REGISTRATION FORM - Mississippi-Academythis technique. Introduction to Manipulation Techniques...

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FOR THE SPOUSES Saturday, April 21 • 10 am • Mississippi Two Museums Tour: Spouses will meet in the lobby to take a short walk from the hotel to the brand-new Mississippi History Museum and Mississippi Civil Rights Museum. Since opening in December, over 80,000 have visited. See artifacts ranging from a 500-year- old Native American dugout canoe to Mary Ann Mobley’s Miss America crown at the History Museum. At the Civil Rights mu- seum, see exhibits about Mississippi’s struggle with racial ine- quality and the gorgeous, uplifting ‘This Little Light of Mine’ exhibit (pictured below). We’re in luck! Admission is free on the third Saturday of each month, and we will be there on the third Saturday. [General admission is $8 for one museum or $12 for both.] Great options for lunch include the Nissan Café onsite at the museums, or Keifer’s Restaurant located between the museums and the hotel. THINGS TO DO IN JACKSON Visit Jackson www.visitjackson.com Outlets of Mississippi www.outletsofms.com Mississippi Museum of Art www.msmuseumart.org The Jackson Zoo -www.jacksonzoo.org Two Mississippi Museums - www.mdah.ms.gov/2MM ACCREDITATION Application for CME credit is being filed with the American Academy of Family Physicians for 12 hours. Determination of hours of credit is pending. ACCOMMODATIONS The Jackson Marriott is located on E. Amite Street in downtown Jackson. Rates are $91.00 plus tax per night. Please make reservations by calling 601-969-5100 or 800-228-9290. Re- member to mention MAFP to receive our group rate. REGISTRATION FORM Name: Circle What Applies: MD DO Fellow NP Clinic: Address: City/State/Zip: Phone: Fax: Cell: ___ (For MAFP use only) E-mail: Spouse/Guest Name: Syllabus: Online Hard Copy $75 Registration Fees MAFP Member . . . . . . . . . . . . @ $275 MAFP Spouse/Guest . . . . . . . . @ $ 50 Non-Member . . . . . . . . . . . . . . @ $375 Non-Member Spouse/Guest . . @ $100 Activities (please check appropriate boxes) New Stage Theatre Play ____ @ $20 each Dine Around Dinner……. # attending _ BH____ EWBB____ IHG____ LFS____ Spouse Program.. . . . . . . . . . . . . . ..# attending ______ Crawfish Boil - Saturday. . . . . . . . . # attending ______ Hard Copy Syllabus .. . . . _____ @ $75 each Are you staying at the Marriott? Yes No Workshop Preference - Please number: Contraceptive Manipulation Resolution Writing Total Due . . . . . . . . . . . . . . . . . . . $ Credit Card Information: Name as Printed on Card: Signature: Billing Street Address: Billing Zip Code: Card #: Expiration Date: Authorization #: (3 digit # on back of card, 4 digit # on front of Am. Exp.) Amount of Payment: $ Card Type: □ AMEX □ Discover □ Master Card □ Visa Refunds, minus a $50 administrative fee, will be made upon request in writing to the MAFP office, if received by April 13. After April 13, no refunds will be granted. Please complete and return with your payment to: MAFP 755 Avignon Drive, Ridgeland, MS 39157 FAX (601) 853-3002

Transcript of REGISTRATION FORM - Mississippi-Academythis technique. Introduction to Manipulation Techniques...

Page 1: REGISTRATION FORM - Mississippi-Academythis technique. Introduction to Manipulation Techniques Osteopathic manipulative treatment involves using the hands to diagnose, treat, and prevent

FOR THE SPOUSES Saturday, April 21 • 10 am • Mississippi Two Museums Tour: Spouses will meet in the lobby to take a short walk from the hotel to the brand-new Mississippi History Museum and Mississippi Civil Rights Museum. Since opening in December, over 80,000 have visited. See artifacts ranging from a 500-year-old Native American dugout canoe to Mary Ann Mobley’s Miss America crown at the History Museum. At the Civil Rights mu-seum, see exhibits about Mississippi’s struggle with racial ine-quality and the gorgeous, uplifting ‘This Little Light of Mine’ exhibit (pictured below). We’re in luck! Admission is free on the third Saturday of each month, and we will be there on the third Saturday. [General admission is $8 for one museum or $12 for both.]

Great options for lunch include the Nissan Café onsite at the museums, or Keifer’s Restaurant located between the museums

and the hotel.

THINGS TO DO IN JACKSON

Visit Jackson www.visitjackson.com Outlets of Mississippi www.outletsofms.com Mississippi Museum of Art www.msmuseumart.org The Jackson Zoo -www.jacksonzoo.org Two Mississippi Museums - www.mdah.ms.gov/2MM

ACCREDITATION Application for CME credit is being filed with the American Academy of Family Physicians for 12 hours. Determination of hours of credit is pending.

ACCOMMODATIONS The Jackson Marriott is located on E. Amite Street in downtown Jackson. Rates are $91.00 plus tax per night. Please make reservations by calling 601-969-5100 or 800-228-9290. Re-member to mention MAFP to receive our group rate.

REGISTRATION FORM

Name:

Circle What Applies: MD DO Fellow NP

Clinic:

Address:

City/State/Zip:

Phone: Fax:

Cell: ___ (For MAFP use only)

E-mail:

Spouse/Guest Name:

Syllabus: Online Hard Copy $75

Registration Fees

□ MAFP Member . . . . . . . . . . . . @ $275

□ MAFP Spouse/Guest . . . . . . . . @ $ 50

□ Non-Member . . . . . . . . . . . . . . @ $375

□ Non-Member Spouse/Guest . . @ $100

Activities (please check appropriate boxes)

□ New Stage Theatre Play ____ @ $20 each

□ Dine Around Dinner……. # attending _

BH____ EWBB____ IHG____ LFS____

□ Spouse Program.. . . . . . . . . . . . . . ..# attending ______

□ Crawfish Boil - Saturday. . . . . . . . . # attending ______

□ Hard Copy Syllabus .. . . . _____ @ $75 each

Are you staying at the Marriott? Yes No

Workshop Preference - Please number:

Contraceptive Manipulation Resolution Writing

Total Due . . . . . . . . . . . . . . . . . . . $ Credit Card Information: Name as Printed on Card: Signature: Billing Street Address: Billing Zip Code: Card #: Expiration Date: Authorization #: (3 digit # on back of card, 4 digit # on front of Am. Exp.)

Amount of Payment: $ Card Type: □ AMEX □ Discover □ Master Card □ Visa

Refunds, minus a $50 administrative fee, will be made upon request in writing to the MAFP office, if received by April 13. After April 13, no refunds will be granted.

Please complete and return with your payment to: MAFP 755 Avignon Drive, Ridgeland, MS 39157

FAX (601) 853-3002

Page 2: REGISTRATION FORM - Mississippi-Academythis technique. Introduction to Manipulation Techniques Osteopathic manipulative treatment involves using the hands to diagnose, treat, and prevent

Combatting T2DM Clinical Inertia: Evaluating the Evidence for Simultaneous Basal Insulin And GLP-1 Receptor Agonists

Alisa Nance, MD, RPh Nance Medical Consulting

Mooresville, NC

Opioid Prescribing: Safe Practice, Saving Lives Mark Bailey, DO, PhD, FACN

Professor of Neurology and Anesthesiology University of Alabama at Birmingham

Controlled Substance Prescribing Series: CDC Opioid

Guidelines Review Ann Kemp, MD, Associate Prof. Clinical Practice Pharmacy

and Anthony Cloy, MD, Associate Professor Family Medicine

Quality Improvement Research Projects MS Family Medicine Residents

WORKSHOPS Saturday 1:30 – 3:30 pm and 4 – 6 pm

Contraceptive Injections Participants will receive hands-on training for insertion and removal procedures as well as implant localization techniques on Nexplanon (etonogestrel implant). Upon completion of the training physicians and residents will be certified to perform this technique.

Introduction to Manipulation Techniques Osteopathic manipulative treatment involves using the hands to diagnose, treat, and prevent illness or injury. Using OMT, muscles and joints are manipulated using techniques includ-ing stretching, gentle pressure and resistance. Attendees will practice basic manipulation techniques and understand their application and contraindications.

Resolution Writing Writing and presenting resolutions is a great opportunity to direct MAFP and AAFP policy and address issues of interest or concern to family physicians and family medicine. In addi-tion, resolutions can honor outstanding achievement or me-morialize deceased family physician leaders. This session will cover simple guidelines, how to write and submit resolu-tions and what happens to a resolution.

EVENTS MAFP Dine Around Dinner • Friday • 6:30 pm The MAFP is offering Dine Around Dinners - an evening of good food and fellowship with MAFP colleagues. Dine Around at-

AGENDA

Friday, April 20, 2018 4 pm MAFP Board Meeting - MAFP Office 6:30 pm MAFP Dine Around Dinner 7:30 pm New Stage Theatre Play Saturday, April 21, 2018 7 - 8 am Breakfast with Exhibitors 7 am - 4 pm Exhibits Open 8 am - 1:30 pm CME Sessions 9 am - 12 pm Spouse Program 1:30 - 3:30 pm Workshops 4 - 6 pm Workshops 6:30 - 8:30 pm Crawfish Boil at The Lake House Sunday, April 22, 2018 7 am Foundation Board Meeting 7:30 - 8:30 am Breakfast 8:30 am - 1 pm CME Sessions

CME TOPICS

Obesity in Everything English H. Gonzalez, MD

Faculty, St. Vincent’s East Family Medicine Residency Birmingham, AL

What If We Reduced Harm from Adverse

Drug Events? Bruce Spurlock, MD

President and CEO, Cynosure Health

Hairy Ladies Robert B. Chadband, MD

Birmingham, AL

Perspectives in Primary Care: Evaluating and Managing Patients with Chronic Urticaria

Anne Marie Ditto, MD Associate Professor of Medicine Division of Allergy-Immunology

Northwestern University Feinberg School of Medicine Chicago, Illinois

From One Physician to Another: Financial Planning

for a Lifetime Joel Greenwald, M.D. CFP

Greenwald Wealth Management St. Louis Park, MN

tendees will be responsible for paying for their own meals and drinks. Please see the list of dining options below, and check the websites provided for menus. The MAFP will make reser-vations and coordinate groups in advance, so please re-serve restaurant choice and number attending by April 13. Dining Choices (Friday night Dine-Around):

Barrelhouse • Southern Gastropub • $$-$$$ • barrel-housems.com

Estelle Wine Bar & Bistro • Contemporary American • $$-$$$ • estellejackson.com

Iron Horse Grill • Steak, Mexican, American • $$-$$$ • www.theironhorsegrill.com

Lou’s Full-Serv • Southern inspired with a casual atmos-phere • $$-$$$ • lousfullserv.com

New Stage Theatre Play • Friday • 7:30 pm Shakespeare in Love Romantic Comedy Penniless and indebted to two demanding pro-ducers, struggling young playwr ight Wi l l iam Shakespeare is torment-ed by writer’s block until he meets the beautiful Viola de Lesseps, daughter of a wealthy merchant, whose fiery passion for poetry and drama leaves her secretly longing to be an actor. Will and Viola’s passionate love affair becomes the basis of the very play he is writing—Romeo and Juliet. Will it all work out in the end or are the two star-crossed lovers des-tined for tragedy? Recommended for ages 14 and older. The fee is $20 and seats will be reserved as received in the office. There are a limited number of tickets. ROMP • Saturday • 7am - 4pm The Rural Opportunities for Mississippi Physicians Career Fair is back and will feature exhibits that will highlight resources and opportunities to practice medicine in rural or small town Mississippi. Crawfish Boil • Saturday • 6:30-8:30 pm Join us at The Lake House at the Reservoir for a night of craw-fish, live entertainment and lots of fun. Enjoy the evening and network with other MAFP members, medical students and residents. Overlooking the water of the Reservoir, the Lake House offers the perfect event location. It is located at 135 Madison Landing Circle in Ridgeland. Transportation is on your own. The fee is included in registration. Sponsored by Blue Cross Blue Shield of MS.