Save $150 Register by March 13, 2018 See page 2 for details.

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1 Save $150 Register by March 13, 2018 See page 2 for details Workshop on Neonatal-Perinatal Practice Strategies Scottsdale, Arizona I April 13-15, 2018 DoubleTree Resort by Hilton Paradise Valley Scottsdale Sponsored by the American Academy of Pediatrics (AAP) and the AAP Section on Neonatal-Perinatal Medicine. The Best Pediatric CME/CPD* For The Best Pediatric Care 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. Earn a Maximum of AMA PRA Category 1 Credits TM *Continuing Professional Development Be Sure to Attend the Neonatal/Perinatal Coding Seminar April 13, 2018 REGISTER ONLINE Call toll-free: 866/

2 Workshop on Neonatal-Perinatal Practice Strategies PURPOSE AND OBJECTIVES The Workshop on Neonatal-Perinatal Practice Strategies seeks to: Empower leadership Provide a forum for networking Guide change Encourage quality Promote advocacy YOU SHOULD ATTEND THE WORKSHOP IF YOU ARE A(N): Neonatologist, medical director, program director, or division chief Neonatal-perinatal medicine trainee Advanced practitioner Any pediatric professional that cares for the fetus and newborn BY PARTICIPATING IN THIS LIVE CME ACTIVITY, YOU WILL BE BETTER ABLE TO: Demonstrate effective leadership skills such as effectively leading change, resolving conflict and motivating others in his/her practice setting to optimize team performance Create a professional network to enhance career development Recognize strategies based on Evidence Based Medicine principles for interpreting and integrating published research for application in making changes in clinical practice Explain basic quality improvement methodologies and identify opportunities for improvement and apply evidence-based change CONTINUING MEDICAL EDUCATION CREDIT The 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 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 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 hours of Category 1 credit for completing this program. This program is accredited for 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 live session has the prior approval of the American Academy of Professional Coders (AAPC) for 4.00 continuing education hours (CEUs). Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. SAVE $150 WITH EARLY BIRD RATES! Register by March 13, REGISTRATION Using your Visa, MasterCard, American Express, or Discover, you can register online at, or call tollfree 866/ Outside the United States and Canada, call 847/ , 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. Lodging and meals, other than specified, are not included in the registration fee. Educational sessions, food, and beverages provided during the course are intended for registered attendees only. On-site 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. Currency) Fees subject to change without notice. Register on or before March 13, 2018 for Early Bird Rates Early Bird Full Rates Rates Section on Neonatal/Perinatal Medicine Members... $ $755 AAP Fellows/Candidate Members / International Members (Section Non-Members)... $ $790 AAP Resident Members/ Post-Residency Training Members... $ $480 Nonmember Physicians... $ $950 Nonmember Residents... $ $735 Allied Health Professionals (Includes Nurse Practitioners & Physician Assistants)... $ $695 Optional Coding Seminar... $ $345 2

3 Special Features FEATURED SPEAKER L. Joseph Butterfield Lecture RICHARD J. MARTIN, MD, FAAP Joe Butterfield was an expert in coordinating the expertise and energies of his colleagues and predecessors while applying his own leadership skills to create new and effective strategies and solutions. His leadership resulted in the implementation of systems for health care education and health care delivery that saved many lives and improved the well-being of millions. The neonatal intensive care unit involves the efforts of a broad, multidisciplinary team of people. The 20th offering of this lecture will provide a history of the evolution of perinatal practice nationally and internationally, with emphasis on cost effective interventions which have improved neonatal survival across the globe. The Butterfield Lecture is supported by an endowment from Abbott Nutrition. Dr. Richard J. Martin is Professor of Pediatrics, Reproductive Biology, and Physiology & Biophysics at Case Western Reserve University School of Medicine. He was raised and educated in Australia, and received his medical degree from the University of Sydney School of Medicine. He is the first holder of the Drusinsky/ Fanaroff Chair in Neonatology, Rainbow Babies & Children s Hospital. Dr. Martin is a most sought after expert in the field of Developmental Respiratory Neurobiology, focused primarily on the subjects of apnea of prematurity, intermittent hypoxia, and both lung and airway injury. He has lectured widely and is a sought after speaker in the USA and worldwide. He is co-chair of a regional Neonatology conference held annually at the Nemacolin Woodlands Resort in Farmington, Pennsylvania, and of the International Neonatology Symposium held in Bangkok, Thailand. Dr. Martin is senior editor of the major neonatal text, Neonatal-Perinatal Medicine, along with Drs. Avroy A. Fanaroff and Michele C. Walsh. Also to his credit are approximately 200 first- and/or co-authored articles in peer-reviewed journals, and approximately 100 chapters and reviews published in well-known books in the medical field. He serves on numerous editorial boards, is past Chair of the Sub-Board in Neonatal/Perinatal Medicine of the American Board of Pediatrics, and has mentored a number of leaders in Neonatology in the USA and abroad. He is the 2017 recipient of the Virginia Apgar Award of the American Academy of Pediatrics Perinatal Section. SPECIAL CODING SEMINAR This seminar is designed to instruct neonatologists about CPT codes and how they are used in daily practice. Application of codes to various patient conditions and situations will be explored using audience response system (ARS) technology. Discussion will include recommendations from the audience on the needs and limitations of the current codes. Download Poll Everywhere prior to the meeting, available in the App Store on your smart phone for use during the audience response portions of the meeting. NEONATAL CODING: AFTERNOON DEEP DIVE SEMINAR FOR CODING AND BILLING PROFESSIONALS (Open only to participants registered for the Coding Seminar) Please join Drs. Edward A. Liechty, David M. Kanter and Angela D. Kelley from the Section on Neonatal-Perinatal Medicine Coding Committee Trainers immediately after lunch on Friday for an afternoon discussion exclusively devoted to issues and concerns relevant to your practices. Acknowledgments The AAP gratefully acknowledges support for the 2018 Workshop on Neonatal-Perinatal Practice Strategies in the form of educational grants from Abbott Nutrition and Mead Johnson Nutrition. 3

4 Schedule Friday, April 13, 2018 S01 Coding Seminar (optional) Additional Registration Fee: See Page 2 for rates 7:00am-5:20pm AAP Registration Desk Open 7:30-10:00am 7:30-10:00am 10:00-10:15am 10:15am-12:00pm 12:00pm-1:00pm 1:00-3:00pm Coding Seminar Continental Breakfast Neonatal Coding Seminar Edward A. Liechty, MD, FAAP Stephen Pearlman, MD, MSHQS, FAAP Richard Molteni, MD, FAAP Section on Neonatal-Perinatal Medicine Coding Trainers Committee This 4 1/2 hour session will update the audience on changes in neonatal coding practices, using didactic presentations and clinical scenarios. There will be time for questions and discussion with audience participation. Break Neonatal Coding Seminar (continued) Boxed Lunch for Seminar Participants S02 Neonatal Coding: Afternoon Deep Dive* (Open only to participants registered for the Coding Seminar) Edward A. Liechty, MD, FAAP David M. Kanter, MD, FAAP Angela D. Kelley, CPC Please join Drs. Edward A. Liechty, David M. Kanter and Angela D. Kelley from the Section on NPM Coding Trainers Committee Trainers immediately after lunch for an afternoon discussion exclusively devoted to issues and concerns relevant to your practices. GENERAL SESSION 1:00-1:05pm Welcome Cherrie Welch, MD, MPH, FAAP Course Director 1:05pm-1:35pm 1:35pm-2:20pm 2:20pm-3:05pm 3:05pm-3:20pm 3:20pm-3:35pm 3:35pm-3:50pm 3:50pm-4:35pm 4:35pm-5:20pm 5:20pm-5:35pm 5:35pm 5:45pm-6:45pm Survey of Neonatologists Knowledge, Opinions and Attitudes (ARS) DeWayne Pursley, MD, MPH, FAAP L. Joseph Butterfield Lecture Do Intermittent Hypoxic Episodes in Premies Matter? Richard Martin, MD, FAAP The Butterfield Lecture is supported by an endowment from Abbott Nutrition. Improving the Value of Health Care for the NICU Graduate Garey Noritz, MD, FACP, FAAP Question and Answer Session Break / Visit the Exhibits SoNPMe and TECaN Update* John A.F. Zupancic, MD, ScD, FAAP SoNPM Chair Advocacy for the Newborn in Washington: AAP Update Mark Del Monte, JD Point/CounterPoint: Hypoglycemia Treatment Thresholds Jeff Kaiser, MD, MA, FAAP Roger Soll, MD, FAAP Question and Answer Session Adjourn for the Day Welcome Reception: Supported by Abbott Nutrition Maximum CME Credits for Friday, without attendance at Coding Seminar: 4.25 Maximum CME Credits for Friday, with attendance at Coding Seminar: 8.5 Maximum CME Credits for Coding Seminar only: 4.25 *Please note: These sessions are not designated for CME Credit. 4

5 Schedule Saturday, April 14, :00am-4:00pm 7:00-8:15am 8:15-9:15am AAP Registration Desk Open Continental Breakfast / Visit the Exhibits CONCURRENT BREAKOUT SESSIONS (Group A) (E) Early Career Focus; (C) Clinical Focus; (M) Management Focus 9:15-9:30am A1 Standardized Feeding Protocols in the NICU (C) (repeats as C1) Brenda Poindexter, MD, MS, FAAP Heather Kaplan, MD, MSCE, FAAP A2 Neonatology and Law (M) (repeats as C2) Mark Lynch, JD, MD A3 A New Paradigm For Feedback Teaching How To Receive It (E) Gautham Suresh, MD, DM, MS, FAAP A4 Regulatory Requirements and Patient Safety Applicable to the NICU Environment (M) Richard A. Molteni, MD, FAAP A5 Using Audits for Quality Improvement (M) Roger F. Soll, MD, FAAP Break / Visit the Exhibits 9:30-10:30am CONCURRENT BREAKOUT SESSIONS (Group B) (E) Early Career Focus; (C) Clinical Focus; (M) Management Focus B6 Caffeine Therapy: What Do We Know? (C) Richard Martin, MD, FAAP B7 Creating, Critiquing, and Interpreting Run and Statistical Process Control Charts (M) Heather Kaplan, MD, MSCE, FAAP Munish Gupta, MD, MMSc, FAAP B8 CO2 and Cerebral Blood Flow (C) Jeff Kaiser, MD, MA, FAAP B9 Don t Drop the Ball! Avoiding Transition Debacles from NICU to Home (C) Garey Noritz, MD, FACP, FAAP B10 Grant and Manuscript Writing (E) (trainees) Kurt Albertine, PhD 10:45-11:45am CONCURRENT BREAKOUT SESSIONS (Group C) (E) Early Career Focus; (C) Clinical Focus; (M) Management Focus C1 Standardized Feeding Protocols in the NICU (C) (repeated from A1) Brenda Poindexter, MD, MS, FAAP Heather Kaplan, MD, MSCE, FAAP C2 Neonatology and Law (M) (repeated from A2) Mark Lynch, JD, MD C11 Developing A Comprehensive, Effective and Fiscally Sound Strategic Plan For Your NICU (M) Richard Molteni, MD, FAAP C12 Adverse Event Debriefs Hot, Warm, Cold (M) Gautham K. Suresh, MD, DM, MS, FAAP C13 Career Development Panel (E) Thomas N. George, MD, FAAP Lily Lou, MD, FAAP Kurt Albertine, PhD 11:45am-1:00pm 1:00pm-4:00pm 4:00pm Lunch: Supported by Mead Johnson Nutrition D14: Half-Day Seminar (Optional) Newborn Advocacy Outside the NICU Mark Del Monte, JD Adjourn for the Day Maximum CME Credits for Saturday, without attendance at optional half-day seminar: 4.00 Maximum CME Credits for Saturday, with attendance at optional half-day seminar: :30-10:45am Break / Visit the Exhibits 5

6 Schedule Sunday, April 15, :00am-8:00am General Session 8:00-8:30am Continental Breakfast Committee on Fetus and Newborn Report James Cummings, MD, FAAP Contributors: Brenda Poindexter, MD, MS, FAAP Eric C. Eichenwald, MD, FAAP 8:30-8:45am 8:45-9:30am 9:30-9:40am 9:40-9:50am 9:50-10:35am 10:35-11:20am 11:20-11:30am 11:30am-12:00pm 12:00-12:05pm 12:05pm Question and Answer Session Linking Early Respiratory Support to Lung and Brain Functional and Tissue Outcomes, Both Early and Later in Life Kurt Albertine, PhD Question and Answer Session Break/Visit the Exhibits Working With Your Lawyer To Prepare A Successful Defense Mark Lynch, JD, MD Optimizing Growth in Infants Receiving Human Milk in the NICU Brenda Poindexter, MD, MS, FAAP Question and Answer Session Follow-Up Survey of Neonatologists Knowledge, Opinions and Attitudes (ARS) DeWayne Pursley, MD, MPH, FAAP Closing Remarks Cherrie Welch, MD, MPH, FAAP Course Director Course Adjourns Maximum CME Credits for Sunday: 3.75 Maximum AMA PRA Category 1 Credits for Workshop:

7 Planning Group and Faculty SCHEDULE AND FACULTY Because we are always striving to improve the quality of your educational experience, schedules are subject to change. The AAP may substitute faculty with comparable expertise on rare occasions necessitated by illness or scheduling conflicts. Please visit for schedule, faculty, and session updates. The Workshop on Neonatal-Perinatal Practice Strategies also provides opportunities for members of TECaN, MidCaN, and WIN to connect and meet. Contact the leadership of these organizations for further information about organized events occurring during the conference. DISCLOSURE OF FINANCIAL RELATIONSHIPS AND RESOLUTION OF CONFLICTS OF INTEREST The 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. FACULTY Kurt Albertine, PhD Salt Lake City, Utah James Cummings, MD, FAAP Albany, New York Mark Del Monte, JD Washington, DC Tom George, MD, FAAP Minneapolis, Minnesota Jeff R. Kaiser, MD, MA, FAAP Hershey, Pennsylvania Heather Kaplan, MD, MSCE, FAAP Cincinnati, Ohio Lily Lou, MD, FAAP Anchorage, Alaska Mark Lynch, JD, MD Overland Park, Kansas Richard J. Martin, MD, FAAP Cleveland, Ohio Richard A. Molteni, MD, FAAP* Seattle, Washington Garey Noritz, MD, FACP, FAAP Columbus, Ohio Stephen A. Pearlman, MD, MSHQS, FAAP* Newark, Delaware Brenda Poindexter, MD, MS, FAAP Cincinnati, Ohio DeWayne M. Pursley, MD, MPH, FAAP Boston, Massachusetts Roger Soll, MD, FAAP Burlington, Vermont Gautham Suresh, MD, DM, MS, FAAP Houston, Texas *Also on SONPM Coding Trainers Committee CONTRIBUTING FACULTY Eric C. Eichenwald, MD, FAAP Philadelphia, Pennsylvania Munish Gupta, MD, MMSc, FAAP Boston, Massachusetts John A.F. Zupancic, MD, ScD, FAAP Boston, Massachusetts SONPM CODING TRAINERS COMMITTEE Edward A. Liechty, MD, FAAP, Chair Indianapolis, Indiana Scott Duncan, MD, FAAP Louisville, Kentucky Michael Gomez, MD, FAAP Albuquerque, New Mexico David M. Kanter, MD, FAAP Sunrise, Florida Angela D. Kelley, CPC Galveston, Texas Sheri Nemerofsky, MD, FAAP Scarsdale, New York Ted Rosenkrantz, MD, FAAP Farmington, Connecticut 2018 PLANNING GROUP Cherrie Welch, MD, MPH, FAAP, Chair Winston Salem, North Carolina Dena K. Hubbard, MD, FAAP Overland Park, Kansas Krithika Lingappan, MD, FAAP Houston, Texas Meredith Mowitz, MD, FAAP Gainesville, Florida Scott Alan Snyder, MD, FAAP Boise, Idaho 7

8 Section Information/Resources 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-being for all infants, children, adolescents, and young adults. For more information, visit AAP SECTION ON NEONATAL-PERINATAL MEDICINE Founded in 1974, this AAP Section is composed of members who have a special interest in practicing in the fields associated with or related to neonatal-perinatal medicine. The Section was formed for the purpose of improving the care of newborn infants and fetuses, pregnant women and their families by providing an educational forum for the discussion of problems relating to neonatal medicine, pregnancy, and parturition. Membership in the Section is open to Fellows and Resident Members of the AAP and approved National and Section affiliates who are actively involved in the fields associated with or related to neonatal medicine. To join the Section, call 800/ , ext For more information, visit Committees-Councils-Sections/Neonatal-Perinatal-Medicine/Pages/ Who-We-Are.aspx Get more review at the best value with NeoReviewsPlus! Stay current with the AAP self-assessment program mapped to neonatal-perinatal medicine content specifications, NeoReviewsPlus. Get the latest critical information from neonatal experts-all chosen to help you provide the best care for neonates. 1-year subscription to this package includes: NEOREVIEWSPLUS SELF-ASSESSMENT (online only) Includes 96 case-based questions per year, 8 questions per month, with detailed explanations of the preferred response, along with a discussion of why other choices were considered incorrect. (24 MOC Part 2 points) NEOREVIEWS TM CME JOURNAL (online only) Monthly CME and MOC review journal featuring clinical articles, case scenarios, and timely reviews packed with evidence-based information on the diagnostic and therapeutic management of diseases and delivery of neonatal care (10 MOC Part 2 points) Approved for AMA PRA Category 1 Credit. AAP Member Price: $230 AAP Subspecialty Section Member Price: $205 Nonmember Price: $290 To subscribe, visit shop.aap.org/2018-neoreviewsplus NeoReviewsPlus is supported, in part, through an educational grant from Abbott Nutrition, a division of Abbott Laboratories, Inc. 8

9 Hotel, Travel, and Registration Information HOTEL AND TRAVEL ARRANGEMENTS DoubleTree Resort by Hilton Paradise Valley Scottsdale 5401 North Scottsdale Road Scottsdale, Arizona Direct Phone Number: 480/ Toll-free Phone Number: 800/ Hotel Booking Website Special group rates beginning at $219 per night, plus tax, for single or double occupancy, have been negotiated at the DoubleTree Resort by Hilton Paradise Valley Scottsdale. These rates represent substantial savings from published rates. The cutoff date for reservations at the group rate is March 16, Call the hotel directly to make your reservations and be sure to mention that you are attending the AAP Workshop on Perinatal Practice Strategies. A limited number of guest rooms have been reserved, and they are assigned based on availability (first-come, first-served). Please be aware that the room block may be filled prior to March 16, 2018; in such a case, neither the group rate nor guest room availability can be guaranteed. The AAP, therefore, recommends that you make your reservations as early as possible. GROUND TRANSPORTATION The DoubleTree Resort by Hilton Paradise Valley is located approximately 12 miles from Phoenix Sky Harbor International Airport. For information on shuttle service, contact SuperShuttle at 800/ or Taxi service is also available. CAR RENTAL DISCOUNTS The AAP Travel Office is offering CME course attendees a reduced car rental rate through Hertz and Avis. Please ask your AAP Travel Agent for details. Hertz can be reached directly at 800/ or The AAP discount code is CV Avis can be reached at 800/ or The AAP discount code is A PARKING Self- and valet parking are both available at the hotel. CHILD CARE Please contact the hotel concierge for recommendations regarding child care services. SPECIAL NEEDS The AAP is sensitive to the special needs of its attendees. Please indicate any accommodations on your registration form. Scooter and wheelchair rentals are available by contacting ScootAround, Inc., toll-free at 888/ , by at info@scootaround.com, through their website at or by fax at 204/ CANCELLATIONS Course cancellations must be received in writing by March 13, 2018 to receive a refund. An administrative charge of $50 will be deducted. 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. ONLINE SYLLABUS The Workshop on Neonatal-Perinatal Practice Strategies is environmentally friendly! The syllabus for the 2018 Workshop will be online only. About one week prior to the workshop, you can expect to receive an with instructions for accessing the online syllabus. 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 in Scottsdale, we encourage you to bring a laptop computer or tablet. If you prefer to have printed handouts in front of you while at the workshop, we encourage you to print those from the online syllabus ahead of time and bring them with you. There will not be any AAPprovided printer stations at the workshop. Electrical power for laptop and tablet use will not be available in the educational sessions. EARN MOC PART 2 POINTS! Register to attend the 2018 Workshop on Neonatal-Perinatal Practice Strategies 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. Complete the online, pre-course self-assessment by the deadline date Attend the 2018 Workshop on Neonatal-Perinatal Practice Strategies in Scottsdale, Arizona Complete the online, post-course self-assessment with a minimum passing score of 80% by the deadline date Disclaimer: 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 for details about your specific certification requirements. Note: Please include your address to ensure that you receive instructions for accessing the MOC pre/post-tests and instructions for accessing the online syllabus. Please contact AAP registration if you do not receive an approximately one week prior to the course. 9

10 Save the Date! 2019 Workshop on Neonatal-Perinatal Practice Strategies Scottsdale, Arizona I March 29-31, 2019 DoubleTree Resort by Hilton Paradise Valley Scottsdale Sponsored by the American Academy of Pediatrics (AAP) and the AAP Section on Neonatal-Perinatal Medicine. The Best Pediatric CME/CPD* For The Best Pediatric Care *Continuing Professional Development 11/17 LE042

11 Registration Form 2018 Workshop on Neonatal- Perinatal Practice Strategies DoubleTree Resort by Hilton Paradise Valley Scottsdale, Arizona April 13-15, 2018 Register by March 13, 2018, for Early Bird Rates! REGISTER BY ONE OF THE FOLLOWING OPTIONS: Online at: shop.aap.org /perinatal2018 Call toll-free: 866/ Mail this form with payment to: American Academy of Pediatrics/Registration P.O. Box Chicago, Illinois Fax this form to: 847/ PLEASE TYPE OR PRINT NAME ADDRESS FIRST LAST (SURNAME) MD, DO, OTHER (SPECIFY) CITY/STATE/PROVINCE ZIP CODE / POSTAL CODE / COUNTRY DAYTIME PHONE CELL NUMBER ADDRESS (REQUIRED TO RECEIVE INSTRUCTIONS FOR ACCESSING ONLINE COURSE INFORMATION) EMERGENCY CONTACT NAME/ PHONE AAP ID# PLEASE INDICATE ANY SPECIAL NEEDS (E.G., BREASTFEEDING ACCOMMODATIONS, DIETARY RESTRICTIONS /ALLERGIES, PHYSICAL DISABILITIES). SO1: CODING SEMINAR Friday, April 13, :30am-12:00pm Coding Seminar for the fee of $295-$345. Note: You do not need to register for Perinatal Workshop to attend the Coding Seminar. SO2: Neonatal Coding: Afternoon Deep Dive Note: You must register for the Coding Seminar to be able to attend this session. CONCURRENT SESSIONS Saturday, April 14, 2018 Please fill in the code of your first and second choices for all three sessions. First Choice Second Choice 8:15am: 9:30am: 10:45am: OPTIONAL SATURDAY April 14, 2018 Half-Day Seminars This seminar is open to all attendees; how-ever, space is limited and will be on a first-come, firstserved basis. D14: Newborn Advocacy Outside the NICU REGISTRATION FEES (U.S. Currency) EARLY BIRD FULL RATE AAP Section on Neonatal-Perinatal Medicine Members....$ $755 AAP Fellows/Candidate Members/International Members (Section Nonmembers)....$ $790 AAP Resident Members/ Post-Residency Training Members....$ $480 Nonmember Physicians....$ $950 Nonmember Residents....$ $735 Allied Health Professionals....$ $695 (Includes Nurse Practitioners & Physician Assistants) S01: Optional Coding Seminar....$ $345 Your registration will be confirmed. Please contact the AAP Registration Area if you do not receive a confirmation within 14 days. Course cancellations must be received in writing by March 13, 2018 to receive a refund. An administrative charge of $50 will be deducted. 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. Sign me up for the CME Listserv to receive information on upcoming AAP CME activities. ADDRESS PAYMENT INFORMATION Full payment must accompany this form. Please indicate method of payment below: 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. (United States only) CHECK NUMBER Please do not send currency. AMOUNT

12 Questionnaire Check one of the following to indicate your practice type: Neonatologist NICU Director Neonatal-Perinatal Program Director Neonatal-Perinatal Division Chief Neonatal-Perinatal Medicine Trainee Nurse Practitioner Physician Assistant Registered Nurse Non-Physician Coding & Billing Professional Other (please specify) How many years have you been in practice (post-fellowship)? 0-7 years (including Trainees) 8-17 years years 30+ years Not in practice Have you attended this conference in the past? Yes No How did you hear about this course? Direct mail Word of mouth Online (please specify website: ShopAAP.org, aap.org, other) What is your primary objective for attending this course? Earn CME credits Meet neonatal leaders Career/leadership development Other