Colorado Springs, CO Denise K. Burns, DO, FAAO, Program Chair
Transcription
Colorado Springs, CO Denise K. Burns, DO, FAAO, Program Chair
AAO Convocation for Physicians Trauma: An Integrative Osteopathic Approach Denise K. Burns, DO, FAAO, Program Chair March 19-23, 2014 The BroAdmoor Colorado Springs, CO New Approach to Osteo-articular Manipulations: Including the Superior and Inferior Limbs L L March 15-18, 2014 9:00 am - 6:30 pm Saturday through Tuesday Faculty Jean-Pierre Barral, Diplomate in Osteopathic Medicine, Featured Speaker Kenneth J. Lossing, DO, Program Chair, Faculty and AAO President-elect U F CME 32 hours of AOA Category 1-A credit are anticipated Registration Rates On or before Jan. 15 After Jan. 15 AAO Member $ 1600.00 $ 1700.00 Member w/Convo Reg. $ 1440.00 $ 1530.00 Non-Member $ 1750.00 $ 1850.00 Non-Member w/Convo Reg. $ 1575.00 $ 1665.00 Osteopathic Approach to Common ENT Complaints of Children March 17-18, 2014 8:00 am - 5:30 pm Monday and Tuesday Faculty Heather P. Ferrill, DO, Program Chair Doris B. Newman, DO CME 16 hours of AOA Category 1-A credit are anticipated Registration Rates On or before Jan. 17 After Jan. 17 AAO Member $ 680.00 $ 780.00 Member w/Convo Reg. $ 612.00 $ 702.00 Non-Member $ 780.00 $ 880.00 Non-Member w/Convo Reg. $ 702.00 $ 792.00 An Introduction to the Fascial Distortion Model March 17-18, 2014 8:00 am - 5:30 pm Monday and Tuesday Faculty Todd A. Capistrant, DO CME 16 hours of AOA Category 1-A credit are anticipated Registration Rates On or before Jan. 17 After Jan. 17 AAO Member $ 680.00 $ 780.00 Member w/Convo Reg. $ 612.00 $ 702.00 Non-Member $ 780.00 $ 880.00 Non-Member w/Convo Reg. $ 702.00 $ 792.00 *All courses listed will take place at The Broadmoor, 1 Lake Avenue, Colorado Springs, CO 80906 For program and registration information on these Pre-Convocation courses, e-mail [email protected] or visit the Academy Web site! Registration Form located on pages 11 & 12 Trauma: An Integrative Osteopathic Approach Denise K. Burns, DO, FAAO, 2014 Convocation Program Chair The 2014 Convocation is an exciting osteopathic medical program centered around trauma. We will address the mechanisms associated with trauma, the biodynamics and its effects on the total body. Participants will learn how to identify and address all the components of trauma that the osteopathic physician commonly encounters in clinical practice. Denise K. Burns, DO, FAAO Evening with the FAAOs: Treating Trauma Osteopathically Through the Experts’ Eyes Michael P. Rowane, DO, FAAO, Evening with the FAAOs Program Chair Patients who have undergone trauma are a challenge for even the most seasoned clinicians. A panel of expert FAAO physicians will share their insights and recommendations for osteopathically evaluating and treating patients who have experienced trauma. Michael P. Rowane, DO, FAAO Physician Convocation Week Schedule Saturday, March 15 9:00 am - 6:30 pm New Approach to Osteo-articular Manipulations: Including the Superior and Inferior Limbs; Jean-Pierre Barral, MROF, PT, Featured Speaker; Kenneth J. Lossing, DO, Program Chair, Faculty, AAO President-elect Separate registration required Sunday, March 16 9:00 am - 6:30 pm New Approach to Osteo-articular Manipulations: Including the Superior and Inferior Limbs; Jean-Pierre Barral, MROF, PT, Featured Speaker; Kenneth J. Lossing, DO, Program Chair, Faculty, AAO President-elect Separate registration required Monday, March 17 8:00 am - 5:30 pm 8:00 am - 5:30 pm 9:00 am - 6:30 pm Osteopathic Approach to Common ENT Complaints of Children; Heather P. Ferrill, DO, Program Chair; Doris B. Newman, DO, Faculty Separate registration required Introduction to The Fascial Distortion Model; Todd A. Capistrant, DO, Program Chair Separate registration required New Approach to Osteo-articular Manipulations: Including the Superior and Inferior Limbs; Jean-Pierre Barral, MROF, PT, Featured Speaker; Kenneth J. Lossing, DO, Program Chair, Faculty, AAO President-elect Separate registration required Tuesday, March 18 8:00 am - 5:00 pm 8:00 am - 5:30 pm 8:00 am - 5:30 pm Fellowship Committee Meeting/FAAO Exams Osteopathic Approach to Common ENT Complaints of Children; Heather P. Ferrill, DO, Program Chair; Doris B. Newman, DO, Faculty Separate registration required Introduction to The Fascial Distortion Model; Todd A. Capistrant, DO, Program Chair Separate registration required Register online at www.academyofosteopathy.org 9:00 am - 6:30 pm 6:00 pm - 8:00 pm New Approach to Osteo-articular Manipulations: Including the Superior and Inferior Limbs; Jean-Pierre Barral, MROF, PT, Featured Speaker; Kenneth J. Lossing, DO, Program Chair, Faculty, AAO President-elect Separate registration required Education Committee Meeting Wednesday, March 19 8:00 am - 11:00 am 8:00 am - 12:00 pm 10:00 am - 6:00 pm 11:00 am - 1:00 pm 1:00 pm - 5:00 pm 2:00 pm - 5:00 pm 4:30 pm - 6:00 pm 5:00 pm - 6:00 pm 5:00 pm - 7:00 pm 7:00 pm - 9:00 pm AOBNMM Written Re-Certification Exam AAO Board of Trustees’ Meeting Early Convocation Registration Residents’ In-Service Written Exam AAO Board of Governors’ Meeting Residents’ In-Service Practical Exam PAAO Mixer Investment Committee Meeting Opening Reception in Exhibit Hall Evening with the FAAOs (2 CME): Treating Trauma Osteopathically Through the Experts’ Eyes; Michael P. Rowane, DO, MS, FAAFP, FAAO, Program Chair 9:00 pm - 11:00 pm Evening with the Stars (2 CME) Thursday, March 20 Morning Lectures 7:30 am - 11:10 am 7:30 am - 4:00 pm Registration Hours 7:30 am - 7:40 am Welcome and Program Overview; Denise K. Burns, DO, FAAO, Convocation Program Chair 7:40 am - 8:25 am Mechanism of Injury: The Physics of Trauma and Somatic Dysfunction; Dennis J. Dowling, DO, FAAO 8:25 am - 9:10 am An Osteopathic Approach to Cranial Trauma; Andrew M. Goldman, DO, FAAO Mountain Time Zone Physician Information • 3 Registration Form located on pages 11 & 12 9:00 am - 4:00 pm 9:00 am - 5:00 pm 9:10 am - 9:40 am 9:40 am - 10:25 am Osteopathic Education Service (OES) closed 12:15 pm - 2:30 pm Exhibit Hours Visit with the Exhibitors Osteopathy, Brain Trauma and Bimodal Sympathetic States; Bruno J. Chikly, MD, DO 10:25 am - 11:10 am An Integration of Chinese Energetics with Osteopathic Theory and Methods: Application to Trauma; Christopher T. Laseter, DO 12:15 pm - 2:15 pm AAO Annual Business Luncheon/Elections (Ticket Required) Afternoon Breakout Sessions ADVANCE REGISTRATION TICKET REQUIRED 2:30 pm - 4:00 pm 2A: OMT & Physics to Reverse the Damage of Trauma; Dr. Dowling 2B: Palpation and Treating the Brain – Initial Phase: Trauma and Related Sympathetic States; Dr. Chikly 2C: Practical Procedures for Integrating Chinese Energetics into an Osteopathic Understanding of Midline Function; Dr. Laseter 2D: Allowing Inherent Forces to Resolve Traumatic Strains; Dr. Goldman 2E: Treating Injury Shock After Trauma; Maud Haimson Nerman, DO 4:00 pm - 4:30 pm Visit with the Exhibitors Afternoon Breakout Sessions ADVANCE REGISTRATION TICKET REQUIRED 4:30 pm - 6:00 pm 3A: OMT & Physics to Reverse the Damage of Trauma; Dr. Dowling 3B: Palpation and Treating the Brain - Initial Phase: Trauma and Related Sympathetic States; Dr. Chikly 3C: Practical Procedures for Integrating Chinese Energetics into an Osteopathic Understanding of Midline Function; Dr. Laseter 3D: Allowing Inherent Forces to Resolve Traumatic Strains; Dr. Goldman 3E: Self-healing for Trauma Using EFT Meridian Tapping; Kimberly M. D’Eramo, DO 6:30 pm - 7:30 pm Gavel Club Reception; Past Presidents (Ticket Required; No CME) 6:30 pm - 8:00 pm Pediatric Special Interest Group (No CME) 8:00 pm - 10:00 pm Evening with the Stars and Stripes (2 CME) Friday, March 21 7:30 am - 4:00 pm 7:30 am - 8:15 am 8:15 am - 9:00 am 9:00 am - 10:00 am 9:00 am - 4:00 pm 9:00 am - 5:00 pm 10:00 am - 10:30 am Morning Lectures 7:30 am - 12:00 pm Registration Hours Fluid Dynamics of the Cranium in Traumatic and Neurodegenerative Processes; Michael L. Kuchera, DO, FAAO Impact Injuries: Viscoelastic Change and its Effect on Tensegrity, Mechanotransduction and the PRM; Lawrence J. Bellew, DO Trauma in the Fascia: Undoing the Damage and Supporting the Healing; Judith A. O’Connell, DO, FAAO Osteopathic Education Service (OES) closed 12:00 pm - 1:45 pm Exhibit Hours Visit with the Exhibitors 4 • Physician Information 10:30 am - 11:15 am Trauma as a Living Process; Stefan L.J. Hagopian, DO, FAAO 11:15 am - 12:00 pm VSR: Viscero Somatic Release; John P. Tortu, DO 12:00 pm - 1:45 pm Lunch on Your Own 12:00 pm - 1:45 pm PAAO Business Meeting/Elections (Ticket Required) 12:00 pm - 1:45 pm Postdoctoral Standards and Evaluation (PSE) 12:00 pm - 1:45 pm Committee Meetings Afternoon Breakout Sessions ADVANCE REGISTRATION TICKET REQUIRED 2:00 pm - 3:30 pm 5A: Treating Functionally Persistent Trauma; Dr. Hagopian 5B: Impact Injuries: Description, Diagnosis and Treatment of Four Common Patterns of Viscoelastic Change; Dr. Bellew 5C: Trauma in the Fascia: Undoing the Damage and Supporting the Healing; Dr. O’Connell 5D: VSR: Osteopathic Evaluation and Treatment of Lower Extremity Injuries with Regard to the Urogenital and Hepatic Systems; Dr. Tortu 5E: Whiplash as a Total Body Injury; Hallie J. Robbins, DO 5F: Component Society Forum; Kenneth J. Lossing, DO 3:30 pm - 4:00 pm Visit with the Exhibitors Afternoon Breakout Sessions ADVANCE REGISTRATION TICKET REQUIRED 4:00 pm - 5:30 pm 6A: Treating Functionally Persistent Trauma; Dr. Hagopian 6B: Impact Injuries: Description, Diagnosis and Treatment of Four Common Patterns of Viscoelastic Change; Dr. Bellew 6C: Trauma in the Fascia: Undoing the Damage and Supporting the Healing; Dr. O’Connell 6D: VSR: Osteopathic Evaluation and Treatment of Lower Extremity Injuries with Regard to the Urogenital and Hepatic Systems; Dr. Tortu 5:30 pm - 6:45 pm SAAO Semi-Silent Auction 5:30 pm - 7:00 pm LBORC Research Forum 7:00 pm - 8:30 pm Alumni Receptions 8:00 pm - 10:00 pmFellows Dinner (Ticket Required) Saturday, March 22 Morning Lectures 7:30 am - 11:15 am Registration Desk is closed today. 7:30 am - 8:00 am Anatomy of Cranial Dural Changes as Functional Results of Trauma; Dr. Hagopian 8:00 am - 8:45 am Neurophysiology of Head Trauma; Frank H. Willard, PhD 8:45 am - 9:30 am Precise Facet Activation at Your Fingertips: Cervical and OA HVLA; Dr. Kuchera 8:00 am- 9:30 am 6E: Magoun Memorial FAAO/NUFA Forum (restricted to FAAOs/NUFAs) 9:00 am - 12:30 pm Osteopathic Education Service (OES) 9:30 am - 9:45 am Break 9:45 am - 10:45 am Osteopathic Considerations of Obstetrical and Perinatal Cranial Trauma; Dr. Capobianco Register online at www.academyofosteopathy.org Registration Form located on pages 11 & 12 IMPORTANT: Participants are responsible for placing the respective ticket in the correct box to verify their attendance at each session eligible for CME credit. Morning Breakout Sessions ADVANCE REGISTRATION TICKET REQUIRED 11:30 am - 1:00 pm 8A: Precise Facet Activation at Your Fingertips: Cervical and OA HVLA; Dr. Kuchera 8B/8C: Osteopathic Considerations of Obstetrical and Perinatal Cranial Trauma; Dr. Capobianco 8D: Faculty Development Workshop 1 The Teaching Identity; Evelyn A. Schwalenberg, DO, MS, FACP, FACOI Teaching While Practicing Osteopathic Medicine: Secrets of Master Teachers; Dr. Rowane 8E: Ariadne’s String in the Rising Labyrinth of Harmonization After Trauma: An Osteosophical Conceptualization (How global do you need to go to treat a local trauma?); Jean Marie A.T. Beuckels, DO, BSc (Hons) Ost. Med., MSc. Ost. 1:00 pm - 2:30 pm Lunch on Your Own 1:00 pm - 2:30 pm AAO Board of Trustees’ Meeting Afternoon Breakout Sessions ADVANCE REGISTRATION TICKET REQUIRED 2:45 pm - 5:00 pm 9A: Precise Facet Activation at Your Fingertips: Cervical and OA HVLA; Dr. Kuchera 9B/9C: Osteopathic Considerations of Obstetrical and Perinatal Cranial Trauma; Dr. Capobianco 9D: Faculty Development Workshop 2 Promoting the Osteopathic Concept: Pearls in Research and Writing a Scientific Paper; Kendi L. Hensel, DO, PhD 9E: Dental Trauma Associated with Tooth Extraction: An Osteopathic Approach; Sharon Gustowski, DO, and Patricia M. Meyer, DO 9F: Coding and Reimbursement: Understanding ACOs and Risk Sharing in the Emerging Market and E&M & OMT Coding 101; Douglas J. Jorgensen, DO, FAAO 6:30 pm - 7:15 pm President’s Reception 7:15 pm - 9:30 pm President’s Banquet (Ticket not included with registration.) 9:30 pm - 12:00 amEntertainment Sunday, March 23 Morning Lectures 7:30 am - 12:15 pm 7:30 am - 8:15 am Orthopedics, Sports Injuries and Osteopathy, a perfect combination?!; Frank Mueller, MD, DO 8:15 am - 9:00 am The Importance of Early, Accurate Diagnosis for Effective “Hands-on” Management of Sports Injuries; Wayne R. English, DO 9:00 am - 9:45 am Clinical and Practical Implications of Sports Related Traumatic Brain Injury; P. Gunnar Brolinson, DO, FAOASM, FAAFP 9:45 am - 10:00 am Break 10:00 am - 10:45 am An Osteopathic Approach to Facial Trauma; Dr. Goldman Register online at www.academyofosteopathy.org 10:45 am - 11:30 am OMM and the Trauma Patient in the Urgent Care Setting; Ann L. Habenicht, DO, FAAO, FACOFP 11:30 am - 12:15 pm Military Trauma: An Osteopathic Perspective; Teodor Huzij, DO 12:15 pm Convocation Adjourned 12:15 pm - 1:00 pm Lunch on your own 1:30 pm - 7:00 pm Residency Program Directors’ Workshop (5 CME) CME Hours The AAO Convocation program anticipates being approved for up to 36 AOA Category 1-A CME credit hours by the AOA CCME. Possible Hours Lectures & Workshops: 25 hours Evening with the FAAOs: 2 hours Evening with the Stars (Wednesday): 2 hours Evening with the Stars and Stripes (Thursday): 2 hours Program Directors’ Workshop (Sunday): 5 hours Additional Pre-Convocation Course Hours New Approach to Osteo-articular Manipulations: Including the Superior and Inferior Limbs March 15-18: 32 hours Osteopathic Approach to Common ENT Complaints of Children March 17-18: 16 hours An Introduction to The Fascial Distortion Model (FDM) March 17-18: 16 hours Who May Attend? The primary educational objective of the AAO is to provide programs aimed to improve understanding of philosophy and diagnostic/ manipulative skills for AAO members, DOs who are not AAO members, individuals who are licensed for the unlimited scope and practice of medicine, and those in programs leading to such licensure. Another educational objective of the AAO is to provide programs aimed to improve understanding of manual techniques for licensed health care professionals within their respective scopes of practice. Enrollment in a class or classes is not a substitute for completion of education and training in a college of osteopathic medicine, and simply taking a course or courses in manual techniques does not provide the necessary training and skills to practice osteopathic manipulative treatment and/or osteopathic manipulative medicine. AAO Refund Policy 1. All cancellations must be received in writing by Feb. 20, 2014. 2. An administrative fee of 20 percent of the total registration fee will be charged for all cancellations made prior to Feb. 20, 2014. 3. Any registrant who fails to appear for an AAO program can transfer up to 50 percent of their registration fee to another AAO educational program to be held within the next 12 months if a written and signed explanation is received at the AAO office within 10 days of the scheduled course he/she was unable to attend. All other cancellations will receive no refund or transfer of registration fees. 4. Meal tickets are non-refundable. There is no discount for not attending pre-paid food functions. Physician Information • 5 Registration Form located on pages 11 & 12 Concurrent Breakout Sessions Thursday, March 20, 2014 2A/3A: OMT & Physics to Reverse the Damage of Trauma; Dr. Dowling Description: Patients often present with histories of trauma that precede their complaints of neuromusculoskeletal disorder. An additional history and physical examination, including osteopathic structural examination, can be utilized to develop treatments to assist in reversing the condition. The workshop will focus on applying osteopathic principles by addressing the findings through a variety of modalities in a synthesizing fashion while also addressing the other mind and spirit components of the person. 2B/3B: Palpation and Treating the Brain – Initial Phase: Trauma and Related Sympathetic States; Dr. Chikly Description: In this lab we will provide an easy and effective treatment to regularize tissue response to trauma, including hyper- and hypoarousal states. We will review some of the trauma theory and we will demonstrate an osteopathic application of the polyvagal theory of Stephen Porges. 2C/3C: Practical Procedures for Integrating Chinese Energetics into an Osteopathic Understanding of Midline Function; Dr. Laseter Description: The Microcosmic Orbit is a classical understanding of midline function from the Daoist perspective. It is both a prelude and underpinning of traditional Chinese medicine. Procedures for accessing the energetic midline and objective evidence of its utility will be presented. A new approach to treatment of the thoracolumbar spine and costal elements will be illustrated. This material can be integrated into an osteopathic treatment paradigm and is equally useful as an exercise in patient self-care. 2D/3D: Allowing Inherent Forces to Resolve Traumatic Strains; Dr. Goldman Description: W.G. Sutherland has generally been credited with introducing the osteopathic profession to techniques related to the cranium. However, Sutherland, a direct hands-on-hands student of A.T. Still was certain that Still already understood the role of the cranium within the osteopathic concept. Sutherland’s life’s work helped him and those who followed to understand inherent forces within the patient, which he taught to others so they may better understand Osteopathy. This lecture will present his approach to treatment. He said, “the inherent forces within the patient’s body are more potent and accurate than any force that can possibly be brought to bear from without.” = Lecture only 6 • Physician Information = Hands-on workshop 2E: Treating Injury Shock After Trauma; Dr. Nerman Description: Trauma disrupts the body in many ways. It compromises the musculoskeletal, vascular and lymphatic systems. One of the most devastating aspects of trauma is how profoundly it disrupts the nervous system, compromising the autonomic nervous system’s balance and the cranial rhythmic impulse. I call that disruption injury shock. Until injury shock is addressed and the autonomic nervous system returned to balance, the body’s ability to heal is severely compromised. For me, treating injury shock is a critical aspect of treating trauma. In these sessions, I will focus on three to four techniques that I have found key to releasing injury shock: Dr. Fulford’s abdominal diaphragm release, rebalancing the ANS by treating the midthoracic, sacrum and OA junction, and calming CNS irritability through a version of the CV4 that even practitioners not trained in Cranial Osteopathy can use. 3E: Self-healing for Trauma Using EFT Meridian Tapping; Dr. D’Eramo Description: As osteopaths, it is incumbent upon us to learn the science behind how we heal, to incorporate these principles in our medical practice, and to initiate a change in the ways we apply the art and science of medicine. This teaching draws upon the research and work of multiple other scientists and practitioners in the field of quantum physics, cell biology, electrophysiology, and neurobiology, including: Institute for Heart Math; Bruce Lipton, PhD; Joan Borysenko, MD; Lynne McTaggart and David Hawkins, MD. Friday, March 21, 2014 5A/6A: Treating Functionally Persistent Trauma; Dr. Hagopian Description: There is a reason we call osteopathic lesions “somatic dysfunctions”—with the emphasis on the noun “dysfunctions”—rather than “functional dyssomatics.” In osteopathic practice we are ultimately more concerned with correcting dysfunctions than with changing or aligning the somatic form alone. Trauma often persists as a living process. In this lab session, we will examine functional aspects of trauma as we step beyond protocol-driven care to build a perception-based methodology for clinical care. 5B/6B: Impact Injuries: Description, Diagnosis and Treatment of Four Common Patterns of Viscoelastic Change; Dr. Bellew Description: The four most common impact injuries will be described anatomically. Techniques for diagnosing and treating these utilizing observation, gross motion testing and the PRM will be discussed and, when possible, demonstrated. Given the observed incidence of this type of injury (14% ) it is anticipated that participants will have the opportunity to observe, if not diagnose and treat, an impact injury in their colleagues. A well-developed ability to perceive the PRM is necessary to obtain maximum benefit from this workshop. Register online at www.academyofosteopathy.org Registration Form located on pages 11 & 12 5C/6C: Trauma in the Fascia: Undoing the Damage and Supporting the Healing; Dr. O’Connell Description: Trauma causes far-reaching effects from the intra-cellular to the extra-corporeal. This workshop will give practical experience in identifying and alleviating the effects of trauma. Using the fascia as a portal of entry, participants will identify trauma patterns, primary dysfunctions, and compensation patterns and apply techniques to address these issues. Consideration of complex layered trauma also will be discussed with treatment strategies developed. 5D/6D: VSR: Osteopathic Evaluation and Treatment of Lower Extremity Injuries with Regard to the Urogenital and Hepatic Systems; Dr. Tortu Description: This workshop deepens the knowledge gained in the lecture by evaluating the effects of myriad and common lower extremity injuries as the fascial origin of dysfunction of certain organs of excretion, specifically, the kidney and urinary bladder and the liver and gallbladder. Old, lower extremity injury causes fascially-mediated restriction and irritation of the end organ via deposition of shockwave injury patterns along the associated meridian. This triggers a mechanicotransduction of increasing fascial tone into increasing afferent CNS tone, via the viscero somatic reflex arc, triggering the increased efferent tone responsible for the somatic complaints we commonly see: somatic dysfunctions of the lower extremity, pelvis and lumbosacral regions as well as the commonlyknown, autonomically mediated somatic dysfunctions found along dermatomally connected somatic regions. Osteopathic evaluation and treatment of these old injury patterns with respect to the specific organ dysfunction releases the aberrant, fascially-mediated tone, decreasing afferent CNS tone and, by reflex, decreases efferent CNS tone, releasing the somatic complaints associated with the injury pattern and improving the function of these organs. 5E: Whiplash as a Total Body Injury; Dr. Robbins Description: Whiplash is a condition commonly considered to involve only cervical musculoskeletal injury, but the neck nexus involves multi-region anatomic derangement and multi-system dysfunction. In this lecture/workshop we will relate postural compensations and spinal junction shifts to mechanism of injury and vector strains in order to provide head-to-foot clinical evaluations and generate more comprehensive documentation of findings and treatments. Learn osteopathic techniques (myofascial, cranial, articulatory, HVLA, muscle energy) and take-home exercises helpful in whiplash recovery from eyestrain to pedal-stomping. 5F: Component Society Forum; Dr. Lossing Description: AAO Component Society leaders are invited to this unstructured discussion forum with AAO President-elect Kenneth J. Lossing, DO. The objective is to promote cooperation and collaboration in an effort to better serve AAO members’ needs. Register online at www.academyofosteopathy.org Saturday, March 22, 2014 6E: Magoun Memorial FAAO/NUFA Forum Description: An informal gathering of the FAAOs and NUFAs. This workshop gives the FAAOs a chance to mentor the National Undergraduate Fellows who are attending Convocation. It is an excellent opportunity for them to share their knowledge and expertise with the students who wish to follow in their footsteps. If you are a FAAO, please consider joining this very important workshop. 8A/9A: Precise Facet Activation at Your Fingertips: Cervical and OA HVLA; Dr. Kuchera Description: Safety and efficacy in cervical highvelocity, low-amplitude (HVLA) is paramount. This lecture and workshop is conducted by an FAAO physician who, in clinical and research settings, has studied “miles and miles” of cervical structure-function relationships. Specifically he will focus on specific diagnosis and treatment of cervical somatic dysfunctions affecting one or both of the facet joints at each vertebral unit. Fingerpad localization and precise gliding HVLA activation will be discussed in lecture and offered in the hands-on lab. This presentation was designed to review and fine-tune existing technique and provide new insights in the application of cervical HVLA. 8B/8C & Osteopathic Considerations of Obstetrical 9B/9C: and Perinatal Cranial Trauma; Dr. Capobianco Description: Osteopathic manipulative approaches to address perinatal trauma in patients of all ages. 8D: Faculty Development Workshop 1 The Teaching Identity; Dr. Schwalenberg Teaching While Practicing Osteopathic Medicine: Secrets of Master Teachers; Dr. Rowane 8E: Ariadne’s String in the Rising Labyrinth of Harmonization After Trauma: An Osteosophical Conceptualization (How global do you need to go to treat a local trauma?); Dr. Beuckels Description: A physician is defined as a teacher. It is a critical role for an Osteopathic physician to be a teacher, whether they are in an academic setting or in a community-based practice. The emphasis of these interactive sessions is to explore the role and identify the desirable characteristics for being an excellent teaching osteopathic physician. Description: Dr. Beuckels will discuss the local and total shift in form and motion after trauma, giving an overview of the levels of harmonization and how new harmony transforms interactive “neurological” motion in one-way traffic. The workshop will cover defascilitation in the “neurological” girdles, how to bring the patient back to the neurological neutral before treating the local trauma, an introduction to defascilitation procedures while discovering the Ariadne’s string of trauma. Physician Information • 7 Registration Form located on pages 11 & 12 9D: Faculty Development Workshop 2 Promoting the Osteopathic Concept: Pearls in Research and Writing a Scientific Paper; Dr. Hensel Description: There is a tremendous need to advance the osteopathic concept through medical literature. The word research may seem daunting, but simple strategies will be presented to demystify the process so it can be accomplished without fear. This hands-on workshop will assist the osteopathic physician to take an idea through the steps of writing a manuscript for submission to a journal. 9E: Dental Trauma Associated with Tooth Extraction; An Osteopathic Approach; Drs. Gustowski and Meyer Description: This hands-on workshop will present an efficient yet effective application of OMT for patients who have head or neck pain following a dental extraction. Participants will learn how to quickly transition from osteopathic diagnosis into performing a treatment. Two intra-oral techniques designed specifically to address trauma at the extraction site will also be presented. This workshop welcomes participants of all skill levels and expertise. Participants who have recently had a dental extraction are encouraged to attend, although it is not a requirement. 9F: Coding and Reimbursement: Understanding ACOs and Risk Sharing in the Emerging Market and E&M & OMT Coding 101; Dr. Jorgensen ACO: Accountable Care Organizations are not just a buzz word, but a serious reality in the emerging reimbursement markets, and it’s imperative to understand the value we bring to the table and the uniqueness of our care relative to the benefit and cost to our patients and the system. Attendees will leave with a basis for conceptualizing how they are being analyzed along with a strategy for “how to play the game” in their current markets. If you expect to continue working in the insurance market and being profitable, this knowledge is critical to your success and your patients’ ability to access your care. Coding 101: It’s back to basics in this fast-paced, one-hour program presenting Evaluation and Management (E&M) and Osteopathic Manipulative Treatment (OMT) documentation requirements to the participants. Examples and Q&A will round out this program and will help the seasoned and new provider better conceptualize how to optimize the E&M and OMT coding rules for you and your practice. Volunteers Needed for OE Service (formerly OD&TE) Reasons for volunteering: 1) CME Credit 2) Chance to win a FREE registration for Convocation in 2015 3) Sharing your expertise with others 4) Giving back to the profession Dear Academy Members: The Osteopathic Education Service (OES) will be offered during Convocation from 9:00 am to 11:30 am and 2:30 pm to 4:00 pm on Thursday, March 20; from 9:00 am to 12:00 pm and 2:00 pm to 4:00 pm on Friday, March 21; and 9:00 am to 12:30 pm on Saturday, March 22. The OES is provided for educational purposes only and not for medical treatment. Your friends, colleagues, and students will appreciate any time you can donate. In addition, physicians receive a 1/2 Category 1-B AOA CME credit for each person they treat! The OES will be available on off hours (as long as the Exhibit Hall is open) for those who just need a table and have completed the appropriate paper work. The OES will have a drawing at noon on Saturday. For every person a physician treats during OES hours, his/ her name will be added to the drawing (e.g., 25 patients, 25 chances to WIN). The prize is a complimentary registration for the 2015 Convocation in Louisville, KY. We encourage volunteers to invite students to observe their techniques. However, the decision to allow others to be present during treatment sessions belongs to you and your educational subject. As always, thank you for your participation and support! With great appreciation, Clay Walsh, DO, Chairperson Please note your availability on the form below and return along with your registration form. THURSDAY FRIDAY SATURDAY Morning ____________ ________________________ Afternoon ____________ ____________ closed ____________ Let me know when I am needed! Name:________________________________________________________ Cell phone number: _______________________________________ AOA number: _______________________________________________ 8 • Physician Information Register online at www.academyofosteopathy.org Registration Form located on pages 11 & 12 Registration and Packet Distribution If you pre-register for Convocation, your complete registration packet will be availabe for pickup at the AAO registration desk beginning at 10:00 am on Wednesday, March 20. Daily registration hours are from 10:00 am to 7:00 pm on Wednesday, March 19, and from 7:30 am to 4:00 pm Thursday, March 20 and Friday, March 21. Meals Registration fee includes entrance to the Opening Reception and (1) Business Meeting Luncheon. Banquet tickets must be purchased separately. Physicians will be responsible for their own lunch on Friday and Saturday; students will be responsible for lunch on Thursday and Saturday. It is strongly recommended that you make dinner reservations well in advance of Convocation if you wish to dine at a specific restaurant on a specific night. For meals sponsored by the AAO, every attempt to meet participants’ dietary needs will be made. However, we cannot guarantee to satisfy all requests. Become a Mentor Today! The mission of the American Academy of Osteopathy Mentor Program (AAO-MP) is to provide guidance and leadership to Student American Academy of Osteopathy members. The program was designed to help address the lack of osteopathic-specific education during clinical years and beyond by: • Reaching out to osteopathic medical students early in their careers and providing a positive influence on their future as an osteopathic physician; and • Helping provide educational and career guidance during the OMS II and OMS III years when choosing hospital sites for rotations, advice on residency selection and, ultimately, how the osteopathic philosophy can be incorporated into all aspects of medicine. Every osteopathic student and physician is strongly encouraged to participate in the AAO-MP. This is an excellent opportunity for students to become active proponents of Osteopathy and for physicians to contribute to making the profession stronger. Please see the Mentor/Protégé portion of the physician and student online registrations. Contact the AAO for more information. Nicholas S. Nicholas Fund The AAO provides a sizable discount for students each year to attend Convocation. The Nicholas S. Nicholas Fund was created to help subsidize student registration fees. Please consider adding a donation on your registration form today! Register online at www.academyofosteopathy.org Classifications & Registration Fees AAO Members On or before January 20 Active................................. $665 Associate.......................... $665 Intl Affiliate..................... $665 Supporter........................ $665 Retired.............................. $485 1st Year Practice........... $485 2nd Year Practice......... $485 Intern/Res./NUFA....... $460 PhD..................................... $345 After January 20 (but not on-site) A $100 late registration fee will be charged. On-site registration (after March 3) A $150 on-site registration fee will be charged. On-site registration is discouraged. Registration includes one ticket to the Annual Business Meeting Lunch on Thursday, March 20. Admission to the President’s Banquet is NOT INCLUDED in registration this year. Tickets must be purchased separately for ALL ATTENDEES. AAO Non-Members $925 on or before January 20 Fee includes one ticket to the Annual Business Meeting Lunch on Thursday, March 20. Entrance to Saturday Night’s President’s Banquet is NOT INCLUDED and must be purchased separately. After January 20 (but not on-site) A $100 late registration fee will be charged. On-site registration (after March 3) A $150 on-site registration fee will be charged. On-site registration is discouraged. If you are an AAO non-member and would like to join the AAO, a membership application can be found on page 10 of this document. AAO 2014 Convocation T-shirts from SAAO Visit the SAAO booth in the Exhibit Hall at the Broadmoor to purchase yours for only $15. Physician Information • 9 Membership Application 3500 DePauw Blvd., Suite 1080 • Indianapolis, Indiana 46268 Phone: (317) 879-1881 • Fax: (317) 879-0563 www.academyofosteopathy.org AOA # ____________ Date of birth ____________ Citizenship____________ Place of birth (city/state)__________________ Name _______________________________________________________________________________ Gender: (First) (M.I.) (Last) Male Female (Title) Office name _________________________________________________________________________________________________ Address ______________________________________________________________________________________________________ City/State_______________________________________________ Phone ________________________ Zip ___________ Country_____________________ Fax ________________________ Email _____________________________________ By releasing your Fax number/ E-mail address, you have given the AAO permission to send marketing information regarding courses via Fax/E-mail. Home Address ______________________________________________________________________________________________ City/State_______________________________________________ Phone ________________________ Zip ___________ Country_____________________ Fax ________________________ Email _____________________________________ By releasing your Fax number/ E-mail address, you have given the AAO permission to send marketing information regarding courses via Fax/E-mail. Preferred mailing address: Office Home Preferred e-mail: Office Home Preferred phone: Office Home Please indicate where the AAO may publish online your preferred mailing address and telephone number (check all that apply): Medical Education Premed College Find a physician Membership directory Do Not Publish Institute/Program City/State Degree Year Graduated __________________________ ____________________ ____________________ ______________ Medical College __________________________ ____________________ ____________________ ______________ Internship __________________________ ____________________ ____________________ ______________ Residency __________________________ ____________________ ____________________ ______________ Specialty Medical Societies __________________________ Licensure State/Number _____________________________________ American Osteopathic Association Yes No International (AAO-approved Registry) Yes No Cranial Academy Yes No Former UAAO member Yes No Former NUFA Other __________________________________ Yes No Have you ever been denied or expelled from membership in a country/district/state society, or component society of the AOA or AAO? Yes No Have you ever been convicted of a felony or violation of any state or federal narcotics act ? Yes No Has your license ever been surrendered, suspended, or revoked? Yes No (If you answered yes to any of the three questions above, please explain on an seperate sheet.) AAO Sponsor/Reference (Not required if graduated from an accredited U.S. osteopathic college) *Membership in the American Academy of Osteopathy® requires membership in the American Osteopathic Association (AOA). Membership Categories (please select one) Payment by Visa, MasterCard, Discover, or personal check in USD only *Intern/Resident $42.00 Supporter $274.00 Please make checks payable to the American Academy of Osteopathy *1st Year in Practice $98.00 International Affliliate $302.00 Name as it appears on card _________________________________ *2nd Year in Practice $194.00 International Associate $302.00 Card # _________________________________________________ *Active $274.00 Expiration date _______________3 digit CVV# ___________ Associate (MD) $274.00 *Intern/Resident 3 yr. $111.00 *Intern/Resident 4 yr. $139.00 Type Visa MasterCard Discover In signing this application form, I certify that the above information is correct and complete, and hereby agree to abide by the Constitution and Bylaws of the American Academy of Osteopathy®. I agree to accept the Board of Trustees of the AAO as the sole and only judge to my qualifications to be and remain a member. I hereby authorize the American Academy of Osteopathy® to charge the above credit card for the amount of selected membership. I understand that any money submitted will be refunded if my application is not approved. Signature _______________________________________________________________________________________________________________ 10 • Physician Information Register online at www.academyofosteopathy.org PHYSICIAN Registration Form 2014 AAO Convocation / March19-23, 2014 /The Broadmoor Hotel, Colorado Springs, CO INSTRUCTIONS 1. REGISTER ONLINE at www.academyofosteopathy.org or complete ONE form for each registrant. Type or print clearly within boxes (one character per box please). 2. MAIL completed forms and fee(s) to AAO Convocation, 3500 DePauw Blvd., Suite 1080, Indianapolis, IN 46268. 3. FAX both pages of completed form with credit card payment to 317-879-0563. 4. QUESTIONS: Call 317-879-1881. For program information, e-mail [email protected]. 5. Complete one form per registrant. FIRST NAME LAST NAME NICKNAME FOR BADGES TITLE (DO, MD, PhD ,etc) STREET ADDRESS CITY STATE DAY TIME PHONE POSTAL CODE COUNTRY FAX EMAIL ADDRESS GUEST LAST NAME GUEST FIRST NAME AOA INFORMATION AOA NUMBER REGISTRATION FEES Registration Type Active Member Associate Member International Affiliate Supporter 1st Year in Practice 2nd Year in Practice Retired Intern/Resident/NUFA PhD Non-Member COLLEGE $100 Donation $50 Donation MEALS & EVENTS Regular/ EarlyStandard (before 1/20) □ $665 □ $665 □ $665 □ $665 □ $485 □ $485 □ $485 □ $460 □ $345 □ $925 □ □ Late/On-Site (After 1/20) (After 3/3) □ $765 □ $765 □ $765 □ $765 □ $585 □ $585 □ $585 □ $560 □ $445 □ $1,025 NICHOLAS S. NICHOLAS FUND DONATION □ □ GRADUATION YEAR $25 Donation $10 Donation □ $815 □ $815 □ $815 □ $815 □ $635 □ $635 □ $635 □ $610 □ $495 □ $1,175 □ Other Amount $___________ □ AAO Board of Trustees Member □ AAO Board of Governors Member □ AAO Committee Chair □ AAO Committee Member □ Residency Program Director □ SAAO Chapter Advisor □ AOA Representative □ Sign me up as an A. Hollis Wolf judge 2 #____ #____ □ $50 each □ $35 each □ Incl. in Price Menu: Buffet (vegetarian options) Interns/Residents/Program Directors Only Fellows Dinner (3/21) FAAOs & Guests #____ □ $100 each Meal Preference: □ Beef □ Veggie □ Gluten-free (Hotel’s choice) President’s Banquet (3/22) Not included in registration fee. Banquet Tickets #____ □ $110 each Banquet Meal Preference: □ Beef □ Fish □ Veggie □ Gluten-free (Hotel’s choice) PAYMENT □ Visa □ MasterCard □ Check made payable to the AAO □ Discover CARD NUMBER EXPIRATION DATE SIGNATURE NAME ON CARD (PLEASE PRINT) BILLING ADDRESS IF DIFFERENT THAN ABOVE BECOME A PHYSICIAN MENTOR Specialty (check one) □ NMM □ Ortho □ Surgery □ Peds □ Sports Med □ OB □ IM Maximum Number of Protégés (Circle One): 1 □ Incl. in Price □ Incl. in Price □ Incl. in Price Meal Preference: □ Chicken □ Vegetable □ Gluten-free (Hotel’s choice) Extra Lunch Tickets Gavel Club (3/20) Past Presidents & Guests Friday PAAO Luncheon (3/21) I AM A/AN: (check all that apply) □ C-SPOMM □ C-NMM/OMM □ FAAO □ AAO President □ AAO Past President □ AAO President-elect □ AAO Sect.-Treasurer □ 2014 Convo. Speaker I plan to Attend: (check all that apply) Evening with the Stars (3/19) Evening with the Stars and Stripes (3/20) AAO Annual Business Meeting Lunch (3/20) □ FP □ EM □ PM&R □ Other: __________ 3 Do you utilize Osteopathy in the Cranial Field in your practice? □ Yes Register online at www.academyofosteopathy.org □ No CONTINUE TO 2nd Page Physician Information • 11 Name: _______________________________________________________ Physician Lectures & Workshops Please indicate all lectures you plan to attend. _______ 1C _______ 4A Thursday, March 20, 7:30 am - 11:10 am Friday, March 21, 7:30 am - 12:00 pm _______2B: OMT & Physics to Reverse the Damage of Trauma; Dr. Dowling Palpation and Treating the Brain – Initial Phase: Trauma and Related Sympathetic States; Dr. Chikly _______2C: Practical Procedures for Integrating Chinese Energetics into an Osteopathic Understanding of Midline Function; Dr. Laseter _______2D: Allowing Inherent Forces to Resolve Traumatic Strains; Dr. Goldman _______2E: Treating Injury Shock After Trauma; Dr. Nerman Thursday, March 20 4:30 pm - 6:00 pm _______3A: _______3B: OMT & Physics to Reverse the Damage of Trauma; Dr. Dowling Palpation and Treating the Brain – Initial Phase: Trauma and Related Sympathetic States; Dr. Chikly _______3C: Practical Procedures for Integrating Chinese Energetics into an Osteopathic Understanding of Midline Function; Dr. Laseter _______3D: Allowing Inherent Forces to Resolve Traumatic Strains; Dr. Goldman _______3E: Self-healing for Trauma Using EFT Meridian Tapping; Dr. D’Eramo Friday, March 21 2:00 pm - 3:30 pm 5A: Treating Functionally Persistent Trauma; Dr. Hagopian _______ 5B: Impact Injuries: Description, Diagnosis and Treatment of Four Common Patterns of Viscoelastic Change; Dr. Bellew _______ 5C: Trauma in the Fascia: Undoing the Damage and Supporting the Healing; Dr. O’Connell _______ 5D: VSR: Osteopathic Evaluation and Treatment of Lower Extremity Injuries with Regard to the Urogenital and Hepatic Systems; Dr. Tortu _______ 5E: _______ _______ 5F: _______ 6A: _______ 9H Saturday, March 22, 7:30 am - 11:15 am Sunday, March 23, 7:30 am - 12:15 pm Please number your workshop choices from one to three for each session. Thursday, March 20 2:30 pm - 4:00 pm _______2A: _______ 7A Whiplash as a Total Body Injury; Dr. Robbins Component Society Forum; Dr. Lossing Friday, March 21 4:00 pm - 5:30 pm Treating Functionally Persistent Trauma; Dr. Hagopian 12 • Physician Information Friday, March 21 (cont’d.) _______ 6B: Impact Injuries: Description, Diagnosis and Treatment of Four Common Patterns of Viscoelastic Change; Dr. Bellew FULL 6C: Trauma in the Fascia: Undoing the Damage and Supporting the Healing; Dr. O’Connell 6D: VSR: Osteopathic Evaluation and Treatment of Lower Extremity Injuries with Regard to the Urogenital and Hepatic Systems; Dr. Tortu _______ Saturday, March 22 8:00 am - 9:30 am _______ 6E: Magoun Memorial FAAO/NUFA Forum 8A: Precise Facet Activation at Your Fingertips: Cervical and OA HVLA; Dr. Kuchera FULL 8C: Osteopathic Considerations of Obstetrical and Perinatal Cranial Trauma; Dr. Capobianco _______ 8E: 11:30 am - 1:00 pm _______ _______ 8D: Faculty Development Workshop 1 The Teaching Identity; Dr. Schwalenberg Teaching While Practicing Osteopathic Medicine: Secrets of Master Teachers; Dr. Rowane Ariadne’s String in the Rising Labyrinth of Harmonization After Trauma: An Osteosophical Conceptualization (How global do you need to go to treat a local trauma?); Dr. Beuckels Saturday, March 22 2:45 pm - 5:00 pm 9A: Precise Facet Activation at Your Fingertips: Cervical and OA HVLA; Dr. Kuchera _______ 9C: Osteopathic Considerations of Obstetrical and Perinatal Cranial Trauma; Dr. Capobianco _______ 9D: Faculty Development Workshop 2 Promoting the Osteopathic Concept: Pearls in Research and Writing a Scientific Paper; Dr. Hensel _______ 9E: Dental Trauma Associated with Tooth Extraction: An Osteopathic Approach; Drs. Gustowski and Meyer 9F: Coding and Reimbursement: Understanding ACOs and Risk Sharing in the Emerging Market and E&M & OMT Coding 101; Dr. Jorgensen _______ _______ Sunday, March 23 1:30 pm - 7:00 pm _______ 9R: Residency Program Directors’ Workshop Register online at www.academyofosteopathy.org Registration Form located on pages 11 & 12 Interns & Residents Join the PAAO! Postgraduate American Academy of Osteopathy Purpose • • • • • Promoting continued education in osteopathic principles and practices (OPP) in postgraduate training programs; Providing a network for interns and residents interested in OPP; Identifying interns and residents at the annual AAO Convocation; Providing a platform for intern and residents issues at the AAO; and Providing intern and resident representation at the AAO and AOA. Benefits • • • • • A luxurious retreat conveniently located just minutes from downtown Colorado Springs, The Broadmoor is the pinnacle of meeting locations in North America. It has 700 rooms and suites, 185,000 square feet of flexible event space, more than 10 restaurants, cafés and lounges, three golf courses, a tennis club and world-class spa. These lush 3,000 acres are easily accessible, with non-stop flights from Los Angeles, San Francisco, Chicago, Atlanta, Dallas and Phoenix directly to Colorado Springs Airport, or from anywhere in the United States through Denver International Airport, just 90 minutes away. A substantial discount on all AAO educational programs, including Convocation; Savings on books and other publications through the AAO online store; The AAO Journal and AAO Member Newsletter; Access to the PAAO Committee, which holds a voting seat on the AAO Board of Governors, giving the PAAO a greater voice in policy making for you, the interns and residents; and Access to the PAAO Forum, located on our website. Look for us in Colorado Springs... The PAAO will have a booth in the Exhibit Hall, as well as hold its Business Meeting/Elections on Friday, March 21, 2014, from 12:00 pm to 1:45 pm. The PAAO is a great way of getting involved. Simply complete the form below and mail it to: American Academy of Osteopathy, 3500 DePauw Blvd., Suite 1080, Indianapolis, IN 46268, Attn: PAAO. I’m interested in more information about the PAAO Name _______________________________________________________________ Phone _______________________________________________________________ Address _____________________________________________________________ City/State/Zip _____________________________________________________ E-mail_______________________________________________________________ Residency Program ________________________________________________ Program Director __________________________________________________ Year in training: PGY1 PGY2 PGY3 PGY4 PGY5 AOA Member: YES / NO (if YES, AOA # ____________________) AAO Member: YES / NO Register online at www.academyofosteopathy.org Room Service Business Center Child Care Gift Shop Indoor Pool Meeting Rooms Parking Spa Bar Conference Center Restaurant Internet Access Children’s Activities Golf In-room Movies Mini Bar Pets Allowed Valet In-room Safe Wireless Internet Fitness Center Airport Shuttle Concierge Hairdryer Iron/Ironing Board Outdoor Pool Salon Opening Windows Physician Information • 13 Registration Form located on pages 11 & 12 Colorado Springs... so much more! The Broadmoor’s Pikes Peak Cog Railway The highest train in the United States, and the highest cog railroad in the world, this 114-year-old railway ferries passengers to the 14,110-foot summit of Pikes Peak year-round. Visit cograilway.com or call (719) 685-5401 for more information. U.S. Air Force Academy This premier military academy, located just north of Colorado Springs on I-25, is open to visitors daily from 8:00 am to 6:00 pm. Visit usafa.af.mil or call (710) 3332025 for more information. The Garden of the Gods One of the area’s most photographed attractions, this 1300-acre park is a Registered National Natural Landmark and is open to the public with no entry fee. The Garden of the Gods is perfect for hiking, biking, horseback riding or, on crisper days, viewing from the comfort of the indoor cafe. Visit gardenofgods.com or call (719) 634-6666 for more information. Fine Arts Center The Fine Arts Center of Colorado Springs, comprising museum galleries, an art school, a theater and a cafe, is a perfect way to spend an afternoon. “Reflections of the Past in Contemporary Native American Art” is a special exhibit until the end of March 2014, or you may want to see “Agnes of God,” opening March 20 on the theater’s main stage. Visit csfineartscenter.org or call (719) 634-5583 for more information. Cheyenne Mountain Zoo This is America’s only mountain zoo, rising from 6,800 feet at the entrance to nearly 7,000 feet inside. The zoo cares for more than 800 animals from over 200 species, more than 30 of which are endangered. Visit cmzoo.org or call (719) 633-9925 for more information. 14 • Physician Information Register online at www.academyofosteopathy.org Registration Form located on pages 11 & 12 Hotel Reservation Form Be sure to indicate your participation in the American Academy of Osteopathy Convocation! Seven days a week, 7:00 am to 9:00 pm (Mountain Time): (800) 634-7711 Register Online: https://resweb.passkey.com/go/aao14 Please make your room reservations early in order to protect the AAO’s ability to block a sufficient number of rooms. Arrival/Departure Dates Rooms are not available for check-in until 3:00 pm. Checkout time is 11:00 am. Guests must provide payment information in order to secure a reservation and will be charged one night’s room and tax deposit immediately. Reservations may be cancelled or changed up to seven days prior to arrival. Failure to notify the hotel of a cancellation will result in a charge of one night’s room and tax. Arrival Date: Departure Date: Credit Card Information Cardholder Name: Card Type: ________________ Billing Address: __________________________________________________________________________________________________________________________ Card Number: Signature: Expiration Date: 3-digit CVV: ______________ Reservation Information Please Type or Print Legibly AAO Convocation Rates: Name: _______________________________________________________________ Single/Double–Standard...............................................................$174 City: Single/Double–Superior................................................................$225 Address: ____________________________________________________________ Zip: State: __________ Country: _________________________________________ Daytime Phone: ____________________________________________________ Type of Room Preferred: __________________________________________ Special Requirements: _____________________________________________ _______________________________________________________________________ Sharing room with: ________________________________________________ _______________________________________________________________________ Single/Double–Intermediate.......................................................$199 Daily Resort Fee.................................................................................. $16 Daily Fee for additional person(s)................................ $2.50 each No charge for children ages 17 and under utilizing existing bedding. The above room rates are available March 15-24. Please be sure your reservation reaches the hotel by Feb. 19. Otherwise, accommodations will be on a space-available basis only and higher rates may apply. For room descriptions, please visit www.broadmoor.com/luxury-resort-rooms. Please note, all credit cards will be charged a minimum of one night’s room and tax deposit immediately. Rates are European-Plan (no meals) and do not include 9.63% tax or 2.25% public improvement fee (subject to change). Incidental services fees of $16 per room, single or double occupancy, and $2.50 for each additional person, will be added to the room to include: unlimited access to The Broadmoor Spa Fitness Center, local access and toll-free calls, credit card calls and collect calls up to one hour in length, all incoming faxes, in-room coffee and tea, daily newspaper, and in-room high speed internet service both wireless and hardline. The incidental service fee is not included in the room rate and is subject to change. Register online at www.academyofosteopathy.org Physician Information • 15 3500 DePauw Blvd., Suite 1080 Indianapolis, IN 46268 Phone: (317) 879-1881 Fax: (317) 879-0563 www.academyofosteopathy.org It’s Never Too Early to Save the Date for AAO Convocation 2015... Plan Ahead to Join us at the Marriott Hotel in Louisville, KY March 11-15, 2015! Life in Motion Richard L. Schuster, DO, Program Chair