41st annual meeting “creating a safer practice environment” · on thursday, treat yourself to...

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41st Annual Meeting “Creating a Safer Practice Environment” April 29-May 3, 2009 Renaissance Washington DC Hotel Washington, D.C. Register online at www.soap.org

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Page 1: 41st Annual Meeting “Creating a Safer Practice Environment” · On Thursday, treat yourself to the special lecture by Charles A. Czeisler, Ph.D., M.D., who’s responsible for

41st Annual Meeting“Creating a Safer Practice Environment”April 29-May 3, 2009Renaissance Washington DC HotelWashington, D.C.

Register online atwww.soap.org

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SOAP 41st Annual Meeting Program CommitteeWilliam R. Camann, M.D.Brigham and Women’s HospitalHarvard Medical SchoolBoston, Massachusetts

Robert D’Angelo, M.D.Wake Forest University School of MedicineForsyth Medical CenterWinston-Salem, North Carolina

Robert R. Gaiser, M.D.Meeting HostUniversity of Pennsylvania Health and SciencesPhiladelphia, Pennsylvania

Stephen Gatt, M.D., F.A.N.Z.A.,F.J.F.I.C.M., F.F.A.R.A.C.S.,F.F.I.C.A.N.Z.C.A.OASAO President, OceaniaPrince of Wales HospitalSydney, Australia

McCallum R. Hoyt, M.D., M.B.A.Brigham and Women’s HospitalHarvard Medical SchoolBoston, Massachusetts

Alan Karovitch, M.D., F.R.C.P.C.NASOM President

Linda S. Polley, M.D.Women’s HospitalUniversity of Michigan Health SystemAnn Arbor, Michigan

Barbara M. Scavone, M.D.Northwestern UniversityFeinberg School of MedicineChicago, Illinois

Richard M. Smiley, M.D., Ph.D.Columbia UniversityNew York, New York

John T. Sullivan, M.D.Northwestern University Feinberg School of MedicineChicago, Illinois

Lawrence C. Tsen, M.D.Program ChairBrigham and Women’s HospitalBoston, Massachusetts

Manuel C. Vallejo, Jr., M.D.University of PittsburghPittsburgh, Pennsylvania

Gurinder M.S. Vasdev, M.D., F.R.C.A.Mayo Clinic College of MedicineRochester, Minnesota

Welcome to the SOAP 41st Annual MeetingDear Colleagues,

On behalf of the organizing committee, our meeting host Robert R. Gaiser, M.D., our Executive DirectorJill Mlodoch, and myself, I’m looking forward to seeing you at the 41st Annual Meeting of SOAP inWashington, D.C.! As I’ve been saying for months now, “Yes, there is a little party in January (with theinauguration of 44th President), but the real fun occurs in April at our Annual Meeting!”

We have chosen as our theme, “Creating a Safer Practice Environment,” and you’ll observe that ourprogram reflects essential and new information that will improve your own practice environment andpatients’ outcomes in the many locations (private vs. academic, national vs. international, small vs.large) where we make a difference every day. Make your plans to arrive on Tuesday, April 28th, because our pre-meeting program begins on Wednesday morning with an opportunity to brush up onyour Obstetric Anesthesia Crisis Skills (with mannequins undergoing real scenarios), enhance your Research and Grant Writing Success, and Learn New Paradigms from some of the world’s expertsthrough our joint symposium with the Obstetric Anesthesia Society of Asia and Oceania (OASAO)! Inaddition, our social programs begin on Wednesday, and let’s just say that there’s going to be more thana few iconic politicians, movie stars, and sport legends in attendance!

On Thursday, treat yourself to the special lecture by Charles A. Czeisler, Ph.D., M.D., who’s responsible for most of the sleep medicinestudies that have kept our NASA astronauts, our armed services personnel, our patients, and interestingly, ourselves, safe from sleepdeprivation. How little sleep can you actually handle? Pro/Con Debate, Clinical Protocol Panels, Pearls on informed consent, minimiz-ing neuraxial risks, and handling complications, and the Latest News in the published literature within Obstetric Anesthesia (OstheimerLecture), Obstetrics, and Obstetric Medicine will also be shared. We’ll also celebrate the accomplishments of our Distinguished ServiceAwardee, Sanjay Datta, M.B. and hear the wisdom of Joy L. Hawkins, M.D., our Hehre lecturer.

Our Awards Dinner on Saturday evening has a creative theme with entertainment that will make it a venue not to be missed, and thenSunday, we’ll conclude with our joint symposium with the North American Society of Obstetric Medicine (NASOM), where we’ll get anin-depth review of different pathologies that we can see on a regular basis.

If you’re new to SOAP, an OASAO or NASOM member, or haven’t been to a SOAP meeting in a while, this is the meeting you won’twant to miss! If you have been attending regularly, prepare to be amazed! I’m very much looking forward to seeing you at this meeting!

Cheers,

Lawrence C. Tsen, M.D.SOAP President Elect and Scientific Program Chair

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Program InformationMission of SOAPThe purpose of the Society is to provide a forum for discussion ofmedical problems unique to the peripartum period and to promoteexcellence in medical care, research and education in anesthesia,obstetrics, obstetric medicine and neonatology.

Accreditation and DesignationThe Society for Obstetric Anesthesia and Perinatology is accred-ited by the Accreditation Council for Continuing Medical Education(ACCME) to sponsor continuing medical education for physicians.

SOAP Annual MeetingThe Society for Obstetric Anesthesia and Perinatology designatesthis educational activity for a maximum of 20 AMA PRA Category1 Credit(s)TM. Physicians should only claim credit commensuratewith the extent of their participation in the activity.

Obstetric Anesthesia Crisis Simulation CourseThe Society for Obstetric Anesthesia and Perinatology designatesthis educational activity for a maximum of 4 AMA PRA Category 1Credit(s)TM. Physicians should only claim credit commensuratewith the extent of their participation in the activity.

Research/Grantmanship/Study Design SeminarThe Society for Obstetric Anesthesia and Perinatology designatesthis educational activity for a maximum of 4 AMA PRA Category 1Credit(s)TM. Physicians should only claim credit commensuratewith the extent of their participation in the activity.

OASAO/SOAP Joint SymposiumThe Society for Obstetric Anesthesia and Perinatology designatesthis educational activity for a maximum of 4 AMA PRA Category 1Credit(s)TM. Physicians should only claim credit commensuratewith the extent of their participation in the activity.

Mission of SOAP Program CommitteeThe mission of the Society’s Program Committee is to provideanesthesiologists, obstetricians, and other physicians and mem-bers of related allied health specialties with the knowledge thatwill reinforce past learning as well as disseminate new concepts,practices, and skills involving anesthesia and analgesia for thepregnant woman.

Target AudienceThe SOAP 41st Annual Meeting is intended for anesthesiologists,obstetricians, neonatologists, obstetric medicine specialists, ma-ternal-fetal medicine specialists, residents, fellows and medicalstudents. The Society supports the attendance by associate mem-bers in the educational sessions of the annual meeting. The pro-gram is generated from member requests and an assessment ofneed by the program committee. Attendance at this meeting doesnot guarantee competency or proficiency in the performance ofany procedures which may be discussed or taught during thecourse.

Educational FormatCME activities may include the following formats: plenary ses-sions, debates, lectures, poster discussions, oral abstracts, prob-lem-based learning, and skill-set workshops.

Participation in the SOAP 41st Annual MeetingAttendance shall be open to all health practitioners, provided thatthey have registered for the meeting. CME credit will only be of-fered to M.D.s, D.O.s or equivalent. A completed Physician Verifi-cation of Attendance form must be turned in to SOAP at theconclusion of the meeting. The form will be available on-site.

Special Needs StatementThe Society for Obstetric Anesthesia and Perinatology is commit-ted to making its activities accessible to all individuals and fullycomplies with the legal requirements of the Americans with Disabilities Act and the rules and regulations thereof. If you are inneed of an accommodation, please do not hesitate to call theSOAP office at (847) 825-5586 and/or submit a description of yourneeds in writing to [email protected].

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Program ObjectivesObstetric Anesthesia Crisis Simulation CourseAt the end of this session, participants will be able to:• Review algorithms and formulate responses to obstetric anesthesia crisis situations.

Research/Grantmanship/Study Design SessionAt the end of this session, participants will be able to:• Summarize how to write a funding request and the researchgrant funding process.

• List potential sources of funding. • Identify methods for improving the writing, reviewing and publishing of scientific articles.

OASAO-SOAP Joint SymposiumAt the end of this session, participants will be able to: • Identify advances in clinical care that have global application toobstetric anesthesia practices.

• Determine whether certain methods of neuraxial techniques arenecessary for the safe provision of obstetric anesthesia.

• Identify factors responsible for the optimal provision of labor andpost-cesarean analgesia.

• Summarize mechanisms and responses to peripartum hemorrhage and respiratory depression.

Gertie Marx Research CompetitionAttendees will become familiar with the most recent and best peerreviewed obstetric anesthesia research abstracts from around theworld. (Presentations in this session will be by Fellows.)

What’s New in Obstetrics?At the end of this session, participants will be able to:• Assess the evidence for new concepts in the field of general obstetrics and maternal fetal medicine from the calendar year 2008-2009.

• Describe the impact of new obstetric research on the clinical practices of obstetric anesthesia, obstetric medicine and neonatology.

Breakfast with the ExpertsAfter attending this problem-based learning discussion, partici-pants will be able to:• Interpret the problems associated with an obstetric patient withpre-existing complex medical problems.

• Organize an anesthetic plan for non-obstetric surgery in this patient.

• Review and evaluate how the plan changes based on a changing surgical situation.

Gerald W. Ostheimer LectureAt the end of this session, participants will be able to:• Evaluate the level of evidence for new preventive and therapeutic strategies in the vast field of maternal-fetal medicine, perinatology and obstetric anesthesia.

• Describe and apply state-of-the-art obstetric analgesia and anesthesia.

• Identify novel concepts and areas of research relevant to the understanding and management of pregnancy-related disorders,neonatal outcomes and obstetric anesthesia.

What’s New in Obstetric Medicine?At the end of this session, participants will be able to:• Apply new findings in internal medicine as it applies to obstetricsand obstetric anesthesia clinical practice.

• Describe the effect of medical disease in pregnancy on clinicalpractice, education and future research.

Annual Meeting ProgramAt the end of this session, participants will be able to:• Summarize how sleep deprivation can affect work efficiency andsafety.

• Identify how the number of consecutive work hours worked canaffect work ability.

• Formulate working protocols for common patient concerns in obstetric anesthesia.

• Identify recent advances in obstetrics, obstetric anesthesia, andobstetric medicine research.

• Describe optimal informed consent and neuraxial injury assessment processes.

• Indicate algorithms to minimize risks associated with neuraxialtechniques.

• Summarize how obstetric anesthesia’s contributions have affected maternal safety.

• List methods for improving the transition from research idea topublication.

• List recent advances in clinical obstetric medical and anesthesiacare.

• Determine what changes should be incorporated into current practices to create a safer patient and practitioner environment.

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FacultyKatherine W. Arendt, M.D.Mayo ClinicRochester, Minnesota

Valerie A. Arkoosh, M.D., M.P.H.Hospital of the University of PennsylvaniaHealth and SciencePhiladelphia, Pennsylvania

Gerard M. Bassell, M.D.University of Kansas School of MedicineWichita, Kansas

Yaakov Beilin, M.D.Mount Sinai School of MedicineNew York, New York

David J. Birnbach, M.D., M.P.H.Jackson Memorial Medical CenterMiami, Florida

Brenda A. Bucklin, M.D.University of Colorado Denver Health and Sciences CenterDenver, Colorado

Alexander J. Butwick, M.B., B.S.Stanford University School of MedicineStanford, California

William R. Camann, M.D.Brigham and Women’s HospitalHarvard Medical SchoolBoston, Massachusetts

Monica M. Cardosa, M.D., Ph.D.Santa Joana Maternity HospitalSao Paulo, Brazil

Brendan Carvalho, M.B., B.Ch., F.R.C.A.Stanford University School of MedicineStanford, California

Jose C.A. Carvalho, M.D.Mount Sinai HospitalUniversity of TorontoToronto, Canada

Susilo Chandra, M.D.Cipto Mangunkusumo HospitalUniversity of IndonesiaJakarta, Indonesia

Shobana L. Chandrasekhar, M.D.Baylor College of MedicineHouston, Texas

Theodore G. Cheek, M.D.Hospital University of PennsylvaniaPhiladelphia, Pennsylvania

David H. Chestnut, M.D.Gundersen LutheranLa Crosse, Wisconsin

Sheila E. Cohen, M.B., Ch.B., F.R.C.A.Stanford University School of MedicineStanford, California

Clive B. Collier, M.B.B.S., M.D.Royal Hospital for WomenRandwick, Australia

Charles A. Czeisler, Ph.D., M.D.Brigham and Women’s HospitalHarvard Medical SchoolBoston, Massachusetts

Patricia L. Dalby, M.D.University of PittsburghPittsburgh, Pennsylvania

Robert D’Angelo, M.D.Wake Forest University School of MedicineForsyth Medical CenterWinston-Salem, North Carolina

Sanjay Datta, M.B.Harvard Medical SchoolBoston, Massachusetts

Jeannie Donahoe, R.N.C., B.S.Magee-Womens HospitalUniversity of Pittsburgh Medical CenterPittsburgh, Pennsylvania

M. Joanne Douglas, M.D., F.R.C.P.C.British Columbia Women’s HospitalVancouver, Canada

Michal Elovtiz, M.D.University of Pennsylvania HospitalPhiladelphia, Pennsylvania

Roshan Fernando, M.B., Ch.B.Royal Free Hospital - London UniversityHerts, United Kingdom

Robert R. Gaiser, M.D.University of Pennsylvania Health and SciencesPhiladelphia, Pennsylvania

Stephen Gatt, M.D., F.A.N.Z.A.,F.J.F.I.C.M., F.F.A.R.A.C.S.,F.F.I.C.A.N.Z.C.A.OASAO President, OceaniaPrince of Wales HospitalSydney, Australia

Yehuda C. Ginosar, M.B.B.S.Hadassah Hebrew University Medical CenterJerusalem, Israel

Gabriella Gosman, M.D.University of Pittsburgh School of MedicineMagee-Womens Hospital of University ofPittsburgh Medical CenterPittsburgh, Pennsylvania

Craig Hargreaves, M.D.St George Private HospitalKogarah, Australia

Miriam Harnett, M.B., F.F.A.R.C.S.I.Cork University Maternity HospitalCork, Ireland

Joy L. Hawkins, M.D.University of Colorado School of MedicineAurora, Colorado

Philip E. Hess, M.D.Beth Israel Deaconess Medical CenterHarvard Medical SchoolBoston, Massachusetts

Michelle Hladunewich, M.D., B.Sc.,M.Sc., F.R.C.P.C.Mount Sinai HospitalUniversity of TorontoToronto, Canada

Paul R. Howell, M.B., Ch.B.OAA PresidentSt. Bartholomew's HospitalLondon, England

McCallum R. Hoyt, M.D., M.B.A.Brigham and Women’s HospitalHarvard Medical SchoolBoston, Massachusetts

Alan Karovitch, M.D., F.R.C.P.C.University of OttawaOttawa, Canada

Warwick Ngan D. Kee, M.D.Chinese University of Hong KongPrice of Wales HospitalHong Kong

Ruth Landau, M.D.University Hospital of GenevaGeneva, Switzerland

Lisa R. Leffert, M.D.Massachusetts General HospitalHarvard Medical SchoolBoston, Massachusetts

Barbara L. Leighton, M.D.Washington University School of MedicineSt. Louis, Missouri

John P. Loughrey, M.B., B.Ch.The Rotunda HospitalDublin, Ireland

Janine Malcolm, M.D.The Ottawa HospitalUniversity of OttawaOttawa, Canada

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Robert S. McKay, M.D.University of Kansas School of MedicineWichita, Kansas

Donald R. Miller, M.D.The Ottawa HospitalUniversity of OttawaOttawa, Canada

Roger A. Moore, M.D.Deborah Heart and Lung CenterBrowns Mills, New Jersey

Craig M. Palmer, M.D.University of Arizona Health and Science CenterTucson, Arizona

Moeen Panni, M.D., Ph.D.University of Florida College of MedicineJacksonville, Florida

Rita M. Patel, M.D.University of PittsburghPittsburgh, Pennsylvania

Patricia M. Perry, M.D.Rush University Medical CenterChicago, Illinois

Lang-Ha T. Pham, M.D.Presbyterian HospitalAlbuquerque, New Mexico

Linda S. Polley, M.D.Women’s HospitalUniversity of Michigan Health SystemAnn Arbor, Michigan

Stephen Pratt, M.D.Beth Israel Deaconess Medical CenterHarvard Medical SchoolBoston, Massachusetts

Tonse N.K. Raju, M.D., D.C.H.Eunice Kennedy Shriver National Instituteof Child Health and Human DevelopmentNational Institutes of HealthBethesda, Maryland

Jaya Ramanathan, M.D.University of TennesseeMemphis, Tennessee

Edward T. Riley, M.D.Stanford University School of MedicineStanford, California

Ryan C. Romeo, M.D.University of Pittsburgh Medical CenterPittsburgh, Pennsylvania

Mark A. Rosen, M.D.University of CaliforniaSan Francisco, California

Robin Russell, M.B.B.S., M.D., F.R.C.A.John Radcliffe Women’s CentreHeadington, Oxford, United Kingdom

Barbara M. Scavone, M.D.Northwestern UniversityFeinberg School of MedicineChicago, Illinois

Scott Segal, M.D.Brigham and Women’s HospitalHarvard Medical SchoolBoston, Massachusetts

Alan D. Sessler, M.D.FAER, PresidentMayo Clinic Rochester, Minnesota

Steven L. Shafer, M.D.Columbia University Medical CenterNew York, New York

Dennis C. Shay, M.D.Mary Birch Hospital for WomenSan Diego, California

Grace H. Shih, M.D.University of Kansas Medical CenterKansas City, Kansas

Alex T. Sia, M.MedOASAO President, AsiaKK Women's and Children’s HospitalSingapore

Caroline Signore, M.D., M.P.H.Eunice Kennedy Shriver National Instituteof Child Health and Human DevelopmentNational Institutes of HealthBethesda, Maryland

Hyagriv N. Simhan, M.D., M.S.C.R.Magee-Womens Hospital Magee Womens Research CenterUniversity of Pittsburgh Medical CenterPittsburgh, Pennsylvania

Richard M. Smiley, M.D., Ph.D.Columbia UniversityNew York, New York

Karen Stein, R.N., B.W.N., M.Sed.,C.C.R.N.Magee Womens Hospital University of Pittsburgh Medical CenterPittsburgh, Pennsylvania

John T. Sullivan, M.D.Northwestern University Feinberg School of MedicineChicago, Illinois

Maya S. Suresh, M.D.Baylor College of MedicineHouston, Texas

Wendy Teoh, M.B.B.S., F.A.N.Z.C.A.KK Women’s and Children’s HospitalSingapore

Katsuo Terui, M.D.Saitama Medical CenterSaitama, Japan

John Andrew Thomas, M.D.Forsyth HospitalWinston-Salem, North Carolina

Paloma Toledo, M.D.Northwestern UniversityChicago, Illinois

Lawrence C. Tsen, M.D.Brigham and Women’s HospitalHarvard Medical SchoolBoston, Massachusetts

Manuel C. Vallejo, Jr., M.D.University of Pittsburgh Medical CenterPittsburgh, Pennsylvania

Gurinder M.S. Vasdev, M.D., F.R.C.A.Mayo Clinic College of MedicineRochester, Minnesota

Jonathan H. Waters, M.D.University of Pittsburgh Medical CenterPittsburgh, Pennsylvania

Nancy Wise, B.S.N.Anesthesia Associates of LancasterWomen and Babies HospitalLancaster, Pennsylvania

Richard N. Wissler, M.D., Ph.D.University of Rochester Medical CenterRochester, New York

David J. Wlody, M.D.State University of New YorkDownstate Medical CenterBrooklyn, New York

Cynthia A. Wong, M.D.Northwestern UniversityFeinberg School of MedicineChicago, Illinois

Hj Zulaidi, M.D.Brunei

Kathryn J. Zuspan, M.D.Lakeview HospitalStillwater, Minnesota

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NEW

Separate registration required. This seminar is for anyone interested in research. Participants will hear presentations and have opportunity for discussion with experts in the NIH, FAER and editors of the major journals in obstetric anesthesia.Course Directors: Philip E. Hess, M.D.; Richard M. Smiley, M.D., Ph.D.

8 a.m. Overview of the NIH and the Funding Process Tonse N.K. Raju, M.D., D.C.H.8:30 a.m. The Nuts and Bolts of Creating and Submitting a Funding Request

Caroline Signore, M.D., M.P.H.9 a.m. FAER: Another Source for Funding Alan D. Sessler, M.D.9:30 a.m. Panel Discussion and Questions and Answers10 a.m. Break10:20 a.m. Writing the Manuscript, Where Do I Start? Steven L. Shafer, M.D.11 a.m. Maximizing Success: The Right Paper and the Right Journal

Robin Russell, M.B.B.S., M.D., F.R.C.A.11:30 a.m. Manuscript in Review: Why Accepted, Revise, Rejected Cynthia A. Wong, M.D.

NEW

NEW

Separate registration required. Participants of this course will learn to react and appropriately treat four common obstetrical emergencies utilizing a multidisciplinary care team approach.Course Director: Manuel C. Vallejo, Jr., M.D.Speakers: Patricia L. Dalby, M.D.; Jeannie Donahoe, R.N.C., B.S.; Gabriella Gosman, M.D.; Rita M. Patel, M.D.;Ryan C. Romeo, M.D.; Hyagriv N. Simhan, M.D., M.S.C.R.; Karen Stein, R.N., B.W.N., M.Sed., C.C.R.N.; Jonathan H. Waters, M.D.; Nancy Wise, B.S.N.

Program ScheduleWednesday, April 29, 20096:30 a.m.-2 p.m. Registration

Separate registration required. Participants in this course will learn new, novel and internationally tested methods and practices relevant to obstetric anesthesia.Course Directors: Gurinder M.S. Vasdev, M.D., SOAP Immediate Past PresidentStephen Gatt, M.D., OASAO President, OceaniaAlex T. Sia, M.Med., OASAO President, Asia

1 p.m. WelcomeStephen Gatt, M.D. (Australia);Gurinder M.S. Vasdev, M.D. (USA);Linda S. Polley, M.D. (USA)

Session 1Co-Chairs: Gurinder M.S. Vasdev, M.D. (USA); Alex T. Sia, M.Med. (Singapore/Malaysia)1:05 p.m. Are There Two Subdural Spaces? The Evidence and Relevance to Obstetric Anesthesia

Clive B. Collier, M.B.B.S., M.D. (Australia)1:25 p.m. Epidural Test Doses Re-Visited Barbara Leighton, M.D. (USA)1:45 p.m. The Epidural Test Doses: Who Needs Them? Craig Hargreaves, M.D. (Australia)2:05 p.m. Best Labour Epidural Practices Paloma Toledo, M.D. (USA)2:25 p.m. Problems and Pitfalls of Setting Up an Obstetric Anaesthesia Service in a Closed

Community in a Developing Country Hj Zulaidi, M.D. (Brunei)2:40 p.m. Question Period2:55 p.m. Break

Session 2Co-Chairs: Gurinder M.S. Vasdev, M.D. (USA); Stephen Gatt, M.D. (Australia)3:20 p.m. Can Genetics and Ethnicity Affect Post Caesarean Analgesia in the Asian

PopulationAlex T. Sia, M.Med. (Singapore/Malaysia)

3:45 p.m. The Single Shot Spinal as a Method of Pain Relief in Labour - An Indonesian Success Story Which Bears Looking Into Susilo Chandra (Indonesia)

4:20 p.m. Safety Profile of Spinal Analgesia Adjuvants Robert D’Angelo, M.D. (USA)4:45 p.m. A New Paradigm in the Management of Peripartum Haemorrhage

Stephen Gatt, M.D. (Australia)5:10 p.m. Delayed Respiratory Depression from Intrathecal Morphine and Sensitivity to

OpioidKatsuo Terui, M.D. (Japan)

5:30-5:50 p.m. Question Period

8 a.m.-noon and Obstetric Anesthesia Crisis Simulation Course1-5 p.m.

8 a.m.-noon Research/Grantmanship/Study Design Seminar

1-5:30 p.m. OASAO-SOAP Joint Symposium

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7-9 p.m. Welcome Reception at Madame Tussauds Wax Museum1025 F Street (corner of 10th and F Streets), Washington, D.C.

Experience the glittering world of fame for-a-day at Madame Tussauds. There are no body guards or velvet ropes here, so you can get as close as you want to the stars! Rub shoulders with Hollywood’s finest and challenge your favorite sport stars at their own game. Then meet the kingpins of international politics and perform along side your favorite pop stars. Fast-paced and interactive, you’ll have a star-studded time at Madame Tussauds! Desserts and beverages will be served. For more information, visit www.madametussauds.com/washington

Thursday, April 30, 20096:30 a.m.-5 p.m. Registration

6:45-7:45 a.m. Breakfast with Exhibitors and Poster Viewing

7:45-8 a.m. Welcome to the 41st Annual Meeting: “Creating a Safer Practice Environment”Linda S. Polley, M.D., SOAP PresidentLawrence C. Tsen, M.D., Program Chair, SOAP President-ElectRobert R. Gaiser, M.D., SOAP Meeting HostRoger A. Moore, M.D., ASA President

8-9:30 a.m. Gertie Marx Research CompetitionModerator: Gerard M. Bassell, M.D.

Judges: Mark A. Rosen, M.D.; David H. Chestnut, M.D.; Cynthia A. Wong, M.D.; Warwick Ngan D. Kee, M.D.; Linda S. Polley, M.D.; Edward T. Riley, M.D.

9:30-9:45 a.m. Distinguished Serve AwardPresented by: Lawrence C. Tsen, M.D.Recipient: Sanjay Datta, M.B.

9:45-10 a.m. Coffee Break with Exhibitors and Poster Viewing

10-11 a.m. Special Lecture: “Work, Sleep Hours, and Patient Safety”Introduction: Lawrence C. Tsen, M.D.Speaker: Charles A. Czeisler, Ph.D., M.D.

11 a.m.-noon Pro/Con Debate: Attending Obstetric Anesthesia Call Should Be Limited to No More Than 15 Consecutive HoursModerator: Stephen Pratt, M.D.Pro: Lang-Ha T. Pham, M.D.Con: Dennis C. Shay, M.D.

Noon-1 p.m. Lunch with Exhibitors

1-2 p.m. Panel #1: Developing Clinical Protocols: Evolving Practices to Reduce Practitioner and Patient RiskModerator: Scott Segal, M.D.A. Obstetric Hemorrhage Scott Segal, M.D.B. “All Hands On Deck-BWH” William R. Camann, M.D.C. “Condition O” Jonathan H. Waters, M.D.D. Patient/Family Activation of Obstetric Rapid Response Teams Moeen Panni, M.D., Ph.D.

2-3:30 p.m. Oral Presentations - Session #1Moderator: M. Joanne Douglas, M.D., F.R.C.P.C.

3:30-4 p.m. Coffee Break with Exhibitors and Poster Viewing

4-6 p.m. SOAP Business Meeting and Election

Wednesday, April 29, 2009, continued

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Friday, May 1, 20097 a.m.-5 p.m. Registration

7-8 a.m. Breakfast with Exhibitors and Poster Viewing

8-9:15 a.m. Oral Presentations - Session #2Moderator: Lisa R. Leffert, M.D.

9:15-10:15 a.m. Neuraxial Techniques: Risk ManagementInformed Consent: If Only I’d Known ... What Risks Should Be Shared?Sheila E. Cohen, M.B., Ch.B., F.R.C.A.

Injury Following Neuraxial Techniques: Practical Next StepsCynthia A. Wong, M.D.

10:15-10:45 a.m. Coffee Break with Exhibitors and Poster Viewing

10:45-11:45 a.m. Poster Review #1Moderator: Yaakov Beilin, M.D.

11:45 a.m.-12:45 p.m. What’s New in Obstetrics?Introduction: Robert R. Gaiser, M.D.Speaker: Michal Elovtiz, M.D.

1-4 p.m. SOAP Resident Forum1-2 p.m. Welcome and Lunch

Welcome Address: Linda S. Polley, M.D.

2-4 p.m. Oral PresentationsJudges: William R. Camann, M.D.; Manuel C. Vallejo, Jr., M.D.; Barbara M. Scavone, M.D.; Kathryn J. Zuspan, M.D.; Robert D’Angelo, M.D.; Joy L. Hawkins, M.D.; David J. Wlody, M.D.; Linda S. Polley, M.D.; Richard N. Wissler, M.D., Ph.D.; Maya S. Suresh, M.D.; McCallum R. Hoyt, M.D., M.B.A.; Gurinder M.S. Vasdev, M.D., F.R.C.A.; M. Joanne Douglas, M.D., F.R.C.P.C.; Edward T. Riley, M.D.; Robert R. Gaiser, M.D.; Lawrence C. Tsen, M.D.

1-4 p.m. ASA Practice Advisory Committee on Infectious Complications of Neuraxial TechniquesModerators: David J. Birnbach, M.D., M.P.H.; Craig M. Palmer, M.D.

Friday Social Activity8:30-10 p.m. Family Movie Night A SOAP Annual Meeting first! Enjoy a movie and popcorn at the hotel’s theatre.

Washington Monument

Smithsonian Castle U.S. Capitol Building

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6-10 p.m. SOAP Awards Dinner Cinco de Mayo theme. Entertainment by mariachi band and DJ. Business casual attire.

Saturday, May 2, 20096-7 a.m. Wellness Run/Walk Details are listed on page 11.

6:30 a.m.-5 p.m. Registration

7-8 a.m. Continental Breakfast

7-8 a.m. Breakfast with the ExpertsModerator: McCallum R. Hoyt, M.D., M.B.A.

Experts: Shobana L. Chandrasekhar, M.D.; Monica M. Cardosa, M.D., Ph.D.; Theodore G. Cheek, M.D.; Yehuda C. Ginosar, M.B.B.S.; Miriam Harnett, M.B., F.F.A.R.C.S.I.; John P. Loughrey, M.B., B.Ch.; Jaya Ramanathan, M.D.; Patricia M. Perry, M.D.; Wendy Teoh, M.B.B.S., F.A.N.Z.C.A.; John Andrew Thomas, M.D.

8-9 a.m. Panel #2: Minimizing Risks with Neuraxial TechniquesModerator: Paul R. Howell, M.B., Ch.B.Anticoagulation and Neuraxial Techniques Alexander J. Butwick, M.B., B.S.Opioid Respiratory Depression Brendan Carvalho, M.B., B.Ch., F.R.C.A.

9-10 a.m. Gerard W. Ostheimer Lecture: What’s New in Obstetric Anesthesia?Introduction: Ruth Landau, M.D.Speaker: John T. Sullivan, M.D.

10-10:15 a.m. Coffee Break and Poster Viewing

10:15-11:15 a.m. Poster Review #2Moderator: Roshan Fernando, M.B., Ch.B.

11:15 a.m.-12:15 p.m. Fred Hehre Lecture: Anesthesiology’s Contribution to Maternal SafetyIntroduction: Brenda A. Bucklin, M.D.Speaker: Joy L. Hawkins, M.D.

12:15-1:45 p.m. Lunch on own

1:45-3 p.m. Best Paper PresentationsModerator: Jose C.A. Carvalho, M.D.

Judges: Valerie A. Arkoosh, M.D., M.P.H., F.R.C.P.C.; Robert D’Angelo, M.D.; Donald R. Miller, M.D.; Alex T. Sia, M.Med.

3-3:15 p.m. Coffee Break

3:15-4:45 p.m. Research Forum: From Idea to PublicationIntroduction: Richard M. Smiley, M.D., Ph.D.What Research Should Be Done in Obstetric Anesthesia Richard M. Smiley, M.D., Ph.D.Maximizing Success: The Right Paper and the Right Journal Robin Russell, M.B.B.S., M.D., F.R.C.A. How to Write a Manuscript/What an Editor Wants Donald R. Miller, M.D., Editor-in-Chief,Canadian Journal of Anesthesia

Sunday, May 3, 2009NASOM/SOAP Joint Symposium

7-11 a.m. Registration

7:30-8 a.m. Breakfast

8-9 a.m. Best Case ReportsModerators: Robert S. McKay, M.D.; Grace H. Shih, M.D.

9-10 a.m. What’s New in Obstetric MedicineIntroduction: William R. Camann, M.D.Speaker: Alan Karovitch, M.D., F.R.C.P.C.

10-10:15 a.m. Coffee Break

10:15-11:15 a.m. Panel: Interesting Cases in Obstetric Medicine and AnesthesiaCo -moderators: William R. Camann, M.D.; Alan Karovitch, M.D., F.R.C.P.C.Panelists: Janine Malcolm, M.D.; Michelle Hladunewich, M.D., B.Sc., M.Sc., F.R.C.P.C.; Barbara M. Scavone, M.D.; Katherine W. Arendt, M.D.

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SOAP appreciates the support of its exhibitors.

Please take time to meet the exhibitors

during the following hours:

Thursday, April 30, 20096:45-7:45 a.m. Breakfast in Exhibit Hall9:45-10:00 a.m. Coffee Break with ExhibitorsNoon-1:00 p.m. Boxed Lunches in Exhibit Hall3:30-4:00 p.m. Coffee Break with Exhibitors

Friday, May 1, 20097:00-8:00 a.m. Breakfast in Exhibit Hall10:15-10:45 a.m. Coffee Break with Exhibitors

Social EventsWednesday, April 297-9 p.m., Welcome Reception at Madame Tussauds Wax MuseumExperience the glittering world of fame for-a-day at Madame Tussauds. Thereare no body guards or velvet ropes here, so you can get as close as you wantto the stars! Rub shoulders with Hollywood’s finest and challenge your favoritesport stars at their own game. Then meet the kingpins of international politicsand perform along side your favorite pop stars. Fast-paced and interactive,you’ll have a star-studded time at Madame Tussauds! Desserts and bever-ages will be served. For more information, visit www.madametussauds.com/washington

Friday, May 18:30-10 p.m., Family Movie NightA SOAP Annual Meeting first! Enjoy a movie and popcorn at the hotel’s theatre.

Saturday, May 26-7 a.m., Wellness Run/Walk - Register for this activity on the SOAP Annual Meeting Registration Form.Attend this fun event for all. The name has been changed to encourage more participation. There will be no official winners as everyone who participates will “win” by exercising, meeting others, and seeing the monuments, such as the Washington Monument, the Lincoln Memorial, and the Vietnam Veterans Memorial. We will be running/walking a 5 km around the Washington Mall, and will undoubtedly be inspired and humbledby these historical sites. Let’s all take the first step toward our wellness by participating in the First WellnessRun/Walk.

6-10 p.m., SOAP Awards Dinner - Register for this activity on the SOAP Annual Meeting Registration Form.Cinco de Mayo theme. Entertainment by a mariachi band and DJ. Business casual attire.

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Hotel InformationThe Renaissance Washington DC Hotel is the official headquarters hotel for the SOAP 41st Annual Meeting.

Renaissance Washington DC Hotel999 Ninth Street NWWashington, D.C.Phone: (202) 898-9000Fax: (202) 289-0947www.marriott.com/hotels/travel/wasrb-renaissance-washington-dc-hotel/

The daily room rate is $249 for single occupancy;$280 for double occupancy plus applicable taxes.

This rate will be offered for arrivals up to three days prior to the meeting and for departure upto three days after the meeting, based on availability.

Located in the heart of a pulsing, revitalized downtown - directly across from the Washington Convention Center - the Renaissance Washington DC Hotel is ideal for experiencing the energy and allure of America’s Capital City. Drawing inspiration from localhistory and culture, this luxury hotel in downtown Washington D.C. offers its own distinctstory. As a unique choice among Washington D.C. hotels in the Penn Quarter District, itstrategically sits between Capitol Hill and the White House. - mere blocks from the Spy Museum, National Portrait Gallery, and the world-famous Mall monuments.

This hotel is within walking distance to great sights, such as the National Portrait Gallery andthe Spy Museum, which teaches about espionage and its role in history. Also within walkingdistance are many restaurants, both ethnic and traditional. Washington D.C. is a perfect place to bring the family and will give children atremendous opportunity to learn history and see the sights.

Visit the official tourism site of Washington D.C. at www.washington.org.

ParkingOn-site parking fee is $9 per hour or $22 per day. Valet parking is $32 per day.

Hotel ReservationsReservations must be made by April 10, 2009.For online reservations, go to:http://www.marriott.com/hotels/travel/wasrb?groupCode=soasoaa&app=resvlink&fromDate=4/28/09&toDate=5/4/09

For phone reservations, please call 1-888-236-2427 (U.S. and Canada).

For international phone reservations, please visit https://www.marriott.com/reservation/worldnum.mi to obtain a list of telephone numbers for international reservations by country.

TransportationThe closest airport to the Renaissance Washington DC hotel is Ronald Reagan Washington National Airport, seven miles away. Taxi,bus or metro service can be utilized to get to the hotel. Alternate airports are Dulles International and Baltimore/Washington Interna-tional, both are approximately 30 miles away and require taxi or shuttle service to get to the hotel.

Upcoming SOAP meetingsObstetrical Anesthesia 2010:The Sol Shnider, M.D.Obstetrical Anesthesia MeetingMarch 11-14, 2010Grand Hyatt HotelSan Francisco, California

SOAP 42nd Annual MeetingMay 12-16, 2010Grand Hyatt San AntonioSan Antonio, Texas

SOAP 43rd Annual MeetingApril 13-17, 2011Loews Lake Las Vegas ResortLake Las Vegas, Nevada

SOAP 44th Annual MeetingMay 2-6, 2012Hyatt Regency Monterey Resortand Conference CenterMonterey, California

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Registration Fees Through After AmountMarch 13, 2009 March 13, 2009

General Registration Includes Welcome Reception, Continental Breakfasts, Breaks, Thursday Lunch and T-shirt.

SOAP, OASAO, OAA, SMFM, NASOM Member. . . . . . . $450 . . . . . . . . . . . . . . . . . . . $550 . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________

Please circle applicable membership(s)

Associate Member (Ph.D., CRNA, AA, Other) . . . . . . . . . $450 . . . . . . . . . . . . . . . . . . . $550 . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________

Resident, Fellow, Student Member . . . . . . . . . . . . . . . . . . $250 . . . . . . . . . . . . . . . . . . . $350 . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________

Resident, Fellow, Student Non-Member+ . . . . . . . . . . . . . $315 . . . . . . . . . . . . . . . . . . . $415 . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________

+difference may be applied toward membership; please complete membership application and attach with registration

SOAP Retired Member. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $250 . . . . . . . . . . . . . . . . . . . $250 . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________

Non-Member+ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $650 . . . . . . . . . . . . . . . . . . . $750 . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________

+difference may be applied toward membership; please complete membership application and attach with registration

Spouse/Guest(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $75 x _________________ number of spouse/guest(s) $ ____________

Name of spouse/guest __________________________________ (includes Welcome Reception, Spouse/Guest Hospitality and T-shirt)

Children (under 18 years) . . . . . . . . . . . . . . . . . . . . . . . . . . $20 x _________________ number of children $ ____________

Name(s) of children _____________________________________ (includes Welcome Reception, Spouse/Guest Hospitality and T-shirt)

General Registration Subtotal $___________

Total from Page 2 $___________

GRAND TOTAL FOR GENERAL REGISTRATION $__________

T-Shirt (included in registration fee)

Please indicate size: _____ XXL _____ XL _____Large _____Medium _____Small

Refund Policy: If your registration must be cancelled, a refund less $50 will be allowed if requested in writing and received by March 13, 2009. Cancellations

received between March 14 and April 17, 2009 will be subject to a $100 cancellation fee. We regret that no refunds will be allowed after April 18, 2009.

Method of Payment: � Visa � MasterCard � Check (payable to SOAP in U.S. funds drawn from a U.S. bank)

check # _____________

First Name: ________________________________ MI __________ Last Name: __________________________________________________________

Affiliation: _______________________________________________________________________________ Degree(s): ___________________________

Mailing Address: _______________________________________________________________________________________________________________

City: _________________________________________ State: ________ ZIP/Postal code: ____________________Country: ____________________

Daytime Phone: _________________________________________ Fax: _________________________________________________________________

E-mail: _________________________________________________________________________________________________________________________

Card Number: _________________________________________________________________Expiration Date: ______________

CVV Number*: ___________ Name on Card: ___________________________________________________________________*CVV number is the 3 digit code located on the signature line on the back of the credit card

Signature: _______________________________________________________________________________________________

SOAP 41st Annual Meeting Registration Form Page 1April 29-May 3, 2009 • Washington, D.C.

Send completed registration form with payment to: SOAP, 520 N. Northwest Highway, Park Ridge, IL 60068Fax (847) 825-5658

Registration is also available online at www.soap.org

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First Name: ________________________________ MI __________ Last Name: ________________________________________________________

Daytime Phone: __________________________________________ Fax: _______________________________________________________________

E-mail: __________________________________________________________________________________________________

WEDNESDAY, APRIL 29, MORNING SESSIONS, 8 a.m.-noon. Please select one.Pre-registration is required for these programs. Enrollment is limited.

� Obstetric Anesthesia Crisis Simulation Course ............................................................................................................$250

� Research/Grantmanship/Study Design Seminar ........................................................................................................$100

WEDNESDAY, APRIL 29, AFTERNOON SESSIONS, 1-5 p.m. Please select one.Pre-registration is required for these programs. Enrollment is limited.

� Obstetric Anesthesia Crisis Simulation Course ............................................................................................................$250

� OASAO-SOAP Joint Symposium ................................................................................................................................$150

SATURDAY, MAY 2, 7-8 a.m.

� Breakfast with the Experts ..........................................................................................................................................$70

Send completed registration form with payment to: SOAP, 520 N. Northwest Highway, Park Ridge, IL 60068Fax (847) 825-5658

Registration is also available online at www.soap.org

Special Needs

� I will require special assistance. � I will require vegetarian meals. � I will require kosher meals.

SOAP 41st Annual Meeting Registration Form Page 2April 29-May 3, 2009 • Washington, D.C.

Optional Programs

Wellness Run/Walk, Friday, May 1, 6-7 a.m.

� I will attend the Wellness Run/Walk (FREE). Number of runners _______________ Number of walkers ____________

Family Movie Night, Friday, May 1, 8:30 p.m.

� I will attend the SOAP Family Movie Night. (FREE) Number of people _______________

SOAP Awards Dinner, Saturday, May 2, 6-10 p.m

� I will attend the SOAP Awards Dinner.................$100 x _________ number of people = $_____________________

Optional Programs and Social Events Subtotal $_______________(please transfer amount to page 1)

Social Events

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How did you hear about this meeting?

� E-mail announcement � Save the Date Postcard � SOAP Web site� From colleague � Journal ad � Other _______________________

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Thursday, April 309-10 a.m., Highlights of Washington, D.C. Information SessionSession will take place in the spouse/guest hospitality room at the hotel.This session will provide a brief overview of Washington D.C. by a licensed D.C. tour guide. The guide will discuss how to get around town, what to see, where to eat and shop and so much more.

1-5 p.m., Hillwood Museum and Gardens Tour - Marjorie Merriweather Post (1887-1973), heirto the Post cereal fortune, was the founder of Hillwood Museum and Gardens - her formertwenty-five acre estate in Washington, D.C. Known as one of America’s first businesswomen, shewas a distinguished art collector, noted philanthropist, and socialite. On her death in 1973, Mrs.Post’s final and most important philanthropic gesture became reality when Hillwood, her last estate in Washington, D.C., was bequeathed to the public as a museum. Guests will browsethrough the gardens, which are composed of lawns, formal French and Japanese gardens, andpaths that wind through plantings of azaleas, laurels and rhododendrons. Guests will then tourHillwood Museum and be shown a short film on the history of the mansion.

Friday, May 11-5 p.m., Special Look at Washington Tour - This tour will give you a complete overview ofWashington, D.C. The narrated riding tour will include Federal Square, Lafayette Park, and theWhite House. Guests will travel down the parade route of Pennsylvania Avenue passing the Fed-eral Triangle government buildings, the FBI Building, the landmark Old Post Office, and the U.S.Capitol Building. Proceeding to the nearby mall area, guests will pass the many buildings belong-ing to the Smithsonian Institution as well as the National Gallery of Art. Passing the toweringWashington Monument guests will soon pass the new World War II Memorial. Finally guests willarrive at the Lincoln Memorial where they will stop to admire the tall and brooding statue of Abra-ham Lincoln. A short walk from the Lincoln Memorial, guests will enjoy The Korean War VeteransMemorial. Nearby is also the Vietnam Veterans Memorial. Here guests will re-board the coachand the riding tour will continue to the Jefferson Memorial, a temple-like structure dedicated toour third President. The memorial sits beside the Tidal Basin, home of the world famous Japan-ese Cherry Blossom Trees.

1-5 p.m., Smithsonian Tour - Guests will have the opportunity to explore the Air and Space Museum and the American History Museum.

Saturday, May 210 a.m.-2 p.m., Shopping at Tysons Corner Center - Tysons Corner Center in the largest mallin the metropolitan area and the 11th largest in the United States. A day spent shopping atTysons Corner Center is sure to please even the most discerning buyer.

Optional Tours of Washington, D.C.Offered by Capital City Events, Inc.Registration form on following page.

Hillwood Gardens

Jefferson Memorial

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Library of Congress

The White House

Registration for Optional Tours must be sent directly to Capital City Events using the form provided on the following page.

Fax, phone or mail in registrations are accepted.

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Tours Registration Form3 Easy Ways to Register for SOAP Tours

1. FAX registration form to: (301) 946-44742. Phone registration to: (301) 564-62003. Mail registration form to: SOAP Tour Program

c/o Capital City Events, Inc.10400 Connecticut Ave, Ste 600Kensington, MD 20895

Tour Registration Information

Name: ______________________________________________________________________________________________________

Address: ____________________________________________________________________________________________________

City/State/ZIP: _______________________________________________________________________________________________

Phone: __________________________________________ E-mail: _____________________________________________________

Tour Participation

� ________ Qty $62.00/pp Thursday, April 30, 1-5 p.m.: Hillwood Museum and Gardens Tour

� ________ Qty $37.00/pp Friday, May 1, 1-5 p.m.: Special Look at Washington Tour

� ________ Qty $37.00/pp Friday, May 1, 1-5 p.m.: Smithsonian Tour

� ________ Qty $48.00/pp Saturday, May 2, 10 a.m.-2 p.m.: Shopping at Tyson’s Corner Center

Payment Information

Total Amount Due: _________________________________ Full payment must accompany your registration form.

ANY CANCELLATIONS MUST BE RECEIVED IN WRITING BY WEDNESDAY, APRIL 15, 2009.

_____ Check Please make checks in U.S. funds, payable to Capital City Events, Inc.

_____ Visa Card Holder Name: ______________________________________________________________________

_____ MasterCard Credit Card Number: _____________________________________________________________________

_____ American Express Expiration Date: ________________ Signature: _______________________________________________

PLEASE NOTE: By signing this form, your are authorizing Capital City Events, Inc. the authority to charge this credit card for the totalamount due. All requests are handled on a first-come, first-served basis. Capital City Events, Inc. reserves the right to cancel tours ifminimum participation is not met.

TICKETS WILL NOT BE MAILED. Confirmation will be faxed or e-mailed upon receipt

of payment. Please retain the confirmation as your receipt of purchase and to present

upon boarding. Boarding begins 15 minutes prior to tour departure. Coaches will

depart from the Renaissance Washington DC Hotel, 999 Ninth Street, NW at the Mount

Vernon Square entrance (K Street, NW).

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Society for Obstetric Anesthesia and Perinatology520 N. Northwest Highway, Park Ridge, IL 60068-2573Phone: (847) 825-5586 • Fax: (847) 825-5658E-mail: [email protected]

Application for MembershipPlease print or type. Please complete all sections.

I hereby make application for:� Active Membership (M.D., D.O., M.B.B.S.) ............................................................................................................................................................$200.00� Associate Membership (Physicians or scientists not engaged in administering clinical anesthesia, CRNA, AA) ......................................................$200.00� Joint IARS/SOAP Membership including ANESTHESIA & ANALGESIA....................................................................................................................$320.00� Retired Membership ............................................................................................................................................................................................ $65.00� Resident/Fellow Membership* - Residency/Fellowship ends: month ______ year ______ ............................................................................ $65.00

*If Resident Membership, need Program Director’s signature: ___________________________________________________________________

Membership Amount $_________________

Subscriptions: � $75.00 - A&A � $121.00 - IJOA � $75.00 - OAD � $85.00 - OAD InternationalSubscription Amount $_________________

Last Name First MI

�M.D. � D.O. � Ph.D. �M.B.B.S. � Other_________________________________________ Birth Date ________________________

University/Hospital

Preferred Mailing Address

City State/Country ZIP/Postal Code

Specialty: � Anesthesia � OB � Peds � Other ______________________ Board Certification � Yes � No

Type of Practice: � Academic � Private, # of partners/colleagues __________ � Other ________________________________________

Interest in OB Anesthesia (check all that apply): � High Risk � Pain Control � OB � Administrative� Perinatology � Education � Other ________________________________________

I am also a member of: � ASA � AMA � NASOM � SMFM � ACOG � AAP � Other _________________________________________

Credit Card Number Expiration Date CVV Number (3 digit code located on the signature line on back of card)

Name on Card Signature

Donation to the Obstetric Anesthesia and Perinatology Endowment Fund (OAPEF) - this contribution is tax deductible.� Silver Level - $50.00 � Gold Level - $100.00 � Gertie Marx Patron Level - $250.00If you wish to donate another amount, please contact the SOAP office at (847) 825-5586.

OAPEF Donation $___________________

TOTAL ENCLOSED $___________________

Phone Fax E-mail

Payment Options� Check or Money Order (made payable in U.S. dollars to the Society for Obstetric Anesthesia and Perinatology)� Visa �MasterCard

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