2017_ACOG_preliminary_program

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REGISTRATION INFORMATION 2017 ANNUAL CLINICAL AND SCIENTIFIC MEETING Easy Ways to Register 1. Online: Visit www.acog.org/2017 and click on REGISTER NOW 2. Fill out the Form on Page 55 and eMail: acogregistration@spargoinc.com Fax: 703.631.6288 Call: 888.319.3864 or 703.449.6418 Mail: ACOG Registration Center c/o SPARGO, Inc. 11208 Waples Mill Road, Suite 112 Fairfax, VA 22030 Educational Session Fees You must be registered for the 2017 Annual Clinical and Scientific Meeting to attend most sessions. Postgraduate 6 hours Course $ 290 Postgraduate 3 hours Course $ 165 Postgraduate Course Pass (Three-3 hour Courses) $ 450 Hands-on 6 hours Course $ 650 Hands-on 3 hours Course $ 325 Lunch Seminars $ 55 Lunch Conversations $ 55 Colloquia Included Registration Change/ Cancellation Policy All cancellation and changes must be received, in writing by Friday, April 7, 2017. Cancellations received by this date will receive a full refund less a 20% processing fee. No refunds will be made for cancellations received after April 7, 2017 Cutting-Edge Topics Clinical Seminars Film Festival Flipped Classroom Subspecialty Sessions Surgical Tutorials Live Telesurgery Included Included Included Included Included Included Included Virtual Meeting $ 199 DONOR ALERT While registering online for the Annual Meeting you can join or renew your membership in the President's, Beacham, Reis or Junior Fellow Societies. Remember, the Annual Meeting Donor Lounge is reserved for Development Fund contributors only, so make your gift today! 54 @ ACOG_AM • #ACOG17 Find additional information and course descriptions at www.acog.org/2017 /ACOGANNUALMEETING
AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS REGISTRATION FORM Step 1A. Registrant Information (Please Print) First Name __________________________________________ Last Name__________________________________________________ ACOG ID # ___________________________ Name as it should appear on badge First Name or Nickname_____________________________________ Last Name __________________________________________ Degree______________________________ Address______________________________________________ City____________________________ State/Province___________ Zip_______________ Country_____________ Daytime Phone Number_____________________________________Fax _________________________________________ Email Address _________________________________ Your contact information can be passed on to exhibitors at ACOG 2017 so they can contact you regarding product demonstrations, industry- sponsored symposiums and special events taking place during the Annual Clinical and Scientific Meeting, giveaways, or invitations from Exhibitors. Please indicate your preference below: ® No, I am not interested in receiving any information or invitations from exhibitors. ® Yes, please allow exhibitors to contact me. Which of the following best describes your primary practice focus? ® Ob-Gyn ® Ob Only ® Gyn Only ® Maternal-Fetal Medicine ® Gynecologic Oncology ® Primary and Preventive Care ® Reproductive Endocrinology and Infertility ® Urogynecology and Pelvic Reconstructive Surgery What is your job function? ___________________________________________________________________________________________________________________________ What Medical School did you attend? ________________________________________________________________________________________________________________ Emergency Contact Name_________________________________________________________________________ Phone Number_____________________________________ Step 1B. Spouse/Guest Registration If you would like to register a spouse/guest, please list the name below and include payment with your registration fee. Spouse or guest must be linked with an Annual Meeting registrant. To register more than one spouse/guest, please make a copy of this form. First Name or Nickname___________________________________________Last Name_____________________________________________________________ City________________________________________________________________State/Province ________________________________________________________ Step 2. Registration Fees Included in full registration for the 2017 Annual Clinical and Scientific Meeting are complimentary Colloquia, Clinical Seminars, Cutting- Edge Topics, Subspecialty Sessions, Surgical Tutorials, Live Telesurgery, Flipped Classrooms, Film Festival, and the Welcome Reception. For one-day registration, the events occurring that day are inclusive in the fee. Early Bird Rate: December 5, 2016 - January 31, 2017 Advance Rate: February 1 - April 7, 2017 On-Site Rate: April 8 - May 9, 2017 Early Bird Advance After April 7 Cost ACOG Fellow $600 $650 $700 ACOG Junior Fellow in Practice $600 $650 $700 ACOG Junior Fellow in Training $400 $480 $515 ACOG Life Fellow/Fellow Senior Status $380 $455 $485 ACOG Member on Active Duty in the US Military $390 $390 $390 ACOG Associate Member $580 $625 $670 ACOG Associate Member International - Organization $670 $580 $625 ACOG Educational Affiliate $580 $625 $670 Education Affiliate - Organization $625 $580 $670 ACOG Honorary Fellows $625 $700 $750 Resident, Non-Member $845 $920 $985 Physician, Non-Member $845 $920 $985 Other Healthcare Professional $870 $935 $1,000 Medical Student $25 $25 $25 Spouse/Guest $190 $200 $225 Practice Manager, Non-Member $625 $700 $750 One-Day Registration – ACOG Fellow $340 $365 $400 One-Day Registration – ACOG Junior Fellow in Practice $340 $365 $400 One-Day Registration – ACOG Junior Fellow in Training $225 $250 $280 One-Day Registration – Fellow Senior Status $215 $235 $255 One-Day Registration – ACOG Active Duty in the US Military $160 $160 $160 One-Day Registration – ACOG Associate Member $325 $350 $375 One-Day Registration – ACOG Associate Member International - Organization $325 $350 $375 One-Day Registration – ACOG Educational Affiliate $325 $350 $375 One-Day Registration – ACOG Education Affiliate - Organization $325 $350 $375 One-Day Registration – ACOG Honorary Fellows $350 $400 $450 One-Day Registration – Physician, Non-Member $475 $515 $550 One-Day Registration – Other Healthcare Professional $485 $525 $560 One-Day Registration – Practice Manager, Non-Member $350 $400 $450 One-Day Registration – Resident, Non-Member $475 $515 $550 Registration Fee Subtotal $ WWW.ACOG.ORG O Obstetrics G Gynecology P Practice AMERICAN COLLEGE of OBSTETRICIANS and GYNECOLOGISTS 2017 Annual Clinical and Scientific Meeting 55
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2017 ANNUAL CLINICAL AND SCIENTIFIC
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TABLE OF CONTENTS INVITATION. .....
Page 5 and 6: AMERICAN COLLEGE OF OBSTETRICIANS A
Page 11 and 12: vin M. Cushner morial Lecture 1:30
Page 13 and 14: Contraception/Family Planning AMERI
Page 15 and 16: Contraception/Family Planning AMERI
Page 17 and 18: Contraception/Family AMERICAN COLLE
Page 21 and 22: Surgery AMERICAN COLLEGE OF OBSTETR
Page 29 and 30: Sexuality and Menopause AMERICAN CO
Page 35 and 36: Sexuality AMERICAN COLLEGE and Meno
Page 37 and 38: Genetics AMERICAN COLLEGE OF OBSTET
Page 41 and 42: BUSINESS MEETINGS AND EDUCATIONAL E
Page 55: AMERICAN COLLEGE OF OBSTETRICIANS A
Page 61: AMERICAN COLLEGE OF OBSTETRICIANS A
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2017_ACOG_preliminary_program

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