Platinum Sponsor:

Presented by the Kent State University College of Podiatric Medicine

Kent State University College of Podiatric Medicine is approved by the Council on Podiatric Medical Education as a provider of Continuing Education in Podiatric Medicine.

Kent State University College of Podiatric Medicine has approved this activity for a maximum of 27 continuing education contact hours.

Florida CME License Renewal CompliantA Continuing Medical Education Podiatric Conference

Amazing $209 Room Rate!LIMITED AVAILABILITY – BOOK TODAY!http://www.swandolphin.com/groupres/KSC16/

Registration

PICA is a proud supporter of the 2016 DECEMBER Southeast National Conference Risk Management Program. https://www.picagroup.com/site/

Walt Disney World

Swan Hotel

27 CME Credit Hours!

Celebrate the Holiday Season in Walt Disney World!Celebrate the Holiday Season in Walt Disney World!

Back to BasicsCurrent Practice and Risk Management

S C H E D U L E Please Note Start Time! Registration Starts at 6:30a.m.Tentative Schedule, Subject to Change

General Information – The Kent State University College of Podiatric Medicine cannot be held liable for events beyond our control. All information in this brochure is accurateat the time of publication. The final schedule of lecture presentations is subject to change and will be published and distributed the first day of the seminar.

THURSDAY, DEC. 15, 2016Total Day CME 9 Hours(7:00 a.m. – 6:00 p.m.)

7:00 a.m - 12:00 p.m.Morning Sessions(One Sign in - 4.5 CME Credit Hours)

1:00 p.m - 6:00 p.m.Afternoon Sessions(One Sign in - 4.5 CME Credit Hours)

Registration OpensExhibit Hall Opens

Addressing 1st ray pathology: Decision making and procedure selection• Radiologic parameters in 1st ray surgery, are they reliable? – Larry Osher, DPM• The question of bunion deformity in three planes – Paul Dayton, DPM• Panel discussion• When I do distal metatarsal procedures for HAV deformities? – Duane Ehredt, DPM• Panel discussion • Cotton osteotomy for hallux limitus in the young patient – Paul Dayton, DPM• Panel discussion • My indications for 1st MPJ fusion – Paul Dayton, DPM• Panel discussion • Why we need the Lapidus? – Paul Dayton, DPM• Getting Lapidus lunacy in perspective – Allen Jacobs, DPM

BREAK Potpourri• Realities of digital surgery: Is it the straight and narrow? – Allen Jacobs, DPM• DVT in everyday practice – What you need to know – Rocco Petrozzi, DPM• Practice Management – Allen Jacobs, DPM

LUNCHHot Topics in Podiatric Medicine and Surgery:• Interesting Case Studies in Podiatric Medicine

(New cases - Various Dermatological conditions ) – Brad Bakotic, DPM, DO• Dermal replacement for complex wounds – Jeff Shook, DPM • Ankle joint arthritis – Duane Ehredt, DPM• Current concepts in off-loading Charcot patients – Rocco Petrozzi, DPM• Novel concepts in MRI of the ankle – Larry Osher, DPM• Novel approaches in the treatment of Morton's – Allan Boike, DPM

BREAK Painful experiences: Principles for effective diagnosis and management of the painful foot• Pharmacologic management of painful neuropathy – Allen Jacobs, DPM• Diagnostic imaging of the painful heel posterior & plantar – Larry Osher, DPM• Tips for effective post-operative pain management – Jeff Shook, DPM• Complex regional pain syndrome – Larry Osher, DPM

Update on the evaluation and treatment of common problems• Evaluation and office based treatment of ankle sprains – Jeff Shook, DPM• High ankle sprains – Paul Saluan, MD• Differential diagnosis of inferior heel pain – Allen Jacobs, DPM• MRI of the Ankle – ligament injuries – Mark Schweitzer, MD

BREAKOrthopedic Pathology: Tendons, Ligaments, and Cartilage• Pathophysiology of tendinopathy – Mark Schweitzer, MD• MRI and clinical correlation: Achilles, tibialis posterior and peroneal tendons

– Mark Schweitzer, MD and Jeff Shook, DPM• Current therapeutic considerations, ankle OCD – Paul Saluan, MD• Achilles tendon injuries: Do we need to cut to cure? – Allen Jacobs, DPM• Diagnosis and Management of Stress-induced Injury – Paul Saluan, MD

LUNCH

(Friday schedule continued on page after next)

6:30 a.m.

7:00 - 7:30 a.m.

7:00 - 7:30 a.m.7:30 - 7:50 a.m.7:50 - 8:00 a.m.8:00 - 8:20 a.m.8:20 - 8:30 a.m.8:30 - 8:50 a.m.8:50 - 9:00 a.m.9:00 - 9:20 a.m.9:20 - 9:30 a.m.9:30 - 9:45 a.m.9:45 - 10:00 a.m.

10:00 - 10:30 a.m.

10:30 - 11:00 a.m.11:00 - 11:30 a.m.11:30 - 12:00 p.m.

12:00 - 1:00 p.m.

1:00 - 1:50 p.m.

1:50 - 2:10 p.m.2:10 - 2:30 p.m.2:30 - 2:50 p.m.2:50 - 3:10 p.m.3:10 - 3:30 p.m.

3:30 - 4:10 p.m.

4:00 - 4:30 p.m.4:30 - 5:00 p.m.5:00 - 5:30 p.m.5:30 - 6:00 p.m.

FRIDAY, DEC. 16, 2016Total Day CME 9 Hours(7:00 a.m. – 6:00 p.m.)

7:00 a.m - 12:00 p.m.Morning Sessions(One Sign in - 4.5 CME Credit Hours)

1:00 p.m - 6:00 p.m.Afternoon Sessions(One Sign in - 4.5 CME Credit Hours)

7:00 - 7:30 a.m.7:30 - 8:00 a.m.8:00 - 8:30 a.m.8:30 - 9:00 a.m.

9:00 - 9:30 a.m.

9:30 - 10:00 a.m.10:00 - 10:40 a.m.

10:40 - 11:00 a.m.11:00 - 11:30 a.m.11:30 - 12:00 p.m.

12:00 - 1:00 p.m.

WELCOME RECEPTIONSponsored by

(6:15 – 7:15 p.m.)

2016-2017 Continuing Medical Education ProgramsSave the Date!Save the Date!

2016 Southeast National Conference *New Date Replacing February Dates*

Walt Disney World Swan Resort - Orlando, FL

December 15-18, 2016

Conference information and Online Registration

http://www.kent.edu/cpm/8th-annual-southeast-national-conference-december-2016

2017 Inaugural Atlantic Paradise Island

Atlantis Paradise Island Resort- Bahamas

February 3-5, 2017

Conference information and Online Registration Coming Soon!Updates will be available at

http://www.kent.edu/cpm/continuing-education

2017 Southern Exposure Seminar

Great Wolf Lodge - Cincinnati, OH

April 27-30, 2017

Conference information and Online Registration ComingNovember 2017! Updates will be available at

http://www.kent.edu/cpm/12th-annual-2017-southern- exposure-seminar

Kristin SavannahManager, Continuing Education Programs, CPM

ksavanna@kent.edu

Rheumatology and the practicing Podiatric physician• Acute gout – weighing the options; a practical review of treatment options – Brian Mandell, MD• Rheumatoid and Psoriatic arthritis – what your patient is taking and why; review of the major drugs,

their side effects, and perioperative concerns (or not) – Brian Mandell, MD• Rheumatoid foot surgery – Allen Jacobs, DPM• Chronic gout and hyperuricemia – curing the disease; management of hypouricemic therapy –

which drug, how much and for how long? b. Gout prophylaxis – Brian Mandell, MD• Rheumatology case potpourri – a foot fanciers festival; presentation of several case vignettes for discussion

– Brian Mandell, MD

BREAK

Risk Management: Management of the problematic patient• Dealing with the non-compliant patient – Allen Jacobs, DPM • Dealing with the difficult patient. Ethical considerations, what are my options? – Allen Jacobs, DPM• Handling the drug seeking patient – Allen Jacobs, DPM• PICA lecture – Captain of the Ship – Allen Jacobs, DPM

*The (1) Credit CME Activity followed Commercial support agreement and disclosure terms as outlined by CPME.

Non Florida Licensed DPM: 26 CME Credits

Florida Licensed DPM: 27 CME Credits

Included in Florida Licensed Total Credits: HIV Update (1) CME, Medical Errors (2) CME, Risk Management (1) CME, Florida State Rules and Regulations (1) CME

S C H E D U L E

FRIDAY, DEC. 16, 2016(Continued)

Tentative Schedule, Subject to Change

SATURDAY, DEC. 17, 2016Total Day CME - Non Florida Licensed DPMs - 4 Hours

Florida Licensed DPMs - 5 Hours

Included in Florida Licensed total 5 Hours - HIV Update (1) CME, Medical Errors (2) CME, Risk Management (1) CME, Florida State Rules and Regulations (1) CME

7:00 a.m - 12:15 p.m.Morning Sessions(One Sign in - 4.5 CME Credit Hours)

12:15 p.m - 1:15 p.m.Afternoon Session(One Sign in - 1 CME Credit Hour)Florida Licensed DPMs only

Medical Errors – The High Risk Foot• Imaging Basics - Diabetic Foot/Charcot Neuroarthropathy – Larry Osher, DPM• Current recommendations – Charcot Foot Management – Allen Jacobs, DPM• Avoiding mistakes diabetic foot infection; case studies – David Aronoff, MD• Aids in the accurate diagnosis of osteomyelitis in the diabetic foot: procalcitonion – Allen Jacobs, DPM• Panel – Q & A

BREAK • Effective antibiotic update – update of new agents – David Aronoff, MD • Surgery or not- the management of osteomyelitis – Duane Ehredt, DPM and Jeff Shook, DPM• Florida infectious disease requirements (Hepatitis & HIV/AIDS) – David Aronoff, MD• Florida state regulations – Randy Collette

SUNDAY, DEC. 18, 2016Total Day CME - 4 Hours

8:00 a.m - 12:00 p.m.Morning Session(One Sign in - 4 CME Credit Hours)

Sunday Smorgasbord• Resident Presentations – Jeff Shook, DPM and Larry Osher, DPM• Practice Management – Michael Brody, DPM

1:00 - 1:30 p.m.1:30 - 2:00 p.m.

2:00 - 2:30 p.m.2:30 - 3:00 p.m.3:00 - 3:30 p.m.

3:30 - 4:00 p.m.

4:00 - 4:20 p.m.4:20 - 4:40 p.m.4:40 - 5:00 p.m.5:00 - 6:00 p.m.

7:30 - 8:00 a.m.8:00 - 8:30 a.m.8:30 - 9:00 a.m.9:00 - 9:30 a.m.9:30 - 9:45 a.m.

9:45- 10:15 a.m.

10:15 - 10:45 a.m.10:45 - 11:15 a.m.11:15 - 12:15 p.m.12:15 - 1:15 p.m.

8:00 - 9:00 a.m.9:00 - 12:00 p.m.

*PICA Lecture- (1) CME - Friday, December 16, 2016 - 5:00 – 6:00pm (Separate sign in required by Pica)The (1) Credit CME Activity followed Commercial support agreement and disclosure terms as outlined by CPME.

E D U C AT I O N A L G OA L S & O B J E C T I V E S

CHALLENGING CONDITIONS AND CHANGING THERAPIES

THURSDAY

RISK MANAGEMENT: ADDRESSING 1ST RAY PATHOLOGY: DECISION MAKING AND PROCEDURE SELECTION This module will provide the physician with an in-depth update of the techniques and controversieswith respect to first ray surgery. By the completion of this module, the participant will be able to:- present point and counterpoint arguments with respect to the reliability of pre-operative

radiographic parameters in 1st ray surgery- defend the evaluation and management of the hallux valgus deformities in three planes, specifi

cally adding coronal/frontal plane rotation assessment to the mix- accurately determine indications for distal metatarsal osteomies in the management of hallux

valgus deformities- defend the use of the Cotton osteotomy in the management of hallux limitus in the pediatric

patient- list indications for 1st MTP fusion- based upon the recent literature, enumerate evidence-based pros and cons of the Lapidus

procedure

POTPOURRI- offer a rational strategy toward the surgical correction of digital deformities- list basic indications and defend the use of DVT prophylaxis in everyday office practice- enumerate basic ethical principles of success in practice management

HOT TOPICS IN PODIATRIC MEDICINE AND SURGERY- highlight new and various interesting dermatological conditions as they might manifest in the skin

of the lower extremity. Attendees will gain a better appreciation for the wide array of skin disease that can present in the skin of the foot, and the unconventional presentation that they may have when manifesting in this location.

- compare and contrast less commonly employed approaches to Morton’s neuroma- advance arguments for the use of dermal replacement for complex wounds- outline management strategies for Ankle joint arthritis- elaborate on current methods for offloading the Charcot Deformity in order to prevent ulceration- list some novel approaches in the imaging of ligaments and cartilage with respect to MRI of the

ankle- list indications for weight bearing CT scanning of the foot and ankle

PAINFUL EXPERIENCES: PRINCIPLES FOR EFFECTIVE DIAGNOSIS AND MANAGEMENT OF THE PAINFUL FOOT- compare and contrast the various drug therapeutic options in the management of painful neuropathy - interpret basic radiographic and MR images associated with heel pain cases- incorporate modern principles for effective post-operative pain management- elaborate on principles of diagnosis and management of complex regional pain syndrome- outline surgical strategies in the management of Achilles tendinosis

FRIDAY

UPDATE ON THE EVALUATION AND TREATMENT OF COMMON PROBLEMSAfter completing this module, the participant will be able to:- outline a basic approach to the sprained/unstable ankle- review the basic diagnostic and management principles of distal syndesmotic/high ankle sprains- list basic differential diagnoses for with patients with inferior heel pain- interpret MR ankle images associated with basic ligamentous post-traumatic pathology

ORTHOPEDIC PATHOLOGY: TENDONS, LIGAMENTS, AND CARTILAGEBy the completion of this module, the participant will be able to:- review the basic pathophysiology of tendinopathy- approach cases in an organized fashion related to ankle tendon injuries, correlating clinical and

MRI findings - based upon current concepts, offer a reasonable approach to the management of talar

osteochondral lesions- offer pro and con arguments for conservative vs. surgical management of Achilles tendon injuries- summarize current principles for the diagnosis and management of stress-induced injury

RHEUMATOLOGY AND THE PRACTICING PODIATRIC PHYSICIANBy the completion of this module, the participant will be able to:- weigh therapeutic options in the treatment of acute gouty arthritis- sort and classify the major drugs employed in the modern treatment of both Rheumatoid and

Psoriatic arthritis , and review their side effects with an eye on perioperative concerns- review basic principles of Rheumatoid foot surgery- compare and contrast basic therapeutic principles for both chronic gout and hyperuricemia- outline therapeutic principles utilized in the prophylaxis of gout - evaluate and discuss clinical and radiologic pedal rheumatologic case presentations

RISK MANAGEMENT: MANAGEMENT OF THE PROBLEMATIC PATIENTBy the completion of the module, the participant will be able to minimize and/or obviate his/her risk in real-life, everyday practice scenarios. In particular, the participant will be able to:- provide a basic management strategy for the non-compliant patient- manage the difficult patient, balancing ethical dilemmas with management options- offer a common-sense approach to handling the drug seeking patient- assess high risk cases scenarios and offer ways to minimize and otherwise avoid them- identify basic issues and/or scenarios related to medical errors in everyday podiatric practice

SATURDAY

RISK MANAGEMENT – THE DIABETIC PATIENT - discuss basic imaging of the Charcot neuroarthropathy, compare and contrasting plain radiographic,

CT, and MRI findings- review current recommendations in the management of Charcot foot- via a series of case examples, using IDSA criteria, identify the proper approach to the diabetic patient

with an infected foot- defend the ordering of serum procalcitonin levels as an aid to diagnosing osteomyelitis- incorporate current IDSA criteria in the management of the diabetic patient with MSK infectio- identify newer antibiotic agents, and through familiarity with their indications, apply them to a given

patient care scenario- recount principles of the surgical management of osteomyelitis

Florida Licensure Requirements & Regulations: HIV/AIDS: recall, select, choose The physician will be thoroughly familiar and be able to recall: a) theepidemiology of AIDS and related infections including TB; b) modes of transmission, c) infection controlprocedures (including universal precautions), d) clinical management, e) prevention, f) current therapies,and associated MSK radiographic features.

Typical State and/or Federal regulations regarding AIDS testing and the confidentiality of test results willalso be reviewed.

Florida Regulations: The registrant will know about new state legislation, new rules, and existing legal requirements relating to the practice of podiatric medicine in the State of Florida including the specificcontinuing education courses required for license renewal.

SUNDAY

SUNDAY SMORGASBORDRESIDENT CASE PRESENTATIONSBy the completion of the session, the participant will be able to contribute to the diagnostic and thera-peutic steps in solving case problems in podiatric medicine and surgery.

PRACTICE MANAGEMENTBy the completion of the session, the participant will be able to:- enhance communication and collaboration skills and techniques with other provider via electronic

health record technology ultimately improve patient care. - optimize the use of clinical summaries in order to facilitate communication and collaboration with

other healthcare providers- optimize the use of clinical summaries in order to facilitate communication with a patient’s pharma-

cist utilizing electronic prescribing- relate the advantages of electronic laboratory messages.- debate the pros and cons of compliance with the requirements of Meaningful Use in Your Office- defend the critical importance of implementing clinical, administrative and staffing patient treatment

protocols plays in enhancing patient care and compliance- augment his/her practice acumen with respect to:

• EMR• Wound Care• In-office DME• Care of Diabetic patients• Coding and Billing + Time Management• Organizational Skills and Efficiency

- incorporate basic principle that foster practice growth

S P E A K E R S

David Aronoff, MD- Board Certified, Internal Medicine- Editor-in-Chief, Infectious Disease Reports- Director, Vanderbilt University Medical Center, Division of Infectious Disease- Associate Professor, Vanderbilt University Medical Center, Department of Pathology,

Microbiology & Immunology

Bradley Bakotic, DPM, DO- Founder & Developer of Bako Integrated Physician Solutions- Board Certified Dermatopathology, Anatomic & Clinical Pathology- Serves on the Editorial Boards of the Journal of Foot & Ankle Surgery, Podiatry Online,

and Dermatopathology Practical and Conceptual

Allen Boike, DPM- Dean, Kent State University College of Podiatric Medicine, Independence, Ohio- Professor, Division of Podiatric Surgery, Kent State University College of Podiatric

Medicine, Independence, Ohio- Doctorate, Podiatric Medicine, Ohio College of Podiatric Medicine- Diplomate, American Board of Foot & Ankle Surgery- Fellow, American College of Foot and Ankle Surgeons

Michael Brody, DPM- New York College of Podiatric Medicine- Director and Founder, TLD Systems, Southold, NY.- Private Practice, Long Island, NY

Randolph P. Collette- Admitted in 1983, Florida and U.S. Court of Military Appeals- Prosecutor, US Department of Health- Licensure Discipline Cases, The Doctors Company- Attorney - Administrative Defense, Jacksonville, FL

Paul Dayton, DPM- Arizona State University, Masters in Podiatric Education- Board Certified by the American Board of Podiatric Surgery in Foot and Reconstructive

Rearfoot/Ankle Surgery- UnityPoint Health, Fort Dodge

Duane Ehredt, DPM- Assistant Professor, Department Foot & Ankle Surgery and Biomechanics, Kent State

University College of Podiatric Medicine, Independence, OH- Doctorate of Podiatric Medicine, Ohio College of Podiatric Medicine, Independence, OH- Residency, Podiatric Medicine and Surgery, St. Vincent Charity Medical Center,

Cleveland, OH

Allen Jacobs, DPM- Diplomate, American Board of Podiatric Surgery- Fellow, American College of Foot and Ankle Surgeons- Chair, Journal of Foot & Ankle Surgery, Council for Journal Management- Private Practice, St. Louis, Missouri- Scientific Co-Chair, 2016 Southeast National Conference

Brian Mandell, MD- Board Certified, Internal Medicine and Rheumatology- Director, Scholary Activities of Internal Medicine Residency Program, Cleveland Clinic,

Cleveland, OH- Editor-In- Chief, Cleveland Clinic Journal of Medicine- Residency, Hospital of the University of Pennsylvania, Philadelphia, PA- Specialty Interests, Vasculitis, Gout, Systemic Lupus, Myositis, and Multi-System

Involvement in Autoimmune Disease

Larry Osher, DPM- Scientific Co-Chair, 2016 Southeast National Conference- Professor, Department of Podiatric Medicine, Kent State University College of Podiatric

Medicine, Independence, Ohio- Director, Radiology Department, Cleveland Foot & Ankle Clinic, Cleveland, Ohio- Chairman, Ohio Radiation Generating Equipment Committee, Ohio

Department of Health, Columbus, Ohio- Section Editor, Journal of Foot and Ankle Surgery

Rocco Petrozzi, DPM- Associate Professor, and Head of the Podiatric Medicine Division- Residency, Forum Health (WRCS) – Northside Medical Center, Youngstown, Ohio- Specialty, Podiatric Medicine and Surgery- Diplomate, American Board of Podiatric Medicine

Paul Saluan, MD- Associate Professor, Department of Surgery, Kent State University College of Podiatric

Medicine- Diplomat, American Board of Podiatric Surgery- California School of Podiatric Medicine

Mark Schweitzer, MD- Chair of Department of Radiology, University Hospital, Stony Brook, NY- Professor of Radiology, Stony Brook School of Medicine- Board Certified, Radiology – Diagnostic Radiology- Nationally and Internationally renowned speaker and author

Jeff Shook, DPM- Private Practice, Beckley, WV- Fellow, American College of Foot and Ankle Surgeons- Specialty, trauma of foot and ankle, diabetic foot reconstruction- Adjunct Faculty, KSUCPM, Independence, OH

WA LT D I S N E Y W O R L D T I C K E T S

Walt Disney World Swan Hotel Situated on 87 acres of beautiful lake front property,the Walt Disney World Swan & Dolphin Resort is theideal location for this conference. Located in theheart of Walt Disney World, the Swan Hotel is minutes from the Orlando International Airport (MCO)and all the Disney Theme Parks. The resort includes:

H OT E L & T R AV E L I N F O R M AT I O N

Resort includes 17 restaurants and lounges, five pools, a white sand beach, health clubs, and the new Mandara Spa!

Staying on-site at our Disney resort allowsyou to enjoy many special Disney benefits(available exclusively for guests staying atWalt Disney World Swan & Dolphin Resort) including:

• Extra Magic Hours Benefit at Theme Parks

• Complimentary Scheduled Transportation Throughout Disney

• On-Site Disney Ticket Desks

• Character Dining

• Advance Tee Times on Championship Disney Golf Courses

• 17 restaurants and lounges featuring Todd English’s BlueZoo

• 5 World-Class Pools, Whirlpools, Fountains, and Waterfalls

• A White, Sand Beach

• Two Health Clubs, spa, tennis courts, basketball courts, sand and water volleyball courts, and jogging trails

• Complimentary scheduled transportation throughout the Disney Themed Parks

• On-Site Disney Ticket Desks

• Disney Character Dining

• And much more!

HOTEL ROOM RATES & RES ERVAT I ON S

Arrangements have been made with the Walt Disney World Swan hotel at anamazing rate of $209 per night. For reservations, please call 407-934-4000 and mention the Kent State University College of Podiatric Medicine to receive this special rate. You may also book your room on-line athttp://www.swandolphin.com/groupres/KSC16/. Sleeping room availability is limited and the discount is subject to hotel availability!

Make your reservations today!http://www.swandolphin.com/groupres/KENT16/

Walt Disney World Swan Hotel

Walt Disney World Swan Hotel1500 Epcot Resorts BoulevardLake Buena Vista, FL 32830407-934-4000www.swandolphin.com

Don’t miss out on awonderful conferenceand a fun time for the

whole family!

R E G I S T R A T I O N

Name: __________________________________________________________________

Address:_________________________________________________________________

City/State/Zip: ____________________________________________________________

Email: __________________________________________________________________

Phone/Fax: ______________________________________________________________

Alumni Association Member Ratesq $275 – CPM Alumni

q $275 – KSUCPM Alumni

Weekend Onlyq $200 – Weekend Only (Saturday and Sunday registrant) on or before 12/2/2016q $325 – Weekend Only (Saturday and Sunday registrant) 12/3/2016 through walk in registration

Disabled and Military (ID required)q $285

Residentsq $100

Register for the Welcome Reception –Thursday, December 15, 2016 - 6:15 – 7:15 p.m. Sponsored by OCPM Foundation

(Free for registrant and one guest) q DPM Registrant

q DPM Registrant Guest Name: _________________________________________________

$_____________ Total Payment (Please check all boxes and indicate total payment amount.)

Payment Method (American Express is no longer accepted)

Check (payable to KSUCPM) q Visa q MasterCard

Card #: ________________________________________ Exp. Date:________________

3 Digit Card Security Code:___________________________________________________

Name on Card: ____________________________________________________________

Signature: _______________________________________________________________

Prices include Continental Breakfast and Lunchon Thursday and Friday,

Continental Breakfast on Saturday, and FullAll American Breakfast on Sunday!

•Additional Lunch Tickets and Kosher Lunch

Tickets can be purchased online up until12/2/2016

•Purchase lunch tickets by using the online

registration link at:http://www.kent.edu/cpm/8th-annual-

southeast-national-conference-december-2016(Vouchers for lunch will be presented at registration)

•Buffet Lunch - $65.00 per person per day

Kosher Lunch - $105.00 per person per day

Total CME Credit HoursNon Florida Licensed DPM - 26 CME Credits

Florida Licensed DPM - 27 CME Credits

Included in Florida Licensed Total Credits HIV Update (1) CME

Medical Errors (2) CME Risk Management (1) CME

Florida State Rules and Regulations (1) CME

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Mail Payment and Registration Form to:

KSUCPM Southeast National Conference6000 Rockside Woods Blvd. Independence, OH 44131

Questions? Contact KSUCPM at:216-916-7548 (ph) 800-238-7903 (ph) 216-447-1631 (fax) ksavanna@kent.edu

Cancellation Policy – All registration cancellations must be made in writing and received at KSUCPMby 11/5/2016 to receive a registration fee refund. A $100 fee will be charged for registration cancellations.No refunds will be issued on or after 11/6/2016. No refunds or certificates will be given to no-shows.

Welcome ReceptionFriday, February 26, 2016

6:30 – 7:30 p.m.

Non-Profit Org.U.S. Postage

PAIDKent, OH 44240

Permit No. 26000 Rockside Woods Blvd. Independence, OH 44131

Register Online at www.kent.edu/cpm/8th-annual-southeast-national-conference-december-2016

Mail Registration Form or return to:

6000 Rockside Woods Blvd.Independence, OH 44131.

Or Fax to: 216.447.1631

December 15-18, 2016

Register Today for the 2016 DecemberSoutheast National Conference. It’s never been easier!Register Today!Register Online at http://www.kent.edu/cpm/continuing-education

Amazing $209Room Rate!

27 CME Credit Hours!

Walt Disney World Swan Hotel

Register Today!

PICA is a proud supporter of the 2016 DECEMBER Southeast National ConferenceRisk Management Program. https://www.picagroup.com/site/