Print Name (Print Clearly) Specialty: _____________________________ *NOTE: the above information will be used for your nametag. __MD __ Resident/Fellow __NP __ OD __Other: ______________________ Regional Rheumatology Conference SPEAKERS AFFILIATIONS / CREDENTIALS ______________________________________________________ Arthur Kavanaugh, MD Professor of Medicine Director, Center for Innovative Therapy in the Division of Rheumatology, Allergy, and Immunology Uni. of California San Diego, California ______________________________________________________ Address: _____________________________ City: _____________________________ Carol Langford, MD Rheumatic and Immunologic Disease Director, Center for Vasculitis Care and Research Cleveland Clinic Cleveland, Ohio ______________________________________________________ State: ____________ Zip: _____________ Email: _____________________________ Phone: _____________________________ Fax: _____________________________ □ Yes, I will be attending the reception on Friday, April 24, 2015 Will there be additional guests? _____________________________________ Registration Information Online at: http://medicine.unm.edu/rheumatology/conference.html OR Contact: Jackie Cremar [email protected] Office: (505)272-4761 Fax: (505)272-3624 Mail Registration to: UNM DoIM / Rheumatology Attn: Jackie Cremar 1 University of New Mexico MSC 10-5550 Albuquerque, NM 87131-0001 *REGISTER BEFORE APRIL 15, 2015 Sterling West, MD Fellowship Program Director, Professor of Medicine Division of Rheumatology, Uni. of Colorado, School of Medicine, Aurora, Colorado ______________________________________________________ Physician Accreditation Statement Purdue University College of Pharmacy, an equal access/equal opportunity institution, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Credit Designation Purdue University College of Pharmacy designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Disclosure Statement All faculty AND staff involved in the planning or presentation of continuing education activities sponsored/provided by Purdue University College of Pharmacy are required to disclose to the audience any real or apparent commercial financial affiliations related to the content of the presentation or enduring material. Full disclosure of all commercial relationships must be made in writing to the audience prior to the activity. All additional planning committee members and Purdue University College of Pharmacy staff have no relationships to disclose. Saturday April 25 _____________________________________ 2015 Registration Form: 14th Annual Rheumatic Disease Conference 14th Annual Rheumatic Disease Conference AGENDA 12:45 - 1:00pm South Central Arthritis Foundation Pam Gill Senior Vice President 1:00 - 2:00pm Afternoon Moderator Wilmer Sibbitt, MD Professor of Rheumatology Professor of Internal Medicine & Neurology University of New Mexico Case Challenge: Audience Participation Discussants: TBA 2:00 - 2:15pm Break (Exhibitor Time) 2:15 - 3:00pm Vasculitis: Pearls for Practice Carol Langford, MD 3:00 - 3:45pm Vasculitis: Update and Therapeutics Carol Langford, MD Friday, April 24, 2015 Unparalleled Hospitality Since 1929 As Santa Fe’s oldest, best know hotel, La Fonda on the Plaza has set the standard for elegant accommodations since the early 1900’s. Located in the historic heart of the city across from the 1887 St. Francis Cathedral Basilica, we have long been the destination for discriminating travelers, earning a reputation as the crossroads of the world. The legendary Santa Fe Trail ends at La Fonda, signaling to travelers that, wherever their journey began, they’ve finally arrived. 3:00pm Check in 6:00 - 9:00pm Registration / Dinner La Terraza Meeting Room Saturday, April 25, 2015 7:00 - 8:00am Breakfast / Registration 8:00 - 8:15am Welcome / Introduction Morning Moderator Grand Ballroom Arthur D. Bankhurst, MD Chief of Rheumatology University of New Mexico 8:15 - 9:00am Biosimilars in Rheumatology Arthur Kavanaugh, MD Reservations will be made individually and must be received by the cut-off date of Monday, April 6, 2015. Please ensure that you identify yourself as part of this organization: 9:00 - 9:45am RA: Update on Biologic Therapy and Step Up and Step Down Therapeutic Options Arthur Kavanaugh, MD 3:45 - 4:30pm Questions and Answers 4:30 - 5:00pm Closing Remarks and Adjourn Evaluation & Survey NMRDS or #801443 9:45 - 10:00am Break (Exhibitor Time) Sunday, April 26, 2015 Hotel Accommodations Individual reservations should be made by calling La Fonda’s Reservations Dept. at: 800-5235002 or 505-982-5511 & choose option #1. Please call between hours of : Mon - Fri: 7:00am to 8:00pm Saturday: 8:00am to 5:00pm Sunday: 9:00am to 5:00pm To make reservations online: 10:00 - 10:45am Approach to Lupus Nephritis and Neurological Disease Sterling West, MD Check-out is at 12:00pm (Please make sure that all displays are taken down by noon) 10:45 - 11:30am Pregnancy in Rheumatic Diseases Sterling West, MD 11:30 - 12:45pm Lunch (Exhibitor Time) Ballroom South http://www.lafondasantafe.com/groupreservationrequest/ La Fonda on the Plaza 100 E San Francisco Street Santa Fe, NM 87501 Phone: 505-995-2321 / Fax: 505-995-2324 Acknowledgements University of New Mexico: Department of Internal Medicine/Division of Rheumatology Focus Medical Communications
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