Saturday and Sunday

August 24 & 25, 2019

UNM Domenici Center for Health Sciences Education

1001 Stanford NE Albuquerque, NM

PRESENTED BY:

Department of Family & Community Medicine

and

Continuing Medical Education

& Professional Development

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Due to a limited enrollment of 72 participants, advanced registration is encouraged. All registrations received on or before August 1, 2019 will be confirmed by email, and it will include a confirmation letter, a map showing the conference location and parking. If you have not received your confirmation letter, you may contact UNM CME at 505-272-3942 to confirm your registration. Please confirm your registration prior to making your airline reservations. Payment may be made by check, cash or UNM Tuition Remission. For credit card payments, visit the course webpage on the UNM CME website at: https://hsc.unm.edu/school-of-medicine/education/cme/. UNM CME does not maintain a petty cash fund. Cash payments must be made in the exact amount. It is UNM policy to charge offerer $35.00 plus normal merchant bank fees for each returned check. UNM CME no longer accepts POs or faxed registrations with credit card information.

Phone: 505-272-3942 Fax: 505-272-8604

Visit the UNM CME website at https://hsc.unm.edu/school-of-medicine/education/cme/

For more information on Advanced Life Support in

Obstetrics (ALSO), visit www.aafp.org/ALSO

All eligible UNM faculty and staff may enroll using a UNM tuition remission (waiver) to cover tuition costs listed on the registration form. Properly completed remissions must accompany the registration form. Proper completion includes all required signatures. No refund or credit will be issued for non-attendance. A copy of the Tuition Remission Form can be found here: https://hr.unm.edu/benefits/tuition-remission.

If you pre-register and cannot attend, UNM CME will refund tuition, less $160.00 ($40.00 administrative fee and $120.00 Online Access fee), provided it is received in writing on or before August 1, 2019. No refunds will be issued after this date or for non-attendance. Conferences are subject to cancellation. In the event this conference is cancelled, UNM CME is not responsible for any airfare, hotel or other costs incurred by participants.

This conference will be held on the University of New Mexico Health Sciences Center School of Medicine campus in the Domenici Center. A map will be mailed to you with your registration confirmation. Complimentary parking will be in the “M” Parking Lot on Tucker Road.

The material presented at this course is being made available by the American Academy of Family Physicians for educational purposes only. This material is not intended to represent the only, nor necessarily the best, methods or procedures appropriate for the medical situations discussed, but rather is intended to present an approach, view, statement, or opinion of the instructors which may be helpful to others who face similar situations.

The AAFP disclaims any and all liability for injury, or other damages, resulting to any individual attending this course and for all claims which may arise out of the use of the techniques demonstrated therein by such individuals, whether these claims shall be asserted by a physician, or any other person.

Every effort has been made to assure the accuracy of the data presented at this course. Clinicians may care to check specific details, such as drug doses and contraindications, etc., in standard sources prior to clinical application.

This Course has been determined to be a Level 2 classification under the AMA PRA Credit and Classification Guidelines. The AAFP does not certify competence upon completion of the ALSO Provider Course, nor does it intend this course to serve as a basis for requesting new or expanded privileges.

Participants requiring special accommodations should contact Continuing Medical Education & Professional Development, as early as possible. UNM is in compliance with the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990.

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Provider Course

Advanced Life Support in Obstetrics (ALSO) is an evidence-based, interprofessional, and multidisciplinary training program that equips the entire maternity care team with skills to effectively manage obstetric emergencies. This comprehensive course encourages a standardized team-based approach amongst physicians, residents, nurse midwives, registered nurses and other members of the maternity care team to improve patient safety and positively impact maternal outcomes.

1. Discuss methods of managing pregnancy and birth urgencies and emergencies, which standardizes the skills of practicing maternity care providers.

2. Demonstrate content and skill acquisition as evidenced by successful completion of online course examination, skills workstations, and group testing stations.

This Live activity, ALSO Provider Course, with a date range of 08/24/2019-/08/25/2019, has been reviewed and is acceptable for up to 10.75 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Academy of Family Physicians is approved as a provider of continuing nursing education by the Kansas State Board of Nursing. This course offering is approved for 12.90 contact hours applicable for APRN, RN, LPN, or LMHT relicensure. Kansas State Board of Nursing Provider Number; LT0278-0312. This is an advanced level course and may not be suitable for all general continuing nursing education.

AAFP Prescribed credit is accepted by the following organizations/physician licensing boards. This acceptance is confirmed each year, though no written agreement exists. Participants should contact these organizations directly to find out how to report credit:

American Academy of Physician Assistants (AAPA) National Commission on Certification of Physician Assistants (NCCPA) American Nurses Credentialing Center (ANCC) American Academy of Nurse Practitioners Certification Board (AANPCB) American Association of Medical Assistants (AAMA) American Board of Family Medicine (ABFM) American Board of Emergency Medicine (ABEM) American Board of Preventative Medicine (ABPM)

The ABOG MOC standards now allow participation in ABOG-approved Simulation Courses to meet the annual Improvement in Medical Practice (Part IV) MOC requirement. This course has been approved to meet ABOG Improvement in Medical Practice requirements until 12/31/2020. Please review the current MOC Bulletin for further information: https://www.abog.org/about-abog/bulletins.

We do not have a room block secured for this conference. However, the hotels listed below are within a few miles from the conference site. Participants are responsible for their own transportation between the two sites.

Home2 Suites by Hilton 1660 University Blvd. NE Albuquerque, NM 87102

Phone: 505-242-0002

Embassy Suites Hotel Crowne Plaza Hotel 1000 Woodward Place NE 1901 University Blvd. NE Albuquerque, NM 87102 Albuquerque, NM 87102 Phone: 505-245-7100 Phone: 505-884-2500

Saturday and Sunday

August 24 & 25, 2019

UNM Domenici Center for Health Sciences Education

1001 Stanford NE Albuquerque, NM

PRESENTED BY:

Department of Family & Community Medicine

and

Continuing Medical Education

& Professional Development

NO

N-P

RO

FIT

OR

GA

NIZ

AT

ION

U.S

. P

OS

TA

GE

PA

ID

ALB

UQ

UE

RQ

UE

, N

M

PE

RM

IT N

O. 39

Due to a limited enrollment of 72 participants, advanced registration is encouraged. All registrations received on or before August 1, 2019 will be confirmed by email, and it will include a confirmation letter, a map showing the conference location and parking. If you have not received your confirmation letter, you may contact UNM CME at 505-272-3942 to confirm your registration. Please confirm your registration prior to making your airline reservations. Payment may be made by check, cash or UNM Tuition Remission. For credit card payments, visit the course webpage on the UNM CME website at: https://hsc.unm.edu/school-of-medicine/education/cme/. UNM CME does not maintain a petty cash fund. Cash payments must be made in the exact amount. It is UNM policy to charge offerer $35.00 plus normal merchant bank fees for each returned check. UNM CME no longer accepts POs or faxed registrations with credit card information.

Phone: 505-272-3942 Fax: 505-272-8604

Visit the UNM CME website at https://hsc.unm.edu/school-of-medicine/education/cme/

For more information on Advanced Life Support in

Obstetrics (ALSO), visit www.aafp.org/ALSO

All eligible UNM faculty and staff may enroll using a UNM tuition remission (waiver) to cover tuition costs listed on the registration form. Properly completed remissions must accompany the registration form. Proper completion includes all required signatures. No refund or credit will be issued for non-attendance. A copy of the Tuition Remission Form can be found here: https://hr.unm.edu/benefits/tuition-remission.

If you pre-register and cannot attend, UNM CME will refund tuition, less $160.00 ($40.00 administrative fee and $120.00 Online Access fee), provided it is received in writing on or before August 1, 2019. No refunds will be issued after this date or for non-attendance. Conferences are subject to cancellation. In the event this conference is cancelled, UNM CME is not responsible for any airfare, hotel or other costs incurred by participants.

This conference will be held on the University of New Mexico Health Sciences Center School of Medicine campus in the Domenici Center. A map will be mailed to you with your registration confirmation. Complimentary parking will be in the “M” Parking Lot on Tucker Road.

The material presented at this course is being made available by the American Academy of Family Physicians for educational purposes only. This material is not intended to represent the only, nor necessarily the best, methods or procedures appropriate for the medical situations discussed, but rather is intended to present an approach, view, statement, or opinion of the instructors which may be helpful to others who face similar situations.

The AAFP disclaims any and all liability for injury, or other damages, resulting to any individual attending this course and for all claims which may arise out of the use of the techniques demonstrated therein by such individuals, whether these claims shall be asserted by a physician, or any other person.

Every effort has been made to assure the accuracy of the data presented at this course. Clinicians may care to check specific details, such as drug doses and contraindications, etc., in standard sources prior to clinical application.

This Course has been determined to be a Level 2 classification under the AMA PRA Credit and Classification Guidelines. The AAFP does not certify competence upon completion of the ALSO Provider Course, nor does it intend this course to serve as a basis for requesting new or expanded privileges.

Participants requiring special accommodations should contact Continuing Medical Education & Professional Development, as early as possible. UNM is in compliance with the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990.

MS

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Un

ivers

ity o

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ew

Me

xic

o

Alb

uq

uerq

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31

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1

Provider Course

Advanced Life Support in Obstetrics (ALSO) is an evidence-based, interprofessional, and multidisciplinary training program that equips the entire maternity care team with skills to effectively manage obstetric emergencies. This comprehensive course encourages a standardized team-based approach amongst physicians, residents, nurse midwives, registered nurses and other members of the maternity care team to improve patient safety and positively impact maternal outcomes.

1. Discuss methods of managing pregnancy and birth urgencies and emergencies, which standardizes the skills of practicing maternity care providers.

2. Demonstrate content and skill acquisition as evidenced by successful completion of online course examination, skills workstations, and group testing stations.

This Live activity, ALSO Provider Course, with a date range of 08/24/2019-/08/25/2019, has been reviewed and is acceptable for up to 10.75 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Academy of Family Physicians is approved as a provider of continuing nursing education by the Kansas State Board of Nursing. This course offering is approved for 12.90 contact hours applicable for APRN, RN, LPN, or LMHT relicensure. Kansas State Board of Nursing Provider Number; LT0278-0312. This is an advanced level course and may not be suitable for all general continuing nursing education.

AAFP Prescribed credit is accepted by the following organizations/physician licensing boards. This acceptance is confirmed each year, though no written agreement exists. Participants should contact these organizations directly to find out how to report credit:

American Academy of Physician Assistants (AAPA) National Commission on Certification of Physician Assistants (NCCPA) American Nurses Credentialing Center (ANCC) American Academy of Nurse Practitioners Certification Board (AANPCB) American Association of Medical Assistants (AAMA) American Board of Family Medicine (ABFM) American Board of Emergency Medicine (ABEM) American Board of Preventative Medicine (ABPM)

The ABOG MOC standards now allow participation in ABOG-approved Simulation Courses to meet the annual Improvement in Medical Practice (Part IV) MOC requirement. This course has been approved to meet ABOG Improvement in Medical Practice requirements until 12/31/2020. Please review the current MOC Bulletin for further information: https://www.abog.org/about-abog/bulletins.

We do not have a room block secured for this conference. However, the hotels listed below are within a few miles from the conference site. Participants are responsible for their own transportation between the two sites.

Home2 Suites by Hilton 1660 University Blvd. NE Albuquerque, NM 87102

Phone: 505-242-0002

Embassy Suites Hotel Crowne Plaza Hotel 1000 Woodward Place NE 1901 University Blvd. NE Albuquerque, NM 87102 Albuquerque, NM 87102 Phone: 505-245-7100 Phone: 505-884-2500

11:15 am Box Lunches Group Testing Overview 12:00 pm Required Workstations Participants will be rotated through all of the required workshops.

Assisted Vaginal Delivery & Breech Shoulder Dystocia & OB Cases Maternal Resuscitation/Postpartum Hemorrhage

2:00 pm Break 2:15 pm Optional Workshops Please select the Optional Workshop that you’d like to attend, and indicate your selection on the registration form.

A. First and Second Degree Lacerations B. Third and Fourth Degree Lacerations C. C-Section D. Birth Crisis/Supporting Families with Poor Outcomes E. Ultrasound

4:15 pm Course adjourns for the day

Sunday, August 25, 2019 7:30 am Continental Breakfast 8:00 am Welcome & Group Testing Overview 8:20 am Required Workstations Participants will be rotated through all of the required workshops.

Assisted Vaginal Delivery & Breech Shoulder Dystocia & OB Cases Maternal Resuscitation/Postpartum Hemorrhage

10:20 am Break 10:30 am Group Testing 12:30 pm Evaluations are completed 12:45 pm Course adjourns

Claire Bettler, CNM Community Midwife Albuquerque, NM

John Bettler, MD Co-Course Director Assistant Professor Department of Family and Community Medicine

William Bowen, MD Core Faculty Department of Family and Community Medicine La Familia Medical Center Santa Fe, New Mexico

Nancy D. Bryant, MD, FACOG San Antonio, TX

Erin Bulleit, MD Maternal, Child and Reproductive Health Fellow Department of Family and Community Medicine

Virginia Hernandez, MD Silver City, NM

Ruth Kauffman, CPM, LM, RN Project Coordinator, Clinical Director Luna Tierra Casa de Partos and Borderlands Birth and Reproductive Health Services El Paso, TX

Nancy L. Kerr, MD, MPH Assistant Professor Department of Obstetrics and Gynecology

Jessica Khanlian, RN Registered Nurse Supervisor-Labor and Delivery University of New Mexico Hospital Albuquerque, NM

Karyn Kolman, MD ALSO Advisory Faculty and Co-Course Director Associate Program Director Assistant Professor, Dept. of Family and Community Medicine University of Arizona Tucson, AZ

Larry Leeman, MD, MPH ALSO Advisory Faculty and Co-Course Director Professor, Departments of Family and Community Medicine and Obstetrics and Gynecology Director, Family Medicine Maternal and Child Health

Rebecca Leeman, CNM Nurse Midwife Women’s Specialists of New Mexico, Ltd. Albuquerque, NM

Kate McCalmont, MD Assistant Professor Department of Family and Community Medicine

Laura Migliaccio, MSN, CNM Chief, Midwifery Division Department of Obstetrics and Gynecology Instructor College of Nursing

Katrina Nardini, CNM, CNP, MPH Associate Chief, Midwifery Division Department of Obstetrics and Gynecology

Kira Paisley, MD Assistant Professor Department of Family and Community Medicine

Sharon Phelan, MD Professor Emeritus Department of Obstetrics and Gynecology

Jennifer Phillips, MD Associate Chair, Family Medicine Medical Director, Family and Community Medicine-Tucker Clinic Department of Family and Community Medicine

Sandra Rosenfeld-O’Tool, MD Associate Professor Department of Family and Community Medicine

Rebecca Ryan, MD Family Medicine Physician Director of Obstetrics at Zuni Hospital Zuni, NM

Linda Smoker, MD Assistant Professor Department of Family and Community Medicine

Alison Starling, CNM Chinle Comprehensive Healthcare Facility Chinle, AZ

Jody Stonehocker, MD Assistant Professor Department of Obstetrics and Gynecology

David Stromberg, MD Assistant Professor Department of Family and Community Medicine

Kate Stuenkel, MD Indian Health Services Albuquerque, NM

Rosalicia Torres, MD Fellow Department of Family and Community Medicine

Joyce Troxler, MD Faculty, Cassie Health Center for Women Silver City, NM

Nicole Yonke, MD, MPH Assistant Professor Department of Family and Community Medicine

Name:_____________________________________

Specialty:_______________________________________

Please Circle Your Profession: MD DO RN LPN

CNM LM Resident Other: _____________________

Nurses, only: License Number:____________________

Organization:_______________________________

Job Title: __________________________________

Address:__________________________________

City:______________________________________

State:______________ Zip:________________

Daytime Phone:_____________________________

Email:_____________________________________

Make check payable to UNM CME and mail it along with this form to: UNM Continuing Medical Education & Professional Development, MSC09 5370, 1 University of New Mexico, Albuquerque, NM 87131-0001. UNM Faculty: Email (hsc-cmeweb@salud.unm.edu) or fax (505-272-8604) your signed tuition remission form along with this registration form. UNM CME no longer accepts POs or faxed registrations with credit card information.

The early bird registration date is August 1, 2019.

This conference always fills up. Register early

to avoid disappointment.

Optional Workshops Each participant will be able to attend one Optional Workshop. Please indicate your 1st & 2nd choice. __ A. First and Second Degree Lacerations __ B. Third and Fourth Degree Lacerations __ C. C-Section __ D. Birth Crisis/Supporting Families with Poor Outcomes __ E. Ultrasound

Lunch Choice __ Vegetarian __ Vegan __ Meat __ Gluten Free Course Staff Course Directors: John Bettler, MD and Karyn Kolman, MD Advisory Faculty: Larry Leeman, MD, MPH

Course Contact Information Course Coordinator: Tisha Aldredge, CMP, CMM Email Address: taldredge@salud.unm.edu Phone Number: (505) 272-3942

Conference materials are now accessed in the Online Portion. You may print or download them to your desktop.

Total Amount Included:

$ ___________

Please indicate method of payment:

___Check ___Cash ___UNM Tuition Remission Form

___ To pay by credit card, visit the course webpage on the UNM CME website: https://som.unm.edu/education/cme/

PLEASE MARK YOUR CHOICE

Early Bird On or Before 8/1/19

Regular 8/2/19-8/18/19

Onsite 8/1919-8/24/19

___ MD, DO $555.00 $595.00 $620.00

___ MD, DO paying with Tuition Remission

$545.00 $585.00 $610.00

___ Nurse, Midwife, Resident

$355.00 $395.00 $420.00

___ Nurse, Midwife paying with Tuition Remission

$345.00 $385.00 $410.00

Learners will be provided an email with a link to the online portion of the ALSO Provider Course. Content consists of a pre-test; recorded lectures; online case studies; recorded workstation demonstrations; post-test; and course evaluation. Upon completion of the evaluation and claiming of credit, the letter of participation will be accessible electronically. Email your proof of completion to: Tisha Aldredge, CMP, CMM at TAldredge@salud.unm.edu on/or before August 16, 2019. Late registrants MUST bring a copy to the live course. The Online Portion of the course must be completed no later than August 16, 2019. You will be able to download the presentation content and chapters for further review, printing or future reference.

Please note: You also need to visit the “Optional Workstations” area in the online portion and review/download those slides prior to the course.

Saturday, August 24, 2019 7:30 am Registration and Continental Breakfast 8:00 am Welcome and Overview 8:20 am Safety in Maternity Care 9:05 am Break 9:15 am Required Workstations Participants will be rotated through all of the required workshops.

Assisted Vaginal Delivery & Breech Shoulder Dystocia & OB Cases Maternal Resuscitation/Postpartum Hemorrhage

Upon successful completion of the live course, the ALSO Course Sponsor is responsible for providing post-course documentation to the ALSO Program within 2 weeks. After the Course Sponsor has submitted all required post-course documentation, learners will be emailed letters of participation by the AAFP. For those who successfully complete both the online and the live portion of the course, wallet cards will be additionally included at the bottom of the emailed live course letter of participation.

11:15 am Box Lunches Group Testing Overview 12:00 pm Required Workstations Participants will be rotated through all of the required workshops.

Assisted Vaginal Delivery & Breech Shoulder Dystocia & OB Cases Maternal Resuscitation/Postpartum Hemorrhage

2:00 pm Break 2:15 pm Optional Workshops Please select the Optional Workshop that you’d like to attend, and indicate your selection on the registration form.

A. First and Second Degree Lacerations B. Third and Fourth Degree Lacerations C. C-Section D. Birth Crisis/Supporting Families with Poor Outcomes E. Ultrasound

4:15 pm Course adjourns for the day

Sunday, August 25, 2019 7:30 am Continental Breakfast 8:00 am Welcome & Group Testing Overview 8:20 am Required Workstations Participants will be rotated through all of the required workshops.

Assisted Vaginal Delivery & Breech Shoulder Dystocia & OB Cases Maternal Resuscitation/Postpartum Hemorrhage

10:20 am Break 10:30 am Group Testing 12:30 pm Evaluations are completed 12:45 pm Course adjourns

Claire Bettler, CNM Community Midwife Albuquerque, NM

John Bettler, MD Co-Course Director Assistant Professor Department of Family and Community Medicine

William Bowen, MD Core Faculty Department of Family and Community Medicine La Familia Medical Center Santa Fe, New Mexico

Nancy D. Bryant, MD, FACOG San Antonio, TX

Erin Bulleit, MD Maternal, Child and Reproductive Health Fellow Department of Family and Community Medicine

Virginia Hernandez, MD Silver City, NM

Ruth Kauffman, CPM, LM, RN Project Coordinator, Clinical Director Luna Tierra Casa de Partos and Borderlands Birth and Reproductive Health Services El Paso, TX

Nancy L. Kerr, MD, MPH Assistant Professor Department of Obstetrics and Gynecology

Jessica Khanlian, RN Registered Nurse Supervisor-Labor and Delivery University of New Mexico Hospital Albuquerque, NM

Karyn Kolman, MD ALSO Advisory Faculty and Co-Course Director Associate Program Director Assistant Professor, Dept. of Family and Community Medicine University of Arizona Tucson, AZ

Larry Leeman, MD, MPH ALSO Advisory Faculty and Co-Course Director Professor, Departments of Family and Community Medicine and Obstetrics and Gynecology Director, Family Medicine Maternal and Child Health

Rebecca Leeman, CNM Nurse Midwife Women’s Specialists of New Mexico, Ltd. Albuquerque, NM

Kate McCalmont, MD Assistant Professor Department of Family and Community Medicine

Laura Migliaccio, MSN, CNM Chief, Midwifery Division Department of Obstetrics and Gynecology Instructor College of Nursing

Katrina Nardini, CNM, CNP, MPH Associate Chief, Midwifery Division Department of Obstetrics and Gynecology

Kira Paisley, MD Assistant Professor Department of Family and Community Medicine

Sharon Phelan, MD Professor Emeritus Department of Obstetrics and Gynecology

Jennifer Phillips, MD Associate Chair, Family Medicine Medical Director, Family and Community Medicine-Tucker Clinic Department of Family and Community Medicine

Sandra Rosenfeld-O’Tool, MD Associate Professor Department of Family and Community Medicine

Rebecca Ryan, MD Family Medicine Physician Director of Obstetrics at Zuni Hospital Zuni, NM

Linda Smoker, MD Assistant Professor Department of Family and Community Medicine

Alison Starling, CNM Chinle Comprehensive Healthcare Facility Chinle, AZ

Jody Stonehocker, MD Assistant Professor Department of Obstetrics and Gynecology

David Stromberg, MD Assistant Professor Department of Family and Community Medicine

Kate Stuenkel, MD Indian Health Services Albuquerque, NM

Rosalicia Torres, MD Fellow Department of Family and Community Medicine

Joyce Troxler, MD Faculty, Cassie Health Center for Women Silver City, NM

Nicole Yonke, MD, MPH Assistant Professor Department of Family and Community Medicine

Name:_____________________________________

Specialty:_______________________________________

Please Circle Your Profession: MD DO RN LPN

CNM LM Resident Other: _____________________

Nurses, only: License Number:____________________

Organization:_______________________________

Job Title: __________________________________

Address:__________________________________

City:______________________________________

State:______________ Zip:________________

Daytime Phone:_____________________________

Email:_____________________________________

Make check payable to UNM CME and mail it along with this form to: UNM Continuing Medical Education & Professional Development, MSC09 5370, 1 University of New Mexico, Albuquerque, NM 87131-0001. UNM Faculty: Email (hsc-cmeweb@salud.unm.edu) or fax (505-272-8604) your signed tuition remission form along with this registration form. UNM CME no longer accepts POs or faxed registrations with credit card information.

The early bird registration date is August 1, 2019.

This conference always fills up. Register early

to avoid disappointment.

Optional Workshops Each participant will be able to attend one Optional Workshop. Please indicate your 1st & 2nd choice. __ A. First and Second Degree Lacerations __ B. Third and Fourth Degree Lacerations __ C. C-Section __ D. Birth Crisis/Supporting Families with Poor Outcomes __ E. Ultrasound

Lunch Choice __ Vegetarian __ Vegan __ Meat __ Gluten Free Course Staff Course Directors: John Bettler, MD and Karyn Kolman, MD Advisory Faculty: Larry Leeman, MD, MPH

Course Contact Information Course Coordinator: Tisha Aldredge, CMP, CMM Email Address: taldredge@salud.unm.edu Phone Number: (505) 272-3942

Conference materials are now accessed in the Online Portion. You may print or download them to your desktop.

Total Amount Included:

$ ___________

Please indicate method of payment:

___Check ___Cash ___UNM Tuition Remission Form

___ To pay by credit card, visit the course webpage on the UNM CME website: https://som.unm.edu/education/cme/

PLEASE MARK YOUR CHOICE

Early Bird On or Before 8/1/19

Regular 8/2/19-8/18/19

Onsite 8/1919-8/24/19

___ MD, DO $555.00 $595.00 $620.00

___ MD, DO paying with Tuition Remission

$545.00 $585.00 $610.00

___ Nurse, Midwife, Resident

$355.00 $395.00 $420.00

___ Nurse, Midwife paying with Tuition Remission

$345.00 $385.00 $410.00

Learners will be provided an email with a link to the online portion of the ALSO Provider Course. Content consists of a pre-test; recorded lectures; online case studies; recorded workstation demonstrations; post-test; and course evaluation. Upon completion of the evaluation and claiming of credit, the letter of participation will be accessible electronically. Email your proof of completion to: Tisha Aldredge, CMP, CMM at TAldredge@salud.unm.edu on/or before August 16, 2019. Late registrants MUST bring a copy to the live course. The Online Portion of the course must be completed no later than August 16, 2019. You will be able to download the presentation content and chapters for further review, printing or future reference.

Please note: You also need to visit the “Optional Workstations” area in the online portion and review/download those slides prior to the course.

Saturday, August 24, 2019 7:30 am Registration and Continental Breakfast 8:00 am Welcome and Overview 8:20 am Safety in Maternity Care 9:05 am Break 9:15 am Required Workstations Participants will be rotated through all of the required workshops.

Assisted Vaginal Delivery & Breech Shoulder Dystocia & OB Cases Maternal Resuscitation/Postpartum Hemorrhage

Upon successful completion of the live course, the ALSO Course Sponsor is responsible for providing post-course documentation to the ALSO Program within 2 weeks. After the Course Sponsor has submitted all required post-course documentation, learners will be emailed letters of participation by the AAFP. For those who successfully complete both the online and the live portion of the course, wallet cards will be additionally included at the bottom of the emailed live course letter of participation.

Name:_________________________________________________________________________

Specialty:______________________________________________________________________________________________________________

Please Circle Your Profession: MD DO RN LPN CNM LM Resident Other: _____________________

Nurses, only: License Number:____________________________________

Organization:____________________________________________________________________

Job Title: _______________________________________________________________________

Address:________________________________________________________________________

City:_________________________________ State:__________ Zip:_____________________

Daytime Phone:___________________________ Email:________________________________

Make check payable to UNM CME and mail it along with this form to: UNM Continuing Medical Education & Professional Development, MSC09 5370, 1 University of New Mexico, Albuquerque, NM 87131-0001. UNM Faculty: Email (hsc-cmeweb@salud.unm.edu) or fax (505-272-8604) your signed tuition remission form along with this registration form. UNM CME no longer accepts POs or faxed registrations with credit card information.

Optional Workshops Each participant will be able to attend one Optional Workshop. Please indicate your 1st & 2nd choice. A. First and Second Degree Lacerations 1st Choice: ____________________ B. Third and Fourth Degree Lacerations C. C-Section 2nd Choice: ____________________ D. Birth Crisis/Supporting Families with Poor Outcomes E. Ultrasound Lunch Choice ______ Vegetarian ______ Vegan ______ Meat ______ Gluten Free

Conference materials are now accessed in the Online Portion. You may print or download them to your desktop.

Total Amount Included:

$ ___________

Please indicate method of payment:

___Check ___Cash ___UNM Tuition Remission Form

___ To pay by credit card, visit the course webpage on the UNM CME website: https://

som.unm.edu/education/cme/

PLEASE MARK YOUR CHOICE Early Bird

On or Before 8/1/19 Regular

8/2/19-8/18/19 Onsite

8/1919-8/24/19

___ MD, DO $555.00 $595.00 $620.00

___ MD, DO paying with Tuition Remission $545.00 $585.00 $610.00

___ Nurse, Midwife, Resident $355.00 $395.00 $420.00

___ Nurse, Midwife paying with Tuition

Remission $345.00 $385.00 $410.00