XXXIV Inter-AmericanCourse

in Clinical Ophthalmology

November 18-21, 2012

MIA

MI,FLO

RID

AU

SA

An Advanced Coursein Clinical Ophthalmology

Bascom PalmerEye Institute

BASCOM PALMER EYE INSTITUTE

XXXIV Inter-American CourseAn Advanced Course in Clinical Ophthalmology

November 18-21, 2012

Bascom Palmer Eye Instituteinvites you to Miami toparticipate in its XXXIV Inter-American Course in ClinicalOphthalmology. The Inter-American Course is designed

for practicing ophthalmologists in Latin Americaand the Caribbean, to provide maximum emphasison practical approaches to select clinical problems.Held every year in Miami during the week followingthe American Academy of Ophthalmology meeting,hundreds of ophthalmologists from more than 30countries benefit from the knowledge and expertiseshared by an outstanding guest faculty, as well asthe faculty of Bascom Palmer Eye Institute. Inaddition to the course material presented withsimultaneous English-Spanish translation, morethan 50 commercial exhibitors participate in anaccompanying trade show.

IMAGE

PROVIDEDBY

GREATERM

IAMICONVENTION

&VISITORS

BUREAUW

WW

.GMCVB.COM

.

Bayside Marketplace

SATURDAY, NOVEMBER 17, 2012

PROGRAMSubject to change

3:00– Early Registration5:00 pm

SUNDAY, NOVEMBER 18, 2012

8:00 am Registration and Continental Breakfast9:20 Welcome Remarks9:30 Cataract I11:00 Cataract II12:00 pm Group Photograph12:30 Lunch2:00 Retina I3:30 Refreshment Break4:00 Retina II5:00 Questions and Answers5:30 Opening Ceremony & Raffle

MONDAY, NOVEMBER 19, 2012

7:00 am Continental Breakfast8:00 Cataract Videos9:00 Glaucoma I10:30 Refreshment Break11:00 Glaucoma II12:30 pm Lunch2:00 Cornea and External Diseases I3:30 Refreshment Break4:00 Ocular Surface Diseases Symposium5:30 Raffle

TUESDAY, NOVEMBER 20, 2012

7:00 am Continental Breakfast8:00 Glaucoma Videos9:00 Refractive Surgery I10:30 Refreshment Break11:00 Refractive Surgery II12:30 pm Lunch2:00 Low Vision3:30 Refreshment Break4:00 Pediatric Ophthalmology5:30 Raffle7:00 – “La Fiesta” Cocktail Reception9:00 pm and Dance

WEDNESDAY, NOVEMBER 21, 2012

7:00 am Continental Breakfast8:00 Oculoplastics Videos9:00 Oculoplastics I10:30 Refreshment Break11:00 Oculoplastics II12:30 pm Lunch2:00 Uveitis3:30 Refreshment Break4:00 Neuro-Ophthalmology5:30 Raffle

SPEAKERS

GUEST FACULTY

Dr. Juan Carlos AbadMedellin, Colombia

Dr. Juan BatlleSanto Domingo, Dominican Republic

Dr. Perry S. BinderSan Diego, California, USA

Dr. Donald L. BudenzChapel Hill, North Carolina, USA

Dr. Roy Gordon ColeNew York, New York, USA

Dr. Rafael CortezCaracas, Venezuela

Dr. Careen LowderCleveland, Ohio, USA

Dr. Mark J. MannisSacramento, California, USA

Dr. Rafael Muci-MendozaCaracas, Venezuela

Dr. Carmen A. PuliafitoLos Angeles, California, USA

Dr. Michael X. RepkaBaltimore, Maryland, USA

The Bascom Palmer Eye Institute Faculty

PROGRAM DIRECTORS

Eduardo C.Alfonso,MD Francisco Fantes,MD

Paul F. Palmberg,MD, PhD Victor L. Pérez,MD

HOTEL ACCOMMODATIONS

InterContinental Miami100 Chopin Plaza, Miami, Florida 33131Tel: 800-327-0200 or 305-577-1000Located in Downtown Miami, overlooking Biscayne Bay, theInterContinental Miami is conveniently close to Miami Beach andadjacent to Bayside Marketplace with its shops and restaurants.Thoughtfully designed with the business traveler in mind, thestylish rooms and suites all offer spectacular views of Miami.A selection of two restaurants provides guests with the choiceof formal or casual dining while the fitness center includes anoutdoor pool.

INFORMATION

HOTEL RESERVATIONSFor hotel information and reservations, please call theInterContinental Miami directly at 305-577-1000 or800-327-0200 or send the attached hotel reservation formtogether with your deposit in the amount of US$169.

The special hotel rate is US$169 plus tax per night for singleor double for the first 150 reservations. Check-in time is 4:00pm; Check-out time is 11:00 am. Special rate will apply threedays before and three days after the conference based onavailability.

Bascom Palmerʼs preferred room bloc will be released onNovember 3, 2012. Reservations and deposits received afterthat date are subject to current rates and availability. Pleasecontact the InterContinental Miami for hotel cancellationpolicies. For additional information please visit:http://www.ichotelsgroup.com

CONFERENCE FEESRegistration fee is US$450 on or before October 31, 2012and US$550 after October 31, 2012.

Payments can be made in the form of:• Cashierʼs checks payable in US dollars payable to

Bascom Palmer Eye Institute / Curso. Please do not sendany personal checks or cash.

• Major credit cards: MasterCard, VISA, or American Express

Registration fee includes:Daily continental breakfastDaily lunch and refreshment breaks“La Fiesta” cocktail reception and dance (for 2 people)Trade show exhibitsShopping TourRafflesSyllabusOther course materialsGroup photograph

InterContinental Miami

INFORMATION

Continuing Medical Education1120 NW 14th Street, Miami, FL 33136

www.bascompalmer.org

REGISTRATIONSpace is limited. Please register early by completing theattached registration form and mailing it with your payment toBascom Palmer Eye Institute, Department of Continuing MedicalEducation,1120 NW14th Street, Suite 1563, Miami, FL 33136 USA.You may also fax your registration form and payment to305-326-6518. For additional information: Telephone: 305-326-6110 or E-mail: curso@med.miami.edu

CANCELLATION POLICYIn case of cancellation, registration fee is nonrefundable.

EARLY REGISTRATIONPre-registered attendees may obtain their registrationmaterials at the Registration Desk in front of the GrandBallroom at the InterContinental Miami, on Saturday,November 17 from 3:00 pm to 5:00 pm.

REGISTRATION HOURSRegistration hours will be 8:00 am to 9:20 am on Sunday,November 18 at the Registration Desk in front of the GrandBallroom at the InterContinental Miami for both new and pre-registered participants.

REGISTRATION CONFIRMATIONYou will receive confirmation of your registration by e-mailwithin 21 days of receipt of your registration form andpayment.

SERVICES FOR THE DISABLEDIf special arrangements are required for an individual with adisability to attend this conference, please contact Mari D.Fernandez at (305) 326-6110 before October 31, 2012.

NO AMA Continuing Medical Education Credits will be awarded.

FOR MORE INFORMATIONTelephone: (305) 326-6110E-mail: curso@med.miami.edu

Bascom Palmer Eye InstituteXXXIV Inter-American CourseNovember 18-21, 2012Registration is limited, so please register early.

LANGUAGE PREFERENCE:Spanish English

REGISTRATION FEE:Received on or before October 31 US$450Received after October 31 US$550Mastercard Visa American Express

Credit card number

Expiration date Security Code

Name of cardholder

Cardholderʼs signature

By fax: Complete this registration form with your credit card payment andfax to (305) 326-6518. By email: Please complete this registration formwith your credit card payment, scan and email to: curso@med.miami.eduBy mail: Complete this registration form and return with your check orcredit card payment to:Bascom Palmer Eye InstituteContinuing Medical Education / Inter-American Course1120 NW 14th Street, Suite 1563, Miami, FL 33136 USA

Last Name / First Name (as you wish it to appear on your certificate)

Address

Address

Have you previously attended the Inter-American Course? Yes No

If so, which year did you last attend?

City/State/Province

Country/Zip or Postal Code

Telephone (including country and city codes)

Fax (including country and city codes)

Email (confirmations to be sent via email within 21 days)

MEETINGREGISTRATIONFORM

InterContinental MiamiXXXIV Inter-American CourseNovember 18-21, 2012

HOTEL RESERVATION DEADLINE November 3, 2012

HOTEL DEPOSIT US$169 + tax

Mastercard Visa American Express

Credit card number

Expiration date Security Code

Name of cardholder

Cardholderʼs signature

Number of guests: Single Double

Smoking Non-smoking

Check-in date: Check-out date:

By fax: Complete this reservation form with your credit card paymentand fax to (305) 577-0384. By mail: Complete this registration form andreturn with your check or credit card payment to:InterContinental MiamiAttn: Reservations100 Chopin Plaza, Miami, FL 33131 USA

Last Name / First Name

Address

Address

City/State/Province

Country/Zip or Postal Code

Telephone (including country and city codes)

Fax (including country and city codes)

Email

HOTELRESERVATIONFORM