElderlyPatient: How Do IOrganize My Practice?George Xakellis, MD, MBASaturday, March 25, 20068:00 Continental Breakfast8:30 Management andLeadership: Applicationand AnalysisAlfredo Czerwinski, MD10:30 Break10:45 Action Plan Small GroupActivitySusan L. Charette, MDAlfredo Czerwinski, MDCheryl Osborne, EdD, MSN, RNDan Osterweil, MD, CMDGeorge Xakellis, MD, MBA12:45 Lunch1:45 Financial SkillsGeorge Xakellis, MD, MBA2:45 Break3:00 Financial Skills (continued)George Xakellis, MD, MBA4:00 Summary & Mentor/Mentee ConversationsDan Osterweil, MD, CMDSusan L. Charette, MD5:00 Adjourn4:00 Mentoring SkillsSusan L. Charette, MD5:00 Adjourn6:00 Networking Dinner

ACCREDITATIONContinuing Medical Education (CME)SCAN Health Plan® is accredited by the Institute of Medical Quality and theCalifornia Medical Association to provide continuing medical education forphysicians. SCAN Health Plan takes responsibility for the content, quality,and scientifi c integrity of this CME activity. SCAN Health Plan designates thiseducational activity for a maximum of 14.0 AMA PRA Category 1 Credit(s) TM .Physicians should only claim credit commensurate with the extent of theirparticipation in the activity.SCAN Health Plan is an approved provider of the California Board ofRegistered Nursing (Provider #CEP-13453). This activity has been approved forup to 14.0 contact hours.American Medical Directors Association (AMDA)This activity has been approved for up to 14.0 credit hours in medical directiontoward certifi cation as a Certifi ed Medical Director in Long Term Care (AMDACMD). The AMDA CMD program is administered by the American MedicalDirectors Certifi cation Program. Each physician should claim only those hoursactually spent on the activity.American Academy of Family Practice (AAFP)This activity has been reviewed and is acceptable for up to 12.0 prescribed creditsby the American Academy of Family Physicians.Nursing Home Administrators Program (NHAP)This course has been approved for 14.0 hours of NHAP Patient Care or Aging(P) credits.Course Fee: $695* Early bird: $595, if registered beforeFebruary 24, 2006.ENROLLMENTPayment MethodsEnrollment is limited.Please register early.Credit Card Options:Call (310) 312-0531 to use yourMasterCard, VISA, AmericanExpress, or Discover Card.Fax the completed form with creditcard information and authorizingsignature to (310) 312-0546.Mail the completed form with creditcard information.Check:Mail the completed form with a checkpayable to: Regents of the University ofCalifornia.Refund Policy:A service charge of $150 is withheldfrom all refund requests which must bemade in writing and postmarked or faxedno later than March 10, 2006.

Program DatesFriday and SaturdayMarch 24 & 25, 2006LocationMarina del Rey Marriott Hotel4100 Admiralty WayMarina del Rey, California 90292(310) 301-3000GENERAL INFORMATIONAccommodationsRooms are available at the Marina del Rey Marriott Hotel at the specialUCLA business rate of $189 per night for either single or double occupancyplus tax. Please call (800) 228-9290 to make reservations; identify yourself asa participant in the Geriatric Management Leadership Training and ask for theUCLA business rate. All reservations are subject to availability.ParkingThere is a special daily conference rate of $10 for self-parking and $20 forvalet parking.For additional information, contact Ms. Denise Gutierrez at the CaliforniaGeriatric Education Center, David Geffen School of Medicine at UCLA, 10945Le Conte Ave., Suite 2339, Box 951687, Los Angeles, CA 90095-1687Phone: (310) 312-0531 and Fax: (310) 312-0546E-mail: dgutierrez@mednet.ucla.eduPlease visit our website for additional copies of this brochure and formore information about upcoming programs.www.geronet.ucla.edu

ENROLLMENT FORMGeriatric Medicine Leadership Training, March 24 & 25, 2006Please printName (First/MI/Last) ___________________________________ Degree(s) _________Faculty Position/Title ____________________________________________________Organization/Affi liation ___________________________________________________Mailing Address ________________________________________________________□ Home □ Offi ceCity/State/Zip _________________________________________________________Phone (________)_______________________ E-mail _________________________Daytime phone number with area codeI will attend the networking dinner on Friday evening (additional fee of $25).I will bring a guest to the dinner (additional fee of $25).(Yes / No)(Yes / No)Fees: $595 □ if registered before February 24, 2006$695 □ after February 24, 2006(Includes continental breakfast, lunch, program materials, and education credits)$25 □ Dinner $25 □ Guest DinnerTotal Amount $ _________________Method of Payment□ Check enclosed payable to: REGENTS OF THE UNIVERSITY OF CALIFORNIA□ MasterCard □ VISA □ Discover Card □ American ExpressCard #___________-___________-___________-___________ Exp Date ____/________________________________________________________________________Authorized SignatureName Printed on CardThe vendor name on your credit card statement will be “200 Medical Plaza.”Mail to:FAX to:California Geriatric Education CenterDavid Geffen School of Medicine at UCLA10945 Le Conte Avenue, Suite 2339, BOX 951687Los Angeles, CA 90095-1687Attn: Denise Gutierrez(310) 312-0546 (Credit Card Only)For additional information, please call (310) 312-0531 or go to www.geronet.ucla.edu.

California Geriatric Education CenterDavid Geffen School of Medicine at UCLA10945 Le Conte Avenue, Suite 2339BOX 951687Los Angeles, CA 90095-1687Geriatric Medicine Leadership TrainingMarch 24 & 25, 2006Marina del Rey Marriott HotelMarina del Rey, California