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loCationNYU School of Medicine alumni hall Farkas auditorium 550 First avenue (31st St.) New York, NY 10016PHOTO IDENTIFICATION IS REQUIRED TO ENTER THE MEDICAL CENTER.
ONLINE REGISTRATION PREFERREDapplications will be accepted in order of their receipt. Visit our secure website www.med.nyu.edu/courses/cme/rheuma-tology to submit online registration.Mailing Address and Contact Information:registration Office NYU Post-Graduate Medical School P. O. Box 1855 Murray hill Station, New York, NY 10016 Phone: 212-263-5295 Fax: 212-263-5293Please Note: We cannot accept telephone registration.
COURSE CONFIRMATIONPlease supply your e-mail address to receive a confirmation letter. Written confirmation will not be mailed.
ACCREDITATION STATEMENT The NYU Post-Graduate Medical School is accredited by the accreditation council for continuing Medical Education to provide continuing medical education for physicians.
CREDIT DESIGNATION STATEMENTThe NYU Post-Graduate Medical School designates this educational activity for a maximum of 23 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
PLENARY SESSION: Maximum of 17 AMA PRA credits 3/26: 6.75 credits3/27: 6.75 credits3/28: 3.5 credits3/26 and 3/27 AM Clinical Workshops and Meet the Professor Luncheon sessions 1 AMA PRA credit each (maximum of one of each session allowed per day).To obtain CME credit, you must: (1) have your ID badge electronically scanned for attendance once each day, and (2) access our website, www.med.nyu.edu/cme, and click on the Online Course Evaluator/CME Credit Process (follow all instructions to receive instantaneous letter of credit).
DISCLOSURE STATEMENTThe NYU Post-Graduate Medical School adheres to the accME Essential areas and Policies, including the Standards for commercial Support, regarding industry support of continuing medical education. In order to resolve any identified conflicts of Interest, disclosure information is provided during the planning process to ensure resolution of any identified con-flicts. Disclosure of faculty and commercial relationships as well as the discussion of unlabeled or unapproved use of any drug, device or procedure by the faculty will be fully noted at the meeting.
HOTEL ACCOMMODATIONSrooms are in very heavy demand in New York city; we urge you to make your reservations early. You may obtain a list of hotels located near NYU School of Medicine by visiting our website: www.med.nyu.edu/cme
PARKINGParking is available on 29th and 30th Streets between First and Second avenues, as well as at the Schwartz health care center garage on First avenue and 30th Street. PLEASE NOTE: we cannot validate parking for registrants.
If there is a specific topic or question that would help fulfill your educational needs, please submit it on the registration panel.
Thursday, March 26, 20096:30 am registration
7:30-8:30 am SPECIAL FEATURE:Optional AM Workshops on Clinical Databases and Research in the Office Setting
Yusuf Yazici, MD - assessment of rheumatoid arthritis Outcomes and Patient Monitoring in routine care
Jonathan Samuels, MD - Ultrasound
7:30-8:15 continental Breakfast 8:15-8:30 Welcome - Steven B. Abramson, MD
PATHOGENESIS OF INFLAMMATORY ARTHRITISModerators: Gary E. Solomon, MD and Michael Colin, MD
8:30-9:05 Pathogenesis of rheumatoid arthritis - Gerald Weissmann, MD9:05-9:40 Psoriatic Disease: Mechanistic and clinical Perspective - Christopher T. Ritchlin, MD9:40-10:15 Genetics in the Pathogenesis of ra - Robert M. Plenge, MD, PhD 10:15-10:30 coffee Break10:30-11:05 cardiovascular Disease and risk Modification in ra - Jeffrey D. Greenberg, MD, MPH11:05-11:40 Signal Transduction: the Good, the Bad, and the Ugly -Gary S. Firestein, MD
11:40-1:00 SPECIAL FEATURE: Optional Lunch and Meet the Professor Workshops
1) Robert M. Plenge, MD - Genetics in ra2) Kenneth G. Saag, MD - Glucocorticoid-Induced Osteoporosis3) Joan Bathon, MD - Treatment of Difficult ra4) Gary S. Firestein, MD - Use of Biologics in rheumatic Disease5) Christopher Ritchlin, MD - approach to the Patient With
Psoriatic Disease6) Jeffrey Greenberg, MD, MPH - Managing cardiovascular
risk in ra
TREATMENT OF INFLAMMATORY ARTHRITISModerator: Stephen Smiles, MD
1:00-1:35 pm Insights in MTX Mechanism of action - Bruce Cronstein, MD1:35-2:10 ra Guidelines, Quality Indicators and Other Things that Irritate Doctors - Kenneth G. Saag, MD, MSc
2:10-2:45 rheumatoid arthritis: New Therapies and Paradigms for Treatment - Joan M. Bathon, MD2:45-3:00 coffee Break3:00-3:35 routine Quantitative Monitoring: a Quality and Ethical Imperative - Theodore Pincus, MD3:35-4:10 cutaneous Manifestations of arthritis - Andrew G. Franks, MD4:10-5:00 Panel Discussion chair: Steven B. Abramson, MD Panelists: Drs. Joan Bathon, Theodore Pincus, Christopher Ritchlin, Kenneth Saag and Gary Solomon5:00 adjourn 6:00 Gala Dinner at the Water club (Open to all registrants, see registration panel)
Friday, March 27, 20097:30-8:30 amSPECIAL FEATURE:Optional AM Workshops on Clinical Databases and Research in the Office Setting
Jill P. Buyon, MD - BILaG and SLEDaI Scoring in Lupus Trials
Jeffrey Greenberg, MD, MPH - Building a Translational research registry for rheumatoid arthritis
Soumya M. Reddy, MD - Outcome Measures in a Psoriatic arthritis research registry
7:30-8:30 continental Breakfast
Updates in Lupus: Bench to Bedside and Back, Part I Moderators: Peter Izmirly, MD and Robert Clancy, PhD
8:30-9:15 am hotspots in the Pathogenesis of SLE 2009 - Mary Crow, MD9:15-10:00 Lupus clinical Trials: Is it Time for Individualized Medicine? - Joan T. Merrill, MD 10:00-10:15 coffee Break10:15-11:00 Lupus Genetics: assimilating the Many recently Discovered Genes - John Harley, MD
11:00-11:45 Demystifying Neuropsychiatric Lupus – Is it Possible? - John Hanly, MD
11:45-1:00 SPECIAL FEATURE: Optional Lunch and Meet the Professor Workshops
7) H. Michael Belmont, MD - Lupus Nephritis8) Joan T. Merrill, MD - Difficult Lupus9) John Hanly, MD - Neuropsychiatric Lupus – Interactive
review of cases
Updates in Lupus: Bench to Bedside and Back, Part 2Moderators: Chung-E Tseng, MD; Anca Dinu Askanase, MD
1:00-1:45 pm cardiovascular Disease and SLE - Susan Manzi, MD, MPH1:45-2:30 Microchimerism: For Better or For Worse - J. Lee Nelson, MD2:30-3:15 Updates on Lupus & Pregnancy - Jill P. Buyon, MD3:15-3:30 coffee Break3:30-4:15 Steroids: Mitigating the Bane of Bone health - H. Michael Belmont, MD4:15-5:00 Panel Discussion chair: Jill P. Buyon, MD Panelists: Drs. Susan Manzi, John Hanly, Joan T. Merrill and H. Michael Belmont5:00 adjourn
Saturday, March 28, 20097:45 am continental Breakfast
Advances in Other Rheumatic DiseasesModerators: Mark Eberle, MD; Pamela Rosenthal, MD
8:30-9:10 Juvenile Idiopathic arthritis: Therapy in 2009 - Philip J. Kahn MD9:10-9:50 IRA GOLDSTEIN MEMORIAL LECTURE Fibromyalgia: Knowns, Unknowns and current Treatment - Leslie J. Crofford, MD9:50-10:25 Necrotizing Vasculitis: a 2009 Update - Yusuf Yazici, MD10:25-10:40 coffee Break 10:40-11:10 Uric acid and cardiovascular Disease - Michael H. Pillinger, MD11:10-11:40 Low Bone Mass: assessing Fracture risk and Need to Treat - Stephen Honig, MD, MSc11:40-12:10 Pathogenesis and Treatment of Osteoarthritis - Steven B. Abramson, MD
12:10-1:00 SPECIAL FEATURE: Optional Meet the Professor Workshops
10) Stephen Honig, MD, MSc - Fracture risks and Treatment Decisions
11) Leslie J. Crofford, MD - Management of Fibromyalgia12) Yusuf Yazici, MD - Behcet’s Syndrome13) Michael H. Pillinger, MD - Management of Gout
1:00 pm adjourn
March 26-28 Workshop Registration
March 26, 2009 Optional AM Workshops (FrEE, please select one)Yusuf Yazici, MD - assessment of rheumatoid arthritis Outcomes and Patient Monitoring in routine careJonathan Samuels, MD - Ultrasound
Meet the Professor Luncheon Workshops ($25, please select one) 1. Robert M. Plenge, MD - Genetics in ra2. Kenneth G. Saag, MD - Glucosteroid-Induced Osteoporosis3. Joan Bathon, MD - Treatment of Difficult ra4. Gary S. Firestein, MD - Use of Biologics in rheumatic Disease5. Christopher Ritchlin, MD - approach to the Patient with Psoriatic Diease6. Jeffrey Greenberg, MD, MPH - Managing cardiovascular risk in ra
March 27, 2009Optional AM Workshops (FrEE, please select one)Jill P. Buyon, MD - BILaG and SLEDaI Scoring in Lupus TrialsJeffrey Greenberg, MD, MPH - Building a Translational research registry for rheumatoid arthritisSoumya M. Reddy, MD - Outcome Measures in a Psoriatic arthritis research registry
Meet the Professor Luncheon Workshops ($25, please select one)7. H. Michael Belmont, MD - Lupus Nephritis8. Joan T. Merrill, MD - Difficult Lupus9. John Hanly, MD - Neuropsychiatric Lupus – Interactive review of cases
March 28, 2009Meet the Professor Luncheon Workshops ($25, please select one)10. Stephen Honig, MD, MSc - Fracture risks and Treatment Decisions11. Leslie J. Crofford, MD - Management of Fibromyalgia12. Yusuf Yazici, MD - Behcet’s Syndrome13. Michael H. Pillinger, MD - Management of Gout
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After March 24, 2009, only on-site registration is available.
Seminar In Advanced Rheumatology — March 26-28, 2009 — #304
Register online at www.med.nyu.edu/courses/cme/rheumatology
PLEaSE PrINT aLL INFOrMaTION cLEarLY IN BLOcK LETTErS & NUMBErS.
Name _______________________________________________ First M.I. Last
address _______________________________________________
city __________________________ State ____ Zip ___________
Course Confirmation: Please supply your e-mail address to receive a confirmation letter. Written confirmation will not be mailed. Make sure your e-mail address is clearly written.
E-mail _______________________________________________
Day Phone ( ) ______________ Fax ( ) __________________
Degree _____________________ Specialty____________________
Full Fee Physicians: $500 Reduced Fee: $375* Physician Early Registration Fee: $425 (by January 15, 2008)
Rheumatology Fellows: Free (with letter of certification from program director)To register, contact Jenny Law
Phone: 212-598-6368 Fax: 212-598-6582
On-site registrants will incur an additional $20 charge and will receive a receipt by e-mail in 1-2 weeks.*Reduced fee: Physicians-in-training with letter of certification from chief of Service; NYU School of Medicine alumni, former residents and fellows; M.D.s employed by the Department of Veterans affairs Medical center; full-time active military personnel; nurse practitioners; and all other non-M.D. healthcare professionals. Eligibility for reduced fee must be indicated below.
Refund Policy: an administrative charge of $125 will be assessed for cancellations prior to March 14, 2009. cancellations must be in writing and postmarked no later than the above date. (Faxes anE-mails are not accepted). cancellations will not be accepted after the above date.
Course Cancellation Policy: In the unusual circumstance that this course is cancelled, two weeks notice will be given and tuition will be refunded in full. The NYU Post-Graduate Medical School is not responsible for any airfare, hotel or other costs incurred.
Special needs or requests To help fulfill your continuing education needs, submit a question or topic relating to this course:
______________________ ____________________________________________________________________
______________________ ____________________________________________________________________
PAYMENT BY CREDIT CARD: credit card payments may be faxed to (212) 263-5293
Bill To: Visa Mastercard american Express Amount to be charged: $____________
credit card Number: ____________________________________________ Expiration Date ________________
card Member’s Name: ____________________________ Signature _____________________________________ (please print)
(Please do not reduce or enlarge this form.)
Yes, I will be attending the Gala Dinner at the Water Club ($100.00)
Number of tickets _____
METHODS OF PAYMENT: (cash and phone registration are not accepted) If faxing, do not mail or refax, this will only result in a duplicate charge to your account.
Check in U.S. Dollars only $ ____________
Credit Card Payment (see below)
International Postal Money Order $ ____________ (Foreign registrants, including those from canada, must pay by International Postal Money Order or credit card.)
Make check payable to: NYU Post-Graduate Medical School
Send to: registration Department NYU Post-Graduate Medical School P.O. Box 1855, Murray hill Station New York, NY 10016
2006 Tony Award Winner for Best Musical
BROADWAY SHOW
Friday, March 27, 2009 8:00 pm Performance Price: $100.00 per ticket
______ tickets @ $100.00 each (non-refundable)Please total payment for course, Broadway show, Meet the Professor Lunch(es), and Gala Dinner (if applicable) on “amount to be charged” line below or on one check.
Friday, March 27, 2009
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Conference Registration FormConference Registration FormGeneral InformationGeneral Information ProgramProgram
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loCationNYU School of Medicine alumni hall Farkas auditorium 550 First avenue (31st St.) New York, NY 10016PHOTO IDENTIFICATION IS REQUIRED TO ENTER THE MEDICAL CENTER.
ONLINE REGISTRATION PREFERREDapplications will be accepted in order of their receipt. Visit our secure website www.med.nyu.edu/courses/cme/rheuma-tology to submit online registration.Mailing Address and Contact Information:registration Office NYU Post-Graduate Medical School P. O. Box 1855 Murray hill Station, New York, NY 10016 Phone: 212-263-5295 Fax: 212-263-5293Please Note: We cannot accept telephone registration.
COURSE CONFIRMATIONPlease supply your e-mail address to receive a confirmation letter. Written confirmation will not be mailed.
ACCREDITATION STATEMENT The NYU Post-Graduate Medical School is accredited by the accreditation council for continuing Medical Education to provide continuing medical education for physicians.
CREDIT DESIGNATION STATEMENTThe NYU Post-Graduate Medical School designates this educational activity for a maximum of 23 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
PLENARY SESSION: Maximum of 17 AMA PRA credits 3/26: 6.75 credits3/27: 6.75 credits3/28: 3.5 credits3/26 and 3/27 AM Clinical Workshops and Meet the Professor Luncheon sessions 1 AMA PRA credit each (maximum of one of each session allowed per day).To obtain CME credit, you must: (1) have your ID badge electronically scanned for attendance once each day, and (2) access our website, www.med.nyu.edu/cme, and click on the Online Course Evaluator/CME Credit Process (follow all instructions to receive instantaneous letter of credit).
DISCLOSURE STATEMENTThe NYU Post-Graduate Medical School adheres to the accME Essential areas and Policies, including the Standards for commercial Support, regarding industry support of continuing medical education. In order to resolve any identified conflicts of Interest, disclosure information is provided during the planning process to ensure resolution of any identified con-flicts. Disclosure of faculty and commercial relationships as well as the discussion of unlabeled or unapproved use of any drug, device or procedure by the faculty will be fully noted at the meeting.
HOTEL ACCOMMODATIONSrooms are in very heavy demand in New York city; we urge you to make your reservations early. You may obtain a list of hotels located near NYU School of Medicine by visiting our website: www.med.nyu.edu/cme
PARKINGParking is available on 29th and 30th Streets between First and Second avenues, as well as at the Schwartz health care center garage on First avenue and 30th Street. PLEASE NOTE: we cannot validate parking for registrants.
If there is a specific topic or question that would help fulfill your educational needs, please submit it on the registration panel.
Thursday, March 26, 20096:30 am registration
7:30-8:30 am SPECIAL FEATURE:Optional AM Workshops on Clinical Databases and Research in the Office Setting
Yusuf Yazici, MD - assessment of rheumatoid arthritis Outcomes and Patient Monitoring in routine care
Jonathan Samuels, MD - Ultrasound
7:30-8:15 continental Breakfast 8:15-8:30 Welcome - Steven B. Abramson, MD
PATHOGENESIS OF INFLAMMATORY ARTHRITISModerators: Gary E. Solomon, MD and Michael Colin, MD
8:30-9:05 Pathogenesis of rheumatoid arthritis - Gerald Weissmann, MD9:05-9:40 Psoriatic Disease: Mechanistic and clinical Perspective - Christopher T. Ritchlin, MD9:40-10:15 Genetics in the Pathogenesis of ra - Robert M. Plenge, MD, PhD 10:15-10:30 coffee Break10:30-11:05 cardiovascular Disease and risk Modification in ra - Jeffrey D. Greenberg, MD, MPH11:05-11:40 Signal Transduction: the Good, the Bad, and the Ugly -Gary S. Firestein, MD
11:40-1:00 SPECIAL FEATURE: Optional Lunch and Meet the Professor Workshops
1) Robert M. Plenge, MD - Genetics in ra2) Kenneth G. Saag, MD - Glucocorticoid-Induced Osteoporosis3) Joan Bathon, MD - Treatment of Difficult ra4) Gary S. Firestein, MD - Use of Biologics in rheumatic Disease5) Christopher Ritchlin, MD - approach to the Patient With
Psoriatic Disease6) Jeffrey Greenberg, MD, MPH - Managing cardiovascular
risk in ra
TREATMENT OF INFLAMMATORY ARTHRITISModerator: Stephen Smiles, MD
1:00-1:35 pm Insights in MTX Mechanism of action - Bruce Cronstein, MD1:35-2:10 ra Guidelines, Quality Indicators and Other Things that Irritate Doctors - Kenneth G. Saag, MD, MSc
2:10-2:45 rheumatoid arthritis: New Therapies and Paradigms for Treatment - Joan M. Bathon, MD2:45-3:00 coffee Break3:00-3:35 routine Quantitative Monitoring: a Quality and Ethical Imperative - Theodore Pincus, MD3:35-4:10 cutaneous Manifestations of arthritis - Andrew G. Franks, MD4:10-5:00 Panel Discussion chair: Steven B. Abramson, MD Panelists: Drs. Joan Bathon, Theodore Pincus, Christopher Ritchlin, Kenneth Saag and Gary Solomon5:00 adjourn 6:00 Gala Dinner at the Water club (Open to all registrants, see registration panel)
Friday, March 27, 20097:30-8:30 amSPECIAL FEATURE:Optional AM Workshops on Clinical Databases and Research in the Office Setting
Jill P. Buyon, MD - BILaG and SLEDaI Scoring in Lupus Trials
Jeffrey Greenberg, MD, MPH - Building a Translational research registry for rheumatoid arthritis
Soumya M. Reddy, MD - Outcome Measures in a Psoriatic arthritis research registry
7:30-8:30 continental Breakfast
Updates in Lupus: Bench to Bedside and Back, Part I Moderators: Peter Izmirly, MD and Robert Clancy, PhD
8:30-9:15 am hotspots in the Pathogenesis of SLE 2009 - Mary Crow, MD9:15-10:00 Lupus clinical Trials: Is it Time for Individualized Medicine? - Joan T. Merrill, MD 10:00-10:15 coffee Break10:15-11:00 Lupus Genetics: assimilating the Many recently Discovered Genes - John Harley, MD
11:00-11:45 Demystifying Neuropsychiatric Lupus – Is it Possible? - John Hanly, MD
11:45-1:00 SPECIAL FEATURE: Optional Lunch and Meet the Professor Workshops
7) H. Michael Belmont, MD - Lupus Nephritis8) Joan T. Merrill, MD - Difficult Lupus9) John Hanly, MD - Neuropsychiatric Lupus – Interactive
review of cases
Updates in Lupus: Bench to Bedside and Back, Part 2Moderators: Chung-E Tseng, MD; Anca Dinu Askanase, MD
1:00-1:45 pm cardiovascular Disease and SLE - Susan Manzi, MD, MPH1:45-2:30 Microchimerism: For Better or For Worse - J. Lee Nelson, MD2:30-3:15 Updates on Lupus & Pregnancy - Jill P. Buyon, MD3:15-3:30 coffee Break3:30-4:15 Steroids: Mitigating the Bane of Bone health - H. Michael Belmont, MD4:15-5:00 Panel Discussion chair: Jill P. Buyon, MD Panelists: Drs. Susan Manzi, John Hanly, Joan T. Merrill and H. Michael Belmont5:00 adjourn
Saturday, March 28, 20097:45 am continental Breakfast
Advances in Other Rheumatic DiseasesModerators: Mark Eberle, MD; Pamela Rosenthal, MD
8:30-9:10 Juvenile Idiopathic arthritis: Therapy in 2009 - Philip J. Kahn MD9:10-9:50 IRA GOLDSTEIN MEMORIAL LECTURE Fibromyalgia: Knowns, Unknowns and current Treatment - Leslie J. Crofford, MD9:50-10:25 Necrotizing Vasculitis: a 2009 Update - Yusuf Yazici, MD10:25-10:40 coffee Break 10:40-11:10 Uric acid and cardiovascular Disease - Michael H. Pillinger, MD11:10-11:40 Low Bone Mass: assessing Fracture risk and Need to Treat - Stephen Honig, MD, MSc11:40-12:10 Pathogenesis and Treatment of Osteoarthritis - Steven B. Abramson, MD
12:10-1:00 SPECIAL FEATURE: Optional Meet the Professor Workshops
10) Stephen Honig, MD, MSc - Fracture risks and Treatment Decisions
11) Leslie J. Crofford, MD - Management of Fibromyalgia12) Yusuf Yazici, MD - Behcet’s Syndrome13) Michael H. Pillinger, MD - Management of Gout
1:00 pm adjourn
March 26-28 Workshop Registration
March 26, 2009 Optional AM Workshops (FrEE, please select one)Yusuf Yazici, MD - assessment of rheumatoid arthritis Outcomes and Patient Monitoring in routine careJonathan Samuels, MD - Ultrasound
Meet the Professor Luncheon Workshops ($25, please select one) 1. Robert M. Plenge, MD - Genetics in ra2. Kenneth G. Saag, MD - Glucosteroid-Induced Osteoporosis3. Joan Bathon, MD - Treatment of Difficult ra4. Gary S. Firestein, MD - Use of Biologics in rheumatic Disease5. Christopher Ritchlin, MD - approach to the Patient with Psoriatic Diease6. Jeffrey Greenberg, MD, MPH - Managing cardiovascular risk in ra
March 27, 2009Optional AM Workshops (FrEE, please select one)Jill P. Buyon, MD - BILaG and SLEDaI Scoring in Lupus TrialsJeffrey Greenberg, MD, MPH - Building a Translational research registry for rheumatoid arthritisSoumya M. Reddy, MD - Outcome Measures in a Psoriatic arthritis research registry
Meet the Professor Luncheon Workshops ($25, please select one)7. H. Michael Belmont, MD - Lupus Nephritis8. Joan T. Merrill, MD - Difficult Lupus9. John Hanly, MD - Neuropsychiatric Lupus – Interactive review of cases
March 28, 2009Meet the Professor Luncheon Workshops ($25, please select one)10. Stephen Honig, MD, MSc - Fracture risks and Treatment Decisions11. Leslie J. Crofford, MD - Management of Fibromyalgia12. Yusuf Yazici, MD - Behcet’s Syndrome13. Michael H. Pillinger, MD - Management of Gout
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After March 24, 2009, only on-site registration is available.
Seminar In Advanced Rheumatology — March 26-28, 2009 — #304
Register online at www.med.nyu.edu/courses/cme/rheumatology
PLEaSE PrINT aLL INFOrMaTION cLEarLY IN BLOcK LETTErS & NUMBErS.
Name _______________________________________________ First M.I. Last
address _______________________________________________
city __________________________ State ____ Zip ___________
Course Confirmation: Please supply your e-mail address to receive a confirmation letter. Written confirmation will not be mailed. Make sure your e-mail address is clearly written.
E-mail _______________________________________________
Day Phone ( ) ______________ Fax ( ) __________________
Degree _____________________ Specialty____________________
Full Fee Physicians: $500 Reduced Fee: $375* Physician Early Registration Fee: $425 (by January 15, 2008)
Rheumatology Fellows: Free (with letter of certification from program director)To register, contact Jenny Law
Phone: 212-598-6368 Fax: 212-598-6582
On-site registrants will incur an additional $20 charge and will receive a receipt by e-mail in 1-2 weeks.*Reduced fee: Physicians-in-training with letter of certification from chief of Service; NYU School of Medicine alumni, former residents and fellows; M.D.s employed by the Department of Veterans affairs Medical center; full-time active military personnel; nurse practitioners; and all other non-M.D. healthcare professionals. Eligibility for reduced fee must be indicated below.
Refund Policy: an administrative charge of $125 will be assessed for cancellations prior to March 14, 2009. cancellations must be in writing and postmarked no later than the above date. (Faxes anE-mails are not accepted). cancellations will not be accepted after the above date.
Course Cancellation Policy: In the unusual circumstance that this course is cancelled, two weeks notice will be given and tuition will be refunded in full. The NYU Post-Graduate Medical School is not responsible for any airfare, hotel or other costs incurred.
Special needs or requests To help fulfill your continuing education needs, submit a question or topic relating to this course:
______________________ ____________________________________________________________________
______________________ ____________________________________________________________________
PAYMENT BY CREDIT CARD: credit card payments may be faxed to (212) 263-5293
Bill To: Visa Mastercard american Express Amount to be charged: $____________
credit card Number: ____________________________________________ Expiration Date ________________
card Member’s Name: ____________________________ Signature _____________________________________ (please print)
(Please do not reduce or enlarge this form.)
Yes, I will be attending the Gala Dinner at the Water Club ($100.00)
Number of tickets _____
METHODS OF PAYMENT: (cash and phone registration are not accepted) If faxing, do not mail or refax, this will only result in a duplicate charge to your account.
Check in U.S. Dollars only $ ____________
Credit Card Payment (see below)
International Postal Money Order $ ____________ (Foreign registrants, including those from canada, must pay by International Postal Money Order or credit card.)
Make check payable to: NYU Post-Graduate Medical School
Send to: registration Department NYU Post-Graduate Medical School P.O. Box 1855, Murray hill Station New York, NY 10016
2006 Tony Award Winner for Best Musical
BROADWAY SHOW
Friday, March 27, 2009 8:00 pm Performance Price: $100.00 per ticket
______ tickets @ $100.00 each (non-refundable)Please total payment for course, Broadway show, Meet the Professor Lunch(es), and Gala Dinner (if applicable) on “amount to be charged” line below or on one check.
Friday, March 27, 2009
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