Philadelphia, PA - downloads.aap.orgdownloads.aap.org/aapassets/_files/AAP18229_LE050... ·...

July 28-August 1, 2018 | Hilton Philadelphia Penn’s Landing

Save $150!Register by

June 29, 2018Plus newly created,

career-focused Bonus Sessions included with

registration!

Philadelphia, PA

PREP®:EMAn Intensive Review and Update of Pediatric Emergency MedicineSponsored by the American Academy of Pediatrics (AAP), the AAP Section on Emergency Medicine and the American College of Emergency Physicians (ACEP)

The Best Pediatric CME/CPD* For The Best Pediatric Care Earn a Maximum of 30.50 AMA PRA Category 1 Credits™

Register online at shop.aap.org/prepem2018 or call toll-free (866/843-2271)

*Continuing Professional Development

The Self-Assessment portion of this course is approved through the AAP MOC Portfolio Program for 10 points by the American Board of Pediatrics for MOC Part 2.

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YOU SHOULD ATTEND PREP®:EM IF YOU ARE: > Seeking a comprehensive review of pediatric emergency medicine. > Committed to updating your clinical skills in acute-care pediatrics. > An emergency medicine or urgent care physician who provides care for children. > A general pediatrician, family physician, hospitalist, or prehospital/emergency medicine service provider. > A physician assistant, nurse practitioner, urgent care specialist or other allied health professional who cares for children.

> Preparing for board certification or Maintenance of Certification™ in Pediatric Emergency Medicine.

WHEN YOU ATTEND PREP®:EM, YOU WILL BE PREPARED TO: > Practice state-of-the-art pediatric emergency medicine > Assess new developments in pediatric emergency medicine > Integrate new management strategies for acute pediatric illness and injury into your practice

THIS CME ACTIVITY IS DESIGNED TO: > Disseminate information on recent developments in theory, diagnosis, and management of pediatric medical and surgical emergencies.

> Offer opportunities to meet with and ask questions of planning group members and faculty in informal sessions at lunch.

> Offer opportunities for participants to maintain or improve current abilities by reviewing and reinforcing their cognitive base for medical practice.

> Provide an intensive review of topics in pediatric emergency medicine identified in the American Board of Pediatrics Subspecialty Certifying Examination Content Outline developed by the Sub-Board of Pediatric Emergency Medicine.

THIS CME ACTIVITY IS DESIGNED FOR: > General and Subspecialty Pediatricians > Emergency and Family Medicine Physicians > Pediatric and Emergency Medicine Residents and Fellows > Pediatric and Emergency Medicine Advanced Practice Providers > Pediatric Hospitalists > Pre-hospital Care Providers > Urgent Care Specialists

REGISTRATIONUsing your Visa, MasterCard, American Express, or Discover, you can register online at shop.aap.org/prepem2018 or call toll-free 866/843-2271. Outside the United States and Canada, call 847/434-4000, option 3.

Please have your credit card and concurrent session selections ready prior to calling. If your membership status has changed or lapsed, the registration staff will charge the appropriate fees accordingly.

Educational sessions as well as food and beverages provided during the course are intended for course attendees only. Lodging and meals, other than specified, are not included in the registration fee.

Onsite registrants are welcome if space is available. Availability of course materials cannot be guaranteed for these registrants, however, until after the course.

REGISTRANT TYPE/FEES U.S. CurrencyRegister by June 29, 2018 for Early Bird Rates.

Early Bird Rate Full Rate

AAP Section on Emergency Medicine Members $ 1,221 $ 1,371

ACEP Pediatric Section Members $ 1,221 $ 1,371

AAP/ACEP Fellows/Candidate Members/International Members (Section Nonmembers) $ 1,285 $ 1,435

AAP Resident Members $ 964 $ 964

Nonmember Physicians $ 1,606 $ 1,756

Family Physicians $ 1,349 $ 1,499

Nonmember Residents $ 1,435 $ 1,435

Registered Nurses $ 1,092 $ 1,242

Nurse Practitioners $ 1,092 $ 1,242

Physician Assistants $ 1,092 $ 1,242

Order printed syllabus distributed at the course for $100 by June 29, 2018. After June 29, price is $250.

Fees subject to change without notice.

Register online at shop.aap.org/prepem2018 or call toll-free 866/843-2271

Hotel & Travel Information

HILTON PHILADELPHIA AT PENN’S LANDING201 S. Christopher Columbus Blvd.Philadelphia, PA 19106Direct Phone: 215-521-6500

Hotel Website: www3.hilton.com/en/hotels/pennsylvania/hilton-philadelphia-at-penns-landing-PHLPNHH/index.html

Special group rates beginning at $195 per night, plus tax, for single or double occupancy, have been negotiated at the Hilton Philadelphia at Penn’s Landing. These rates represent substantial savings from published rates. The cutoff date for reservations at the group rate is June 29, 2018, but some or all dates in our discounted room block may become sold-out prior to this deadline. Call the hotel directly to make your reservations and be sure to mention that you are attending the AAP PREP Emergency Medicine course.

CANCELLATIONSCancellations must be received in writing ([email protected]) by Friday, July 13, 2018 to receive a refund. An administrative charge of $50 will be deducted.

ONLINE SYLLABUSThe 2018 PREP®:EM Course is environmentally friendly! Syllabus materials for this course will be made available online for registered course attendees. About 1 week prior to the course, you can expect to receive an email with instructions for accessing the online syllabus materials. Only registered participants will have access to view all of the PowerPoint presentations, along with other useful information. If you are interested in viewing the contents of the online syllabus while at the course, we encourage you to download the syllabus onto your laptop computer or tablet device prior to arriving on-site. If you prefer to have printed handouts in front of you while at the course, we encourage you to print those from the online syllabus ahead of time and bring them with you. There will not be any AAP-provided printer stations at the course.

Note: Please include your email address on your registration form to ensure that you receive instructions for accessing the online syllabus. Please contact AAP registration if you do not receive an email approximately one week prior to the course.

Because the AAP understands that individuals have different learning styles, you may choose to order a printed copy of the syllabus materials, if you prefer that format. If you would like a printed copy of the syllabus, please select that option on the course registration form. Please note that an additional fee of $100 applies.

Note: There may be printed copies of the syllabus available for purchase on-site or after the course; however, quantities will be limited. The price for a printed syllabus ordered on-site or after the course is $250.

Electrical power for laptop and tablet use will not be available for full-time use by each course attendee throughout the educational sessions. A limited number of power outlets will be available for brief recharging of computers and tablets during the courses.

SPECIAL NEEDSThe AAP is sensitive to the special needs of its attendees. Please indicate any accommodations you may need on your registration form.


The AAP is an organization of 66,000 primary care pediatricians, pediatric medical subspecialists, and pediatric surgical subspecialists committed to the attainment of optimal physical, mental, and social health and well-be-ing for all infants, children, adolescents, and young adults.

For more information, visit www.aap.org.

AMERICAN ACADEMY OF PEDIATRICS SECTION ON EMEREGENCY MEDICINE (SOEM)Founded in 1981, the AAP Section on Emergency Medicine (SOEM) is comprised of 1,721 members with a special interest in issues related to the treatment and care of pediatric cases in the emergency department. The SOEM was formed to improve the care of infants, children, adolescents, and young adults with acute emergency medical prob-lems by stimulating research in the teaching of emergency care for children.

For more information, visit the SOEM website at: https://www.aap.org/en-us/about-the-aap/Sections/Section-on-Emergency-Medicine/Pages/SOEM.aspx?

Founded in 1968, the American College of Emergency Physicians (ACEP) has promoted the highest quality of emergency care and is the leading advocate for emergency physicians, their patients and the public. Headquartered in Dallas, Texas, ACEP has more than 34,000 members and 53 chapters repre-

senting each state, as well as Puerto Rico and the District of Columbia. A Government Services

Chapter represents emergency physicians employed by military branches and other government agencies. Emergency physicians are recognized and valued for their commitment to high quality patient care, teaching, leadership, research and innovation. To learn more about ACEP, visit https://www.acep.org


PREP:EM FACULTY

Linda Arnold, MD, FAAPNew Haven, Connecticut

Jeffrey A. Avner, MD, FAAPBrooklyn, New York

Fran Balamuth, MD, PhD, MSCE, FAAPPhiladelphia, Pennsylvania

Linda Brown, MD, MSCEProvidence, Rhode Island

Christine Cho, MD, MEd, FAAPLos Angeles, California

Cindy W. Christian, MD, FAAPPhiladelphia, Pennsylvania

Andrea Cruz, MD, MPH, FAAPHouston, Texas

Gary L. Geis, MDCincinnati, Ohio

Javier A. Gonzalez del Rey, MD, MEd, FAAPCincinnati, Ohio

Robert Hickey, MD, FAHA, FAAPPittsburgh, Pennsylvania

Mark Joffe, MDPhiladelphia, Pennsylvania

Suzanne Kost, MD, FAAPWilmington, Delaware

Mimi Lu, MDBaltimore, Maryland

Suzan Mazor, MD, FAAPSeattle, Washington

Colette Mull, MD, FAAPWilmington, Delaware

Joshua Nagler, MD, MHPEd, FAAPBoston, Massachusetts

Karen O’Connell, MD, MEd, FAAPWashington, DC

Jay Pershad, MD, MMM, FAAPMemphis, Tennessee

Alfred Sacchetti, MDCamden, New Jersey

Jillian Savage, DO, FAAPWilmington, Delaware

Richard Scarfone, MD, FAAPPhiladelphia, Pennsylvania

Kathy Shaw, MD, MSCE, FAAPPhiladelphia, Pennsylvania

Planning Group & Faculty

PREP:EM PLANNING GROUP

John Loiselle, MD, FAAP, ChairWilmington, Delaware

Karen Santucci, MD, FAAP, Immediate Past ChairNew Haven, Connecticut

Christopher S. Amato, MD, FACEP, FAAPParsippany, New Jersey

Lalit Bajaj, MD, MPH, FAAPAurora, Colorado

Deborah Hsu, MD, MEd, FAAPHouston, Texas

Angela Lumba-Brown, MD, FAAPSaint Louis, Missouri

Ronald I. Paul, MD, FAAPLouisville, Kentucky

2018 PREP®:EM SCHEDULE


SATURDAY, JULY 28, 201811:30am-5:30pm AAP Registration Desk Open1:00-1:15pm Introduction

John Loiselle, MD, FAAP1:15-1:45pm Pediatric Resuscitation

Robert Hickey, MD, FAHA, FAAP1:45-2:15pm Neonatal Resuscitation

Mimi Lu, MD2:15-2:45pm Trauma Resuscitation

Karen O’Connell, MD, MEd, FAAP2:45-3:15pm Shock

Fran Balamuth, MD, PhD, MSCE, FAAP3:15-3:30pm Question and Answer Session3:30-3:45pm Break/Visit the Exhibits3:45-4:15pm Recognizing and Managing the

Difficult AirwayJoshua Nagler, MD, MHPEd, FAAP

4:15-4:45pm Non-Invasive Airway ManagementAlfred Sacchetti, MD

4:45-5:15pm Visual Diagnosis I Robert Hickey, MD, FAHA, FAAP

5:15-5:30pm Question & Answer Session5:30pm Adjourn for the Day

Maximum CME Credits for Saturday: 4.00

SUNDAY, JULY 29, 20187:00-7:30am Breakfast/Visit the Exhibits7:30-8:00am Mock Review Questions8:00-8:30am Upper Airway Emergencies

Joshua Nagler, MD, MHPEd, FAAP8:30-9:00am Lower Airway Emergencies

Richard Scarfone, MD, FAAP9:00-9:30am Non-Traumatic Abdominal

EmergenciesRobert Hickey, MD, FAHA, FAAP

9:30-9:45am Question & Answer Session9:45-10:00am Break/Visit the Exhibits10:00-10:30am Sedation

Suzanne Kost, MD, FAAP10:30-11:00am Altered Mental Status

Jeffrey R. Avner, MD, FAAP11:00-11:30am Imaging Diagnosis

Alfred Sacchetti, MD11:45am-12:55pm Boxed Lunch

Grab a lunch and come back to attend the bonus session!

12:00-12:55pm Bonus Session12:55-1:00pm Move Break1:00-1:45pm Concurrent Breakout Sessions

A1. Caring for the Technologically Dependent ChildJoshua Nagler, MD, MHPEd, FAAPChristine Cho, MD, MEd, FAAPA2. Study PREP:Test Taking SkillsJeffrey R. Avner, MD, FAAPA3. Quality in Pediatric Emergency Medicine: Definition, Metrics, and MethodsKathy Shaw, MD, MSCE, FAAPA4. Minor ProceduresGary L. Geis, MDMimi Lu, MD

1:45-2:00pm Move Break2:00-2:45pm Concurrent Breakout Sessions

(Repeated)B1. Caring for the Technologically Dependent ChildJoshua Nagler, MD, MHPEd, FAAPChristine Cho, MD, MEd, FAAPB2. Study PREP:Test Taking SkillsJeffrey R. Avner, MD, FAAPB3. Quality in Pediatric EmergencyKathy Shaw, MD, MSCE, FAAPB4. Minor ProceduresGary L. Geis, MDMimi Lu, MD

2:45-3:00pm Break3:00-3:30pm Toxicology I

Suzanne Mazor, MD, FAAP3:30-4:00pm Medicolegal Challenges in

Pediatric EDMimi Lu, MD

4:00-4:30pm Visual Diagnosis II Richard Scarfone, MD, FAAP

4:30-4:45pm Question & Answer Session4:45pm Adjourn for the Day

Maximum CME Credits for Sunday: 7.00

MONDAY, JULY 30, 20187:00-8:00am Breakfast/Visit the Exhibits7:30-8:00am Mock Review Questions8:00-8:30am Head Trauma

Mark Joffe, MD8:30-9:00am Neck Trauma

Jeffrey R. Avner, MD, FAAP9:00-9:15am Question & Answer Session9:15-9:30am Break/Visit the Exhibits9:30-10:00am Upper Extremity Injuries

Gary L. Geis, MD10:00-10:30am Chest Trauma

Karen O’Connell, MD, MEd, FAAP10:30-11:00am Abdominal Trauma

Christine Cho, MD, MEd, FAAP11:00-11:15am Question & Answer Session11:15am-12:45pm Lunch on Your Own


11:40am-12:40pm Bonus Session12:45-1:30pm Concurrent Breakout Sessions

C5. Coming in Hot! Lessons Learned in Pediatric Burn CasesChristine Cho, MD, MEd, FAAPJillian Savage, DO, FAAPC6. Board Review: StatisticsJeffrey R. Avner, MD, FAAP C7. EMS/PrehospitalKaren O’Connell, MD, MEd, FAAPC8. The “Ouchless” Pediatric ED: Achievable or Impossible?Susanne Kost, MD, FAAPSuzan Mazor, MD, FAAP

1:30-1:45pm Move Break

For detailed course information and updates, visit shop.aap.org/prepem2018.

1:45-2:30pm Concurrent Breakout Sessions (Repeated)D5. Coming in Hot! Lessons Learned in Pediatric Burn CasesChristine Cho, MD, MEd, FAAPJillian Savage, DO, FAAPD6. Board Review: StatisticsJeffrey R. Avner, MD, FAAP D7. EMS/PrehospitalKaren O’Connell, MD, MEd, FAAP D8. The “Ouchless” Pediatric ED: Achievable or Impossible?Susanne Kost, MD, FAAPSuzan Mazor, MD, FAAP

2:30-2:45 pm Break/Visit the Exhibits2:45-3:15pm Lower Extremity Injuries

Gary L. Geis, MD3:15-3:45pm Pediatric Physical and Sexual

AbuseCindy W. Christian, MD, FAAP

3:45--4:15 pm Oral, Maxillofacial and Dental TraumaSuzan Mazor, MD, FAAP

4:15-4:30pm Question & Answer Session4:30-5:00 pm Pediatric Emergency Medicine

Jeopardy – Single JeopardyJavier A. Gonzalez del Rey, MD, MEd, FAAP

5:00 pm Adjourn for the Day

Maximum CME Credits for Monday: 7.25

TUESDAY, JULY 31, 20187:00-8:00am Breakfast/Visit the Exhibits7:30-8:00am Mock Review Questions8:00-8:30am Cardiac Emergencies

Jay Pershad, MD, MMM, FAAP8:30-9:00am Renal and Hypertensive

EmergenciesKathy Shaw, MD, MSCE, FAAP

9:00-9:30am Fluid and ElectrolytesMark Joffe, MD

9:30-9:45am Question and Answer Session9:45-10:00am Break/Visit the Exhibits10:00-10:30am Genitourinary Emergencies

Linda Arnold, MD, FAAP10:30-11:00am Gynecology Emergencies

Javier A. Gonzalez del Rey, MD, MEd, FAAP

11:00-11:30am Managing Pediatric Psychiatric Emergencies: Pearls and PitfallsLinda Brown, MD, MSCE

11:30-11:45am Question and Answer Session11:45am-1:00pm Boxed Lunch


12:00-12:55pm Bonus Session1:00-1:30pm Ophthalmology Emergencies

Richard Scarfone, MD, FAAP1:30-2:00pm Neurologic Emergencies in the PED:

What’s the Evidence?Linda Brown, MD, MSCE

2:30-3:15pm Concurrent Breakout SessionsE9. Resource Limited Pediatric Emergency MedicineMark Joffe, MDE10. Board Review: Study PREP/Practice QuestionsJavier A. Gonzalez del Rey, MD, MEd, FAAPE11. Fever/Infectious DiseaseAndrea Cruz, MD, MPH, FAAPE12. Anaphylaxis/Allergy/RheumatologyLinda Arnold, MD, FAAPLinda Brown, MD, MSCE

3:15-3:30 pm Move Break3:30-4:15pm Concurrent Breakout Sessions

(Repeated)F9. Resource Limited Pediatric Emergency MedicineMark Joffe, MDF10. Board Review: Study PREP/Practice QuestionsJavier A. Gonzalez del Rey, MD, MEd, FAAPF11. Fever/Infectious DiseaseAndrea Cruz, MD, MPH, FAAPF12. Anaphylaxis/Allergy/RheumatologyLinda Arnold, MD, FAAPLinda Brown, MD, MSCE

4:15-4:30pm Break/Visit the Exhibits4:30-5:00pm Endocrinology Emergencies

Linda Arnold, MD, FAAP5:00-5:30pm Hematology and Oncology

EmergenciesChristine Cho, MD, MEd, FAAP

5:30-6:15pm Double and Final JeopardyJavier A. Gonzalez del Rey, MD, MEd, FAAP

6:15pm Adjourn for the Day

Maximum CME Credits for Tuesday: 8.25

WEDNESDAY, AUGUST 1, 20187:00-8:00am Breakfast/Visit the Exhibits7:30-8:00am Mock Review Questions

Jay Pershad, MD, MMM, FAAP8:00-8:30am Toxicology II

TBD8:30 -9:00am Non-traumatic Orthopaedic

Emergencies Andrea Cruz, MD, MPH, FAAP

9:00-9:30am Bites and StingsJavier A. Gonzalez del Rey, MD, MEd, FAAP

9:30-9:45am Question and Answer Session9:45-10:00am Break/Visit the Exhibits10:00-10:30am Environmental Emergencies

Colette Mull, MD, FAAP10:30-11:00am Emerging Infectious Diseases

Andrea Cruz, MD, MPH, FAAP11:00-11:30am Visual Diagnosis III

Jay Pershad, MD, MMM, FAAP11:30-11:45am Question and Answer Session11:45am-12:00pm Closing Remarks

John Loiselle, MD, FAAP12:00pm Adjourn

Maximum CME Credits for Wednesday: 4.00Maximum AMA PRA Category 1 Credits™ For the Course: 30.50

CONTINUING MEDICAL EDUCATION CREDITThe American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The AAP designates this live activity for a maximum of 30.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity is acceptable for a maximum of 30.50 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the AAP.

The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME. Physician assistants may receive a maximum of 30.50 hours of Category 1 credit for completing this program.

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

This program is accredited for 30.50 NAPNAP CE contact hours; pharmacology (Rx), psychopharmacology, and controlled substance contact hours to be determined per the National Association of Pediatric Nurse Practitioners (NAPNAP) Continuing Education Guidelines.

This activity is approved for 10 points of MOC Part 2 credit by the American Board of Pediatrics through the AAP MOC Portfolio Program. All approved activities must be completed by the MOC Credit Approval End Date. All deadlines and MOC point values should be confirmed by checking the ABP Activity Catalog within each physician’s ABP Portfolio. Consult your ABP portfolio at www.abp.org for details about your specific certification requirements. For questions about how to access this activity, contact [email protected].

EARN MOC PART 2 POINTS!

> Register to attend the 2018 PREP®EM Course

> Complete the online, pre-course self-assessment by the deadline date

> Attend the 2018 PREP®EM Course in Philadelphia, PA

> Complete the online, post-course self-assessment with a minimum passing score of 80% by the deadline date

> The pre- and post-course self-assessments are a bonus to registered course attendees to enhance the learning experience at the live activity and provide 10 ABP MOC Part 2 Points in addition to the CME credit earned by attending the course.

DISCLOSURE OF FINANCIAL RELATIONSHIPS AND RESOLUTION OF CONFLICTS OF INTERESTThe AAP Policy on Disclosure of Financial Relationships and Resolution of Conflicts of Interest is designed to ensure quality, objective, balanced, and scientifically rigorous AAP CME activities. All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners that they either have no relevant financial relationships or any financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in CME activities. All potential conflicts of interest are identified and resolved prior to an individual’s confirmation of service at an AAP CME activity. Beyond disclosure of financial relationships, AAP CME faculty are required to disclose to the AAP and to learners when they plan to discuss or demonstrate pharmaceuticals and/or medical devices and/or medical or surgical procedures that involve “off-label” use of a device or pharmaceutical. The AAP is committed to providing learners with commercially unbiased CME activities.

The content of this CME activity does not necessarily reflect the views or policies of the AAP.

For detailed course information and updates, visit shop.aap.org/prepem2018.


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An Intensive Review and Update of Pediatric Emergency Medicine Philadelphia, PA • July 28- August 1, 2018Save $150! Register by June 29, 2018

REGISTRATION FORMRegister using one of the following options:Online at: shop.aap.org/prepem2018

Call toll-free: 866/843-2271 (Outside the United States and Canada, call 847/434-4000, option 3)

Fax this form to: 847/228-5059

Mail this form with payment to: American Academy of Pediatrics/RegistrationP.O. Box 776442 • Chicago, Illinois 60677-6442

PLEASE TYPE OR PRINT:

Name ___________________________________________________________________________________________________________________ First Last (Surname) MD, DO, Other (Specify)

Address _________________________________________________________________________________________________________________

City / State / Province ______________________________________________________________________________________________________

Zip / Postal Code / Country __________________________________________________________________________________________________

Daytime Phone ( ______ ) ____________________________________ Cell Phone ( ______ ) ________________________________________

E-mail Address ____________________________________________ AAP ID # ___________________________________________________(Required to receive pre/post-course self-assessment questions)

Emergency Contact Name / Phone ____________________________________________________________________________________________

Please indicate any special needs (e.g., breastfeeding accommodations, dietary restrictions / allergies, physical disabilities).

________________________________________________________________________________________________________________________

Sign me up for the CME Listserv to receive information on upcoming AAP CME activities.

E-mail Address ___________________________________________________________________________________________________________

Sunday, July 291:00–1:45pm First Choice ____________________________________ Second Choice __________________________________________

2:00–2:45pm First Choice ____________________________________ Second Choice __________________________________________

Monday, July 3012:45–1:30pm First Choice ____________________________________ Second Choice __________________________________________


Tuesday, July 312:30–3:15pm First Choice ____________________________________ Second Choice __________________________________________


CONCURRENT CASE PRESENTATIONS (Please list your top two choices for each day and time).

(continued on next page)

SL1: Check here to order a printed syllabus for an additional $100, which will be distributed at the course. Order printed syllabus for $100 by June 29, 2018. After June 29, price is $250. JL1: Check here to order the 2018 PREP® E-Med at $165 (39% off retail rates).

REGISTRATION FEES (U.S. Currency) Early Bird Rates On/Before June 29, 2018

Full Rates On/AfterJune 30, 2018

AAP Section on Emergency Medicine Members $ 1,221 $ 1,371

ACEP Pediatric Section Members $ 1,221 $ 1,371

AAP/ACEP Fellows/Candidate Members/International Members (Section Nonmembers) $ 1,285 $ 1,435

AAP Resident Members $ 964 $ 964

Family Physicians $ 1,349 $ 1,499

Nonmember Physicians $ 1,606 $ 1,756

Nonmember Residents $ 1,435 $ 1,435

Registered Nurses $ 1,092 $ 1,242

Pediatric Nurse Practitioners $ 1,092 $ 1,242

Physician Assistants $ 1,092 $ 1,242

Printed Syllabus $ 100 $ 250

Fees subject to change without notice.

Cancellations

Course cancellations must be received in writing by Friday, July 13, 2018 to receive a refund. An administrative charge of $50 will be deducted.

Your registration will be confirmed. Please contact AAP Registration if you do not receive a confirmation within 7 days. The AAP cannot be responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at this course. Costs incurred, such as airline or hotel penalties, are the responsibility of the individual. The AAP reserves the right to cancel a course due to unforeseen circumstances or to limit enrollments, should attendance exceed capacity. Course educational sessions are open only to registered attendees.

FULL PAYMENT MUST ACCOMPANY THIS FORM.

Charge it:

Card Number _______________________________________________________________ Expiration Date ___________________________

Print Name As It Appears On Card ___________________________________________________________________________________________

Or checks may be made payable to the American Academy of Pediatrics. (U.S. REGISTRANTS ONLY)

Check Number ______________________________________________________________ Amount __________________________________

Please do not send currency.


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QUESTIONNAIRE

Check one of the following to indicate your practice type: Emergency Medicine or Urgent Care Physician

General Pediatrician

Family Physician

Hospitalist

Nurse Practitioner

Physician Assistant

Registered Nurse

Other ___________________________________________________________________________________________________________

Are you a member of: American College of Emergency Physicians (ACEP)

AAP Section on Emergency Medicine

Other organization (please specify) ______________________________________________________________________________________

How many years have you been in practice (post-fellowship)? 0-7 years (including Trainees)

8-17 years

18-29 years

30+ years

Not in practice

Have you attended this conference in the past? Yes

No

How did you hear about this course? Email

Direct mail

Word of mouth

Online (please specify website: ShopAAP.org, aap.org, other) ___________________________________________________________________

What is your primary objective for attending this course? Meet emergency medicine leaders

Career/leadership development

Other ___________________________________________________________________________________________________________


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