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Pan American Allergy Society
MEETING REPORT & NEWSLETTER
Spring 2016
PRESIDENT
Dana B. Gibbs, M.D.
409 Central Park Drive
Arlington, TX 76014
817-261-9191
PRESIDENT-ELECT
Edwyn L. Boyd, M.D.
2116 Data Park
Hoover, AL 35244
205-733-9595
VICE-PRESIDENT
Diego Saporta, M.D.
470 North Avenue
Elizabeth, NJ 07208
908-352-6700
______________________________________________________________________________________________________
A Report to the Membership from Dana B. Gibbs, M.D., President of P.A.A.S.,
on the 2016 Training Course and Seminar held March 17-20, 2016, at the JW
Marriott Houston at the Galleria, in Houston, Texas.
THIS NEWSLETTER CONTAINS: Message from the President; Report on the
Annual Training Course and Seminar; Election of Officers and Directors; Dor
Brown, M.D. Lectureship Award; Recognition of Exhibitors/Supporters;
Welcome to New Members; Call for Abstracts for the 2017 Annual Seminar;
Preliminary Program to the 2016 Summer Training Course; Future Meetings,
and Other Business of the Society…
______________________________________________________________________________________________________
SECRETARY-TREASURER
Howard J. Lang, D.O.
789 Lonesome Dove Trail
Hurst, TX 76054
817-577-0480
IMMEDIATE PAST PRESIDENT
Jenny L. Cross, M.D.
911 Gorman Ave #201
Elkins, WV 26241
304-637-6302
CME/PROGRAM CHAIRMAN
David P. Sheridan, M.D.
20214 Braidwood Dr. #215
Katy, TX 77450
281-579-3600
DIRECTORS
Jay L. Gruhlkey, M.D.
Brian J. Hasslinger, M.D.
Harold H. Hedges, M.D.
Steven F. Hotze, M.D.
Richard G. Jaeckle, M.D.
Alfred R. Johnson, D.O.
Neal L. Rogers, M.D.
Nolan D. Shipman, M.D.
John O. Wycoff, D.O.
EXECUTIVE DIRECTOR
Ann Brey
1317 Wooded Knoll
San Antonio, TX 78258
(210) 495-9853
FAX (210) 495-9852
[email protected]
ANNUAL MEETINGS
2017: March 16-19
JW Marriott, Houston, TX
Dear P.A.A.S Members:
It is my honor and privilege to serve as your President for the
year 2016-2017. These are big shoes to fill, recently being
vacated by fellow female otolarngologist, courageous and
pioneering new solo practitioner, Jenny L. Cross, M.D. Our
membership ranks continue to include many pioneers and
researchers in the practice of allergy. Our society is unique,
comprising a diversity of specialists and practitioners with the
common goal of improving health through the management of
allergy and hypersensitivity, and related disorders.
Dana B. Gibbs, M.D.
2016-2017 P.A.A.S. President
The methods and wealth of knowledge taught at P.A.A.S. conferences have changed not only the way I practice medicine but
my own health and life have significanly improved. In fact, I cannot imagine the
satisfactory practice of medicine without them. I know this opionion is shared by
many fellow members, the board and faculty of this distinctive society.
Our members also share a common desire for innovative thinking. Practitioners who
yearn to do more for their patients than prescribe pills or perform surgery face
incesantly increasing economic and professional pressure. Secondary to changes
such as ICD 10, PQRS, ever evolving electronic health records management and
governmental regulations, mainstream medical practices are finding it more and
more difficult to retain their independence.
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One example of governmental interference and stifling innovative thought is the current proposal of USP 797.
The regulations of the compounding pharmacy industry are being revised as I write, without benefit of
congressional oversight. This originated as a result of fungal contamination of intrathecal steroids produced by a
Connecticut pharmacy which was in violation of existing rules and is no longer in business. Big Pharma is taking
advantage of public outcry over this issue to shake out of existence the waiver by which we mix our allergy vials.
If the changes go through as proposed, no one administering injected immunotherapy would be able to legally
continue mixing multi-dose vials or shots “off the board”. A laminar flow hood would be a required purchase.
Additionally, all allergen concentrates would expire within 4 weeks of being opened, which would be wasteful
and an economic loss if not all of the concentrates could be utilized within that period of time.
A campaign by allergy practitioners and our patients who benefit from immunotherapy is now the only
hope to prevent the effective elimination of the primary tool we use to treat our patients. I encourage all
allergy practitioners to urgently request their patients contact their members of congress. This link can be
utilized to determine who they should contact: http://whoismyrepresentative.com/. Have your patients tell
their congressional members how effective their immunotherapy treatment is and that it needs to continue
without further interference in order to maintain proper health. Give them a brief template they can copy
and paste, or a petition they can sign.
This society and its ACCME accredited educational functions provide training that is literally taught nowhere
else. I encourage all members to attend conferences and urge your associates to come and learn something new.
As always, your staff members are welcome to attend the meeting at a discounted rate under their physician’s
membership. I would also encourage you, if possible, to assist in the preservation of the innovative, unique
knowledge this society offers by joining the President’s Circle. Further information and an invitation follow in
this newsletter.
Over the next year, the officers, board and CME/Program Committee will be meeting to ensure our educational
activities for the basic courses are straightforward and desirable for a wide variety of practitioners. I also feel it
is very important to continue educating practitioners and the public about the numerous manifestations and
implications of delayed or cyclic food allergies. It is fascinating to me to watch fad diets come and go with their
various goals and claims. The proponents and users don’t realize that they all work for some people because what
they are, in fact, is eliminating trigger foods more or less by accident. What we do with rotation and neutralization
is unique and when a patient fully understands and adopts these methods, the change in their health can be
profound and enduring.
We must all do everything we can to survive and thrive in the coming times, both for our patients and ourselves.
Together, we can carry on the work of those who came before us, and prepare the way for like-minded colleagues
who will follow in our footsteps.
Dana B. Gibbs, M.D.
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2016 Training Course and Seminar Recap:
The JW Marriott Houston hosted the Pan American Allergy Society for the second time. Across the street from
the renowned Galleria, which offers a plethora of specialty shops and restaurants, attendees enjoyed a variety of
places to visit, whether shopping, or dining. P.A.A.S. President, Dr. Jenny Cross and CME Chairman, Dr.
David Sheridan welcomed new members and attendees, as well as some returning long-term members. We were
excited to offer the new “Workshops” focused on food allergies as a concurrent session held on Thursday and
Friday in addition to the “Basic Inhalant Course”. The Seminar included outstanding visiting speakers who
presented timely lectures: W.A. Shrader, Jr., M.D. on Low Dose Allergen immunotherapy, autoimmunity and
Lyme; Richard Lord, Ph.D. on GI microbiome in allergy and asthma; Alan McDaniel, M.D. on endocrine
effect from chronic stress and pain; and Andrew Schlafly, J.D. on the status of our world of medicine. Dr.
Sheridan and the entire CME/Program Committee (Drs. Cross, Gibbs, Gruhlkey, Hasslinger, Hedges, Hotze,
Jaeckle, Lang, Rogers, Saporta, and Wycoff) organized an outstanding curriculum for both beginners and
experienced physicians, nurses, and allied healthcare professionals.
2016 Training Course:
14 hours – CME
14.16 hours CNE
March 17: “Diagnosis & Treatment of Inhalant Allergy”
Concurrent Session: “Workshops”
March 18: “A Model for an Allergy Program
for Primary Care Physicians”, “Sublingual Inhalant Immunotherapy”
(SLIT), and “Workshop – Preparation of Antigen Vials For Testing
& Treatment”
Concurrent Sessions:
“Diagnosis and Treatment of Food Allergy”,
“Coding and Reimbursement”, and
“Low Dose Allergen Immunotherapy (LDA)”
2016 Seminar:
11 hours – CME
March 19-20
11.16 hours CNE
Total hours 2016 Training Course and Seminar: CME: 25, CNE: 25.32
AAFP: Prescribed
AMA: Category 1 PRA
AOA: Category 2-A CNE: TNA
Dor Brown, Jr., M.D. Lectureship Award
A part of commemorating the 60th anniversary of the Pan American Allergy Society this year is to corporately
share the Dor Brown, Jr., M.D. Lectureship Award. We are very appreciative of all the founding faculty members,
those faculty members who have served in the past, and those who are currently serving. We are also very
appreciative of all our P.A.A.S. members, and celebrate the inter-specialty knowledge and skills everyone brings
to the society.
Election of Officers and Directors at the 2016 General Membership Meeting…
The annual General Membership Meeting of the Pan American Allergy Society was held on Saturday, March 20,
2016 at the JW Marriott at the Galleria in Houston, TX.
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The following officers and directors were elected:
OFFICERS
NAME:
TERM ENDS
President
Dana B. Gibbs, M.D.
Arlington, TX
3/2017
President-Elect
Edwyn L. Boyd, M.D.
Hoover, AL
3/2017
Vice-President
Diego Saporta, M.D.
Elizabeth, NJ
3/2017
Secretary-Treasurer
Howard J. Lang, D.O.
Hurst, TX
3/2017
Immediate Past President Jenny L. Cross, M.D.
Elkins, WV
3/2017
CME/Program Director
David P. Sheridan, M.D.
Katy, TX
3/2018
DIRECTORS:
Jay L. Gruhlkey, M.D.
Brian J. Hasslinger, M.D., Cumberland, MD
Harold H. Hedges, M.D., Little Rock, AR
Steven F. Hotze, M.D., Katy, TX
Richard G. Jaeckle, M.D., Dallas, TX
Alfred R. Johnson, D.O., Richardson, TX
Neal L. Rogers, M.D., Butte, MT
Nolan D. Shipman, M.D., Bryan, TX
John O. Wycoff, D.O., East Lansing, MI
3/2018
3/2018
3/2017
3/2017
3/2018
3/2019
3/2019
3/2017
3/2019
Future P.A.A.S. Meetings…
Summer 2016:
August 18-19
Westin Riverwalk, San Antonio, TX
Spring 2017:
March 16-19
JW Marriott Houston, at the Galleria, Houston, TX
Summer 2017:
August 17-18
Westin Riverwalk, San Antonio, TX
P.A.A.S. online and social media…
Our website is paas.org. Have you taken a look at our updated website? Be on the lookout for enhancements!
Did you know P.A.A.S. is social? We are active on….
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Please give us a like on Facebook! Our Twitter handle is “@PanAmAllergy”. On LinkedIn, enter our
name in the search field, and send us a “join” request. We promise not to continually clutter your pages. We
only send out information that is of value in allergy, asthma, immunology or nutrition, or positive thoughts for
the day.
Membership Directory: Our directory is on the website, and we update it every month. This is a very valuable
tool for physician referrals and it is at your fingertips. There are three formats to search – by Last Name or by
State or by Specialty. The documents are in PDF format. If you do not have Adobe Reader on your computer,
a link is provided on our website where you may download it for free.
Note: You will see that the Call for Abstracts, Exhibitor Prospectus, and other P.A.A.S. information is located
on the website. Please let us know what you think and whether or not you have suggestions for additional material.
This newsletter will also be posted on the web. We would very much like to receive your recommendations for
future topics that you feel would enhance your general knowledge, competence and performance. Please forward
your recommendations to Ann Brey at 210-495-9853 or email her at [email protected].
Following in this newsletter…
Call for Abstracts: In August, your CME/Program Committee will be considering abstracts which have been
submitted for the 2017 Seminar. This is a perfect way to become more involved with P.A.A.S. and share your
knowledge with your colleagues. Transportation and hotel expenses are reimbursed, and multiple abstracts are
welcome. Remember: the deadline for receipt of abstracts in the P.A.A.S. office is July 15, 2016.
Preliminary Program to the 2016 Summer Training Course: The preliminary program is in this newsletter
and is available on our website, www.paas.org. The host hotel is the Westin Riverwalk with a sleeping room rate
of $149.00 + tax for a City View room, or $179 + tax for a River View room. You cannot beat these prices for a
Riverwalk hotel, and our staff is waiting to welcome you. Don’t miss this opportunity to combine quality
continuing medical education with a late summer vacation, having the banks of the famous San Antonio
Riverwalk just outside the hotel doors.
Thanks and Recognition to our Exhibitor and Grant Support Family…
EXHIBITORS:
ALK Laboratories
Allergy Laboratories, Inc.
Allermetrix
Alletess Medical Laboratories
Bio-Tech Pharmacal
College Pharmacy
Edge Pharmaceuticals
Environmental Health Center-Dallas
Genova Diagnostic Laboratory
Greer Laboratories
Lincoln Diagnostics
Serolab
Xtract Solutions
Wave Protector
TOTE BAG & PEN GRANT: Allergy Laboratories
GRANTS FOR SPEAKERS: Bio-Tech Pharmacal, Serolab
IN-KIND GRANTS FOR TESTING SUPPLIES:
ALK Laboratories; Lincoln Diagnostics
UNRESTRICTED GRANTS:
Greer Laboratories; Serolab
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Welcome New Members!
The officers and directors extend a warm welcome to the following new members who joined P.A.A.S. since
our 2015 annual meeting:
Melissa Bronoske, PA-C, Puyallup, WA
Alana Degironne, R.N., Charleston, IL
Sidney Devins, M.D., Lees Summit, MO
Amy Ferenbaugh, CNP, Danville OH
Katrina Hess, M.D., Hays, KS
Loretta P. Hill, L.P.N., Birmingham, AL
Julie Hoechst, R.N., B.S.N., Helena, MT
Julie Hoerchst, M.T., Jefferson City, MT
Charles Huang, Houston, TX
Jason Jerabek, D.O., Charleston, IL
Britney McCollough, R.N., M.S.N., NP-C, Mt. Vernon,
OH
John Mohney, D.O., Houston, TX
Mark J. Pope, M.D., Sheridan, AR
Sherif Rizkalla, D.O., Bedford, TX
Lisa Sachdev, D.O., Houston, TX
Helena Stec, M.D., Yonkers, NY
Jessica Tran, N.D., Irvine, CA
Amber M. Tuttle, L.P.N., Omaha, NE
Kimberly Warfield, M.D., Austin, TX
Dave Webster, D.O., Killeen, TX
Kimberly Whitaker, A.S.N., Parsons, KS
Request for Future Topics…
If you have suggestions regarding future topics for presentation (referred to as “practice gaps” by the ACCME)
please fill out and return this form to P.A.A.S. at 1317 Wooded Knoll, San Antonio, TX 78258, or fax it to 210495-9852. You may also email your practice gaps/subjects to [email protected].
I would appreciate lectures on the following subjects which would result in improvement in my knowledge,
competence or performance to better treat my patients to better improve their health and well being:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
____________________________________________
Please send a program to…
Name
If you would like a copy of the program to be sent to a colleague, please provide their contact information
below:
Full Name:
Address:
City, State, Zip:
Email address:
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
Recognition of President’s Circle Members…
P.A.A.S. would like to recognize and express gratitude to the following individuals who are contributors to the
President’s Circle for 2015-2016:
Louis Balbuena, Jr., M.D.
Bethany Barnes, M.D., Sc.D.
Jenny L. Cross, M.D.
Dana B. Gibbs, M.D.
Jay L. Gruhlkey, M.D.
Brian J. Hasslinger, M.D.
Harold H. Hedges, M.D.
Steven F. Hotze, M.D.
Alfred R. Johnson, D.O.
Howard J. Lang, D.O.
Steven R. Levy, M.D.
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C. Richard Mabray, M.D.
Neal L. Rogers, M.D.
Diego Saporta, M.D.
David P. Sheridan, M.D.
Nolan D. Shipman, M.D.
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Pan American Allergy Society
PRESIDENT
Jenny L. Cross, M.D.
911 Gorman Ave., # 201
Elkins, WV 26241
304-637-6302
PRESIDENT-ELECT
Dana B. Gibbs, M.D.
409 Central Park Drive
Arlington, TX 76014
817-261-9191
VICE-PRESIDENT
Neal L. Rogers, M.D.
202 S. Montana St.
Butte, MT 59701
406-723-6526
SECRETARY-TREASURER
Howard J. Lang, D.O.
4201 Brown Trail #100
Colleyville, TX 76034
817-577-0480
IMMEDIATE PAST PRESIDENT
Diego Saporta, M.D.
470 North Avenue
Elizabeth, NJ 07208
830-626-9911
CME/PROGRAM CHAIRMAN
David P. Sheridan, M.D.
20214 Braidwood Dr. #215
Katy, TX 77450
281-579-3600
DIRECTORS
Luis Balbuena, Jr., M.D.
Jay L. Gruhlkey, M.D.
Brian J. Hasslinger, M.D.
Harold H. Hedges, M.D.
Steven F. Hotze, M.D.
Richard G. Jaeckle, M.D.
Steven R. Levy, M.D.
Nolan D. Shipman, M.D.
John O. Wycoff, D.O.
EXECUTIVE DIRECTOR
Ann Brey
1317 Wooded Knoll
San Antonio, TX 78258
(210) 495-9853
FAX (210) 495-9852
[email protected]
ANNUAL MEETINGS
2016: March 17-20
2017: March 16-19
J.W. Marriott, Houston, TX
May 15, 2016
MESSAGE FROM DANA B. GIBBS, M.D.
P.A.A.S. PRESIDENT:
Dear Pan American Allergy Society Members:
The CME/Program Committee is proud to present a CALL FOR ABSTRACTS
for presentation at our 2017 Seminar to be held March 18, at the JW Marriott
Galleria in Houston, TX. We encourage you to share your time and knowledge
with your peers at this seminar.
The CME/Program Committee must have your abstract by July 15, 2016, in order
to give each abstract adequate consideration leading up to its meeting on August
22, 2016. We would appreciate your following the instructions on the Call for
Abstracts, especially in providing us with educational objectives.
History has proven that abstract presenters become more involved in P.A.A.S.
activities, and we hope the same will happen with you. Thank you for your
support and participation in our continuing medical education efforts, and please
plan to attend our 2017 Training Course and Seminar, March 16-19. Why not
bring a staff member or colleague?
If you have any questions, please contact Ann Brey at 210-495-9853. We are
looking forward to hearing from you.
Sincerely,
Dana B. Gibbs, M.D.
President
ANNUAL MEETINGS
2017: March 16-19
JW Marriott at the Galleria, Houston, TX
EXECUTIVE DIRECTOR
Ann Brey
1317 Wooded Knoll
San Antonio, TX 78258
(210) 495-9853
Fax: (210) 495-9852
[email protected]
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CALL FOR ABSTRACTS
DEADLINE: JULY 15, 2016
The Pan American Allergy Society Annual Meeting to be held March 16-19, 2017, at the JW Marriott
Galleria in Houston, TX, will include patient case reports or clinical studies conducted in your office or
clinic relating to the diagnosis and management of clinical allergy. The title of the program will be
“2017 Pan American Allergy Society Seminar” and is scheduled for March 18th. This seminar will afford
an opportunity for discussion and constructive critique of individual physician’s case reports, bedside
or clinic observations or laboratory data used to confirm a clinical diagnosis. Presentations will be
allocated 25 minutes. A five-minute question and answer period will follow each morning and afternoon
session.
Indicate on the reverse side under the abstract format the name of the person who will present the
abstract. Your original, signed abstract should be postmarked by July 15, 2016 and should be sent
to:
“ABSTRACTS”
PAN AMERICAN ALLERGY SOCIETY
1317 Wooded Knoll
San Antonio, TX 78258
or emailed to:
[email protected]
*EDUCATIONAL OBJECTIVE (THIS PORTION MUST BE COMPLETED)*
The Accreditation Council for Continuing Medical Education (ACCME), which accredits the Pan
American Allergy Society to present programs for CME credit, requires accredited bodies to publish
an educational objective for each session. Your educational objective should be a clear, concise
statement of what participants should learn and/or be able to do as a result of the CME activity. Listed
below are samples of educational objectives.
Sample Objectives:
*Objective: Upon completion of this program, participants should be able to identify ______________
and formulate better ____________ strategies.
*Objective: Upon completion of this program, participants should be able to (1) discuss available
techniques of ___________ and (2) summarize the advantages, disadvantages, and limitations of
these techniques in clinical practice.
Your Objective: Upon completion of this activity, participants should be able to:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Your Name:________________________________________
Abstract Title: __________________________________________________________________________________
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STANDARD FORM FOR P.A.A.S. ABSTRACTS
DEADLINE: JULY 15. 2016. Abstracts accepted for presentation will appear in the Pan American
Allergy Society Program. The presenters will be notified by September 15, 2016, as to whether or not
the abstract or case report has been accepted. In preparing your abstract, organize it into:
educational objective; statement of method; summary of result or the clinical teaching to be learned
from your case presentation. Do not use the phrases "additional data will be discussed or will be
available at the time of the presentation." Insert the material that you have on hand in your abstract.
Requirements:
•Capitalize complete title, but do not
underline.
*Include authors' name (first, middle Initials
followed by last name) should be continuous
with the title and underlined.
*Begin body of abstract on a new line and
Indent three spaces.
*Simple tables and graphs neatly done in
black ink may be Included If they fit within the
borders.
*Type entire 11bstract within lines provided.
*Left-hand border should be straight.
*Avoid e rasures.
*Underlining or capitalizing for emphasis within
the text Is not acceptable.
*Use only familiar abbreviations (RBC, mg, ate}. An
unusual abbreviation should be placed In
parentheses after the first appearance of the full
word. Numerals rather than words should be used to
indicate numbers except to begin sentences.
•Use standard Pica type.
*Offer conclusions, but avoid promise of additional
data or future publications
*The first author should sign where indicated below.
*Check the topic classification into which your
abstract falls:
_Aerobiology & Fungi
_Clinical Asthma
_Allergy Diagnosis
_Immunodeficiency
_Asthma Basic Science
_In Vitro Studies
_Clinical Allergy (Drug
reactions, Immunotherapy,
atopy, dermatology, Insect
allergy)
_Pediatrics & SelfManagement
_Pharmacotherapy
_Urticaria/Angioedema
_Other(Specify).
Sample Abstract
"EXACT TITLE OF YOUR PAPER". M.M. Doe, M.D..
S.A. Smith. M.D.; and J. Jones. Ph.D.. your town, your
state
...for the physician treating the allergy patient...
Please type abstract within this space.
Signature
Address
_
__
____________________________________________
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PRELIMINARY PROGRAM - AUGUST 18-19, 2016
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2016 P.A.A.S. SUMMER TRAINING COURSE
FACULTY AND CONTRIBUTORS TO CONTENT
BOYD, Edwyn L., M.D., - Private Practice of Otolaryngology and Allergy, Hoover, AL; Dept. of Otolaryngology,
Brookwood Medical Center, Birmingham, AL; Consultant for Meda Pharmaceuticals
BREY, Ann - Executive Director of the Pan American Allergy Society; Member of PAAS CME/Program Committee
CROSS, Jenny L., M.D. - Private Practice of Pediatrics & Allergy, Tygart Valley ENT; Clin. Asst. Prof. of Otolaryngology,
WV Univ., Morgantown, WV; Staff Member, David Memorial Hospital, Elkins, WV; Member of PAAS
CME/Program Committee
GAMBUTI, Mary, R.N., B.S.N. - Senior Allergy Nurse, Kell West Family Clinic, Wichita Falls, TX; Texas Nurses
Association Nurse Planner for PAAS; Member of PAAS CME/Program Committee
GIBBS, Dana, M.D., - Private Practice of Otolaryngology & Allergy, Arlington, TX; Member of PAAS CME/Program
Committee
GRUHLKEY, Jay L., M.D. - Private Practice of Family Medicine & Allergy, New Braunfels, TX; Member of PAAS
CME/Program Committee
HALEY, Joann, A.T. - Administrative Director of Allergy Dept., Dayton ENT Surgeons, Dayton, OH
HASSLINGER, Brian J., M.D. - Private Practice of Allergy and Otolaryngology, Cumberland, MD - Member of PAAS
CME/Program Committee
HEDGES, Harold H., M.D. - Clin. Prof., Dept. of Family Practice, Univ. of AR Medical Science Dept; Dir. Little Rock
Environmental Medical Clinic; retired from Little Rock Family Practice Clinic, Little Rock, AR; Member of PAAS
CME/Program Committee
JAECKLE, Richard G., M.D. - Private Practice of Psychiatry & Allergy, Dallas, TX; Member of PAAS CME/
Program Committee
LANG, Howard J., D.O. - Private Practice of Allergy, Hurst, TX; Member of PAAS CME/Program Committee
MCINERNEY, Maureen, R.N., B.S.N. - Senior Allergy Nurse, ENT Associates Of Greater Kansas City, Kansas City, MO
ROGERS, Neal L., M.D. - Private Practice of Otolaryngology & Allergy, Butte, MT; Member of PAAS CME/
Program Committee
SAPORTA, Diego, M.D. - Private Practice of Allergy, Elizabeth, NJ - Member of PAAS CME/Program Committee
SHERIDAN, David P., M.D. - Private Practice of Allergy, Health & Wellness, Hotze Health & Wellness Center, Katy, TX;
Chairman of PAAS CME/Program Committee
WILSON, Sandy, A.T. - Senior Allergy Nurse, Office of Richard G. Jaeckle, M.D., Dallas, TX
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P.A.A.S. 2016 SUMMER PROGRAM REGISTRATION
Mail form to:
Fax form to:
Email form to:
Pan American Allergy Society, 1317 Wooded Knoll, San Antonio, TX 78258
210-495-9852
[email protected]
Are you a P.A.A.S. member? Use “Member” rate for you and your personnel. Would you like to join
P.A.A.S. to take advantage of “Member Rate”? If YES, add the appropriate amount to the total and
request a membership application below.
PHYSICIAN/MEMBER: ___________________________________ PHONE (______)___________________
ADDRESS_______________________________________________________________________________
Street
City
State
Zip
VISA_____ MASTERCARD_____ DISCOVER_____ AMERICAN EXPRESS_____ CHECK_____
Credit Card No.___________________________________________________________________________
Expiration Date_________________ Security Code___________
EACH ATTENDEE WILL BE GIVEN: 1 syllabus OR 1 USB Drive for the Basic Inhalants Course, Parts 1
and 1A; 1 syllabus OR 1 USB Drive for the Advanced Inhalant and Food Courses, Parts 2 and 2A.
Additional syllabuses & USB Drives will be sold at the registration desk while supplies last.
PART 1 – BASIC INHALANTS
Thursday – 7 hrs.
August 18
$400 member/staff
$550 non-member
last.
PART 1A: AFTERNOON supplies
PART
2:
ADVANCED
LECTURES: SLEEP APENA;
INHALANTS: MODEL FOR
OBESITY & WELLNESS;
ALLERGY PROGRAM; SLIT;
CHEMICAL SENSITIVITIES
VIAL PREP WORKSHOP
Thursday afternoon – 4 hrs.
Friday – 7 hrs.
August 18
August 19
$200 member/staff
$400 member/staff
$275 non-member
$550 non-member
PLEASE PRINT! Please register me and/or staff
Name and Credentials
Circle One
Syllabus
USB
Syllabus
USB
Syllabus
USB
Syllabus
USB
Syllabus
USB
**IMPORTANT: Certificates of Attendance will be mailed
to the “Physician/Member” address provided above.
Please send P.A.A.S. membership application ______
PART 2A – BASIC FOODS
CONCURRENT SESSION WITH
ADVANCED INHALANTS
Friday – 7 hrs.
August 19
$400 member/staff
$550 non-member
Part 1
Part 1A
Part 2
Part 2A TOTAL
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
SUBTOTAL $
Subtract 10% if registering 2+
attendees
Add $200* (New) Physician
Member dues if joining P.A.A.S. +
*non-physicians: $100.00
Please email “PAID” copy of this registration form to:
_______________________________________________
Add 4% if paying by credit card +
TOTAL ENCLOSED $
QUESTIONS? Call Ann Brey at (210) 495-9853 or Pam Whitfield at (281) 492-6045
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