2007 Official Registration Brochure

California Society of Dermatology
& Dermatologic Surgery – CalDerm™
CalDerm
CalDerm
2007 Annual Meeting
Portola Plaza Hotel & Monterey Conference Center
Monterey, CA September 7, 8 & 9, 2007
14 AMA PRA Category 1 Credit(s)™
of Continuing Medical Education
Ac c r e d i t a t i o n S t a t e m e n t
The California Society of Dermatology & Dermatologic Surgery
(CalDerm) is accredited by the Institute for Medical Quality/California
Medical Association (IMQ/CMA) to provide continuing medical education
for physicians. CalDerm takes responsibility for the content, quality and
scientific integrity of this CME activity.
CalDerm designates this educational activity for a maximum of 14
AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
This credit may also be applied to the CMA Certification in Continuing
Medical Education.
Total CME as listed above includes Biologics & Practice Management Workshop.
Visit the new
otter exhibit at the
Monterey Bay Aquarium!
© Monterey Bay Aquarium Foundation/Rick Browne
S t a t e m e n t o f Le a r n i n g O b j e c t i ve s
As participants of this CME activity, learners will:
• Increase knowledge of recent medical advances in the diagnosis, management and treatment of diseases of the skin, hair and nails.
• Review, interpret, and summarize new clinical, scientific and research information in the study of dermatology, dermatologic surgery, pediatric dermatology, dermatopathology and cosmetic dermatology.
• Learn and improve techniques that will allow the physician to offer the
best treatment options and care to patients.
• Expand their expertise in select practical aspects of dermasurgery.
• Compare and contrast methods in order to fully assess patient needs and
treatment options.
• Improve standards of practice.
CLINICAL & SCIENTIFIC PROGRAM SCHEDULE
All sessions are in the Serra Grand Ballroom of the Monterey Conference Center (adjacent to the Portola Plaza Hotel)
Friday, September 7, 2007
Biologics & Practice Management Workshop
Pre-Conference Ticketed Course. See Separate
Registration Form Attached
Update on iPledge
2:00 – 2:45 p.m.
Hilary Baldwin, M.D.
Associate Professor of Clinical Dermatology,
State University of New York
2:45 – 3:15 p.m.
State of the Art of Biologics for Psoriasis:
Today & Tomorrow
Andrew Blauvelt, M.D.
Professor, Dept of Molecular Microbiology &
Immunology, Chief, Dermatology Service,
Portland VA Medical Center
3:15 – 3:30 p.m.
Afternoon Break
3:30 – 4:15 p.m.
10 Tips for Dermatology Coding
Vernell St. John, CPC, CDC
Coding & Practice Consultant
American Academy of Dermatology
4:15 – 5:00 p.m.
10 Tips for Technological
Applications in Dermatology
Daniel Siegel, M.D.
Clinical Professor of Dermatology, State
University of New York
5:00 – 6:30 p.m.
Welcoming Reception & Exhibit Viewing
Saturday, September 8, 2007
7:00 – 7:45 a.m.
Continental Breakfast & Exhibit Viewing
7:45 – 8:00 a.m.
Welcoming Remarks
Seth Matarasso, M.D.
Annual Meeting Chair & CalDerm President
Clinical Professor of Dermatology, University of
California, San Francisco Medical Center
Craig Kraffert, M.D.
CalDerm President Elect, Private Practice Physician
G ra n d R o u n d s a t U C S F
How Would You Repair This Defect?
Michael Fazio, M.D.
Associate Professor of Dermatology,
University of California, Davis
Andrew Kaufman, M.D.
University of California, Los Angeles
Attending, Dermatologic Surgery Clinic
2:00 – 2:30 p.m.
Melanoma Case Studies
Susan Swetter, M.D., Associate Professor of
Dermatology, Stanford School of Medicine,
VA Palo Alto Health Care System
2:30 – 3:00 p.m.
Consultative Medical Dermatology
Lindy Fox, M.D., Assistant Professor &
Director of Hospital Consultation, Dept of
Dermatology, University of California, San Francisco
Sentinel Node Biopsy
John Zitelli, M.D.
Clinical Associate Professor, Dept of
Dermatology, University of Pittsburgh
3:00 – 3:30 p.m.
Exhibit Viewing & P.M. Break
Exhibit Viewing & A.M. Break
I n j e c t a b l e s Pa n e l – “ H o l l y wo o d S t y l e”
Immunology in the Adult Dermatology Office:
Practical Pearls You Can Use Everyday
Timothy Berger, M.D.
Professor of Clinical Dermatology, University of
California, San Francisco Medical Center
8:30 – 9:00 a.m.
Practical Psycho-dermatology &
Psycho-pharmacology
John Koo, M.D., Professor & Vice Chairman
of Dermatology at the University of California,
San Francisco Medical Center
Josie Howard, M.D., University of California,
San Francisco, Psychiatry Department
9:30 – 10:00 a.m.
Cu t a n e o u s O n c o l o g y & R e c o n s t r u c t i o n
1:30 – 2:00 p.m.
8:00 – 8:30 a.m.
9:00 – 9:30 a.m.
AAD Update
William Hanke, M.D.
AAD President Elect, Professor of
Dermatology, Pathology, and Otolaryngology,
Indiana University School of Medicine
California Legislative & Regulatory Update
John Valencia, Esq., CalDerm Legislative Advocate
Lasers
10:00 – 10:30 a.m.
New Lasers in Dermatology
Tina Alster, M.D., Clinical Professor of
Dermatology, Georgetown University
10:30 – 11:00 a.m.
Non-Cosmetic Laser Surgery
Ronald Wheeland, M.D.
Professor & Chief of Dermatology, University of Arizona
Vic tor Newcomer, M.D. Memorial Lec ture
11:00 – 12:00 p.m.
Elizabeth McBurney, M.D.
Clinical Professor of Dermatology,
Tulane University School of Medicine &
Louisiana State University School of Medicine
12:00 – 1:30 p.m.
Luncheon
CalDerm Business Meeting
Awards & Special Presentations
3:30 – 4:00 p.m.
Botulinum Toxin Update
Mark Rubin, M.D.
Assistant Clinical Professor of Dermatology,
University of California, San Diego
4:00 – 4:30 p.m.
The New Dermal Fillers
Arnold Klein, M.D.
Professor of Medicine & Dermatology,
University of California, Los Angeles
4:30 – 5:30 p.m.
Injectable Workshop – Live Demonstration
Seth Matarasso, M.D.
Clinical Professor of Dermatology, University of
California, San Francisco Medical Center
Christopher Barnard, M.D.
Assistant Clinical Professor of Dermatology,
Stanford University School of Medicine
5:30 – 6:30 p.m.
CalDerm PAC Reception
2007 CalDerm Annual Meeting • September 7, 8 & 9, 2007 • Portola Plaza Hotel & Monterey Conference Center • Monterey, CA
Sunday, September 9, 2007
7:30 – 8:15 a.m.
Continental Breakfast & Exhibit Viewing
R e s i d e n t s Fo r u m & C a s e P r e s e n t a t i o n s
8:15 – 9:00 a.m.
Pe d i a t r i c D e r m a t o l o g y
11:00 – 11:30 a.m.
Misdiagnosis and Mismanagement in the
Pediatric Patient
Bari Cunningham, M.D
Associate Clinical Professor, Dept of
Pediatrics & Medicine, University of
California, San Diego
11:30 – 12:00 p.m.
Viral (HPV & HSZ) Vaccinations:
Who, What & When?
Stephen Tyring, M.D.
Clinical Professor, Dept of Dermatology, The
University of Texas Medical School, Houston
Selected California Dermatology Residents
Co s m e c e u t i c a l s : W h a t I s I n Yo u r Pa t i e n t ’s
Medicine Chest?
9:00 – 9:30 a.m.
Five Nail Tips Not to Gloss Over
Phoebe Rich, M.D.
Clinical Associate Professor of Dermatology,
Oregon Health Sciences University, Portland, OR
9:30 – 10:00 a.m.
Cosmeceuticals: Science and Beauty
Zoe Diane Draelos, M.D.
Clinical Associate Professor of Dermatology,
Wake Forest University School of Medicine,
Winston-Salem, NC
10:00 – 10:30 a.m.
A Spy in the Spa
Renee Howard, M.D.
Assistant Clinical Professor of Dermatology,
University of California, San Francisco
10:30 – 11:00 a.m.
Exhibit Viewing & A.M. Break
U n d e r Th e M i c r o s c o p e
12:00 – 12:30 p.m.
Cutaneous Squamous Cell Carcinoma:
A Comprehensive Clinicopathologic
Classification
Ronald Barr, M.D.
Professor Emeritus, Dermatology & Pathology,
University of California, Irvine and Dermatopathologist
David Cassarino, M.D.
Assistant Professor of Pathology & Dermatology,
Stanford School of Medicine
12:30 – 1:00 p.m.
CLIA Histopathology Exam
Michael Bastien, M.D.
Faculty (in alphabetical order)
Tina Alster, M.D.
Clinical Professor of Dermatology,
Georgetown University
Hilary Baldwin, M.D.
Associate Professor of Clinical
Dermatology, State University of
New York
David Cassarino, M.D.
Assistant Professor of Pathology &
Dermatology, Stanford School of
Medicine
Renee Howard, M.D.
Assistant Clinical Professor of
Dermatology, University of
California, San Francisco
Phoebe Rich, M.D.
Clinical Associate Professor of
Dermatology, Oregon Health
Sciences University
Bari Cunningham, M.D.
Associate Clinical Professor, Dept of
Pediatrics & Medicine, University of
San Diego, California
Andrew Kaufman, M.D.
University of California, Los
Angeles, Attending, Dermatologic
Survery Clinic
Mark Rubin, M.D.
Assistant Clinical Professor of
Dermatology, University of
California, San Diego
Christopher Barnard, M.D.
Assistant Clinical Professor of
Zoe Draelos, M.D.
Dermatology, Stanford School of Medicine Clinical Associate Professor of
Dermatology, Wake Forest
Ronald Barr, M.D.
University School of Medicine
Professor Emeritus, Dermatology &
Pathology, University of California, Michael Fazio, M.D.
Irvine and Dermatopathologist
Associate Professor of Dermatology,
University of California, Davis
Michael Bastien, M.D.
Private Practice Dermatopathologist Lindy Fox, M.D.
Assistant Professor & Director of
Timothy Berger, M.D.
Hospital Consultation, Dept of
Professor of Clinical Dermatology,
Dermatology, University of
University of California, San
California, San Francisco
Francisco Medical Center
C. William Hanke, M.D.
Andrew Blauvelt, M.D.
Professor of Dermatology, Pathology
Professor, Dept of Dermatology &
& Otolaryngology, Indiana
Molecular Microbiology &
University School of Medicine
Immunology, OHSU; Chief,
Josie Howard, M.D.
Dermatology Service, Portland VA
University of California, San
Medical Center
Francisco, Psychiatry Department
Arnold Klein, M.D.
Professor of Medicine &
Dermatology, University of
California, Los Angeles
John Koo, M.D.
Professor & Vice Chairman of
Dermatology, University of
California, San Francisco Medical
Center
Seth Matarasso, M.D.
Clinical Professor of Dermatology,
University of California, San
Francisco Medical Center
Elizabeth McBurney, M.D.
Clinical Professor of Dermatology,
Tulane University School of
Medicine & LSU School of
Medicine
Daniel Siegel, M.D.
Clinical Professor of Dermatology,
State University of New York
Vernell St. John
CPC, CDC, American Academy
of Dermatology
Susan Swetter, M.D.
Associate Professor of Dermatology,
Stanford School of Medicine, VA
Palo Alto Health Care System
Ronald Wheeland, M.D.
Professor & Chief of Dermatology,
University of Arizona
Stephen Tyring, M.D.
Clinical Professor, Dept of
Dermatology, The University of
Texas Medical School
John Zitelli, M.D.
Clinical Associate Professor, Dept of
Dermatology, University of Pittsburgh
2007 CalDerm Annual Meeting • September 7, 8 & 9, 2007 • Portola Plaza Hotel & Monterey Conference Center • Monterey, CA
2007 CalDerm Annual Meeting • September 7, 8 & 9, 2007 • Portola Plaza Hotel & Monterey Conference Center • Monterey, CA
R e g i s t r a t i o n Fo r m
First Name: ____________________________________________ Last Name: _____________________________________________________
Mailing Address: _______________________________________________________________________________________________________
City: ________________________________________________________________ State: ________________ Zip: _______________________
Daytime Phone: __________________________________________ Fax: _________________________________________________________
Email Address (required to receive confirmation): _____________________________________________________________________________
A n n u a l M e e t i n g R e g i s t r a t i o n Fe e S c h e d u l e
The CalDerm Annual Meeting program sessions are open only to registrants
who are physicians or staff who are employed by a CalDerm member physician.
To inquire about physician membership, contact CalDerm at (916) 498-1712
or email to [email protected]
Biologics & Practice Management Workshop is a pre-conference ticketed course
and not included with registration rates below. You must register for this workshop separately and you must be attending the 2007 Annual Meeting for you or
your staff to qualify for workshop registration. See separate registration form.
Please check all that apply:
❒
CalDerm Physician Member (Must be a member in good standing to qualify or non-member fee will be charged) ......................$275
❒
Physician Non-Member (CalDerm 2008 membership included) ........................................................................................................$575
❒
Residents & Fellows ........................................................................................................................................................Complimentary
❒
Non-Physician Registration (Must be employed by a CalDerm Physician Member in good standing
who is registered for the 2007 Annual Meeting) ............................................................................................................................$275
Name of Registered Physician: _________________________________________________
Guest/Spouse Registration (Nametag will not be issued for social events unless registration is purchased.
Nametag will be required for entry into events including the Exhibits) Please Check One:
❒
Full Guest Registration (includes Friday & Saturday receptions, & Saturday lunch) ..................................................................$100
❒
Receptions Only Registration......................................................................................................................................................$75
Name of Guest/Spouse: ______________________________________________________
❒
I would like to contribute to the CalDerm Political Action Committee......................................................................................$200
Special recognition will be given at the CalDerm Reception on Saturday, September 8, 2007.
M e t h o d o f Pay m e n t :
❒ Check Enclosed for $_________
TOTAL ___________
❒ VISA or MasterCard
Credit Card Number: ___________/___________/___________/___________
Signature: _______________________________ Expiration: ______/______
Portola Plaza Hotel &
Monterey Conference Center
Mail or Fax Completed Registration and Payment To:
California Society of Dermatology & Dermatologic Surgery
980 Ninth Street, PMB #1600 • Sacramento, CA 95814
(916) 498-1712 Ph • (916) 244-0330 Fax
[email protected] • www.calderm.org
H o t e l R e s e r va t i o n s :
(866) 711-1534
Two Portola Plaza
Monterey, CA 93940
Ask for the Group Rate under California Society of Dermatology
$212 for Standard Room • $252 for Premium Room
R e f u n d Po l i c y :
All refund requests are subject to a $25 administrative charge. Refunds will be issued if written cancellation is received by
August 28, 2007. Registration is nonrefundable after August 28, 2007. Special circumstances consideration for refund may
apply with a written detailed explanation that is approved by the CME Committee. Substitutions are accepted at any time
and registration fee may be transferable to the next scheduled CME Program only. CalDerm reserves the right to cancel
CME Programs if necessary at which time a full refund will be issued to all paid participants.
Please see Biologics & Practice Management Workshop Registration on Reverse Side
Pre-Conference Ticketed Course
Biologics & Practice Management
Workshop
CalDerm
CalDerm
Friday, September 7, 2007 • 2:00 p.m. – 5:00 p.m.
California Society of Dermatology
& Dermatologic Surgery
2007 Annual Meeting
September 7, 8, & 9, 2007
Portola Plaza Hotel, Bonsai I & II Room • Monterey, CA
Registration open only to physicians who are registered for the
CalDerm 2007 Annual Meeting and staff of those registered physicians.
Wo r k s h o p S c h e d u l e
2:00 – 2:45 p.m.
2:45 – 3:15 p.m.
Update on iPledge
Hilary Baldwin, M.D.
Associate Professor of Clinical Dermatology,
State University of New York
State of the Art of Biologics for Psoriasis:
Today & Tomorrow
Andrew Blauvelt, M.D.
Professor, Dept of Molecular Microbiology &
Immunology, Chief, Dermatology Service,
Portland VA Medical Center
3:15 – 3:30 p.m.
3:30 – 4:15 p.m.
Afternoon Break
10 Tips for Dermatology Coding
Vernell St. John, CPC, CDC
Coding & Practice Consultant
American Academy of Dermatology
10 Tips for Technological Applications in Dermatology
Daniel Siegel, M.D.
Clinical Professor of Dermatology, State
University of New York
4:15 – 5:00 p.m.
Registration Form
Special Ticketed Course – Separate Registration Form Required • Please Complete Entire Form and Print Legibly:
First Name: ______________________________________________ Last Name: _____________________________________________________
Mailing Address: _________________________________________________________________________________________________________
City: __________________________________________________________________ State: _______________ Zip: _______________________
Daytime Phone: __________________________________________ Fax: ___________________________________________________________
Email Address (required to receive confirmation): _______________________________________________________________________________
P ra c t i ce M a n a g e m e n t Wo r k s h o p R e g i s t r a t i o n R a t e s
Seminar Registration Fee is Nonrefundable
NOTE: 2007 Annual Meeting registration does not include this seminar – you must register for this seminar separately with this form.
❒ Physician Registration Fee (Must be registered for the CalDerm 2007 Annual Meeting) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$125
❒ Non-Physician Registration Fee (Must be employed by a physician who is registered for the CalDerm 2007 Annual Meeting) . . . . . . . . . . . . .$155
Name of Registered Physician _______________________________________________________
(Non-Physician workshop registrants are invited to attend the CalDerm 2007 Annual Meeting Welcoming Reception & Exhibit Viewing
immediately following this course and may attend the Continental Breakfast & Exhibit Viewing on Saturday, September 8)
M a i l o r Fa x Co m p l e t e d R e g i s t ra t i o n
a n d Pay m e n t To :
M e t h o d o f Pay m e n t :
❒ Check Enclosed for $_________
❒ VISA or MasterCard
Credit Card Number: ____________/____________/____________/____________
Signature: ____________________________________ Expiration: ______/______
California Society of Dermatology
& Dermatologic Surgery
980 Ninth Street, PMB #1600
Sacramento, CA 95814
(916) 498-1712 Ph • (916) 244-0330 Fax
[email protected] • www.calderm.org
Statement of Learning Objectives:
Ac c r e d i t a t i o n S t a t e m e n t :
As participants of this CME activity, learners will:
• Improve comprehension and implementation of new FDA guidelines on the prescribing
of isotretinoin medications by healthcare professionals. Learners will improve techniques
for patient counseling, patient documentation and risk management assessment.
• Identify operational inefficiencies and implement the use of contemporary practice
management techniques and strategies.
• Perfect the review of diagnostic and procedural codes assigned to complex dermatological clinical scenarios, and become trained in advanced coding principles for
accurate reporting of patient care.
The California Society of Dermatology & Dermatologic Surgery (CalDerm) is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA)
to provide continuing medical education for physicians. CalDerm takes responsibility
for the content, quality and scientific integrity of this CME activity.
CalDerm designates 2 AMA PRA Category 1 Credit(s)™ for this educational activity.
Physicians should only claim credit commensurate with the extent of their participation in the activity. This credit may also be applied to the CMA Certification in
Continuing Medical Education.
Total CME as listed above applies to Biologics & Practice Management Workshop only.
Please see 2007 CalDerm Annual Meeting Registration on Reverse Side
P R E S O RT E D
FIRST CLASS
U S P O S TA G E
CalDerm
PA I D
CalDerm
CAREFUL DESIGN
94565
California Society of Dermatology
& Dermatologic Surgery
980 Ninth Street, PMB #1600
Sacramento, CA 95814
Address Service Requested
Tr ave l I n f o r m a t i o n
Monterey Airport Information
Monterey Activity Information
www.montereyairport.com
www.montereyinfo.org
CalDerm Board of Directors 2006-2007
2007 Annual Meeting
P l a n n i n g Co m m i t t e e
Seth Matarasso, M.D.
President, San Francisco
Nancy Chen, M.D.
Escondido
Isaac Neuhaus, M.D.
San Francisco
Jack Resneck, Jr., M.D.
Past President, San Francisco
Jeffrey Crowley, M.D.
Bakersfield
Jerome Potozkin, M.D.
Walnut Creek
Seth L. Matarasso, M.D., Chair
Craig Kraffert, M.D
President-Elect, Redding
Daniel Dwyer, M.D.
Costa Mesa
Wendy Roberts, M.D.
Rancho Mirage
Jeffrey A. Carmel, M.D.
Alexander Miller, M.D.
CalDerm PAC President
Yorba Linda
Daniel Gormley, M.D.
Glendora
James Waldman, M.D.
Irvine
Craig A. Kraffert, M.D.
Ann Haas, M.D.
Sacramento
David Woodley, M.D.
Los Angeles
Steven Hodgkin, M.D.
Victorville
Shan Pai, M.D., Resident
San Francisco
Margaret Parsons, M.D.
Secretary/Treasurer
Sacramento
Todd Anhalt, M.D.
Los Altos
Michael Borok, M.D.
Northridge
Jeffrey Carmel, M.D.
Fremont
Robert Carson, Jr., M.D.
Oxnard
Thomas Hoffman, M.D.
Menlo Park
Gary Lask, M.D.
Los Angeles
Matthew Luxenberg, M.D.
Los Alamitos
Comron Maleki, M.D.
Thousand Oaks
Matthew B. Luxenberg, M.D.
Alexander Miller, M.D.
Shan Pai, M.D.
Karmi Ferguson, MBA
Executive Director
Jerome R. Potozkin, M.D.
John Valencia, Esq.
Legislative Advocate
Wilke, Fleury, Hoffelt,
Gould & Birney
Wendy E. Roberts, M.D.
David Woodley, M.D.