BEST VALUE FOR YOUR MONEY

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page i No Pharmaceutical Support! 39th Semi-Annual Fall FAMILY MEDICINE REVIEW COURSE October 4-9, 2015 BEST VALUE FOR YOUR MONEY Registration fee includes syllabus, pre & post tests, 5 continental breakfasts, 5 lunches, 4 dinners, 5 self-assessment modules and workshops. 56.0 AMA PRA Category 1 Credits 56.0 AAFP Credits 56.0 Contact Hours Pass the Boards Guaranteed! Register Online www.temple.edu/cme Presented by Temple University School of Medicine and Lancaster General Health At The Lancaster Host Resort and Conference Center Lancaster, PA Visit our website at www.temple.edu/cme

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 1 F a m i l y M e d i c i n e R e v i e w E d u c a t i o n a l O b j e c t i v e s : Following completion of this program, participants should be able to: Diagnose and treat common family practice problems Apply traditional modes of diagnosis and management more effectively Interpret information to commonly asked questions in practice Increase proficiency and maintain competence by updating cognitive understanding of Family Medicine Improve psychomotor skills utilized in office practice Feel better prepared to pass the American Board of Family Medicine and American Board of Internal Medicine exam Evaluate controversial issues in family practice Navigate the Self-Assessment Modules required by the American Board of Family Medicine F e a t u r e s Earn all of your Continuing Medical Education credits in one week Earn up to 56.0 hours of Continuing Medical Education credits Cost effective Modest tuition and living expenses. Registration fee includes workshops, syllabus, tote bag, five continental breakfasts, five lunches and four dinners Five Self Assessment Modules (S.A.M.): Health Behavior, Cerebrovascular Disease, Diabetes Mellitus, Preventive Care, Hypertension. Proven track record Curriculum based on needs of our targeted audience Outstanding faculty. All sessions moderated by highly respected academicians Excellent preparation for certification or recertification examination of the American Board of Family Medicine and American Board of Internal Medicine Pre- and Post-testing with computerized analysis of performance (for your own use - no individual record kept) Complete printed syllabus for use during course and for reference following course. Electronic syllabus will be available online for download during and after course. Workshops conducted Sunday, Monday and Tuesday evenings and Wednesday and Friday afternoons We guarantee that if you do not pass the Family Medicine Boards within one year of taking this course, you can attend another Family Medicine Review within two years at no cost (hotel and travel not included) 20% discount for each person when 3 or more register from a group or organization or when a past participant brings a new participant (someone who has never attended our Spring or Fall Family Medicine Review). You must register at the same time to get these discounts (no exceptions) (You must pre-register and be assigned to the workshop on a first-come, first-served basis. We cannot guarantee you will be assigned to the seminar or workshop of your choice. Early registration is encouraged. If the minimum number of registrants is not met, it may be cancelled.) T a r g e t A u d i e n c e : Family Practitioners, General Practitioners, Internists, Physician Assistants, Nurse Practitioners, and Nurses. C a n c e l l a t i o n P o l i c y : Refunds for withdrawal after deduction of a $100.00 fee made only upon written request prior to September 7, 2015 for Fall Course. No refunds after September 7, 2015 for Fall Course. Temple University School of Medicine reserves the right to cancel the program and return all course monies without further obligation if sufficient attendance is not secured. 1

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 2 C o n f e r e n c e S i t e a n d H o t e l I n f o r m a t i o n : The Lancaster Host Resort and Conference Center is the host site for the Family Medicine Review Courses. All plenary sessions and workshops are held there. It is a completely self-contained convention complex with 330 well-appointed and comfortable guest rooms on 225 beautiful acres in legendary Pennsylvania Dutch Country. All recreational activities are available on-site, including indoor pool and outdoor tennis courts. You may register with the Host directly, without waiting for your conference registration to be verified. Kindly use the registration form provided in this brochure. We strongly urge you to reserve your room(s) early as this facility fills quickly. Rates for Spring and Fall are $99.00 single or double plus 11% tax; $11.00 for each additional person in room over two people (age 18 and over); if under 18 years of age there will be no additional charge. Children under 13 eat for free. Register today by using the enclosed hotel reservation form or give our special code FPR#39 when calling the hotel at 717-299-5500. ALTERNATIVE HOTELS Classic Inn 2302 Lincoln Highway E Lancaster, PA 17602-1114 (717) 291-4576 Adjacent to Lancaster Host Continental Inn 2285 Lincoln Hwy E Lancaster, PA 17602 (717) 299-0421 www.continentalinn.com Across highway from Lancaster Host Red Roof Inn 2307 Lincoln Hwy E Lancaster, PA 17602 (717) 299-9700 www.redroof.com Across highway from Lancaster Host Ramada Inn 2250 Lincoln Hwy. Lancaster, PA (717) 393-5499 www.ramada.com.1 mile from Lancaster Host Eastbrook Inn 21 Eastbrook Rd. Ronks, PA 17572 (717) 393-2550 1.2 miles from Lancaster Host Courtyard Marriott 1931 Hospitality Drive Lancaster, PA 17601 (717) 393-3600 3 miles from Lancaster Host Comfort Suites Amish Country 2343 Lincoln Highway East Lancaster, PA 17602 (717) 299-7000.25 mile from Lancaster Host Country Inn 2133 Lincoln Highway East Lancaster, PA 17602 (717) 393-3413 1 mile from Lancaster Host Holiday Inn Express 24 South Willowdale Drive Lancaster, PA 17602 (717) 293-9500 www.hiexpress.com 1 mile from Lancaster Host Country Inn & Suites 2260 Lincoln Highway East, (Route 30) Lancaster, PA 17602 (717) 299-4460 (888) 201-1746.2 miles from Lancaster Host Hawthorn Suites by Wyndham 2045 Lincoln Highway East Lancaster, PA 17602 (717) 290-7100.5 miles from Lancaster Host Please contact hotels for their rates 2

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 3 Accreditation Statement: Temple University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide Continuing Medical Education for physicians. Certification Statement: Temple University School of Medicine designates this live activity for a maximum of 56.0 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAFP Credit: This live activity, 39th Semi-Annual Family Medicine Review, with a beginning date of March 22, 2015, has been reviewed and is acceptable for up to 56.0 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. Nursing Accreditation Temple University School of Medicine is an approved provider of continuing nursing education by the PA State Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. Registered Nurses will receive up to 56.0 Contact Hours. Disclosure Policy: It is the policy of Temple University School of Medicine; The Albert J. Finestone, M.D., Office of Continuing Medical Education that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). Temple University School of Medicine, Office for Continuing Medical Education has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials. 3

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 4 SUNDAY October 4, 2015 12:15 p.m. Registration Please wear your badge when in the Showroom. You should not be present in the Showroom if you are not registered. 1:00 p.m. Welcome and Introductions Nikitas J. Zervanos, MD, Course Co-Director Melinda Somasekhar, PhD, Co-Director MODERATOR: Stephen Ratcliffe, MD Director, Department of Family and Community Medicine Director, Family Medicine Residency Program Lancaster General Health 1:05 p.m. Welcoming remarks PEDIATRICS 1:10 p.m. P1. 2015 Immunization Update 2:00 p.m. P2. Vitamin D Issues in Children 2:25 p.m. P3. Exercise-Induced Asthma: Dx and Rx Considerations 2:50 p.m. P4. Eating Disorders: Anorexia and Bulimia Nervosa 3:20 p.m. P5. Oppositional Defiant Syndrome 3:50 p.m. P6. Does the Early Diagnosis and Treatment of Bipolar Depression and Schizophrenia in the Adolescent Make a Difference in Prognosis? 4:15 p.m. Questions and Answers 4:30 p.m. Adjourn 4:30 p.m. Ongoing Registration and Dinner 6:00 p.m. KEYNOTE LECTURE The Albert J. Finestone, MD Annual Lecture: 1. Beyond Meaningful Use: Information Technology to Enhance Clinical Care, Education and Research 7:00-7:10 p.m. Questions and Answers 7:10-9:40 p.m. Workshops 4

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 5 MONDAY October 5, 2015 7:20-7:50 a.m. Welcome and Introductory Remarks Nikitas J. Zervanos, MD, Director, TU FP/Primary Care Review Director Emeritus, Family Medicine Residency Program, LG Health Clinical Professor, Department of Family and Community Medicine Temple University School of Medicine Melinda Somasekhar, PhD Assistant Dean, The Albert J. Finestone, MD Office for CME Co-Director TU FP/Primary Care Review Temple University School of Medicine 7:50-8:50 a.m. Pre-Test MODERATOR: Stephen Permut, MD, JD Associate Dean for Academic Affiliations Chairperson and Professor, Family and Community Medicine Temple University School of Medicine PUBLIC HEALTH AND PREVENTIVE MEDICINE 8:55 a.m. 2. Adult Immunization 9:30 a.m. 3. Drug-Induced Nephrotoxicity: Clinical Considerations 9:55 a.m. 4. Treating Back Pain and Avoiding Narcotics, Dx and Rx Considerations 10:15 a.m. Questions and Answers 10:35 a.m. Break 10:45 a.m. 5. Supplements and Sports 11:10 a.m. 6. Cancer Screening 11:35 a.m. 7. Osteoporosis 12:00 p.m. Questions and Answers 12:15 p.m. Lunch (Spouses may attend all lunch and dinner functions with the purchase of a ticket which will be collected at the door.) INFECTIOUS DISEASE 1:15 p.m. 8. Hepatitis C 1:40 p.m. 9. Anti-Microbial Resistance 2:05 p.m. 10. HIV 2:30 p.m. 11. Common Infectious Disease Cases Found in the ER 2:55 p.m. 12. Sexually Transmitted Diseases 3:20 p.m. Questions and Answers 3:30 p.m. Break PULMONARY 3:40 p.m. 13. Asthma 4:10 p.m. 14. Treatment of COPD: The GOLD Guidelines Along with an Exercise Prescription 4:40 p.m. 15. Sarcoidosis: Dx and Rx Considerations 5:10 p.m. 16. Pulmonary Embolism: Are We Missing the Diagnosis? Dx & Rx 5:45 p.m. Questions and Answers 6:00 p.m. Dinner 7:00-9:30 p.m. Workshops 5

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 6 TUESDAY October 6, 2015 MODERATOR: George Tzanis, MD Clinical Assistant Professor Associate Chief of Medicine for Primary Care Philadelphia Veterans Administration Medical Center 7:55 a.m. Welcoming remarks CARDIOLOGY 8:00 a.m. 17. CHF: Systolic vs. Diastolic Dysfunction: Dx & Rx Considerations 8:30 a.m. 18. ACC/AHA Guidelines for Management of Stroke 9:00 a.m. 19. Risk and Benefits of Aspirin Therapy 9:15 a.m. 20. Atrial Fibrillation: Dx and Rx Considerations 9:45 a.m. Questions and Answers 10:00 a.m. Break 10:10 a.m. 21. DVT and Anticoagulation 10:40 a.m. 22. Bradycardia and Sudden Death 11:00 a.m. 23. Hypertension and the New JNC-8 Guidelines 11:30 a.m. 24. Hypertension Case Studies 12:00 p.m. Questions and Answers 12:15 p.m. Lunch METABOLIC DISORDERS / ENDOCRINOLOGY 1:15 p.m. 25. Diabetes 1:55 p.m. 26. Diabetes Case Studies 2:25 p.m. 27. Obesity 2:55 p.m. 28. Hypo and Hyperthyroidism 3:20 p.m. Questions and Answers 3:35 p.m. Break 3:45 p.m. 29. Hypercholesteromia 4:15 p.m. 30. Hypercholesteromia Case Studies 4:45 p.m. 31. Adrenal Disorder 5:15 p.m. 32. Pituitary and Its Role in Infertility 5:45 p.m. Questions and Answers 6:00 p.m. Dinner 7:00-9:30 p.m. Workshops 6

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 7 WEDNESDAY October 7, 2015 MODERATOR: Christian Hermansen, MD Assistant Deputy Director Family Medicine Residency Program Lancaster General Health 7:55 a.m. Welcoming remarks GASTROENTEROLOGY 8:00 a.m. 33. Gastrointestinal Complications of Diabetes 8:25 a.m. 34. The Pros & Cons of PPIs, 2015 8:45 a.m. 35. LLQ Abdominal Pain: Dx & Rx Considerations 9:05 a.m. 36. Pancreatitis: Clinical Considerations 9:25 a.m. 37. IBD 9:50 a.m. Questions and Answers 10:05 a.m. Break NEPHROLOGY / UROLOGY 10:15 a.m. 38. Anemia and Chronic Kidney Disease: The Erythropoietin Factor 10:45 a.m. 39. The Medical Management of BPH 11:15 a.m. 40. Microscopic Hematuria: Dx and Rx Considerations 11:45 a.m. Questions and Answers 12:00 p.m. Lunch NEUROLOGY / GERIATRICS 1:00 p.m. 41. Parkinson s Disease 1:25 p.m. 42. Migraine Headache and Its Variants 2:00 p.m. 43. Recurrent Ischemic Stroke: Dx and Rx Considerations 2:25 p.m. 44. A Case-Based Approach to Alzheimer s Disease 2:50 p.m. 45. End of Life Issues 3:20 p.m. Questions and Answers 3:35 p.m. Break 3:45-6:15 p.m. Workshops 7

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 8 THURSDAY October 8, 2015 MODERATOR: Christine Stabler, MD Vice President for Academic Affairs Family Medicine Residency Program Lancaster General Health 7:55 a.m. Welcoming remarks WOMEN S HEALTH ISSUES 8:00 a.m. 46. Acute Coronary Syndrome Gender Differences 8:25 a.m. 47. Menopause and Its Clinical Challenges 8:50 a.m. 48. Contraception: How to Choose? 9:20 a.m. 49. Secondary Amenorrhea: Dx & Rx Considerations 9:50 a.m. Questions and Answers 10:05 a.m. Break DERMATOLOGIC DISORDERS 10:15 a.m. 50. Skin Cancer: The ABCD Approach in Diagnosis 10:35 a.m. 51. The Generalized Rash: Dx & Rx Considerations 10:55 a.m. 52. Common Tongue Conditions: Dx & Rx Considerations 11:20 a.m. 53. Fungal Skin Infections: Dx & Rx Considerations 11:45 a.m. Questions and Answers 12:00 p.m. Lunch ORTHOPEDICS/ PAIN MANAGEMENT 1:00 p.m. 54. Shoulder Pain: Dx & Rx Considerations 1:30 p.m. 55. Hip Pain: Dx & Rx Considerations 2:00 p.m. 56. Knee Pain: Dx & Rx Considerations 2:30 p.m. 57. Wrist Pain: Dx & Rx Considerations 3:00 p.m. 58. The Iatrogenic Opioid Addiction Problem: Avoiding Indiscriminate Prescribing 3:40 p.m. Questions and Answers 3:50 p.m. Break HEMATOLOGY/ONCOLOGY 4:00 p.m. 59. Alpha and Beta Thalassemia: Dx & Rx Considerations 4:30 p.m. 60. Lymphoma: Dx & Rx Considerations 5:00 p.m. 61. The New Anticoagulants vs. Warfarin 5:20 p.m. 62. Anemia in the Elderly 5:50 p.m. Questions and Answers 6:05 p.m. Dinner 8:00 p.m. 63. The 23rd Annual Pennsylvania Academy of Family Physicians Mark A. Connelly Memorial Lecture: Healthcare Reform 9:00 p.m. Questions and Answers 9:30 p.m. Adjournment 8

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 9 FRIDAY October 9, 2015 If you have not already had an Express Check Out and you are leaving today, you are encouraged to check out before 11:00 a.m. You may leave your luggage in the Temple Registration area (Lampeter Hall). 6:45-7:45 a.m. Post-course Exam Individuals who must leave early may take the exam at this time. Everyone else should take the exam at the end of the last plenary session at 12:00 p.m. MODERATOR: David O Gurek, MD Associate Professor, Department of Family and Community Medicine Temple University School of Medicine 7:50 a.m. Welcoming remarks PSYCHIATRY 7:55 a.m. 64. Depression: Dx & Rx Considerations 8:20 a.m. 65. Cognitive Behavioral Therapy in Managing Obesity 8:45 a.m. 66. Alcoholism: Dx & Rx Considerations 9:10 a.m. 67. Medical Marijuana 9:45 a.m. Questions and Answers 10:05 a.m. Break RHEUMATOLOGY / AUTOIMMUNE DISEASES 10:15 a.m. 68. Rheumatoid Arthritis 10:45 a.m. 69. Gout 11:15 a.m. 70. Multiple Sclerosis 11:45 a.m. Questions and Answers 12:00-1:00 p.m. Post-Course Exam or Lunch You have one hour to take the exam, and you may start any time after 12:00 p.m. but no later than 1:00 p.m. You must be finished by 2:00 p.m. 1:00-2:00 p.m. Lunch or Post-Course Exam 2:00-4:30 p.m. Workshops 4:30 p.m. Adjournment Return your completed credit request form and evaluation forms to the Temple registration desk in Lampeter Hall and pick up your certificate before you depart. 9

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 10 WORKSHOPS SUNDAY EVENING 7:10-9:40 p.m. MONDAY EVENING 7:00-9:30 p.m. TUESDAY EVENING 7:00-9:30 p.m. WEDNESDAY AFTERNOON 3:45-6:15 p.m. FRIDAY AFTERNOON 2:00-4:30 p.m. ALCOHOLICS ANONYMOUS/NARCOTICS ANONYMOUS On your own (Top Flight Lounge) Monday (5:40-6:10 p.m.) - Tuesday (5:45-6:20 p.m.) SUNDAY WORKSHOPS (7:10-9:40 p.m.) October 4, 2015 71. SAM (ABFM) Workshop on Health Behavior 72. Nutritional Issues in Primary Care Practice 73. Alcoholism, Marijuanaism, and Drug Abuse Improving Physician Patient Interactions 74. Dementia 75. HIV and AIDS: Dx, Rx, and Px Considerations 76. Ophthalmology: It s All in the Eye 77. Immunization MONDAY WORKSHOPS (7:00-9:30 p.m.) October 5, 2015 78. SAM (ABFM) Workshop on Cerebrovascular Disease 79. ABIM Knowledge-Based Questions (Pulmonary) 80. Hyperlipidemia Diagnosis and Management 81. Electrocardiography: Part I, Basic (Part II, Advanced held on Tuesday) 82. Common Musculoskeletal Injuries in Athletes and During Exercise 83. Making Effective Use of Diagnostic Imaging 84. The Patient Centered Medical Home (PCMH) 10

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 11 TUESDAY WORKSHOPS (7:00-9:30 p.m.) October 6, 2015 85. SAM (ABFM) Workshop on Diabetes Mellitus 86. Infectious Disease Workshop 87. Gastroenterology with Case Presentations 88. Electrocardiography: Part II, Advanced (Part I, Basic held on Monday) 89. Common Urologic Problems including Male Sexual Dysfunction in Office Practice 90. Common Obstetrical Challenges 90A. Billing and Coding: Economic Consequences 90B. Strategies for Taking the Internal Medicine Board Examination WEDNESDAY WORKSHOPS (3:45-6:15 p.m.) October 7, 2015 91. SAM (ABFM) Workshop on Preventive Care 92. ABFM Part IV, Performances in Practice Modules (PPM) What is it? How do you do it? What does it measure? 93. Common Pain Syndromes and Their Management (Medication Safety Issues) 94. CPR 95. Management and Treatment of Headaches 96. Rheumatology Including Joint Injection 97. Diagnostic and Skin Biopsy Techniques in Dermatology FRIDAY WORKSHOPS (2:00-4:30 p.m.) October 9, 2015 98. Office Gynecology Clinical Considerations (To include Medication Safety issues regarding Hormone Replacement therapy) 99. Child Abuse (approved by PA Department of Human Services fulfills PA Act 31 requirement) 100. Occupational Medicine 101. Strategies for Taking the Family Medicine Board Examination 102. Billing and Coding: Economic Consequences [Moved to Tuesday (90A)] 103. SAM (ABFM) Workshop on Hypertension 11

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 12 Mark Your Calendar! 40th Semi-Annual Spring and Fall Family Medicine Reviews April 3-8, 2016 September 25-30, 2016 12

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 13 39th Semi-Annual Family Medicine Review The Lancaster Host Resort Reservation Form CHECK ONE: Fall: October 4-9, 2015 Rates quoted per day per person European Plan (Room Accommodation only) $99 per day/per room, Single or Double Occupancy Triple $109.00 NOTE: All rates are subject to 11% State Sales Tax GUARANTEED RESERVATIONS NOT CANCELLED 48 HOURS PRIOR TO THE DAY OF ARRIVAL WILL BE CHARGED FOR ONE NIGHT. CHECK TYPE OF ROOM REQUESTED: Single Occupancy Double Occupancy (King Bed) Double Occupancy (Two Double Beds) Will Be Sharing Room** **The hotel cannot be responsible for assigning roommates. Unless roommate is stated, you will be assigned a single occupancy accommodation. PLEASE NOTE: ROOM TYPE CANNOT BE GUARANTEED Forms received after September 7, 2015 for the Fall Course will be confirmed on an if available basis. Deposit of first room night rate per person plus 11% sales tax must confirm reservation. Please make check payable to THE LANCASTER HOST RESORT Major credit cards are accepted at the hotel, as well as for deposits. Hotel confirmation is required for check-in Send form and deposit to THE LANCASTER HOST RESERVATIONS, 2300 LINCOLN HIGHWAY EAST LANCASTER, PA 17603 T (717) 299-5500. F (717) 295-5112 PLEASE FILL OUT ONLY ONE FORM FOR EACH ROOM NEEDED. Please Print or Type the Following Information: Name No. of Children Children s Ages Roommates Company Name Company Address Home Address Home Phone Business Phone Arrival Date Day Departure Date Day Email Address *If Credit Card Deposit American Express Visa MasterCard Diners Club Discover Exp. Date Card No. Signature *Credit Cards will be charged upon receipt of reservation.

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 14 39th Semi-Annual Family Medicine Review Registration fee includes printed syllabus, updated syllabus online, tote bag, pre & post tests, 5 continental breakfasts, 5 lunches, 4 dinners and workshops. Register online: www.temple.edu/cme CHECK ONE: Fall: October 4-9, 2015 Basic Registration Fees: $1445.00 (US money equivalent), $1275.00 (Nurses, PA-C s and Fellows), $1275.00 (Residents - with a letter from Department Chairman) 20% Discount for each person when 3 or more register from a group or organization or when a past participant brings a new participant (someone who has never attended our Spring or Fall Family Medicine Review). You must register at the same time (no exceptions). T-Shirts $10.00 S M L XL GUEST MEAL TICKETS (LUNCH) $20.00 each day (Please specify how many tickets for each day) Monday Tuesday Wednesday Thursday Friday Total # Tickets GUEST MEAL TICKETS (DINNER/BUFFET) $25.00 each day Sunday Monday Tuesday # of Tickets Thursday s Dinner for Guests is $35.00 # of Tickets Name Address City State Zip Daytime Telephone# Fax E-Mail Address Specialty AMEX/Discover/Mastercard/Visa# Expiration Date Signature Please note if all meals will be vegetarian How did you hear about the program: Ad Direct Mail Previous Registrant Word of Mouth To Register: By Phone (800) 23-TUCME or (215) 707-4787 Online www.temple.edu/cme By Fax Complete Form and Fax to (215) 707-8268 By Mail Complete Form and Mail to: Arnold I. Meyer, Ed.D., FACEHP Temple University School of Medicine The Albert J. Finestone, M.D. Office for Continuing Medical Education 3440 North Broad Street, Philadelphia, PA 19140 Make checks payable to TEMPLE UNIVERSITY POSTGRADUATE NO CASH ACCEPTED Cancellation Policy: Refunds for withdrawal after deduction of a $100.00 fee made only upon written request prior to September 7, 2015 for Fall Course. No refunds after September 7, 2015 for the Fall Course. Temple University School of Medicine reserves the right to cancel the program and return all course monies without further obligation if sufficient attendance is not secured. WORKSHOPS (Please specify workshop preferences by writing in workshop numbers listed on pgs. 10-11). Sunday Evening 1st Choice 2nd Choice 3rd Choice Monday Evening 1st Choice 2nd Choice 3rd Choice Tuesday Evening 1st Choice 2nd Choice 3rd Choice Wednesday Afternoon 1st Choice 2nd Choice 3rd Choice Friday Afternoon 1st Choice 2nd Choice 3rd Choice

105903U1a-CD-105875U2a-BTC 5/21/15 2:23 PM Page 15 The Albert J. Finestone, MD Office for Continuing Medical Education 3440 North Broad Street Philadelphia, PA 19140 Registration fee includes printed syllabus, updated syllabus online, tote bag, pre & post tests, 5 continental breakfasts, 5 lunches, 4 dinners, 5 self assessment REGISTER ONLINE! modules and workshops. www.temple.edu/cme NO PHARMACEUTICAL SUPPORT! NON-PROFIT ORG. U.S. POSTAGE PAID PERMIT NO. 226 PHILADELPHIA, PA