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Register online OR mail/fax this completed form to:

6134 Poplar Bluff Circle, Suite 101, Norcross, Georgia 30092 FAX (305) 422-3327

Please include payment if required

2011 GSR Meeting Registration Form Select Category Early Reg. After May 12

� GSR MD/DO Member/Applicant* $25 $75

� GSR PA/NP Member/Applicant* $25 $75

� GSR Physician in Training Member/Applicant* 0 $50

� MD/DO Non-Member $150 $200

� PA/NP Non-Member $100 $150

� Physician in Training Non-Member $50 $100

*2011 dues or membership application fee MUST be paid in order to receive the member rate. Dues may be paid online at www.garheumatology.org

Contact Info

Name

Credentials (MD, NP, etc.)

Spouse/Guest Name, IF attending

Child(ren) Name(s)/Age(s), IF attending

Email (req.)

Mailing Address

City/State/ Zip

Phone

Fax

Education Sessions, check all days you will be attending lectures

� Friday, June 3 � Saturday, June 4 Activities, I/we plan to attend the:

Thursday, June 2 Welcome Reception, # attending _______ Friday, June 3 Lunch # attend _____ adults, ______ children (6-12), _____ children (5 & under) Dinner # attend _____ adults, ______ children (6-12), _____ children (5 & under) Saturday, June 4 Lunch # attend _____ adults, ______ children (6-12), _____ children (5 & under) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Method of Payment

� Check Make checks payable to: GSR

� AMEX � Visa � MC � Discover

Card #:

Exp: CID#:

Name on Card:

Billing Address:

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Reserve your room today at Callaway Gardens!

Call (800) CALLAWAY and advise the

registration agent that you are attending the

Georgia Society of Rheumatology Annual Meeting.

The room block expires on May 3, 2011

Meeting Description The Annual Meeting of the Georgia Society of Rheumatology is a two-day program designed for rheumatologists and orthopaedists who specialize in all aspects of arthritis and osteoarthritis including diagnosis and management of rheumatic diseases and disorders. We strive to create a program that is educational and informative using both nationally renowned speakers as well as our own physician members. Given the wide variety of rheumatologic disorders, and an ever-increasing number of diagnostic procedures and treatment options, it is necessary to provide clinicians with information about strategies for the early diagnosis of these conditions, novel state-of-the-art diagnostic tools, and opportunities to utilize the most effective treatments to ensure optimal patient outcomes.

Objectives Attendees will be updated on a broad range of new developments in rheumatology and acquire a better understanding of advances in medical and surgical therapies. They will also gain greater insight into current trends in practice management as well as financial and medical/legal challenges facing today’s clinician. At the conclusion of this learning activity, participants should be able to: • Discuss recent advances in the use of biologic agents in the treatment of

rheumatoid arthritis. • Appreciate new treatment options for patients with psoriatic arthritis. • Discuss new and emerging issues in the management of osteoporosis. • Identify major issues related to the management of patients suffering

from chronic pain. • Recognize the major dermatologic manifestations of the rheumatic

diseases. • Identify how to diagnose and manage osteoarthritis-related shoulder,

foot, and ankle disorders. • Appraise current management approaches and controversies in the

diagnosis and treatment of lyme disease. • Discuss new treatment strategies in systemic lupus erythematosus. • Appreciate the role of biologic therapy in the treatment of systemic

vasculitis.

Keynote Speakers

Callaway Gardens - Pine Mountain, Georgia Callaway Gardens is an award-winning, 13,000 acre gardens, resort and preserve nestled in the foothills of the Appalachian Mountains, in Pine Mountain, Georgia. Just an hour drive from Atlanta, Callaway Gardens offers something for everyone from places to sit back and enjoy nature to great ways to have fun outdoors and explore the beautiful gardens. Callaway is the home of championship golf including the nationally ranked Mountain View Championship Golf Course. If golf isn’t your game, enjoy the outdoors at Robin Lake Beach, fishing in one of 13 lakes, cycling or simply enjoying the beautiful gardens.

Accommodations The 150-room resort at The Lodge and Spa at Callaway Gardens is a new level of exquisite luxury with gracious amenities. The deluxe guest rooms provide an unforgettable view of the beautiful forests from your own personal balcony, while the interiors produce

a relaxing home away from home feeling. Take advantage of the Spa at Callaway Gardens and be pampered with nature-based massages, facials and many more services intended to spoil you.

Guests staying at The Lodge will also enjoy the following amenities:

• Use of swimming pool with cabana-style bar • Complimentary valet and concierge service • Room Service • Complimentary high-speed internet access • Mini-Bar • Advance spa reservations and preferred availability • An in-room safe for your personal belongings • Full-sized desks with two telephone lines and MP3 dock • Personal service from dedicated employees

A block of deluxe guest rooms and suites have been reserved at The Lodge and Spa at a reduced rate of $179 per night which includes your accommodations, admission into the Gardens, in room daily coffee service, phone access charges, and admission to Fitness Center.

*All Room Rates Subject to Applicable Sales Tax*

(7% State Tax and 5% Local Lodging Tax)

Agenda Thursday, June 2, 2011

7:00 - 8:30 pm Welcome Reception 8:30 - 9:30 pm Executive Committee Meeting Friday, June 3, 2011 7:00 - 8:00 am Breakfast and Exhibits 7:00 am Exhibits Open 7:30 am Registration Desk Opens

8:00 - 9:00 am Biologics and Systemic Vasculitis,

Philip Seo, MD 9:00 - 9:30 am Fellow Presentations 9:30 - 10:00 am Break and Exhibits

10:00 - 11:00 am Scleroderma Management and Treatment,

Richard Silver, MD 11:00 - 11:30 am Fellow Presentations 11:30 - 1:00 pm Lunch 1:00 - 2:00 pm Identifying the upcoming therapies for the

treatment of Rheumatoid Arthritis with a review

of the approach to navigate the use of current

biologics, Alan L. Epstein 2:00 - 3:00 pm Review of Vasculitis including Case Studies, Philip Seo, MD 3:00 - 5:00 pm CORC 6:30 pm Friday Dinner Saturday, June 4, 2011

7:00 - 8:00 am Breakfast and Exhibits 7:00 am Exhibits Open 7:30 am Registration Desk Opens

8:00 - 9:00 am Immunology of Antiphospholipid Antibody

Syndrome, Robert Roubey, MD 9:00 - 9:30 am Fellow Presentations 9:30 - 10:00 am Break and Exhibits

10:00 - 11:00 am Raynaud’s and Treatment Options, Richard Silver, MD 11:00 - 11:30 am Fellow Presentations 11:30 - 1:00 pm Lunch 1:15 - 2:00 pm General Business Meeting - Members Only 2:00 - 3:00 pm Clinical Manifestations, Diagnostic Criteria and

Treatment of Antiphospholipid Antibody

Syndrome, Robert Roubey, MD 3:00 - 4:00 pm Identifying Key Cytokines and the roles of

Inflammatory Cells in Arthritis Pathogenesis, Alan L. Epstein

Accreditation See www.garheumatology.org2011Accreditation.htm

Alan L. Epstein, MD Clinical Associate Professor of Medicine Pennsylvania Hospital Pennsylvania Rheumatology Associates

Robert Roubey, MD Associate Professor of Medicine Division of Rheumatology, Allergy & Immunology Thurston Arthritis Research Center The University of North Carolina at Chapel Hill

Philip Seo, MD Assistant Professor of Medicine, Division of Rheumatology Johns Hopkins University School of Medicine Co-Director, The Johns Hopkins Vasculitis Center

Richard Silver, MD Director, Division of Rheumatology and Immunology Professor of Medicine and Pediatrics Medical University of South Carolina