PEDIATRICS JULY 25-28, The Village at Squaw Valley Lake Tahoe, California. (near Olympic Valley & Tahoe City)

Transcription

1 2 0 t h A n n u a l S u m m e r C o n f e r e n c e o n PEDIATRICS Including topics on: Attention Deficit Hyperactivity Disorder, Pediatric Fractures, Infectious Diseases, UTIs, Childhood Obesity, and much more The Village at Squaw Valley Lake Tahoe, California (near Olympic Valley & Tahoe City) JULY 25-28, 2018 SPONSORED BY This is the first Symposia Medicus conference that I have attended, and I m not sure I will ever attend a non-symposia Medicus conference in the future, I enjoyed it so much! I will definitely recommend to my partners. M. Schmieder, MD Symposia Medicus always provides great clinical information in ideal locations that make the entire experience worth repeating. J. Lovell, CPNP I loved the conference. [It was] very practical and a good balance of off time and learning time. I will definitely pick Symposia Medicus again. A. Wilson, MD Register On-Line... for this conference or view other educational conferences at Page 13 Conference Brochure #1455, 20 th Annual Summer Conference on Pediatrics Symposia Medicus

2 CONFERENCE DESCRIPTION Our 20 th Annual Summer Conference on Pediatrics is designed to provide physicians, nurse practitioners, PAs, nurses, and other healthcare professionals involved in the care of pediatric patients with up-to-date and evidence-based clinical data in Pediatrics. The goal of this conference is to increase knowledge and enhance the competence of attendees. Emphasis will be placed on practical application of the evidence-based topics presented. Topics for this year s conference have been selected based on the educational needs determined from the identified professional practice gaps. The gaps were derived from a variety of sources including evaluations and outcomes data from past participants; clinical expert input; Symposia Medicus online survey; and other medical and nursing data. Conference format will include didactic lectures, smaller group breakout and interactive sessions, case studies, and question and answer sessions. An outstanding faculty has been assembled for this conference. Each member was selected based on their individual area of expertise and ability to communicate current, evidence-based, and practical information to participants. You are sure to enjoy our 20 th Annual Summer Conference on Pediatrics while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Lake Tahoe, California. CONFERENCE OBJECTIVES As a result of participating in this conference, you should have increased knowledge and enhanced competence to Manage common pediatric fractures Review important diagnostic tests including new blood pressure guidelines and testing for cholesterol and diabetes Design simple ways to engage adolescents and their families in the assessment and treatment of substance use disorders Assess updates on the effectiveness of pertussis and influenza vaccines Apply a practical office-based approach to children with initial urinary tract infections, including diagnostic criteria and appropriate follow-up ATTENDEE REQUIREMENTS At the conclusion of attending this conference, participants are entitled to a certificate of credit which will be available online. Successful completion of this activity is determined by attending the live activity, review of the educational session materials, and submission of the post case study test, evaluations, and attendance verification form. Each participant should only claim credit commensurate with the extent of their participation in the activity. ACCREDITATION This educational activity was planned and produced in accordance with the ACCME and ANCC Essentials and Standards relating to continuing medical and nursing education. Symposia Medicus is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Symposia Medicus is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. CONTINUING EDUCATION CREDIT Physicians Symposia Medicus designates this live activity for a maximum of 18 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAFP This Live activity, 20 th Annual Summer Conference on PEDIATRICS, with a beginning date of 07/25/2018, has been reviewed and is acceptable for up to Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAP This continuing medical education activity has been reviewed by the American Academy of Pediatrics and is acceptable for a maximum of 18 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics. PAs NCCPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 18 hours of Category 1 credit for completing this program. Nurse Practitioners/Nurses The ANCC contact hours awarded for completion of this conference are 18. Provider is also approved by the California Board of Registered Nursing, Provider #CEP2335, for 21.6 contact hours. Pharmacology Credit for Prescriptive Authority A maximum of 3.25 hours in pharmacology credit for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology credit for prescriptive authority are denoted with an Rx in the schedule. This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency. SMALLER GROUP BREAKOUT SESSIONS Smaller group sessions will be held Friday afternoon. These breakout sessions are organized to provide greater participant/faculty interaction, and will give you an opportunity to participate in discussions on subjects relating to your particular area of interest. Please indicate your breakout session topic choices on the conference registration form in this brochure. Space is limited so please reserve early. EDUCATIONAL RESOURCES Each registrant will have online access to session materials. The session materials will be available for download approximately two weeks prior to the conference (you ll receive an with instructions). If you wish to receive a hard copy of the session materials, please check the box on the registration form in this brochure. If you are unable to attend this conference, extra copies of the session materials (either paper or digital copy) will be available one week after the conference. The cost is $60 for a hard copy and $25 for the digital copy. To place your order, please publications@symposiamedicus.org. NEARBY ATTRACTIONS / GROUND TRANSPORTATION To receive additional information about the conference hotel, location, tours and/or nearby attractions, and ground transportation, please visit our website at Page 23 Conference Brochure #1455, 20 th Annual Summer Conference on Pediatrics Symposia Medicus

3 CONFERENCE FACULTY, FAAP Senior Medical Director, WebMD Senior Medical Advisor, Medscape Staff Physician, Children s Healthcare of Atlanta Clinical Assistant Professor, Emory University Executive Member, Council on Communications/ Media American Academy of Pediatrics Southeast Board Member, UNICEF Atlanta, Georgia Director, Child Psychiatry MassGeneral Hospital for Children at North Shore Medical Center Instructor in Psychiatry Harvard Medical School Staff, Child Psychiatry Massachusetts General Hospital Boston, Massachusetts, FAAP Professor of Clinical Pediatrics Director, Pediatric Residency Program University of California, San Diego School of Medicine Rady Children s Hospital San Diego San Diego, California Conference Co-Chair Professor & Chair of Pediatrics Upstate Medical University Upstate Golisano Children s Hospital Syracuse, New York George A. (Tony) Woodward, MD, MBA, FAAP, FACEP Conference Co-Chair Professor of Pediatrics University of Washington School of Medicine Chief, Division of Emergency Medicine Medical Director, Transport Services Seattle Children s Hospital Seattle, Washington DISCLOSURE STATEMENT Consistent with ACCME and ANCC guidelines, it is the policy of Symposia Medicus to ensure balance, independence, objectivity, and scientific rigor in all educational activities. Prior to the planning of this educational activity, all individuals in a position to influence and/or control the content of continuing education activities have been asked to disclose all relevant financial relationships within the past 12 months. Beyond disclosure of relevant financial relationships, faculty are required to disclose when they plan to discuss pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an unapproved or off-label use of an approved device or pharmaceutical. Symposia Medicus is committed to providing learners with commercially unbiased continuing education activities. This information is intended to assist learners in forming their own judgments about the content presented. Disclosure information will be included in the session materials for this activity, and speakers will provide a slide disclosure for each presentation, and will also verbally disclose on-site. CONFERENCE SCHEDULE Wednesday, July 25 7:00am Registration & Check-in During Continental Breakfast 8:00 Welcome & Introduction 8:15 Substance Use Disorders in an Office-Based Practice (Rx = 15 minutes) 9:00 Preparing Youth for Camping & Wilderness Experiences 9:45 Questions & Answers 10:15 Break 10:30 Pediatric Fractures: Identification, Management, and Pitfalls 11:15 Update on the Pharmacotherapy of Attention Deficit/Hyperactivity Disorder in the Pediatric Office (Rx = 30 minutes) Noon 12:45pm Pediatric Vaccine Updates (Rx = 45 minutes) Questions & Answers 1:30 Adjourn for the Day 5:30- Group Reception 7:00 (Faculty, Participants, and Guests) Thursday, July 26 7:30am Continental Breakfast 8:00 Nontraumatic Pediatric Orthopedic Emergencies (Rx = 10 minutes) 8:45 A Buffet of Common Pediatric Psychopharmacology Cases (Rx = 10 minutes) 9:30 Questions & Answers 10:00 Break 10:15 Oral-Dental-Maxillofacial Emergencies (Rx = 10 minutes) 11:00 Obesity in Children Part I: The Emergence of a New Chronic Disease (Rx = 20 minutes) 11:45 Obesity in Children Part II: Effective Solutions: Nutrition, Behavior, Biome or Surgery? (Rx = 5 minutes) 12:30pm Questions & Answers 1:15 Adjourn for the Day Friday, July 27 3:00pm 4:30 Break Smaller Group Breakouts Session One A. Case-Based Analysis of Children with Hematuria B. Social Media: What to Tell Your Patients About Navigating This World C. Common Orthopedic Emergencies: Discussion & Demonstration D. Countering Vaccine Hesitancy from Parents 4:45 Smaller Group Breakouts Session Two (Session One Topics Repeated) 6:15 Adjourn for the Day Saturday, July 28 7:30am Continental Breakfast 8:00 Stupid Pediatric Tricks: Lessons We Should Have Learned 8:45 Recommendations for Prevention & Control of Influenza in Children (Rx = 30 minutes) 9:30 Questions & Answers 10:00 Break (hotel check-out, if applicable) 10:30 Hot Infectious Diseases: Zika, Ebola, MERS, Avian Influenza, and Chickungunya (Rx = 5 minutes) 11:15 Urinary Tract Infections in Pediatric Practice (Rx = 15 minutes) Noon 12:45pm Uncharted Medicine: Do Acupuncture, Probiotics, and Other Novel Therapies Actually Work? Questions & Answers 1:30 Conference Adjourns Rx = Pharmacology Credit for Prescriptive Authority will be granted for these sessions Page 3 Conference Brochure #1455, 20 th Annual Summer Conference on Pediatrics Symposia Medicus

4 CONFERENCE REGISTRATION, LODGING, & TRAVEL INFORMATION Enrollment for this conference is limited in order to provide the best possible learning environment. Early registration is advised. You can register and receive conference lodging group rates by reserving the following ways: On-line at our website, OR Call Monday-Friday, 8:30am-5:00pm (Pacific Time), (925) with Visa, MasterCard, American Express, or Discover; OR By mail, make check payable to Symposia Medicus and send with registration form to 399 Taylor Blvd., Suite 201, Pleasant Hill, CA Visit or call (925) for additional questions or information. CONFERENCE REGISTRATION INFORMATION TUITION: EARLY REGULAR If postmarked by If postmarked after May 16, 2018 May 16, 2018 Physicians $675 $775 Residents, Nurses, PAs, & All Others $575 $675 Discounts are available for retired healthcare providers, active U.S. military, and groups of three or more. For more information, please contact Symposia Medicus prior to registering. Tuition includes continuing education, online access to session materials, continental breakfast on Wednesday, Thursday, and Saturday mornings, and break refreshments for conference registrants. Tuition also includes group reception for faculty, registrants, and their guests. Conference registration will be confirmed via This conference meets the requirements for CE tax deductibility; however, we suggest you consult your financial authority for more information AIR TRAVEL INFORMATION The closest airport is the Reno-Tahoe International Airport (RNO), which is an approximate one hour drive to the hotel; however, lower fares can often be found by flying into Sacramento International Airport (SMF), which is an approximate two hour drive to the hotel. For information on ground transportation, please visit our website. Symposia Medicus has arranged for discount fares with Alaska, Delta, and United airlines for this conference. Reservations can be made either through your travel agency or through the airlines at the website or Convention Desk numbers listed below. In order to receive the discounted rate, you or your travel agent must refer to the Symposia Medicus Group ID number listed here. Alaska Discount code was not available at the time of printing this brochure. Airlines Please check our website for updated information after October Delta Airlines United Airlines For discounts on Delta Airlines, please visit and click on the link Advanced Search, located at the bottom of the Book a Trip box. Once you click on this link, another page will appear. On this page, you will need to insert NMQC4 in the Meeting Event Code box, located at the right hand side of the page. For questions, please call the Delta Airlines Convention Desk at (800) For discounts on United Airlines, please visit and click on All Search Options, located on the bottom left corner of the Book Travel box. Once you click on this link, another page will appear. At the bottom of this page, you will insert ZE2C in the Promotions and Certificates box. For questions, please call the United Airlines Convention Desk at (800) Other airlines that fly into both airports No conference discounts available: American Airlines Jet Blue Airlines Southwest Airlines (800) (800) (800) CAR RENTAL DISCOUNT For conference discounts, Symposia Medicus has made arrangements with AVIS and Budget Car Rentals. Reservations can be made by phone; please refer to the conference code and the conference/airport location when making your reservations. Please see below: AVIS AWD #B Budget BCD #U CONFERENCE LODGING INFORMATION Conference group rates have been arranged at The Village at Squaw Valley. Rooms at our group rates are limited and on a first come, first served basis. PLEASE RESERVE EARLY as rooms may sell out and/or room rates may increase. If you wish to extend your stay, group rates may be available three days before and three days after the conference. Two nights deposit (room rate only) must accompany your reservation. The balance of your lodging, hotel fees as stated below, and all incidental charges are due to the hotel. The hotel accepts most major credit cards. Room Type Group Rates Maximum Occupancy Description PLEASE NOTE: NOT ALL ROOMS ARE AIR CONDITIONED Standard Room $280/night 2 Approximately 250 sq. ft., with one king or one queen bed, (Very limited availability, includes a television, DVD player, coffee pot, and small must call Symposia refrigerator. These rooms do not have balconies or fireplaces. Medicus to reserve) 1-Bedroom Suite $300/night 4 Approximately 600 sq. ft. The master bedroom features a (with Fireplace) king-size bed with large storage closet. Spacious living room includes queen-size sofa sleeper, gas fireplace, and balcony. Full kitchen stocked with cooking utensils, refrigerator, dishwasher, microwave and range, and one bathroom. 1-Bedroom Suite $310/night 6 Approximately 700 sq. ft. of space with den. The master (with Fireplace bedroom features a king-size bed with closet. Shared living & Extra Den) space includes TWO queen-size sleeper sofas. Fully furnished with dining table/chairs, television, DVD player, gas fireplace, and balcony. Full kitchen stocked with cooking utensils, refrigerator, dishwasher, microwave and range, and one bathroom. 2-Bedroom Suite $390/night 6 Approximately 900 sq. ft. of space. The master bedroom (with Fireplace) features a king-size bed with closet. Second bedroom features a queen-size bed and additional closet space. Spacious living room includes a queen-size sofa sleeper. Fully furnished with dining table/chairs, television, DVD player, gas fireplace, and balcony. Full kitchen stocked with cooking utensils, refrigerator, dishwasher, microwave and range, and two bathrooms. 2-Bedroom Suite $410/night 6 Approximately 900 sq. ft. The master bedroom features a (with Twin Beds or king-size bed with closet. Second bedroom features two twin Bunk Beds in beds (or bunk beds) and additional closet space. Spacious 2 nd Bedroom) living room includes a queen-size sofa sleeper. Fully furnished with dining table/chairs, television, DVD player, gas fireplace, and balcony. Full kitchen stocked with cooking utensils, refrigerator, dishwasher, microwave and range, and two bathrooms. 3-Bedroom Suite $520/night 8 Approximately 1350 sq. ft. The master bedroom features a (with Fireplace) king-size bed with closet space. Second and third bedrooms feature queen-size beds and additional closet space. Full kitchen stocked with cooking utensils, refrigerator, dishwasher, microwave and range, gas fireplace, and private balcony. Spacious living room includes a queen-size sofa sleeper. Private washer/dryer unit in room and three bathrooms. By booking your lodging with Symposia Medicus, the Resort Fee charge of $25.00 per room, per night is waived. Resort Fee includes (subject to change): In-room Wi-Fi, towels in fitness & sauna area, unlimited local & toll telephone calls, board & Xbox games (to borrow at the front desk), and in-room coffee & tea. In addition, the hotel offers the following on a complimentary basis: 8 outdoor small hot tubs, 4 saunas, 3 fitness rooms, media room with HDTVs, DVD player, and Xbox 360 consoles, and pool table. Activity Tram Package at High Camp will be available for purchase at the front desk. This includes: Unlimited Aerial Tram Rides for the day of purchase, hiking and walking trails, geocaching, disc golf, lawn games, access to the pool deck and Umbrella Bar and the pool and hot tub, as well as roller skating. Discounted Group Rates for the Activity Tram Package at High Camp: Adults (18 and older) are $42/day, youth (5-17 yrs.) are $23/day, and children 4 yrs. and under are free. TERMS & CONDITIONS Hotel Policies Changes to reservations, regardless of reason, made within 25 days of arrival, will be charged the total original reserved stay. If changes are made before 25 days, no penalty will be assessed. Please notify Symposia Medicus of changes. Above conference group rates are per room, per night and do not include the following (subject to change): - 10% Occupancy Tax - 2% Village assessment fee Maximum occupancy stated cannot be exceeded. An infant in a crib does count toward maximum occupancy. Rollaway beds are NOT available Cribs (Pack n Plays) are very limited and available on a complimentary first come, first serve basis (subject to availability and change) Check-in time is 4:00pm and check-out time is 11:00am. A late check-out can only be confirmed on the date of departure by the front desk. Additional charges may apply for late check-outs and are based upon availability. Credit/Debit Card Policy: Upon check-in, the hotel requires a credit card or debit card to ensure that funds are available. Holds are placed on your account for your entire stay; however, the amount may be immediately deducted from your account. The length of time for which these holds remain on your credit or debit account varies from bank to bank. Parking: Self-parking is complimentary for conference guests. Valet is not available at this resort. Cancellation Policies Conference cancellations must be made in writing (via or mail) to Symposia Medicus and a refund, less a 10% processing fee, will be given. No refunds will be made if cancellation is received after June 20, 2018; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus conference. Per our hotel contract, hotel reservation cancellations must be made in writing to Symposia Medicus and you will receive a full refund if ed/postmarked by May 23, Between May 24, 2018 and June 20, 2018, one night s deposit is forfeited. After June 20, 2018, no hotel refunds can be made. All cancellations must be ed to registrar@symposiamedicus.org OR mailed to Symposia Medicus. If mailed, it must be postmarked by the dates stated above. In the unlikely event of conference cancellation by Symposia Medicus, full tuition and, if reservation was made with Symposia Medicus, hotel deposit refunds will be made. Symposia Medicus will not be responsible for refunding travel or any other expenses. Page 43 Conference Brochure #1455, 20 th Annual Summer Conference on Pediatrics Symposia Medicus

5 CONFERENCE LOCATION Adventure and excitement await you in Lake Tahoe, California! Located in the rugged Sierra Nevadas, Lake Tahoe really comes alive in the summer with various outdoor activities and special events. Kayaking, hiking, mountain biking, fly-fishing, horseback riding, paddle-boarding the possibilities are endless for fun in the sun. Come stay at The Village at Squaw Valley. With suites that include open living areas or dens and full kitchens, there s plenty of space for the whole family! Take the Squaw Valley Aerial Tram, your access to the High Camp experience and countless high altitude adventures. With an interpretive guide at the helm, enjoy a 360-degree view of Lake Tahoe and soar 550 feet above a mountain-scape of creeks, waterfalls, forests, granite rock, and the iconic Tram Face. Take the time to contemplate what you ll do at the top. High Camp offers dining, shopping, access to hiking and walking trails, roller skating, mid-mountain pool and hot tub, and disc golf! Breathe in the fresh mountain air and immerse yourself in the High Sierra. Whatever your pleasure, you ll be sure to find it in Lake Tahoe, California, at our 20 th Annual Summer Conference on Pediatrics. For our complete calendar of conferences, please visit Brochures are available 6-8 months prior to the conference CALENDAR OF FUTURE CONFERENCES th Annual Fall Conference on Hot Topics in Primary Care Big Island, Hawaii Oct th Annual Conference on Emergencies & Challenges in Pediatrics New York City, New York Dec st Annual Conference on Emergencies & Challenges in Primary Care New York City, New York Dec CALENDAR OF FUTURE CONFERENCES th Annual Winter Conference on Pediatric Emergencies Beaver Creek, Colorado Feb 27-Mar th Annual Spring Conference on Pediatrics Kauai, Hawaii Mar rd Annual Conference on Challenges in Sexual Healthcare Napa, California May Challenges in Mental Healthcare for the Primary Care Provider Napa, California Jul Hot Topics in Pediatric Emergencies Alaska Cruise (Celebrity Cruises Solstice) Jul 27-Aug Challenges in Obstetrics & Gynecology Mediterranean/Adriatic Cruise (Celebrity Cruises Constellation) Sep th Annual Fall Conference on Current Concepts in Neonatal Care Newport Beach, California Sep th Annual Fall Conference on Pediatric Emergencies Oahu, Hawaii Oct Current Issues in Women s Health Rhine River Cruise (Ama Waterways AmaStella) Oct 29-Nov Hot Topics In Pediatric Emergencies Rhine River Cruise (Ama Waterways AmaStella) Oct 29-Nov th Annual Fall Conference on Hot Topics in Primary Care Grand Cayman, Cayman Islands Oct 31-Nov th Annual Conference on Emergencies & Challenges in Pediatrics New York City, New York Dec nd Annual Conference on Emergencies & Challenges in Primary Care New York City, New York Dec Page 53 Conference Brochure #1455, 20 th Annual Summer Conference on Pediatrics Symposia Medicus

6 CONFERENCE & LODGING REGISTRATION FORM Register on-line at OR COMPLETE THIS FORM AND MAIL WITH APPROPRIATE PAYMENT TO: Symposia Medicus 399 Taylor Blvd., Suite 201 Pleasant Hill, CA Phone: (925) PLEASE PRINT LEGIBLY: (Show name and one degree as you would like it printed on your conference materials) SYMPOSIA MEDICUS 20 th Annual Summer Conference on PEDIATRICS The Village at Squaw Valley LAKE TAHOE, CALIFORNIA (near Olympic Valley & Tahoe City) JULY 25-28, 2018 Registrant s Name: Degree: First Last Registrant Address (required): All registrants must provide their individual address in order to register for this conference. Confirmation/receipt will be ed to this address. an additional copy of my confirmation/receipt to: (Provide additional address) Mailing Address: Street City State Zip Check if above address is: Work Home Provide office/workplace name here: Primary Work: ( ) Home: ( ) Cell: ( ) Fax: ( ) Professional Specialty: The session materials will be available for download on our website approximately two weeks before the conference. If you prefer to also receive a hard copy of the session materials please check here FRIDAY BREAKOUT PREFERENCE (Please refer to schedule and select one breakout for each session): Session One: A B C D Session Two: A B C D LODGING RESERVATIONS Please reserve accommodations at The Village at Squaw Valley for: #1455 N/A Arrival: / / Departure: / / Month Day Year Month Day Year ROOM TYPE GROUP RATES Maximum Occupancy PLEASE NOTE: NOT ALL ROOMS ARE AIR CONDITIONED Standard Room $280/night 2 (Very limited availability, MUST call Symposia Medicus to reserve) 1-Bedroom Suite (with Fireplace) $300/night 4 1-Bedroom Suite (with Fireplace & Extra Den) $310/night 6 2-Bedroom Suite (with Fireplace) $390/night 6 2-Bedroom Suite $410/night 6 (with Twin Beds or Bunk Beds) 3-Bedroom Suite (with Fireplace) $520/night 8 Changes to reservations, regardless of reason, made within 25 days of arrival, will be charged the total original reserved stay. If changes are made before 25 days, no penalty will be assessed. Please notify Symposia Medicus of changes. Above conference group rates are per room, per night and do not include the following (subject to change): - 10% Occupancy Tax - 2% Village assessment fee Maximum occupancy stated cannot be exceeded. An infant in a crib does count toward maximum occupancy. Rollaway beds are NOT available Cribs (Pack n Plays) are very limited and available on a complimentary first come, first serve basis (subject to availability and change) Names of Room Occupants (and ages, if children): Please circle names of the room occupants (other than you) who are registered for this conference Other Comments/Requests (cannot guarantee): TUITION AMOUNT DUE TWO NIGHTS LODGING DEPOSIT - ROOM RATE ONLY (Balance of hotel charges will be due to the hotel) ADDITIONAL LODGING DEPOSIT (If you wish to include an additional amount for lodging, please state here) $ $ $ $ Payment Type (Please Check One): Check (Please Enclose) Cardholder Name: Signature: First Last Billing Address: (If different from above) Street City State Zip Card Number Expiration Date Month/Year / TOTAL Security # (on front or back of card) By registering, you agree to the Terms & Conditions as stated in this brochure. Please note that all information contained in this brochure is subject to change without notice. ALL INFORMATION PROVIDED BY REGISTRANTS WILL REMAIN CONFIDENTIAL TO SYMPOSIA MEDICUS. Page 63 Conference Brochure #1455, 20 th Annual Summer Conference on Pediatrics Symposia Medicus