2015AnnuAlDistrict IIMeetingAmerican Congress of Obstetricians & Gynecologists

PRELIMINARY PROGRAM

Jointly sponsored by the American College of Obstetricians and Gynecologists

REGister online at aCOGNY.org

Grand Hyatt Hotel NYC • October 23-25, 2015

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Dear Colleague, I would like to take this opportunity to invite you to join me this fall for District II’s Annual District Meeting (ADM). This is my first ADM as Chair of District II and I am truly looking forward to three days of educational programming,

networking, and social events at the Grand Hyatt in the heart of Manhattan.

District II’s dynamic conference will provide you with a foundation of knowledge, techniques, and best practices to help you succeed in the ever changing field of obstetrics and gynecology. I am grateful to the District II Annual Meeting Program Committee for developing an outstanding program featuring critically acclaimed faculty from across the country. Our Scientific Program Co-Chairs, Vanessa Barnabei, MD, PhD, FACOG and Lynn Simpson, MD, FACOG, are to be commended for their academic guidance and leadership. For 2015, we are pleased to have Dr. Ken Noller from ABOG join us for another year to lead an invigorating panel discussion and put our brains to the test in a dynamic maintenance of knowledge learning session. Additionally, we are excited to bring you lectures on topics for a wide array of obstetrical and gynecological issues from surgery in the morbidly obese patient to prenatal genetics and emerging technologies for evaluating the fetus.

While the ADM will allow us to broaden our minds, it will also provide a unique opportunity to connect with colleagues who share our passion for this specialty. Additionally, I encourage you to take advantage of your time in the Big Apple - see a Broadway show, indulge in fine dining, explore a museum, or venture to go on a shopping spree. Whatever your ADM experience holds it is bound to be worth your while.

I look forward to seeing you in October!

Sincerely,

NICHOLAS KULBIDA, MD, FACOGChair, ACOG District II

Vanessa Barnabei, MD, PhD, FACOGProfessor and Chair of the Department of Obstetrics and GynecologyUniversity at Buffalo School of Medicine andBiomedical SciencesBuffalo, NY

PROGRAM COMMITTEE

ACOG COMMITTEE ON CONTINUING MEDICAL EDUCATION

Lynn Simpson, MD, FACOGHillary Rodham Clinton Professor of Women’s HealthDepartment of Obstetrics & GynecologyDivision Director, Maternal Fetal MedicineColumbia Presbyterian Medical CenterNew York, NY

WELCOME

Rebecca L. Shiffman, MD, FACOGDirector of Maternal-Fetal MedicineWoodhull HospitalBrooklyn, New York

REGISTER ONLINE AT: WWW.ACOGNY.ORG

Save the Date2016 District II Annual Meeting

October 21-23, 2016

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FACULTY AT-A-GLANCE

FRIDAY, OCTOBER 23

SATURDAY, OCTOBER 24

SUNDAY, OCTOBER 25

THURSDAY, OCTOBER 22 (by invitation only)

Vanessa Barnabei, MD, PhD, FACOG State University at Buffalo School of Medicine Women and Children’s Hospital Of BuffaloBuffalo, NYEva Chalas, MD, FACOG, FACSWinthrop University Hospital Mineola, NYCynthia Chazotte, MD, FACOGAlbert Einstein College of MedicineMontefiore Medical CenterBronx, NYMary E. D’Alton, MD, FACOGColumbia University Medical Center New York, NYMike Fleischman Stroudwater AssociatesHope Haefner, MD, FACOGUniversity of Michigan Ann Arbor, MIScott Hayworth, MD, FACOGMount Kisco Medical GroupMount Kisco, NYJohn Keats, MD, FACOG, CPECigna Health Care of ArizonaVentura, CANicholas Kulbida, MD, FACOGEllis - Bellevue Women’s Center Niskayuna, NYBrian Levine, MD, MS, FACOGColorado Center for Reproductive MedicineNew York, NYJames N. Martin, Jr., MD, FACOG, FRCOG(H)University of Mississippi Medical CenterJackson, MSJessica McAlpine, MD, FACOGUniversity of British ColumbiaVancouver, BCHoward Minkoff, MD, FACOGMaimonides Medical CenterBrooklyn, NYKenneth Noller, MD, MS, FACOGThe American Board of Obstetricians and GynecologistsDallas, TXRichard Reindollar, MD, FACOG American Society of Reproductive Medicine Birmingham, ALRobert K. Silverman, MD, FACOGState University of New York- Upstate Medical University and Crouse HospitalSyracuse, NYLynn Simpson, MD, FACOGColumbia University Medical CenterNew York, NYMark Spitzer, MD, FACOG Hofstra North Shore-LIJ School of MedicineHempstead, NY Joanne Stone, MD, FACOGIcahn School of Medicine at Mount SinaiNew York, NYWendy Vitek, MD, FACOG University of Rochester Medical Center Rochester, NY Ronald J. Wapner, MD, FACOGColumbia University Medical CenterNew York, NY

12:00pm – 3:00pm District II Committee Meetings 3:00pm – 9:00pm Advisory Council Meeting & Dinner

7:45am Industry Breakfast Symposia8:45am - 10:15am Plenary Session 10:30am-12:30pm MOC Update, Sample Test Questions and Q&A12:45pm Adjournment

7:00am-10:00am Jr. Fellow Advisory Council Meeting and Program Breakfast 7:30am Industry Breakfast Symposia8:30am Program Announcements8:45am-10:15am Plenary Session10:15am-11:00am Break in Exhibit Hall Martin L. Stone, MD Research Day Poster Session Open11:00am- 12:00pm Plenary Session12:15pm-1:15pm Industry Lunch Symposia1:15pm-2:45pm Plenary Session2:45pm-3:15pm Iffath Abbasi Hoskins, MD Junior Fellow Research Day Oral Presentations3:15pm-3:45pm Break in Exhibit Hall3:45pm-5:45pm Plenary Session5:45pm Adjournment

PROGRAM AT-A-GLANCE

7:30am Industry Breakfast Symposia 8:30am Welcome and Program Announcements8:45am-10:15am Plenary Session10:15am-11:00am Exhibit Hall Grand Opening 11:00am-11:30am Plenary Session11:45am-12:45pm Industry Lunch Symposia/Exhibit Hall Open12:45pm-3:00pm Plenary Session 3:00pm - 3:45pm Exhibit Hall Snack Break3:45pm-5:15pm Plenary Session5:15pm Adjournment5:30pm-6:30pm Welcome Reception6:30pm-10pm District II Annual Celebration & Dinner (additional fee)

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FRIDAY, OCTOBER 23, 20158:30am Welcome & Program Announcements8:45am Late Breaking News

9:30am-10:00am MARTIN L. STONE, MD LECTURESURGICAL TECHNIQUES FOR MORBID OBESITY

Eva Chalas, MD, FACOG, FACSProfessor and Vice ChairDepartment of Obstetrics and GynecologyWinthrop University HospitalMineola, NY

Robert K. Silverman, MD, FACOGProfessor and Chairman Department of Obstetrics and Gynecology State University of New York- Upstate Medical University and Crouse HospitalSyracuse, NY

Learning Objectives:1. Identify the challenges faced by the obstetrician- gynecologist in performing surgery in obstetrics in this population of patients2. Examine two different approaches for cesarean section in the face of morbid obesity3. Detail special considerations in preoperative assessment and preparation4. Discuss intraoperative management approaches for the morbidly obese patient5. Demonstrate the optimization of post-surgical recovery

10:15am – 11:00am EXHIBIT HALL GRAND OPENING Rejuvenate with a cup of coffee, explore the exhibit hall, or view a Product Theater “mini” session. There is so much to see in this bustling marketplace!

11:00am-11:30amUPDATE ON CERVICAL DISEASE

Mark Spitzer, MD, FACOGProfessor, Obstetrics and GynecologyHofstra North Shore-LIJ School of MedicineHempstead, NY

Learning Objectives:1. Describe the ASCCP screening guidance and the rationale for primary screening with HPV2. Cite the ACIP guidelines for HPV vaccination using the new nonovalent HPV vaccine3. Indicate the sensitivity of colposcopy in identifying high grade disease and the best way to improve that sensitivity.

11:45am – 12:45pmATTEND AN INDUSTRY LUNCH SYMPOSIA

12:45pm – 1:15pmTWINS: NEW GUIDELINES, WHAT YOU NEED TO KNOW

Lynn L. Simpson, BSc, MSc, MD, FACOGHillary Rodham Clinton Professor of Women’s HealthDepartment of Obstetrics & GynecologyDivision Director, Maternal Fetal MedicineColumbia University Medical Center New York, NY

Learning Objectives:1. Review dating and determination of chorionicity which are critical when caring for twins2. Examine the unique complications related to monochorionicity3. Present recent recommendations for the management of twin pregnancies

REGISTER ONLINE AT: WWW.ACOGNY.ORG

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1:30pm – 2:00pm OBSTETRICAL ETHICS: THE RIGHT TO REFUSE, THE RIGHT TO DEMAND

Howard Minkoff, MD, FACOGChair, Department of Obstetrics and GynecologyMaimonides Medical CenterDistinguished Professor, SUNY DownstateBrooklyn, NY

Learning Objectives:1. Evaluate the role of ethics in clinical practice2. Manage the ability to balance fetal interests and maternal rights3. Reconcile beliefs and decisions

2:15pm – 2:45pm TECH TALK

Brian Levine, MD, MS, FACOGTechnology Editor, Contemporary OB/GYNPractice Director, Colorado Center for Reproductive Medicine - New YorkNew York, NY

Learning Objectives:1. Introduce a multitude of tech devices2. Cite the Top 5 favorite apps for the busy Ob/Gyn3. Describe the top health care IT trends of 2015

3:00pm – 3:45pm EXHIBIT HALL SNACK BREAKExplore the Exhibit Hall, mingle with colleagues, catch-up with faculty and satisfy your sweet tooth with an energizing and delicious afternoon snack and beverage.

THERE WILL BE A 15-MINUTE Q&A SESSION FOLLOWING EACH LECTURE

FRIDAY, OCTOBER 23, 20153:45pm – 4:15pmTREATMENT OF UNEXPLAINED INFERTILITY: OUTCOMES APPROACH

Richard Reindollar, MD, FACOG Executive DirectorAmerican Society of Reproductive Medicine Birmingham, AL

Learning Objectives:1. Describe the objectives of a treatment strategy for couples with unexplained infertility.2. Diagnose couples treatments supported by the literature3. Counsel couples regarding expected success rates.

4:30pm – 5:00pm PRENATAL GENETICS: CAN WE DO IT ALL?

Ronald J. Wapner, MD, FACOGProfessor and Vice Chair of ResearchColumbia University Medical CenterNew York, NY

Learning Objectives:1. Discuss emerging technology to evaluate the fetus2. Explain the pros and cons of available options3. Discuss the implications

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DISTRICT II’S ANNUAL CELEBRATION DINNER 6:30pm-9:00pm

Join colleagues, faculty, and ACOG leaders for an evening of fabulous food, fun, and great entertainment. While you dine, experience a sensational entertainment, and relax and mingle among your peers.

FRIDAY, OCTOBER 23, 2015

SATURDAY, OCTOBER 24, 2015JUNIOR FELLOW/MEDICAL STUDENT PROGRAMBe sure you are part of this year’s exciting Junior Fellow/Medical Student Program. The program will once again be offered free-of-charge to Junior Fellows and Medical Students. Sessions being planned include:· Medical Student Lecture on Contraception· How to use Social Media & Apps to Promote your Professional Career and Future Practice· ABOG Board Q&A Session· Life after Residency Panel Discussion· Skills Labs: Medical Student Hand-on Experience· Junior Fellow/Medical Student Mixer· And Much More…

7:00am – 10:00am JR. FELLOW/ MEDICAL STUDENT ADVISORY COUNCIL BREAKFAST MEETING/ROUNDTABLE DISCUSSIONS All Junior Fellows and Medical Students are invited to attend the Junior Fellow Advisory Council Breakfast Meeting. District Junior Fellow officers will report on their ongoing projects, and initiatives, and upcoming ACOG national and District II activities. Come and learn how to get involved with ACOG. Roundtable discussions are a popular session, specifically designed for interactive discussions between renowned Fellow generalists/sub-specialists and YOU! Topics include sub-specialties (MFM, GYN Onc, REI, MIGs, Family Planning), Generalist Practice, Applying to Residency, and Financial Planning. Have questions about general requirements, rules for applying to a subspecialty-training program, or the interview process? Be sure to bring these and all your other questions to this session and get answers from the experts!

BUY YOUR TICKETS NOW

REGISTER ONLINE AT: WWW.ACOGNY.ORG

WELCOME RECEPTION 5:30pm-6:30pm

Grab some refreshments and toast to the 2015 Annual District II Meeting. Our Welcome Reception is the perfect end to a fulfilling day of education and learning. Enjoy hors d’oeuvres as you meet familiar faces and make new connections while experiencing the elegant atmosphere of the Grand Hyatt.

SATURDAY, OCTOBER 24, 20158:30am – 8:45am PROGRAM ANNOUNCEMENTS8:45am – 9:15am IFFATH ABBASI HOSKINS, MD LECTUREFIRST TRIMESTER PREDICTION OF PREECLAMPSIA

James N. Martin, Jr., MD, FACOG, FRCOG(H)Former Professor OBGYN/MFM (Retired); Past President of ACOG 2011-2012University of Mississippi Medical CenterJackson, MS

Learning Objectives:1. Discuss the relevant concepts of preeclampsia prediction2. Enumerate the potential applications for laboratory testing to diagnose and predict impending preeclampsia3. Summarize where we are in 2015 with preeclampsia prediction

9:30am – 10:00amVULVAR DISORDERS

Hope K. Haefner, MD, FACOGProfessor, Department of Obstetrics and GynecologyUniversity of Michigan Health SystemAnn Arbor, MI

Learning Objectives:1. Assess your knowledge of vulvovaginal diseases2. Identify the clinical features of some difficult vulvovaginal conditions3. Familiarize yourself with a variety of treatments for skin diseases

10:15am - 1:30pm MARTIN L. STONE, MD RESEARCH DAY POSTER SESSION OPENAs part of the Iffath Abbasi Hoskins, MD Junior Fellow Research Day Contest, this session provides the opportunity for District II Junior Fellows to showcase their research projects in the form of a poster presentation. Posters will be prominently displayed in the bustling Exhibit Hall and judged by the Junior Fellow Task Force on Awards. A monetary prize will be awarded to the winner.All Junior Fellows of the District are encouraged to participate by submitting an abstract of their recent research at www.acogny.org.

10:15am – 11:00amBREAK IN EXHIBIT HALL

11:00am – 12:00pm GETTING PAID FOR QUALITY AND VALUE

Scott Hayworth, MDPresident & CEOMount Kisco Medical GroupMount Kisco, NY

John P. Keats, MD, CPE, CPPS, FACOG, FACPEMarket Medical ExecutiveCigna Health Care of ArizonaVentura, CA

Learning Objectives:1. Describe the rationale for the emergence of physician ratings2. Outline the source and metrics involved in physician ratings3. Provide concrete examples of various physician rating scales4. Review various physician compensation models proposed for the future5. Examine the concept of moving from volume based to value based compensation.6. Describe the new payment methodologies that will replace fee for service eventually7. Name the measures now being employed in OB/ GYN related pay for performance pilot programs8. Analyze Physician-Hospital alignment models9. Determine which model may be right for you

Mike FleischmanPrincipalStroudwater Associates

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SATURDAY, OCTOBER 24, 201512:15pm – 1:15pmLUNCH ON YOUR OWN ATTEND AN INDUSTRY LUNCH SYMPOSIA

1:15pm – 1:45pmADOLESCENT POLYCYSTIC OVARIAN SYNDROME

Wendy Vitek, MD, FACOG Assistant Professor Department of Obstetrics and GynecologyUniversity of Rochester Medical CenterRochester, NY

Learning Objectives;1. Understand the role of peripubertal obesity in the pathogenesis of PCOS2. Interpret how the diagnosis of PCOS differs in the adolescent from the diagnostic criteria for adult women3. Discuss strategies for tailoring the counseling and management of PCOS to the adolescent

1:30pm – 2:30pmFILM FESTIVALNEW to this year’s Junior Fellow Program is District II’s first Film Festival! All District Junior Fellows (residents, Junior Fellows in Training/Practice) and Young Physicians are invited to submit by video their original work on exciting and cutting edge surgical techniques and educational teaching skills. Visit the District II website at www.acogny.org for complete information and submission details.

2:00pm – 2:30pm OPPORTUNISTIC SALPINGECTOMY FOR OVARIAN CANCER PREVENTION

Jessica N. McAlpine, MD, FRCPSC, FACOG Associate Professor University of British Columbia and BC Cancer AgencyVancouver, BC

Learning Objectives:1. Indicate the role of the fallopian tube in ovarian cancer2. Describe the safety and cost implications of salpingectomy for ovarian cancer prevention3. Outline the uptake of salpingectomy and be familiar with the observed and projected impact of the procedure

2:45pm – 3:15pmIFFATH ABBASI HOSKINS, MD JUNIOR FELLOW RESEARCH DAY CONTEST - ORAL PRESENTATIONSThe Junior Fellow Research Day Contest is held each year during the Annual Meeting. All Junior Fellows of the District are encouraged to participate by submitting an abstract of their recent research at www.acogny.org. The authors of the top two scoring abstracts, as determined by the Junior Fellow Task Force on Awards, are invited to present their research during the Annual Meeting. The finalist is awarded a travel stipend to the 2016 Annual Clinical Meeting, sponsored by the John Burch Endowment Fund.

DONALD F. RICHARDSON MEMORIAL PRIZE PAPER AWARD The District’s finalist in ACOG’s Donald F. Richardson Memorial Prize Paper Award will present to meeting attendees - as a requirement of the award - their research in the form of a presentation. All District II Junior Fellows are encouraged to participate by submitting an abstract of their recent research at www.acogny.org. Two national winners are selected from the twelve District finalists to receive a monetary award and present their research at the 2016 Annual Clinical Meeting.

REGISTER ONLINE AT: WWW.ACOGNY.ORG

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3:15pm – 3:45pm FINAL BREAK IN EXHIBIT HALL

3:45pm – 4:45pmREDEFINING THE POSTPARTUM VISIT – PANEL DISCUSSION TO INCLUDE ACOG EXPERTS

Nicholas Kulbida, MD, FACOGMedical Director of OperationsOB Hospitalist GroupEllis-Bellevue Women’s CenterNiskayuna, NY

Learning Objectives:1.Summarize the current guidelines that define the components of the six week postpartum visit2.Detail these components and their importance at this interval3.Evaluate the timeframe for the postpartum visit and examine important factors that may prompt a visit prior to six weeks

THERE WILL BE A 15-MINUTE Q&A SESSION FOLLOWING EACH LECTURE

SATURDAY, OCTOBER 24, 20155:00pm – 5:30pm CURRENT MANAGEMENT OF MENOPAUSAL SYMPTOMS

Vanessa Barnabei, MD, PhD, FACOGProfessor and ChairDepartment of Obstetrics and GynecologyUniversity at Buffalo School of Medicine and Biomedical Sciences Buffalo, NY

Learning Objectives:1. Review common symptoms of the menopausal transition2. Discuss strategies to treat and manage these symptoms3. Review the evidence regarding the risks and benefits of hormone therapy and other options

5:45pm ADJOURNMENT

SUNDAY, OCTOBER 25, 20158:30amPROGRAM ANNOUNCMENTS 8:45am – 9:15amSAFE MOTHERHOOD INITIATIVE BREAKFAST PROGRAM

Mary E. D’Alton, MD, FACOG Willard C. Rappleye Professor and Chair Department of Obstetrics and GynecologyColumbia University New York, NY

Learning objectives: 1. Describe the current landscape of maternal mortality in the state and nationally 2. Demonstrate how standardized maternity care reduces adverse events 3. Review the ACOG District II Safe Motherhood Initiative’s efforts to transform hospital and provider response to obstetric emergencies

Cynthia Chazotte, MD, FACOG Professor and Vice Chair, Department of Obstetrics and Gynecology Montefiore Medical Center/Albert Einstein College of Medicine Bronx, NY

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SUNDAY, OCTOBER 25, 201510:30am – 12:30pm MOC UPDATE, SAMPLE TEST QUESTIONS AND Q&AModerated by:

Kenneth Noller, MD, MS, FACOG Director of Examinations American Board of Obstetrics and Gynecology Dallas, TX

The Annual Meeting faculty will offer attendees a unique opportunity to hear about the most current updates in the specialty of obstetrics and gynecology such as HIV, malpresentations, neoplasia, genetic counseling, postoperative wound care and complications, and more. Attend this session to catch up on the latest in our field.

9:45am -10:15am TIMING OF DELIVERY

Joanne Stone, MDProfessor, Department of Obstetrics and GynecologyIcahn School of Medicine at Mount SinaiNew York, NY

Learning Objectives:1. Determine when delivery prior to 39 weeks is indicated2. Describe what is considered a non-elective delivery prior to 39 weeks3. Illustrate the risks of delivery prior to 39 weeks

INTERACT, EXPLORE, NETWORK EXHIBIT HALL The exhibit hall is a bustling one-stop shop to relax, network, test new products and find the tools and resources you need to stay ahead of the curve. Grab a cup of coffee with colleagues and faculty and interact with industry representatives who generously support District II.

EDUCATIONAL SYMPOSIA While you are at the Annual Meeting you will have the opportunity to hear from industry leaders talk in depth about important developments in the area of OB/GYN through educational symposia sessions. These FREE sessions offer breakfast or lunch and take place during the breakfast and lunch hours so you don’t have to miss any lectures on the official agenda! Watch for more information pertaining to the topics that will be presented at this year’s meeting.

PRODUCT THEATER Wish you could learn more about a cutting edge product or service in more detail but haven’t been able to find the time? The Product Theater, located in the Exhibit Hall, will offer free, quick, mini sessions giving you the opportunity to hear about some of the latest technology and services relevant to your practice.

FREE WI-FI AND CHARGING STATIONS ACOG District II is pleased to provide you with FREE Wi-Fi Internet service on the Ballroom Level of the Hotel where the lectures and the exhibit hall will be located. Because an electronic device is only as good as the amount of battery life it has left, FREE charging stations will be available in the main meeting room where lectures will be held throughout the three days.

REGISTER ONLINE AT: WWW.ACOGNY.ORG

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REGISTRATION INFORMATION HOW TO REGISTER Registration is quick and easy, 24 hours a day by visiting www.acogny.org On-site registration will be available: Friday, October 23 7:00am-5:00pm Saturday, October 24 7:00am-5:00pm Sunday, October 25 7:30am-9:30am

HOTEL RESERVATIONS Grand Hyatt New York 109 E. 42nd Street New York, NY 10017 Park Avenue at Grand Central Terminal

• A discounted rate of $369 per night has been arranged at the beautiful Grand Hyatt New York. • Reservations must be made by September 30, 2015 to receive the discounted rate and are based on availability. After this date, reservations at the group rate will be accepted on a space available basis only. • Reserve instantly online: https://resweb.passkey.com/go/ADMII2015

CANCELLATIONS • All cancellations must be received in writing via e-mail or USPS, on or before September 25, 2015 to receive a refund, less a $100 administrative fee. • Cancellations received, via e-mail or USPS, on or after September 26, 2015 will be subject to forfeiture of the entire registration fee.

THE FACTS Attire Business casual attire is appropriate for all conference functions, including the Welcome Reception. Room temperature can fluctuate. We suggest bringing a sweater or jacket to ensure you are comfortable.

Paper-Lite Meeting Continuing our efforts to be responsible toward the environment and to increase the quality and timeliness of resources provided, this year we will again host a paper-lite meeting. Electronic materials including the syllabus and handouts will be accessible online.

Americans with Disabilities (ADA) ACOG District II is committed to making each of its educational activities accessible to all participants so they may be actively involved in all aspects of the meeting. If you have special physical, dietary or communication needs that require auxiliary aids or services identified in the Americans with Disabilities Act, please call Jessyca Howard, Director of Meetings at (518) 436-3461ext 102.

REGISTRATION FEES*

ADDITIONAL FEES

Fellow

Junior Fellow In Practice

Junior Fellow – Resident

Life Fellow

Non-ACOG Physician

Medical Student (ID or verification required)

Nurse/Educational Affiliate/Other

Spouse/ Guest

Category

Register on or before 9/1/2015

Register9/2/2015 - onsite

Registration

District II Annual Celebration Dinner (Cash bar will be available) $150pp

* Fee includes electronic syllabus and materials. Registration category is based on member status through December 31, 2015.

AMERICAN CONGRESS OF OBSTETRICIANS & GYNECOLOGISTS100 Great Oaks Blvd, Suite 109 • Albany, NY 12203

2015 AnnuAl District II MeetingAmerican Congress of Obstetricians & Gynecologists

Grand Hyatt Hotel NYCOctober 23-25, 2015REGister online at aCOGNY.org

Jointly sponsored by the American College of Obstetricians and Gynecologists

THE AMERICAN CONGRESS

OF OBSTETRICIANS

AND GYNECOLOGISTS