ASSEMBLY

MY PRESEN
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68
annual
STRONG MEDICINE FOR MISSOURI
th SCIENTIFIC
ASSEMBLY
JUNE 3-4, 2016
THE LODGE AT OLD KINDERHOOK
CAMDENTON, MISSOURI
up to 13 cme credit hours offered
FEATURING KEYNOTE SPEAKER
MICHELLE MAY, MD
“Diets are restrictive and unsustainable, leaving the dieter feeling guilty
and disappointed. My goal is to help people recognize and cope with their
triggers for mindless and emotional overeating, rediscover joy in physical
activity, and effectively nourish their body, mind, heart, and spirit.”
Award-winning author of the book,
Eat What You Love, Love What You Eat
OU
RI
68
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THE MIS
S
EMY PRESENT
AD
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annual
th SCIENTIFIC
ASSEMBLY
Friday, June 3, 2016
7:00 - 8:00 am 7:00 - 11:00 am 8:00 - 9:00 am
Registration and Breakfast Buffet with Exhibitors
Exhibit Hall Open
(Grand Ballroom A)
*All Lectures will be held in Grand Ballroom B
The Many Facets of Chronic Pain Management in Primary Care
Sponsored by the New Jersey Academy of
Family Physicians
Kurt Bravata, MD
9:00 - 10:00 am Bruises: Was This Child Abused?
Adrienne Atzemis, MD, FAAP
(Fellow of the American Academy of Pediatrics)
10:00 - 10:45 am Refreshment Break with Exhibitors
(Grand Ballroom A)
10:45 - 11:45 am Eat What You Love, Love What You Eat
Keynote Speaker: Michelle May, MD
12:00 - 1:00 pm
Interactive Luncheon with Michelle May, MD
Sponsored by the Missouri Beef Industry Council
1:00 - 1:15 pm
Break
1:15 - 2:15 pm
Being Prepared for In-Office Emergencies
Sarah Cole, MD, FAAFP
2:15 - 3:15 pm Managing T2D in Special Populations:
Patient-Centered Treatment to Improve Outcomes
Sponsored by the New Jersey Academy of
Family Physicians
Beth Rosemergey, DO, FAAFP
3:15 - 4:15 pm 5 TIWIKLY (5 Things I Wish I Knew Last Year)
Louis Kuritzky, MD
5:30 - 7:30 pm Family Fun Fiesta
Join us for an evening of fun-filled activities including Sparkie dá Clown & Merry Mary
(Hearth Room and Patio)
MAKE YOUR HOTEL RESERVATIONS EARLY
Contact The Lodge at Old Kinderhook
Toll Free: 1-888-346-4949 for room reservations.
The MAFP block of rooms and group rate of $152 per night
(plus tax) is valid through May 2, 2016.
SCHEDULE OF EVENTS
Saturday, June 4, 2016
7:00 - 8:00 am Registration and Breakfast Buffet with Exhibitors
7:00 - 11:00 am Exhibit Hall Open
(Grand Ballroom A)
*All Lectures will be held in Grand Ballroom B
8:00 - 9:00 am Pediatric Earmarks
Paul Berman, MD
9:00 - 10:00 am ABFM's MC-FP (MOC): The Latest Updates and Tips for Successful Completion
Joseph Wade Tollison, MD
10:00 - 10:45 am Refreshment Break with Exhibitors
(Grand Ballroom A)
10:45 - 11:45 am "D" is for "Dubious": The Contentious Role of Vitamin D Supplementation
Louis Kuritzky, MD
Annual Business Meeting and
Legislative Luncheon
(Hearth Room)
1:30 - 1:45 pm
Break
1:45 - 2:45 pm Infertility in Family Medicine
Wael Mourad, MD
2:45 - 3:45 pm
Pediatric Dental Talk
Sudeep Ross, MD
3:45 - 4:45 pm The New Frontier: Oral Health and Primary Care
Jamey Onnen, DDS
5:15 - 6:15 pm
Reception
(Hearth Room)
6:15 - 8:15 pm
Awards and Installation Dinner (Hearth Room)
• 2016 MAFP Family Physician of the Year Award
• Soaring Eagle Award
• Installation of MAFP President & Board Members
• AAFP Degree of Fellow Convocation
• Tar Wars Poster Contest Award
11:45 am - 1:30 pm
Sunday, June 5, 2016
9:15 - 11:00 am
11:00 am - 1:30 pm
Commission Meetings with Continental Breakfast
(Advocacy and Member Services - Hearth Room; Education - Cypress Room)
Board Meeting with Working Lunch
(Hearth Room)
CUT AND MAIL TO MAFP
68th Annual Scientific Assembly
June 3-4, 2016
The Lodge at Old Kinderhook
Camdenton, Missouri
REGISTRATION FORM
Register before the early bird deadline and be entered to win a
FREE two-nights' stay at the Lodge at Old Kinderhook.
Name:
MD
DO
FAAFP
Other
AAFP ID#:
Address:
One-Day Only*
MAFP Member
$200
□Friday
□Saturday
Full
$375
$
New Physician
$175
□Friday
□Saturday
$325
$
Life Member
$100
□Friday
□Saturday
$175
$
$0
□Friday
□Saturday
$0
$
AAFP Member
$210
□Friday
□Saturday
$400
$
Non-Member
Physician
$225
□Friday
□Saturday
$450
$
Non-Physician
Attendee
$125
□Friday
□Saturday
$200
$
$25
xxxxxxxx
$25
$
-$50
$
-$50
$
REGISTRATION
(within 7 yrs of residency completion)
City:
State
Zip:
Phone:
Fax:
Resident or Student
(Non-Missouri member)
Email:
Special dietary or physical accommodations required? If so, please list:
MEMBERSHIP ANNIVERSARY?
Please complete this section if you received a letter
notifying you of a Membership Anniversary.
□ Yes, I received my Membership Anniversary letter and will attend the Awards & Installation
Dinner on Saturday evening, June 4.
□ One complimentary guest will accompany me to the dinner.
FOUR WAYS TO REGISTER: Online with credit card at www.mo-afp.org • Fax
this form to (573) 635-0148 • Call us at (573) 635-0830 • Mail this form with payment
to: MAFP, 722 West High Street, Jefferson City, MO 65101-1526
REGISTRATION CANCELLATIONS must be in writing and received by MAFP
no later than May 2, 2016. MAFP policy requires a $50 administrative fee be
deducted from each refund processed. Questions? Call (573) 635-0830 or
email: offi[email protected].
Syllabus Materials
(Printed $25) Free if you
download on-line version
(available closer to
conference)
Free for Life Members
Will you be conferred at the Fellow Convocation?
If yes please deduct $50 from your total. You are
allowed one guest (complimentary).
□ I am being conferred
□ Yes, I will bring a guest
Early-Bird Discount (until 5/2/2016)
*Does not apply to 1-day registration
MAFP-PAC Donation
Optional $
FHFM Donation (Tax Deductible)
Tax ID 43-1480324
Optional $
Registration Total $
RSVP & GUEST OPTIONS
Event
Will You Be
Attending?
Friday Breakfast, 7-8 am
□Yes
□No
$25
Friday Lunch with Keynote Speaker, Michelle May, MD, 11:45 am-12:45 pm
□Yes
□No
$35
# Of Guests
Attending
Fee Per Guest
Family Fun Fiesta: Friday, 5:30-7:30 pm (Adult)
□Yes
□No
$25
Family Fun Fiesta (Child age 5-12)
xxxxx
xxxxx
$10
Family Fun Fiesta (Child age 0-4)
xxxxx
xxxxx
$0
Amount
Free
Saturday Breakfast, 7-8 am
□Yes
□No
$25
$
Annual Business Meeting & Legislative Luncheon: Saturday, 11:45 am-1:30 pm
□Yes
□No
$25
$
Awards & Installation Dinner: Saturday, 6:15-8:15 pm
□Yes
□No
$40
$
Total (RSVP & Guest Options) $
Total from Above (Registration) $
CME sessions, meals, breaks, and electronic syllabus are included in the registration fee.
All functions in the Exhibit Hall are for registrants only. By registering for this conference,
I authorize MAFP to use photographs of me with or without my name for any lawful purpose,
including print or online marketing.
Total Amount Due $
PAYMENT OPTIONS
□ Enclosed is my check made payable to: Missouri Academy of Family Physicians
Amount Due $
Please charge my: □ MasterCard □ Visa □ Discover □ American Express
Name on Card
Card #
Amount
Billing Zip
Signature
Expiration Date
722 West High Street
Jefferson City, MO 65101
68th Annual Scientific Assembly
June 3-4, 2016
The Lodge at Old Kinderhook
Camdenton, MO
THANK YOU TO THE
EDUCATION COMMISSION
Peter Koopman, MD, President; Sarah Cole, MD, Co-Chair;
Bruce Preston, MD; Charlie Rasmussen, DO;
Daniel Purdom, MD; David Voran, MD; James Stevermer, MD;
Kavitha Arabindoo, MD; Lucas Buffaloe, MD;
Mark Suenram, MD; Michael Wulfers, MD; Ruth Pitts, MD;
Steve Griffith, MD; Todd D Shaffer, MD;
Wael Mourad, MD; Sarah Mengwasser, MAFP Staff
Disclosure Policy
It is the policy of MAFP to ensure balance, independence,
objectivity, and scientific rigor in all of its sponsored
educational programs. All faculty participating in MAFPsponsored programs are expected to disclose to the program
audience any association or apparent conflicts of interest
related to the content of their presentation(s).
Hotel Reservations
The Lodge at Old Kinderhook, 20 Eagle Ridge Road
Camdenton, Missouri 65020
573.317.3500 888.346.4949
www.oldkinderhook.com
The MAFP block of rooms and group rate of
$152 per night (plus tax) is valid through May 2, 2016.
13 CME HOURS OFFERED
A MESSAGE FROM THE PRESIDENT
Dear Friends and Colleagues,
Welcome to the 68th Annual Scientific Assembly! The
wide range of CME topics reflects the outstanding efforts
of the Education Commission. This meeting promises
to deliver high-quality, up-to-date continuing medical
education we can all use.
You will receive current information on a variety of
medical topics pertinent to patient care in a Family Medicine setting.
Subject material was chosen based on assessed needs, relevance
to quality patient care, and input from membership. The Education
Commission has devoted extra effort this year to delivering high quality
speakers. You will receive important information at the meeting for future
reference. This meeting also provides a great opportunity to interact
professionally and socially with physicians and their families from medical
students and residents to life members.
We will have the Family Fun Fiesta on Friday evening. On Saturday
evening, you will have an opportunity to visit with “The Future of Family
Medicine” at the reception followed by the President’s Installation Dinner
where the 2016 Missouri Family Physician of the Year will be revealed and
other awards presented.
Plan to join us for a great Scientific Assembly!
Peter Koopman, MD, FAAFP
MAFP President