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(PLEASE FILL IN CAPITAL LETTERS) Venue: Suresh Bhat Auditorium, Reshimbagh Ground, Nagpur, Maharashtra, India Date: 4 th to 7 th January 2018 | Organized by: Indian Academy of Pediatrics | Hosted by: Academy of Pediatrics, Nagpur 55 th National Conference of Indian Academy of Pediatrics PEDICON 2018 NAGPUR Date: ............................................. Signature: ..................................................... Gender: Male Female Age: ............................................................................... Nationality: ..................................................................................... Address*: .................................................................................................................................................................................................................................................... City: ......................................................... Pin: .................................... State: ...................................... Country: ................................................................................ Telephone No.: ............................................................... Mobile. No.*: .......................................................................... Fax No. .................................................... Full Name*: ................................................................................................................................................................................................................................................. Conference Registration No*................................................................ (If already registered for conference) Title: Dr. Prof. Mr. Ms. Mrs. Email*: ........................................................................................................................................................................................................................................................... Amount Paid for- Workshop:.................................................................................................................................................................................................................. Total Paid: ...................................... Amount in Word: ........................................................................................................................................................................ Mode of Payment: Cash / Card / DD / (Please tick as appropriate) ............................................................................................................................................. DD / Bank Transfer RTGS / NEFT Transaction No: ........................................................................................................................................................................ ( DD / should in favour of “PEDICON 2018” payble at Nagpur) Receipt No. : ................................................. (For Office Use) *Mandatory field WORKSHOP REGISTRATION FORM WORKSHOP DATE: 2 nd & 3 rd January 2018 Email: [email protected] Web: www.pedicon2018nagpur.com Address: Upadhye Children Hospital, Purva Apartment, Swavalambi Nagar Square, Ring road, Nagpur, Maharashtra - 440022 (India) Conference Secretariat Dr. Jayant V Upadhye Chief Organising Secretary Official Conference Manager Mr. Chander Mohan Project Manager Mr. Amit Katoch Co-Project Manager For any queries, please contact:- Mr. Nikhil Sharma M: +91 9711958151 E: [email protected] Please give your workshop preference mentioning workshop Codes: Code: 1. Code: 2. Workshop Preferences: (Please Tick) Bank Details Bank : State Bank of India Branch : Gopal Nagar, Nagpur Account name : PEDICON 2018 A/C No: 36326427584 IFSC Code : SBIN0006273 MICR : 440002026

WORKSHOP DATE: 2nd & 3rd January 2018 [email protected] Web: Address: Upadhye Children Hospital, Purva Apartment, Swavalambi Nagar Square, Ring road, Nagpur,

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(PLEASE FILL IN CAPITAL LETTERS)

Venue: Suresh Bhat Auditorium, Reshimbagh Ground, Nagpur, Maharashtra, India

Date: 4th to 7th January 2018 | Organized by: Indian Academy of Pediatrics | Hosted by: Academy of Pediatrics, Nagpur

55th National Conference of Indian Academy of Pediatrics

PEDICON 2018 NAGPUR

Date: ............................................. Signature: .....................................................

Gender: Male Female Age: ............................................................................... Nationality: .....................................................................................

Address*: ....................................................................................................................................................................................................................................................

City: ......................................................... Pin: .................................... State: ...................................... Country: ................................................................................

Telephone No.: ............................................................... Mobile. No.*: .......................................................................... Fax No. ....................................................

Full Name*: .................................................................................................................................................................................................................................................

Conference Registration No*................................................................ (If already registered for conference)

Title: Dr. Prof. Mr. Ms. Mrs.

Email*: ...........................................................................................................................................................................................................................................................

Amount Paid for- Workshop:..................................................................................................................................................................................................................

Total Paid: ...................................... Amount in Word: ........................................................................................................................................................................

Mode of Payment: Cash / Card / DD / (Please tick as appropriate) .............................................................................................................................................

DD / Bank Transfer RTGS / NEFT Transaction No: ........................................................................................................................................................................( DD / should in favour of “PEDICON 2018” payble at Nagpur)

Receipt No. : .................................................(For Office Use)

*Mandatory field

WORKSHOP REGISTRATION FORM

WORKSHOP DATE: 2nd & 3rd January 2018

Email: [email protected]: www.pedicon2018nagpur.comAddress: Upadhye Children Hospital, Purva Apartment, Swavalambi Nagar Square, Ring road, Nagpur,Maharashtra - 440022 (India)

Conference Secretariat

Dr. Jayant V UpadhyeChief Organising Secretary

Official Conference Manager

Mr. Chander Mohan − Project ManagerMr. Amit Katoch − Co-Project Manager

For any queries, please contact:- Mr. Nikhil SharmaM: +91 9711958151 E: [email protected]

Please give your workshop preference mentioning workshop Codes: Code: 1. Code: 2. Workshop Preferences: (Please Tick)

Bank DetailsBank : State Bank of India

Branch : Gopal Nagar, Nagpur

Account name : PEDICON 2018

A/C No: 36326427584

IFSC Code : SBIN0006273

MICR : 440002026

Email: [email protected]: www.pedicon2018nagpur.comAddress: Upadhye Children Hospital, Purva Apartment, Swavalambi Nagar Square, Ring road, Nagpur,Maharashtra - 440022 (India)

Conference Secretariat

Dr. Jayant V UpadhyeChief Organising Secretary

Official Conference Manager

Mr. Chander Mohan − Project ManagerMr. Amit Katoch − Co-Project Manager

For any queries, please contact:- Mr. Nikhil SharmaM: +91 9711958151 E: [email protected]

Workshop Details

S. No. Code Name of the Workshop National -Co-Ordinator Delegate Fees Workshop Date

1 A Essential Genetics in Pediatrics in 21st Century Dr. Prakash Gambhir 1000/- 3rd January 2018

Dr. Satish Deopujari

Dr. Vishram Buche

3 C Advanced Mechanical ventilation Dr. Sunit Singhi 2500/- 3rd January 2018

4 D BPICC (2 days) Dr. Rajiv Uttam 3500/- 2nd January 2018

6 F Basic Ventilation Dr. Praveen Khilnani 2500/- 3rd January 2018

7 G Handling Difficult Adolescent Dr. Rajiv Mohta 1500/- 3rd January 2018

8 H Renal Replacement Therapy in Intensive care unit Dr. Uma Ali 1500/- 3rd January 2018

Master Traning Workshop "IAP National Concensus

Guildline Neuro Developmental Disorder- Autism, ADHD,

Learning disorder, Newborn hearing screening "

10 J Asthma Training Module Dr. Varinder Singh 1500/- 3rd January 2018

11 K Pediatric Epilepsy Dr. Anoop Verma 1500/- 3rd January 2018

12 L Bronchoscopy Workshop Dr. Vijay Sekaran 2500/- 3rd January 2018

Cradle to Crayon : Beyond Diagnosis Dr. AnjanaThadani

( Growth & Development) Dr. Monideepa Banerjee

14 N Pedicolegal Workshop Dr. SatishTiwari 1000/- 3rd January 2018

15 O STEP Workshop (2 days) Dr. Rakshay Shetty 4000/- 2nd January 2018

16 P Rational Antibiotic Practice Dr. Bakul Parekh 1000/- 3rd January 2018

17 Q N I V Workshop Dr. Ashwat Ram 1500/- 3rd January 2018

18 R Neuro Critital Care Workshop Dr. Arun Bansal 2500/- 3rd January 2018

19 S Pediatric Endocrinology Workshop Dr. Vaman Khadilkar 1000/- 3rd January 2018

20 T Functional 2D Echo, USG Workshop Dr. Krishna Kumar 1000/- 3rd January 2018

21 U Child Abuse & Neglect Dr. Rajiv Seth 1000/- 3rd January 2018

22 V Applied Pediatric Gastro-enterology Endoscopy Dr. Yogesh Waikar 2000/- 3rd January 2018

23 W Basic Newborn & Pediatric Critical Care for Nurses Dr. Nishikant Kotwal 500/- 3rd January 2018

24 X Therapeutic Hypothermia in Newborns Dr. Muktanshu Patil (U.K.) 2500/- 3rd January 2018

25 Y Infant & Young Child Feeding (IYCF) Dr. Mallikarjun, Dr. Banapurmath 1000/- 3rd January 2018

27 Z1 Healthy lifestyle Dr. Rekha Harish 1000/- 3rd January 2018

28 Z2 Childhood Allergies Dr. Neeraj Gupta 2000/- 3rd January 2018

3rd January 2018Dr. Pradeep Sihare Dr. Dipti Jain

9 I 1500/- 3rd January 2018

13 M 1500/- 3rd January 2018

Dr. Sameer Dalwai  Dr. Chhaya Prasad

26 Z Management of Sickle cell Disease 1000/-

3rd January 2018

2 B Workshop on ABG, Fluids & Electrolytes 1500/- 3rd January 2018

Dr. Piyush Gupta  Dr. Dhiraj Shah

5 E Research Methodology & Thesis writing 1500/-

29 Z3 Principal of Evidence Based Medicine Dr. Meenu Singh 1500/- 3rd January 201830 Z4 Developmental assessment till 01 year Dr Nandini Malshe 1500/-

32 Z6 Practice beyond Pediatrics Dr Pramod Jog 1500/-

3rd January 2018

31 Z5 Quality improvement strategies for OptimisingHealthcare Delivery

Dr Vikram Datta 1500/- 3rd January 2018

3rd January 2018