Pediatric Trauma Symposium

Similar documents
The University of Pittsburgh School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Regional Conference. Friday, November 9, T h e F i r s t U P M C S t. M a r g a r e t

Stroke Program Development: The Nuts and Bolts

Omni William Penn Hotel Pittsburgh, Pa.

UPMC Adult ECMO Review and Training Course

STROKE UPDATE 2015 XIX. Friday, September 18, 2015 XIX. Friday, September 18, Location: Westin Convention Center Hotel

Update in Hepatology, Gastroenterology, and Transplantation

STROKE UPDATE 2018 XXII. Friday, October 26, 2018 XXII. Friday, October 26, Location: Westin Convention Center Hotel

N o v e m b e r 9 & 1 0, New Location. John A. Kellum, MD Professor of Critical Care Medicine

Title of Educational Activity: 3 rd Annual WISER Symposium on Nursing Simulation. Date: December 3-4, Location: Pittsburgh Airport Marriott

HYPOTHERMIA AND RESUSCITATION TRAINING INSTITUTE AT PENN (HART)

Allegheny Health Network 5th Annual Trauma Symposium 2017 Back to the Future: What was Old is New Again

Our Changing World: New Directions in Community Behavioral Health. June 20, :30 am 4:30 pm Omni William Penn Hotel Pittsburgh, Pennsylvania

Advances in Cardiovascular Care

Obstetrical Neurology Conference

Neonatal Resuscitation Program Instructors: Influencing the Future

Pediatric Trauma Symposium

THE 5 TH ALFRED P. FISHMAN SYMPOSIUM:

2014 Challenges and Controversies in Emergency Medicine

Thursday, Sept. 20, Ambassador Banquet and Conference Center 7794 Peach St. Erie, Pa.

Pediatric Fundamental Critical Care Support Provider Course

An Interactive Forum for General Practitioners and Cardiologists

CURRENT ADVANCES IN CARDIOVASCULAR CARE 2015

2018 Professional Immunization Seminar:

Orthopaedic Update: Upper Extremity

Cardiovascular Update Conference

Friday, March 22, 2013

Where do you fit in? STEMI System of Care. Saturday, May 16, a.m. to 12:15 p.m.

Other Information. Course Faculty. Topics Explored: Pediatric Surgical and Trauma Nursing. Eighth Annual Conference

BLOOD PRESSURE 2017:

STEMI System of Care: Where do you fit in?

2015 Professional Immunization Seminar: Power to Protect

THE 2018 SAN DIEGO DAY OF TRAUMA. Trauma 2020: A Glimpse into the Future of Trauma Care. November 2, 2018 Kona Kai Resort San Diego, California

2016 Professional Immunization Seminar:

Maintenance of Certification in Anesthesia Simulation Session Saturday, Oct. 27, 2018

Fall Videoconference Series

Inaugural Three Rivers Antimicrobial Stewardship Symposium

Heart Symposium. Saturday February 24, The Dr. Robert S. and Joyce Pate Capper. 7:50 a.m. - 12:30 p.m. Register online at TexasHealth.

CURRENT ADVANCES IN HEART & VASCULAR CARE 2018

Pediatric Fundamental Critical Care Support (PFCCS) Provider Course

13 th Annual Conference Topics Explored: Pediatric Surgical and Trauma Nursing

Trauma-Focused Cognitive Behavioral Therapy for Traumatized Children and Their Families

NEUROSCIENCE CONFERENCE

Stroke Symposium 2017

pediatric gastroenterology

Multidisciplinary Medicine on the Bay

Best Practices in Pediatric Trauma Care

Videoconference Series

Cardiovascular Update Conference

Registration Brochure. Perioperative Quality and Enhanced Recovery Conference

Gastroenterology. & Hepatology. Gastroenterology. Saturday, September 12, Best Practices & New Developments In

Evidence-Based Care of Traumatic Spinal Cord Injuries. Saturday, February 20, 2016 The Queen s Conference Center

Topics in Bone Health:

UC Davis Pediatric Anesthesia Update

CURRENT ADVANCES IN CARDIOVASCULAR CARE 2017

Friday & Saturday, November 6 & 7, 2015

Meeting Location The conference will be held at the Nemacolin Woodlands Resort, 1001 LaFayette Drive, Farmington, PA 15437, Phone (724)

Primary Care. a neurology update. Saturday, August 25, Conference Directors Drs. Frank Castillon III and Paul A. Solomon

Putting the Pieces Together

Saturday June 1, 2013

Enhancing Person-Centered Care through Advance Care Planning

Submit your abstracts for an opportunity to participate in a poster presentation and the AACD s Best Abstract Competition.

Advances in Transplantation Topics in Kidney, Pancreas and Liver Transplant

Sixth Annual Minds Matter: Concussion Care for Kids. Thursday, April 12, Learn more: chop.cloud-cme.com

A C M E / C N E - A C C R E D I T E D C O N F E R E N C E

Across all ages: The obesity challenge

Sixth Penn State Health International Conference on PEDIATRIC ABUSIVE HEAD TRAUMA. 31 Woodfin Street, Asheville, North Carolina, 28801

New Approaches to Familiar Topics

2017 NEUROSCIENCE CONFERENCE

2016 NEUROSCIENCE CONFERENCE

Announcing February in Phoenix Trauma Symposium

Preconception Care Conference

2017 Professional Immunization Seminar:

32 nd Annual Pittsburgh Schizophrenia Conference

June 23, Sincerely, Dana Holland Camenae Group, Inc

Excellence in Trauma

Achieving Success: Mission Possible

The 2018 Penn Aorta Course

Emerging Topics in Pediatric Nutrition: A Practical Approach

16 TH ANNUAL TRAUMA SYMPOSIUM

Neonatology Point-of-Care Ultrasound Course

April 13-14, th Annual Pediatric Neurology Symposium

TUESDAY, APRIL 24, 2018 UPDATE ON: CHRONIC KIDNEY DISEASE

Current Topics in Pediatric and. Adolescent Gynecology

Drug User Health: Promoting Health and Reducing Harm in Medical Settings

Perspectives in Pediatrics. Friday, October 18, Bryn Mawr Hospital Bryn Mawr, PA

SEPTEMBER 8-10, 2017 Nemacolin Woodlands Resort Farmington, PA 15437

A Primary Care Provider s Guide to Cardiology: Update 2007

Workshop on Teaching March 8 11, 2008 Loews Vanderbilt Hotel Nashville, Tennessee

Culturally Responsive. Friday. Health Care in Iowa THE UNIVERSITY OF IOWA PRESENTS

Culturally Responsive. Friday. Health Care in Iowa THE UNIVERSITY OF IOWA PRESENTS

MAY 6, :30 AM 3:30 PM

The University of Iowa Carver College of Medicine

2018 Acute Ischemic Stroke Conference

Benign Breast Disease

Saturday, October 22, 2011

Current Trends in Workers Compensation Management 2017

Michigan Trauma Symposium

Cultivating A Culture of Safety in Healthcare

TRAUMA CENTER 24th Annual Trends in Trauma May 10 & 11, 2018

Transcription:

Seventh Annual John M. Templeton Jr. Pediatric Trauma Symposium M A R C H 2 ~ 3, 2 0 0 7 The Omni William Penn Hotel Pittsburgh, Pennsylvania Course Directors: Barbara A. Gaines, MD, FACS, FAAP Kerry Larkin, RN, BSN, CEN Christine McKenna, RN, MSN, CRNP Matthew Moront, MD, FACS Michael L. Nance, MD, FACS, FAAP Marla L. Vanore, RN, MHA The University of Pittsburgh School of Medicine, Center for Continuing Education in the Health Sciences is the ACCME accredited provider for this activity.

OVERVIEW Trauma is the leading cause of childhood death and disability. However, pediatric trauma care continues to provide significant and unique challenges. This two-day symposium will provide the health care practitioner with up-to-date clinical information for the management of injured children and their families. Current issues will be addressed throughout the continuum of trauma care. COURSE OBJECTIVES At the conclusion of this conference, participants should be able to: Describe current treatment and technologic advances that decrease pediatric death and disability. Discuss how trauma impacts the physical and emotional future of the pediatric patient. Identify strategic measures to reduce the incidence of pediatric traumatic injuries. 2

CONTINUING EDUCATION CREDIT The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this educational activity for a maximum of 12.5 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded 1.25 continuing education units (CEU s) which are equal to 12.5 contact hours. An application for contact hours has been submitted to the UPMC Provider Unit of the PA State Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. Please call Marianne Miller, RN, CCRN at (412) 692-6427 for more information about contact hours. The Children s Hospital of Philadelphia is approved as a provider for continuing EMS education by the PA Department of Health. An application for PA EMS credits has been submitted for both days. This conference is for the advanced pre-hospital provider/phrn. WHO SHOULD ATTEND This multidisciplinary conference is designed for surgeons who care for injured children, emergency medicine physicians, other physicians, physician assistants, nurse practitioners, nurses, pre-hospital providers, injury prevention specialists and other health care professionals involved with injured children. MEETING LOCATION AND HOTEL ACCOMMODATIONS Omni William Penn Hotel 530 William Penn Place 15219 Phone: (412) 281-7100 Parking is on your own and not covered in the cost of conference tuition. Parking will cost approximately $20 for the day. A limited block of rooms has been reserved at the Omni William Penn. Please call the hotel directly to reserve a room for this conference. Rates are $119 for single and double occupancy and are subject to applicable taxes. The cut off date for accepting reservations at this preferred rate is January 30, 2007. 3

PROGRAM Friday, March 2nd 7:15 am Registration, Exhibits, Continental Breakfast 7:50 am Welcome and Introduction Barbara A. Gaines, MD, FACS, FAAP Michael L. Nance, MD, FACS, FAAP 8:00 am KEYNOTE LECTURE ~ Heal Without Steel: Maturation of the Treatment of Pediatric Splenic Injury David Wesson, MD 9:00 am What s New in Pediatric Trauma Barbara A. Gaines, MD, FACS, FAAP, Matthew Moront, MD, FACS, and Michael L. Nance, MD, FACS, FAAP 9:45 am Partners for Child Passenger Safety: Progressing from Injury to Action Kristy Arbogast, PhD 10:30 am Break and Exhibits Pediatric Resuscitation: New Strategies and Current Practice Moderator: Michael L. Nance, MD, FACS, FAAP 11:00 am The New CPR Robert Hickey, MD, FAAP, FAHA 11:25 am Fluid Resuscitation: Beyond Lactated Ringers Margaret A. Priestley, MD 4

Friday, March 2nd continued 11:50 am Emergency Care of Children: Findings from the Institute of Medicine Report Nancy Bonalumi, RN, MS, CEN 12:15 pm Panel Discussion/Questions and Answers 12:30 pm Lunch and Exhibits Care of the Critically Ill Child with Multiple Injuries Moderator: Matthew Moront, MD, FACS 1:30 pm Abdominal Emergencies David Wesson, MD 1:55 pm Orthopedic Emergencies Martin J. Herman, MD 2:20 pm Neurosurgical Emergencies P. David Adelson, MD, FACS, FAAP 2:45 pm Panel Discussion/Questions and Answers 3:00 pm Break and Exhibits Friday Schedule continues 5

Friday, March 2nd continued 3:30 pm - CONCURRENT BREAKOUT SESSIONS 5:00 pm Participants may choose between two concurrent break out sessions. Please indicate your preference on the registration form. Requests will be filled on a first-come, first-served basis. Session 1A: Challenging Cases in Pediatric Trauma I* Session 1B: Minimizing Trauma in the Trauma Bay Trauma experts from Pennsylvania s Trauma Centers Moderator: Nancy Bonalumi, RN, MS, CEN will present interesting cases with discussion and audience participation encouraged. 3:30 pm Case and Questions/Answers 3:30 pm Vascular Access in the Injured Child Richard Saladino, MD 4:00 pm Case and Questions/Answers 3:55 pm Pain Management & Sedation with Procedures Christopher J. Haines, DO 4:30 pm Case and Questions/Answers 4:20 pm The Debate Over Family Presence in Trauma Resuscitation Pro: Sabina B. Singh, MD Con: Marla L. Vanore, RN, MHA 4:45 pm Panel Discussion/Questions/Answers 5:00 pm Friday Adjournment and Reception 5:00 pm Friday Adjournment and Reception *NOTE: The cases presented in Sessions 1A (Friday) and 2A (Saturday) will be different. Registrants may choose to attend both. 6

PROGRAM Saturday, March 3rd 7:15 am Registration, Exhibits and Continental Breakfast 7:50 am Welcome and Introduction Barbara A. Gaines, MD, FACS, FAAP Matthew Moront, MD, FACS 8:00 am KEYNOTE LECTURE ~ Bedside Nursing: A Critical Link in Optimal Patient Outcomes Jeannie Cimiotti, DNS, RN, CRNP 9:00 am Perspectives from a Trauma Pioneer Andrew Peitzman, MD, FACS 9:45 am Break and Exhibits PANEL: Violence and the Child: Villain or Victim? Moderator: Monica Liebman, RN, MSN, PHRN 10:15 am Recurring Violence-Patterns and Responses John M. Templeton Jr., MD 11:05 am Sexual Abuse: Demystifying the Evaluation Maria D. McColgan, MD 11:35 am Street Drugs and Violence Detective Aaron Borello 12:05 pm Panel Discussion/Questions & Answers 12:15 pm Lunch Saturday Schedule continues 7

Saturday, March 5th continued 1:15 pm - CONCURRENT BREAKOUT SESSIONS 3:00 pm Participants may choose between two concurrent break out sessions. Please indicate your preference on the registration form. Requests will be filled on a first-come, first-served basis. Session 2A: Challenging Cases in Pediatric Trauma II* Session 2B: Pearls and Pitfalls in the ED Trauma experts from Pennsylvania s Trauma Centers Moderator: Kerry Larkin, RN, BSN, CEN will present interesting cases with discussion and audience participation encouraged. 1:15 pm Case and Questions/Answers 1:15 pm Challenging Airways in the ED John H. Archer, MD 1:40 pm Case and Questions/Answers 1:45 pm Hypothermia: Helpful or Harmful? S. Danielle Brown, RN, MS Jacqualyn English, MPAS, PA-C 2: 05 pm Case and Questions/Answers 2:15 pm Evaluation and Management of Pediatric Oropharyngeal Trauma David Mandell, MD, FAAP 2:30 pm Case and Questions/Answers 2:45 pm Panel Discussion/Questions & Answers 3:00 pm Saturday Conference Adjournment 3:00 pm Saturday Conference Adjournment *NOTE: The cases presented in Sessions 1A (Friday) and 2A (Saturday) will be different. Registrants may choose to attend both. 8

COURSE DIRECTORS Barbara A. Gaines, MD, FACS, FAAP Director, Benedum Pediatric Trauma Program Program Director, Pediatric Surgical Critical Care Program Assistant Professor of Pediatric Surgery University of Pittsburgh School of Medicine Kerry Larkin, RN, BSN, CEN Trauma Program Coordinator Christine McKenna, RN, MSN, CRNP Coordinator, Trauma Clinical Services Benedum Pediatric Trauma Program Matthew Moront, MD, FACS Director of Trauma Services Director, Injury Prevention Program Assistant Professor of Surgery Drexel University College of Medicine Michael L. Nance, MD, FACS, FAAP Director, Trauma and Surgical Critical Care Josephine J. and John M. Templeton Jr. Endowed Chair in Pediatric Trauma Division of Pediatric General, Thoracic and Fetal Surgery The Children s Hospital of Philadelphia Associate Professor of Pediatric Surgery University of Pennsylvania School of Medicine Marla L. Vanore, RN, MHA Trauma Program Manager President, Society of Trauma Nurses The Children s Hospital of Philadelphia ORGANIZING COMMITTEE Monica A. Liebman, RN, MSN, PHRN* Coordinator, Emergency Medical Services (EMS) Emergency Transport Team The Children s Hospital of Philadelphia Marianne Miller, RN, CCRN Pediatric Trauma Coordinator Benedum Pediatric Trauma Program Mary Jo Pedicino, RN, MSN Trauma Education Coordinator Trauma Program The Children s Hospital of Philadelphia Christine Vitale, RN, MSN Injury Prevention Coordinator Program Coordinator for Injury Free Coalition for Kids *also a member of the Faculty 9

10 COURSE FACULTY P. David Adelson, MD, FACS, FAAP Director, The Walter L. Copeland Neurosurgical Research Laboratory Director of Pediatric Neurotrauma Professor and Vice Chair Department of Neurosurgery University of Pittsburgh School of Medicine Kristy Arbogast, PhD Associate Director of Field Engineering The Center for Injury Research and Prevention The Children s Hospital of Philadelphia John H. Archer, MD Staff Anesthesiologist Assistant Professor of Anesthesiology Drexel University College of Medicine Robert D. Barraco, MD, MPH, FACS, FCCP Section Head of Pediatric and Geriatric Trauma Lehigh Valley Hospital Assistant Professor of Surgery Pennsylvania State University Allentown, PA Nancy Bonalumi, RN, MS, CEN 2006 President, Emergency Nurses Association Senior Consultant, Blue Jay Consulting LLC Lancaster, PA Detective Aaron Borello Pennsylvania State Police Vice Unit Washington, PA S. Danielle Brown, RN, MS Coordinator, Pediatric Neurotrauma Center Robert E. Cilley, MD Chief, Division of Pediatric Surgery Director, Pediatric Trauma Program Penn State Children s Hospital The Milton S. Hershey Medical Center Professor of Surgery and Pediatrics Pennsylvania State University Hershey, PA Jeannie Cimiotti, DNS, RN, CRNP Center for Health Outcomes and Policy Research Research Assistant Professor University of Pennsylvania School of Nursing Jacqualyn English, MPAS, PA-C Physician Assistant, Department of Surgery Harsh Grewal, MD, FACS, FAAP Chief of Pediatric Surgery Temple University Children s Medical Center Professor of Pediatrics Temple University Christopher J. Haines, DO Director of Operations Department of Pediatric Emergency Medicine Medical Director, Critical Care Transport Team Assistant Professor of Emergency Medicine & Pediatrics Drexel University College of Medicine

Martin J. Herman, MD Attending Orthopedic Surgeon Associate Professor of Orthopedic Surgery and Pediatrics Drexel University College of Medicine Robert Hickey, MD, FAAP, FAHA Chair, AHA Emergency Cardiovascular Care Committee Pediatric Emergency Medicine Associate Professor of Pediatrics University of Pittsburgh School of Medicine David Mandell, MD, FAAP Director, Pediatric Airway Center Division of Pediatric Otolaryngology Assistant Professor of Otolaryngology University of Pittsburgh School of Medicine Maria D. McColgan, MD Director, Child Protection Program Assistant Professor of Emergency Medicine and Pediatrics Drexel University College of Medicine Andrew Peitzman, MD, FACS Executive Vice Chair, Department of Surgery Presbyterian University Hospital of UPMC Professor and Chair, Division of General Surgery University of Pittsburgh School of Medicine Margaret A. Priestley, MD Associate Director of Trauma Department of Anesthesiology and Critical Care Medicine Clinical Director, Pediatric Intensive Care Unit The Children s Hospital of Philadelphia Assistant Professor of Anesthesia and Pediatrics University of Pennsylvania School of Medicine Max L. Ramenofsky, MD Associate in Pediatric Surgery Geisinger Medical Center Danville, PA Richard Saladino, MD Chief, Division of Pediatric Emergency Medicine Associate Professor of Pediatrics University of Pittsburgh School of Medicine Sabina B. Singh, MD Pediatric Emergency Medicine Attending John M. Templeton Jr., MD Adjunct Professor of Surgery University of Pennsylvania School of Medicine President, Pennsylvania Division, American Trauma Society David Wesson, MD Chief of Pediatric Surgery Texas Children s Hospital Professor of Surgery and Pediatrics Baylor College of Medicine Houston, TX In accordance with Accreditation Council for Continuing Medical Education requirements on disclosure, information about relationships of presenters with commercial interests (if any) will be included in materials distributed at the time of the conference. 11

12 REGISTRATION INFORMATION (See Registration Form on pages 13, 14 and 15) You may register: > On-line > Fax to (412) 647-8222 or > U.S. mail > On-line Registration We highly recommend registering on-line via our secure web site. It is the quickest and easiest way to register and will allow you to gain immediate confirmation of your registration. Our web site address is http://ccehs.upmc.edu Click the On-line Registration link and scroll to the Pediatric Trauma Symposium section on this page. > Mailing Registrations Mail the registration form to the address listed on page 15. All registration forms must be postmarked by February 1, 2007 to pre-register for this conference. We cannot guarantee space in the program or any program inclusions for those registrations we receive after this date. A confirmation letter will be faxed or mailed if registration is completed by the registration deadline. If you register on-line, you will receive an immediate e-mail confirmation message. Please note: Registration is not complete until you receive this confirmation. If you do not receive this letter within 5-7 days of registration, please contact us at (412) 647-8232. You must bring this confirmation with you to the conference. Cancellation All cancellations must be in writing and sent to us via U.S. mail, e-mail or fax. Tuition for cancellations postmarked or date stamped before February 1, 2007 will be completely refunded. After February 1, 2007 a $35 administrative fee will be assessed. No refunds will be made after February 15, 2007. Cancellation requests can be made to: Amy Lederer, Conference Manager UPMC/Center for Continuing Education in the Health Sciences Medical Arts Bldg., Suite 220 200 Lothrop St. 15213-2582 Phone: (412) 647-8216 or (412) 647-8232 Fax: (412) 647-8222 E-mail: CCEHS@upmc.edu The UPMC/Center for Continuing Education in the Health Sciences reserves the right to cancel this program if sufficient registrations are not received. In the case of cancellation, the department will fully refund registration fees. Registration Fees (onsite registration add $25 to each category) Full Conference, One-day, Friday, One-day, Saturday, March 2-3 March 2nd Only March 3rd Only Physicians $375 $200 $200 Residents, nurses, and other $300 $175 $175 health care professionals Students $150 $75 $75 Registration fee includes: Continuing education credit Registration and course materials Breakfast, breaks, lunch, reception

REGISTRATION FORM (FOR USE ONLY IF NOT REGISTERING ON-LINE) Seventh Annual John M. Templeton Jr. Pediatric Trauma Symposium MARCH 2-3, 2007 COURSE # 1126 See Registration Information section on page 12. Please complete pages 13, 14 and 15 of this registration form. Please type or print. Photocopy all pages of the registration form for additional registrants. NO REGISTRATION WILL BE ACCEPTED WITHOUT PAYMENT. Last FIVE digits of your Social Security Number # * Prefix Dr. Mr. Mrs. Ms. Other (please indicate) First Name Last Name Suffix (Jr., Sr., etc.) Company/Institutional Affiliation Specialty This is how your name will appear on } your name badge. E-mail Address Degree* (List only one.) MD DO Resident PhD MPH RN Other (please indicate) Address City Work Telephone ( ) Fax ( ) How did you hear about this conference? I am a member of STN ACEP APSA APSNA EAST ENA Other I require vegetarian lunch. I require kosher lunch. I have no special dietary requirements. Yes, I will attend the reception. Registration Fees (onsite registration add $25 to each category) Full Conference, One-day, Friday, One-day, Saturday, March 2-3 March 2nd Only March 3rd Only Physicians $375 $200 $200 Residents, nurses, and other $300 $175 $175 health care professionals Students $150 $75 $75 Total Registration fee enclosed $ *Required State ZIP Code continued on reverse 13

continued from reverse Breakout Sessions Please choose one workshop from each session that you would like to attend. Workshop assignments will be based on space availability. Please register early to ensure your first selection. FRIDAY, MARCH 2ND FRIDAY, MARCH 2ND Session 1A OR Session 1B Challenging Cases in Minimizing Trauma in the Pediatric Trauma I Trauma Bay SATURDAY, MARCH 3RD SATURDAY, MARCH 3RD Session 2A OR Session 2B Challenging Cases in Pearls & Pitfalls in the ED Pediatric Trauma II NOTE: The cases presented in Sessions 1A (Friday) and 2A (Saturday) will be different. Registrants may choose to attend both. METHOD OF PAYMENT The following methods of payment are acceptable for the registration fee: Checks, personal or employer Credit Card UPMC Journal Entry Transfers Checks. Make payable to UPMC Presbyterian Shadyside. Employer check included Personal check included Employer or Personal check to arrive under separate cover. If your employer or personal check is arriving under separate cover, you may send or fax in your completed registration form now, but you must complete the Credit Card Payments section below with valid credit card information in order to hold your reservation. If the check payment is not received by four weeks post course, we will charge the registration fee to the credit card number provided. There is a $25.00 returned check fee. Credit Card Payments Visa MasterCard American Express Discover Credit Card No. Expiration Date (Month/Year) Signature continued 14

continued UPMC Journal Entry Transfer. If you are a UPMC employee and your department will be responsible for payment, we can charge your department directly. DO NOT SUBMIT a disbursement to UPMC Accounts Payable. Complete the following: Business unit Account number Department ID number Authorized department signature Telephone number NO REGISTRATION WILL BE ACCEPTED WITHOUT PAYMENT. SPECIAL NEEDS Participation by all individuals is encouraged. Advance notification of any special needs will help us provide better service. Please notify us of your needs at least two weeks in advance of the program by calling (412) 647-8232. VISIT THE CENTER FOR CONTINUING EDUCATION IN THE HEALTH SCIENCES WEB SITE Our Internet address is: http://ccehs.upmc.edu The UPMC/Center for Continuing Education in the Health Sciences invites you to visit our web location. Receive information on CME programs, earn CME credits on the Internet, and access information about our formal courses and much more. Discover who we are and how you can contact us. Please visit our web location often to get updated information on upcoming programs. Mail payment, accompanied by the registration form to: UPMC/Center for Continuing Education in the Health Sciences Medical Arts Building, Suite 220 200 Lothrop Street 15213-2582 For additional information, contact: Amy Lederer, Conference Manager Telephone: (412) 647-8216 or (412) 647-8232 Fax: (412) 647-8222 E-mail: CCEHS@upmc.edu The University of Pittsburgh, as an educational institution and as an employer, values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Accordingly, the University prohibits and will not engage in discrimination or harassment on the basis of race, color, religion, national origin, ancestry, sex, age, marital status, familial status, sexual orientation, disability, or status as a disabled veteran or a veteran of the Vietnam era. Further, the University will continue to take affirmative steps to support and advance these values consistent with the University s mission. This policy applies to admissions, employment, access to and treatment in University programs and activities. This is a commitment made by the University and is in accordance with federal, state, and/or local laws and regulations. For information on University equal opportunity and affirmative action programs and complaint/grievance procedures, please contact: William A. Savage, Assistant to the Chancellor and Director of Affirmative Action (and Title IX and 504 Coordinator), Office of Affirmative Action, 901 William Pitt Union, University of Pittsburgh, 15260, (412) 648-7860. 15

Center for Continuing Education in the Health Sciences Medical Arts Building, Suite 220 200 Lothrop Street 15213-2582 Nonprofit Org. U.S. Postage PAID Permit No. 2110 Seventh Annual John M. Templeton Jr. Pediatric Trauma Symposium M A R C H 2 ~ 3, 2 0 0 7 The Omni William Penn Hotel Pittsburgh, Pennsylvania The Children s Hospital of Philadelphia University of Pittsburgh, Center for Continuing Education in the Health Sciences Visit us on-line at http://ccehs.upmc.edu