Document 6556101

Transcription

Document 6556101
12th Annual Temporal Bone
Surgical Course
Parking
There are several visitor parking garages on the University
Hospitals campus:
CID 2504
Registration Form
• Adelbert Road Parking Garage accessible from
Adelbert Road and located next to Rainbow Babies
and Children’s Hospital. It connects to the hospital
buildings via a tunnel on the basement level.
FOUR WAYS TO REGISTER
• UH Drive Parking Garage accessible from UH Drive,
south of Euclid Avenue.
yourWAYS
credit TO
card,
through July 21
FOUR
REGISTER
Case
University
or credit
card
2. Western
Mail thisReserve
registration
form with
with
your check
checknumber
payable to
to
2.
form
payable
1. Mail
Mail this
this registration
form with your
check your
or credit
card
number
to:
Registrar,
CME
Program,
10524
Euclid
Ave.
FOUR
FOUR
WAYS
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TO
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REGISTER
Case
Western
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University
or
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card
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or credit
card
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FOUR WAYS
TO REGISTER
to: Registrar,
CME Program,
Euclid
Avenue,
to: Registrar,
Registrar,
CME
Program,
10524 Euclid
Euclid Ave.
Ave.
Cleveland,
OH
to:
Program,
10524
1.1.44106-6026
Register
Register
online
online
atathttp://casemed.case.edu/cme
http://casemed.case.edu/cme
with
with
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OHCME
44106-6026
Cleveland,
OH
44106-6026
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requested
below
and
yourpayable
credit
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information
requested
below
and
your
credit
card
number
to:to:Registrar,
Registrar,
CME
CME
Program,
Program,
10524
10524
Euclid
Ave.
Ave.
2. Mail
this
registration
form
with
your
check
toEuclid
information
requested
below
and
your
credit
card
number
information
requested
below
and
your
credit
card
number
Cleveland,
Cleveland,
OH
OH
44106-6026
44106-6026
4.
Register
online
at
http://casemed.case.edu/cme
Case Western Reserve University or credit card number
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Name
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216-983-1239 or 1-800-274-8263 with the
Degree(s)
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SSN
SSN
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Telephone
Street
Address
information
requested
below and your credit card number
Street Address
Street Address
________________________________________
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Business
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City/State/ZIP
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Tuition:
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Card Number
Conference tuition includes all educational sessions,
materials, refreshments, continental breakfast both days,
and lunch on Friday. Register by mail using the tear-off
form, or by fax, phone or online with a credit card. Advance
payment secures your participation in the program.
Attendance is limited.
Late Registration and Cancellation Policy
After Friday, October 3 please register on a space available
basis by calling the CME Program at 216-983-1239 or 800274-8263. Full refunds will be made for cancellations on
or prior to October 3 only. Cancellations received after that
date will require a $50.00 administrative fee.
2014
University
Hospitals
© 2014
University
Hospitals
©©2014
University
Hospitals
Cleveland, OH 44106
_______ Enclosed is my check payable to:
Exp. Date
The Glidden House
(0.5 miles to University Hospitals)
1901 Ford Drive
Cleveland, OH 44106
216-231-8900
www.gliddenhouse.com
Registration Information
Email
Email
Tuition:
$75.00
___ Enclosed
Enclosed
my check
check payable
payable to:
to:
___
isis my
Tuition:
$400.00
Tuition:
Tuition:$75.00
$75.00
Business Phone
Case
Western
Reserve
University
Case Western Reserve University
________________________________________
Signature
Signature
Exp. DateSecurity
Code
Exp.
Exp.
Date
Date
Security
Security
Code
Code
Courtyard by Marriott – University Circle
(0.1 miles to University Hospitals)
2021 Cornell Road
Cleveland, OH 44106
1-800-MARRIOTT
www.marriott.com/clece
11100 Euclid
Ave.,
MSC-9160
11100
Euclid
Ave.,
11100
EuclidMedical
Ave.,MSC-9160
MSC-9160
Continuing
Education Program
Cleveland, Cleveland,
OH 44106
OH
44106
11100 Euclid
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Cleveland,
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44106
10524
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11100
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Cleveland,
OHAve.,
44106
Cleveland,
OH 44106-6026
Email
Email
City/State/Zip
City/State/ZIP
City/State/ZIP
Email Tuition:
Tuition: $75.00
$75.00
Degree(s)________________________________________
SSN (last 4 digits)
Email
Email
Lodging
Please contact these facilities directly to determine
availability and make your reservation. For information on
other accommodations in the University Circle area call the
CME Program at 216-983-1239 or 800-274-8263.
City/State/ZIP
Street
Street
Address
Address
Name
________________________________________
Exp.Date
Date
Exp.
Card
Number
Card
Card
Number
Number
You are responsible for your own parking charges.
h form here
h form here
Degree(s)
Degree(s)
Degree(s)
• Health Sciences Parking Garage located under the
Biomedical Research Building and accessible from
Circle Drive or Emergency Drive. Bolwell Conference
Center is located across the street from the
Emergency Drive entrance.
October 17 & 18, 2014
ntinuing Medical Education
1. Register
online
at http://casemed.case.edu/cme
with
FOUR
WAYS
TO
REGISTER
FOUR
WAYS
TO
REGISTER
Registration
Form
your
credit
card,
through
July
21
Registration
1. Register
RegisterForm
online at
at http://casemed.case.edu/cme
http://casemed.case.edu/cme with
with
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online
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2. Mail this
registration
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your21check payable to
your
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With an Update in Otologic Surgery
anaging Concussion in Youth:
Guidelines
and
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After Friday, October 3, register by calling the
CME
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at 216-983-1239 or 800-274-8263.
Registration
Form
Registration
12th Annual Temporal Bone
Surgical Course
Register
online26,
at:
http://casemed.case.edu/cme
Saturday,
July
26,
rday,
July
2014
Saturday,
July
26, 2014
2014
aturday,
July
26,
2014
aturday,
July
26,
2014
Managing
Concussion
in
ging
Concussion
in Youth:
Managing
Concussion
in Youth:
Youth:
With an Update in Otologic Surgery
University Hospitals Case Medical Center
11100 Euclid Avenue
Cleveland, Ohio
Presentedby:
by:
Presented
Presented
by:
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by:by:
Presented by:
Ear, Nose & Throat Institute
Sponsoredby:
by:
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by:by:by:
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Sponsored by:
Presenters
Faculty
KEYNOTE SPEAKER
Presenters
Program Agenda
12th Annual Temporal Bone
Surgical Course
begins
Gerard Gioia, PhD
Chief, Division of Neuropsychology
Director,
SafePhD
Concussion Outcome
Friday,
October
17
Guest
Faculty
Gerard
Gioia,
With an Update in Otologic SurgeryMedical
Case
Recovery
Education
(SCORE) Program
Chief,
Division&of
Neuropsychology
Children’s
National
Medical
Center
8:00
8:30
AM
Registration
and
Continental
Breakfast
Dennis
I.
Bojrab,
MD
Director, Safe Concussion Outcome
n
October 17 Reserve
& 18, 2014
Center
for
Neurosciences
Research
Clinical Associate Professor
of &Otolaryngology,
Wayne
State
Recovery
Education
(SCORE)
Program
der
in
medical
Associate
Professor
of Psychiatry
8:30 - 8:45 AM Introduction
Children’s
National
Medical
Center
University Hospitals Case Medical Center
University
andfor
Behavioral
Sciences,
and Pediatrics
ed
among
Maroun Semaan, MD; Cliff A. Megerian, MD the
Neurosciences
Research
Chief Executive Officer,Center
Michigan
EAR Institute
11100 Euclid Avenue
George
Washington
University
Professor Providence
of Psychiatry Hospital,
Medical Director,&
SkullAssociate
Base Surgery,
by
U.S.
News
Cleveland, Ohio
of Medicine
Sciences
8:45 - 9:30 AM Modern Approaches to
andSchool
Behavioral
Sciences,and
andHealth
Pediatrics
Southfield, MI
Washington,
DC
ments
at
Case
George Washington University
Cholesteatoma Surgery
KEYNOTE SPEAKER
with
Chairman of Otolaryngology Section, William Beaumont
Dennis I. Bojrab, MD
ne,
physicians
Hospital,
Royal Oak, MISchool of Medicine and Health Sciences
FACULTY
Washington, DC
edical
car
e
Christopher Bailey, PhD
9:30 - 9:40 AM Move to Laboratory
Learning
Objectives
Overview
Western
Course
Director Reserve University
at
bring
theCase
FACULTY
9:40 - 11:50 AM Laboratory Dissection
Following
completion
of this program
participants
will be
Overview
Knowledge
of
sports concussion
has changed
substantially
• Intact Canal Mastoidectomy
able to:
• Facial Recess Approach
in the past 20 years. Unfortunately, many athletes do not
• Recognize the latest clinical and surgical strategies in
obtain
appropriate
evaluation
or management
concussion
Knowledge
of sports
concussion
has changed of
substantially
the treatment of cholesteatoma
Noon - 1:00 PM Lunch
which
can
lead
prolonged
recovery,
repeated
injury
in •
theDemonstrate
past
20 to
years.
Unfortunately,
many
athletes
do not
intact
canal
mastoidectomy
dissection,
and
catastrophic
outcomes.
TheorState
ofcanalplasty,
Ohio has
passed
obtain
appropriate
evaluation
management
of concussion
canal
wall down
mastoidectomy,
facial
1:00 - 1:45 PM Stapes Surgery for Otosclerosis
legislation
governing
the evaluation
andendolymphatic
management
of
which
can
lead
to prolonged
recovery,
repeated
injury sac
nerve
decompression
dissection,
Dennis I. Bojrab, MD
concussion,
a key feature
which
requires
thathas
athletes
and catastrophic
outcomes.
The State
of Ohio
passed
decompression,
andofshunt,
posterior
semicircular
1:45 - 2:00 PM Move to Laboratory
canal
surgery and
labyrinthectomy
who
have
sustained
a suspected
concussion
undergo of
legislation
governing
the
evaluation
and dissection
management
•
Recognize
the
etiologies
of
stapes
fixation
and
evaluation
by aankey
appropriate
provider
who
is trained
concussion,
feature of medical
which requires
that
athletes
tic
2:00 - 5:00 PM Laboratory Dissection
understand
themanagement
of concussion
modern
surgical
in who
the evaluation
and
of concussion.
have sustained
amethods
suspected
undergo
• Canal Wall Down
Mastoidectomy
neur
ology
,
management of otosclerosis including stapedectomy
evaluation by an appropriate medical provider who is trained
•
Canalplasty
and
other
in the evaluation and management of concussion.
• Facial Nerve Decompression
Directorof
of Concussion
Program, UH Neurological Institute
School
Medicine
Christopher
Bailey, PhD
Assistant
Professor of Neurology
Course
Director
Case Western
Reserve
University
of Medicine
Maroun
MD
Director
ofSemaan,
Concussion
Program,
UH School
Neurological
Institute
Course
Director
Assistant
Professor
of
Neurology
Philip Fastenau, PhD
Associate
Professor
Otolaryngology
Head & Neck Surgery
Case
Western
Reserveof
University
School of –
Medicine
Course
Co-Director
Department
of
Otolaryngology
–
Head
&
NeckCenter
Surgery
Director of Neuropsychology, UH Case Medical
Philip
Fastenau,
PhD
UH
Case
Medical
Center
Professor
of Neurology
Course Co-Director
Case Western Reserve University School of Medicine
Director of Neuropsychology, UH Case Medical Center
Joseph
Carter, MD
Professor
Neurology
NancyofProfessor
Bass,
MDof Otolaryngology – Head & Neck Surgery
Associate
Case
Western
Reserve University
School of Medicine
Division
of Pediatric
Neurology
Chairman, Department of Otolaryngology – Head & Neck
UH Rainbow Babies & Children’s Hospital
Nancy Bass, MD
Surgery
Associate Professor of Pediatrics
Division of Pediatric
Neurology
MetroHealth
Medical
Case Western
ReserveCenter
University School of Medicine
UH Rainbow Babies & Children’s Hospital
Associate
Professor
of Pediatrics PT, DPT
Michele
Hippler-Brant,
Sam
E. Kinney,
MD
asCase
Western
Reserve
University
of Medicine
Lead
Outpatient
Therapist,
St.
John Medical
Center
Clinical
Associate
Professor
ofSchool
Otolaryngology
– Head & Neck
n,
as
well
Who Should
Attend/Course
Description
About
the Brain
Health & Memory
Center
community
5:00 PM Adjourn for the day
Surgery
Michele
JeffreyHippler-Brant,
Janata, PhD PT, DPT
This
program
is
intended
for
practicing
ENTs
and
graduating
s
in
the
Past
President,
American
Otological
Society
Lead
Outpatient
Therapist,
St.
John UH
Medical
Center
Director,
Division
of Psychology,
Case
Medical Center
About
the
Brain
Health
& Memory
Center
For
over 20
years,
the
Brain
Health
Memorysurgery
Center
at
senior
residents
interested
in an &otologic
update
Associate Professor of Psychology
cussion
Jeffrey
Janata, PhDMD
University
providedand
exemplary
care andsessions
support
Cliff
A.Western
Megerian,
through Hospitals
a series has
of lectures
lab dissection
Case
Reserve University School of Medicine
etur
n
to
play
.
Director, Division
of Psychology, UH Case Medical Center
forusing
families
who
are
affected
by disorders
of lectures
memory
and
For
over
20
years,
the
Brain
Health
&
Memory
Centerwill
at be
Saturday, October 18
Professor
and Chair,
Department of Otolaryngology – Head
temporal
bone
specimens.
Faculty
Jonathan
Miller,
MD
Associate
Professor
of Psychology
cognition
(mental
processes).
The goal
of treatment
is support
to
& Neck Surgery
complemented
by
closely
mentored,
hands-on
University
Hospitals
has provided
exemplary
carelab
andsessions
Director,
Center
forUniversity
FunctionalSchool
& Restorative
Neurosurgery
Case
Western
Reserve
of Medicine
8:00
8:30
AM
Registration
and
Breakfast
Richard
W. & Patricia R. Pogue Chair in Auditory Surgery and
improve
cognitive
as by
well
asinteraction
the overall
quality
offering
opportunities
for dynamic
with
faculty.
for families
who functions
are affected
disorders
of memory
andof
UH Case Medical Center
Jonathan
Miller,
MD
Hearing
Sciences
participant
will
have The
access
lifeEach
for our
patients.
The center
specializes
in state-of-the-art
state-of-the-art
Assistant
Professor of Neurosurgery
cognition
(mental processes).
goaltoof atreatment
is to
8:30 - 9:30 AM Endolymphatic Sac Surgery
Director, Center
for Functional
& Restorative Neurosurgery
Director,
Department
Otolaryngology
– Head & Neck
10-station
lab
equipped
with
a
microscope
with
a
flat
panel
Case Western Reserve of
University
School of Medicine
evaluation
and treatment
using
research
andof
improve cognitive
functions
as collaborative
well as the overall
quality
Case Discussion
UH Case Medical Center
Surgery
monitor
and
the
latest
dissection
and
drilling
equipment.
care
developed
thespecializes
Department
of Neurology
lifepractices
for our patients.
Thewith
center
in state-of-the-art
MaryDirector
Solomon,
DO
Assistant
Professor
of Neurosurgery
Maroun Semaan, MD; Cliff Megerian, MD; Medical
of
Cochlear
Implantation
y
School
of
atevaluation
Case
Western
Reserve University
School of Medicine
and
Pediatrics
Medicine,
UH
Rainbow
Babies & Children’s Hospital
Case
WesternSports
Reserve
University
School
of Medicine
and treatment
using collaborative
research and
Dennis Bojrab,
MD; Joseph Carter, MD;
UH Case Medical Center
Assistant
Professor
of
Pediatrics
Continuing
Education
vity
,
the
University
Neurological
Institute.Dir
This
joint
ector
Sam Kinney, MD
care
practicesHospitals
developed
with the Department
of Neurology
Mary
Solomon, DO
Case Western Reserve University School of Medicine
initiative
ourReserve
specialists
accessSchool
to the of
latest
research
faculty
(that
at Caseallows
Western
University
Medicine
and
Pediatrics Sports Medicine, UH Rainbow Babies & Children’s Hospital
Meeting
Location
9:30 - 9:40 AM Move to the laboratory
Case
Western
Reservepharmaceuticals
University School
Medicine
from
institutes,
andof
top
physicians
Amanda
Weiss-Kelly,
MD
Assistant
Professor
of Pediatrics
the national
University
Hospitals
Neurological
Institute.
This
joint is
of
the
Director,
Pediatrics
Medicine
accredited
by
the
Accreditation
Council
for
Continuing
Case
Western
Reserve Sports
University
School of Medicine
around
the
world.
initiative
allows
our
specialists
access
to
the
latest
research
icipants
all
9:40 - Noon
Laboratory
Dissection
UH Rainbow
BabiesCase
& Children’s
University
Hospitals
MedicalHospital
Center
Medical Education to provide continuing medical education
from national institutes,
pharmaceuticals and top physicians
Amanda
Weiss-Kelly,
MD
• Endolymphatic Sac Decompressoin
al
inter
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Associate
Professor
For
information on
brain health at University
11100
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Avenueof Pediatrics
formore
physicians.
Director,
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Sports Medicine
around
the world.
• Posterior Semicircular Canal Surgery
Case Western
University School of Medicine
Cleveland,
Ohio
s Hospitals
prior
to
Neurological
Institute,
call 216-844-2724
or visit
UH Rainbow Babies & Children’s Hospital
Case Western
Reserve
University
School of Medicine
• Labyrinthectomy
UHhospitals.org/Neuro.
Brent
Woodside,
ATC/L,
ter
n
Associate Professor
Pediatrics NASM-PES
For more information
on
brainfor
health
at University
Lectures:
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designates
this live activity
a maximum
of Reserve
10 AMA
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Case
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University School of Medicine
(1st Floor, Bolwell Building)
PRA
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call 216-844-2724
visit
Performance and Conditioning Coach
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The commitment to exceptional patient care begins with
revolutionary discovery. University Hospitals Case Medical
The commitment
exceptional
patient
careWestern
begins with
Center is theto
primary
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Reserve
The commitment
to
exceptional
patient
care begins
revolutionary
discovery.
University
Hospitals
Case
Medical
University School
of Medicine,
a national
leader
with revolutionary
discovery.
University
Hospitals
Casein medical
Center
isCenter
the primary
affiliate and
of
Case
Western
Reserveamong the
Medical
is the
primary
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Western
research
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University
School
of
Medicine,
a
national
leader
medical
Reserve
University
School
of
Medicine,
a
national
top research medical schools in the countryinleader
by
U.S. News &
and
education
and
consistently
ranked
among
inresearch
medical
research
and
education
and
consistently
World Report. Through their faculty appointmentsthe
at Case
ranked
amongmedical
the topschools
research
medical
schools
in News
thephysicians
top research
in the
country
by U.S.
&
Western
Reserve
University
School
of
Medicine,
country
by
U.S.
News
&
World
Report.
Through
their
World
Through
their
faculty
at Case
atReport.
UH Case
Medical
Center
areappointments
advancing medical
care
faculty
appointments
at CaseSchool
Western
University
Western
Reserve
University
of Reserve
Medicine,
through
innovative
research and
discoveryphysicians
that bring the
School
of Medicine,
physicians
at UH Case Medical
at UHlatest
Case
Medical Center
aretoadvancing
treatment
options
patients. medical care
Center
are
advancing
medical
care
through
innovative
through innovative research and discovery
that
bring the
research and discovery that bring the last treatment
latest treatment options to patients.
options to patients.
Who Should Attend
Disclosure
Who
Should
This
event is Attend
designed to assist coaches, athletic
trainers, physicians (pediatrics, primary care, neurology,
The
of
Case Western
Reserve
University
School
of other
neurosurgery,
orthopaedics,
sports
medicine)
and
This policy
event
is designed
to assist
coaches,
athletic
Medicine
CME
Program
requires
that
thecare,
Activity
Director,
health
care
providers
whoprimary
manage
concussion,
as well as
trainers,
physicians
(pediatrics,
neurology,
planning
committee
members
andmedicine)
all activity
faculty
school
administrators
and
the
Northeast
Ohio
community
neurosurgery,
orthopaedics,
sports
and
other
(that
is,care
anyone
in understanding
a position
to control
thepractices
content
ofas
in
general,
in
the
best
in
the
health
providers
who manage
concussion,
as well
the
education
activity)
disclose
the activity
participants
identification
andand
management
of sports
concussion
school
administrators
the to
Northeast
Ohio
community
all
relevant
financial
relationships
with
commercial
and the
for
determining
fitness
forthe
return to play.
in general,
in methods
understanding
the best practices
in
interests.
Disclosure
will be madeoftosports
activity
participants
identification
and management
concussion
prior
to the
commencement
of the fitness
activity.for
Case
Western
and the
methods
for determining
return
to play.
Reserve University School of Medicine also requires that
Faculty Disclosure
faculty make clinical recommendations based on the
best available scientific evidence and that faculty identify
Faculty
Disclosure
The policy
of Case Western Reserve University School of
any discussion of “off-label” or investigational use of
Medicine CME Program requires that the Activity Director,
pharmaceutical products or medical devices.
planning
committee
and all activity
faculty
The policy
of Case
Westernmembers
Reserve University
School
of (that
is,
anyone
in
a
position
to
control
the
content
of
the
Medicine CME Program requires that the Activity Director,
education
activity)
disclose
to
the
activity
participants
planning committee members and all activity faculty (that all
relevant
commercial
is, anyone
in afinancial
positionrelationships
to control thewith
content
of the interests.
Disclosure
will
be
made
to
activity
participants
education activity) disclose to the activity participantsprior
all to
the
commencement
of
the
activity.
Case
Western
relevant financial relationships with commercial interests.Reserve
University
School
also requires
that
Disclosure
will be
madeoftoMedicine
activity participants
prior
tofaculty
make
clinical
recommendations
based
on
the
best
the commencement of the activity. Case Western Reserveavailable
scientific
evidence
and that
identify
any discussion of
University
School
of Medicine
alsofaculty
requires
that faculty
“off-label”
or
investigational
use
of
pharmaceutical
make clinical recommendations based on the best availableproducts
or medical
devices.
scientific
evidence
and that faculty identify any discussion of
“off-label” or investigational use of pharmaceutical products
or medical devices.