annual conference brochure
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2012 Annual Conference BrochureTRANSCRIPT
T H E FA B R I C O F T H E PA P R O F E S S I O N : Competent, Versatile and the Texture of Compassion
CAPA’S 36th ANNUAL CONFERENCERenaissance Hotel | Palm Springs Convention Center
OCTOBER 4 - 7, 2012
Optional Workshops | October 4 and 6
Controlled Substances Education Course and EKG Boot Camp Course | October 3
2 | CAPA’S 36TH ANNUAL CONFERENCE
CAPA’S 36TH ANNUAL CONFERENCE
The CAPA Conference…Palm Springs is the backdrop. The totally renovated Renaissance Palm Springs and beautiful Palm Springs Convention Center is the venue. It becomes ours for 4 days. PAs fill the entire hotel and the Renaissance quickly becomes PA Central. There is never a dull moment. We learn together, we eat together and we play and party together. We share the California PA experience and it is a great one.
At CAPA, we are all about PAs and all about providing you with the most valuable and unique learning experience. We have a program filled with topics targeted to PAs and presented by dynamic speakers. More than that, the CAPA Conference is an incredible experience in and of itself. Each of you bring something special to the conference. And, this year, we will be offering new opportunities for you to “introduce” yourself to your colleagues and to learn about their practice setting as well.
There is a reason we return to the Renaissance Palm Springs (formerly the Wyndham) and Palm Springs Convention Center year after year. It is absolutely the best place to hold your conference. The hotel staff and management know and love us. It is our home away from home. People try to describe the “feel” of the CAPA Conference and find it hard to describe in words. It is just very cool!!
You all make it cool and we at CAPA have a great time creating events and opportunities so you have the ultimate PA experience while learning a lot, hanging out with friends and colleagues and enjoying beautiful Palm Springs. It doesn’t get much better than that.
Celebrating With Friends, Colleagues and FamilyThere is no better setting than fantastic Palm Springs. No better venue than the beautiful Renaissance Palm Springs and Palm Springs Convention Center. And, no better feeling than being “back home” at our home away from home where the CAPA Conference experience is born each year. You’ve gotta love it! And, you can’t beat the special CAPA group rates during Palm Springs’ peak season. The weather is perfect. There is a spectacular pool at the Renaissance Palm Springs perfect for children and adults to gather and play (they have added a sandbox next to the kiddie pool). Palm Springs is world famous as “America’s Premier Desert Resort.” It is home to many popular desert attractions including the Palm Springs Aerial Tramway and Oasis Waterpark. Fine dining (the city boasts over 400 restaurants), shopping and the weekly, Thursday evening, Villagefest are magnets for travelers. The Palm Springs Desert Museum is a showcase of Western and contemporary art, natural science and performing arts in the Annenberg Theater. The Palm Springs Air Museum highlights flying aircraft from World War II. The Indian Canyons, owned and operated by the Agua Caliente Band of Cahuilla Indians, is North America’s largest palm oasis. At the Spa Hotel, within walking distance of the Renaissance, you can enjoy Indian Gaming. There are unlimited golfing opportunities. Bring the family or have a romantic weekend for the two of you. Or, come alone and simply enjoy the company of your PA colleagues. For more information please visit www.palmspringsoasis.com, www.palmspringslife.com or www.palmsprings.com.
Speaker Notes…Download speaker notes before and after the conference! Beginning August 31st, you will be able to access speaker handouts for those sessions you plan to attend. This will allow you to preview speaker slides and, if you wish, print those of particular interest to you. The handouts will remain on the CAPA website until the end of the year.
Call: 760-322-6000You will want to reserve your hotel room today. We have a block of rooms at the Renaissance Palm Springs and the Palm Springs Hilton. Hotel rooms will sell out!
Street FairThursday, October 4 6:00 p.m. to 10:00 p.m.www.palmspringsoasis.com
REGISTER ONLINE AT WWW.CAPANET.ORG | 3
FUN IN PALM SPRINGS
PArty At The Pool – 5:00 p.m. - Saturday
Last year, Taxi Wisdom rocked the house – actually the pool deck! All enjoyed the incredible concert before, during and after the Student Challenge Bowl. Upon leaving Palm Springs last year, we started to work on getting them back with us this year. Thanks to Greg Mennie, PA-C, we were able to do just that.
Just in case you don’t get enough dancing and music on Friday night at the CAPA Dance and American PA Idol Competition, we have more fun in store on the pool deck on Saturday afternoon –a live band with PA, Greg Mennie on drums!
Taxi Wisdom - Back This Year!Taxi Wisdom is a local touring variety cover band. The band formed in 2003 during a recording session at a studio in North Hollywood, when the bassist and drummer thought they played so well together that the only logical conclusion was to form their own group. After a month of auditions for other musicians the recipe was complete. Take 2 European pop stars, 2 over-achieving guitarists from the East Coast, add 1 phenomenal (and lovely) female vocalist, and 1 schooled, ex-military, physician assistant vision-oriented drummer and you have Taxi Wisdom. The current line up consists of 5 musicians with extensive teaching, recording, television, film, and touring experience: Shawna Basick - Lead vocals, Andrew Campbell - Lead guitar, Moose McMains - Bass and vocals, Marc Gumberg - Keyboards and Greg Mennie - Drums, percussion and vocals.
Our special thanks to Greg Mennie, PA-C and the band for making this performance at the CAPA Conference possible.
www.taxiwisdom.comThe Conference program and activities are subject to change without notice.
APPLICATION (Deadline September 5, 2012)
Name _______________________________________________
Address _____________________________________________
City _____________________________ St ___ Zip __________
I will be performing: solo as a duet as a group of ___________
Which category best describes your style of singing? Pop/Top 40 Rock Country Western Rhythm and Blues Gospel Easy Listening Rap/Hip Hop Jazz Show Tunes _________________________________________________
Title of songs (please choose 3) you would like to sing:
1) _________________________________________________
2) _________________________________________________
3) _________________________________________________
Would you say that your voice is (don’t be modest): Absolute perfection! Everyone tells me I have a great voice Just okay Not that great, but I love to sing & get a crowd going
Consent to Use of Photographic ImagesRegistration and attendance at, or participation in, the CAPA Conference and other activities constitutes an agreement by the registrant to CAPA’s use and distribution (both now and in the future) of the registrant or attendee’s image or voice in photographs, videotapes, electronic reproductions and audiotapes of such events and activities.
Sign Up for IdolToday!
Friday Evening at the CAPA Conference9:00 P.M.The Dance and American PA Idol CompetitionThe nightclubs of Palm Springs can’t compete with the PA PArty of the Year. It is the place to be on Friday night. We transform the beautiful lobby of the Convention Center into PArty Central with music that will please everyone. At 10:00 p.m. our American PA Idol show begins. The PArty continues as PAs compete and the audience votes to name the next American PA Idol. The Dance and American PA Idol Competition are included with your registration and guests are welcome to attend at no charge. There will be a cash bar. This really is an event you won’t want to miss!
4 | CAPA’S 36TH ANNUAL CONFERENCE
FABRIC OF THE PROFESSION
The Fabric of the Profession: Competent, Versatile and the Texture of CompassionAt the CAPA Conference we always celebrate all that makes
PAs special. What we know is there is no typical PA. We are
all unique and bring our interests, training, experience, style
and diversity to the table. CAPA members practice in each
and every specialty and in all practice settings. At this year’s
CAPA Conference, we will shine a light on each of them –
actually, a video camera.
When you pick up your registration materials and if you wish
to do so, you will step into a video booth to quickly do a
10-15 second introduction of yourself, stating your specialty,
practice setting and geographic location. For example, simply:
My name is John Doe. I work in Family Practice in Merced,
California.
We will combine all of the videos into several larger video
files which will be shown as you enter the meal functions at
the Conference. Via these video montages, you and your
colleagues get to “meet each other.” You will get a peek into
the wide variety of health care services you provide. You
will be inspired and surprised by the rich diversity of PAs in
attendance – by the FABRIC OF THE PROFESSION.
Over 40 years ago, the creators of what was then called the
new health professional intended the American PA to be
flexible and contributory in all aspects of medicine. For them,
a dynamic, flexible clinician who differed from a doctor was a
concept to be promoted. The PA of the new century seems to
have lived up to that measure.
Dr. Stead, founder of the profession would be very proud
of the richness and beauty of the FABRIC OF THE
PROFESSION in 2012. At the CAPA Conference we will
celebrate PA Day, October 6, which is Dr. Stead’s birthday
and also the date the first class of PAs graduated in 1967.
We look forward to you joining us in Palm Springs!
The Fabric of the Profession from a Public Policy Perspective
Teresa Anderson, MPH, CAPA’s Public Policy Director
Thursday, Noon to 12:10 p.m.
On a policy level, PAs’ clinical flexibility holds potential for PAs to address critical health workforce needs in a timely
manner. The bedrock for this capability is the PA’s foundation of general medicine and close practice relationship with physicians.
On Sunday morning,
join us for
breakfast and an
exceptional line up of
speakers who requested
they speak on Sunday!
Come on down for
breakfast wearing your
wildest (and/or most
stylish) scrubs and pump up the volume with your
craziest slippers! Relax and enjoy some of our best
speakers on Sunday morning and show off your personal
style starting with a delicious breakfast and coffee. It
doesn’t get any better than attending high quality CME
combined with a splash of fun and color.
Stay until the last lecture ends and you could win a
set of scrubs and a beautifully tailored lab coat from
Medelita, sponsors of Scrubs and Slippers!
www.medelita.com
Eric Glassman, PA-C, MHS with Newport Orthopedic colleagues
Scrubs and Slippers
REGISTER ONLINE AT WWW.CAPANET.ORG | 5
CURES at CAPA
Free Service at the CAPA ConferenceThis Year, Add a Few Important Documents to Your List of Things To Pack For the CAPA Conference!
URESAT CAPA
CCAPA is committed to providing PAs
with education and tools to help
you provide the best care possible
to your patients. At this year’s CAPA
Conference we will provide a free service
to allow you to sign up for California’s
Prescription Drug Monitoring Program
(CURES). Many people see the value
of registering with CURES, especially
after taking the Controlled Substances Education Course and hearing Jeremy
Adler talk about the important and
practical use of the Patient Activity
Report. That report is an invaluable tool in
developing a risk assessment in patients
taking controlled substances. PAs leave
the CSEC geared up and ready to register
with CURES. They get back to their office,
log on to the site and promptly fill out the
CURES paperwork. They even print it and
then often the paperwork sits on their
desk because the next step is to have the
form notarized. We are all very busy and
often we just don’t get to finding a notary
public, going to their location and paying
the notary fee. And, sometimes we do
all of that and still find that the notarized
paperwork and accompanying documents
never make it into an envelope with
postage and to the US Post Office. CAPA
is here to serve!
CURES at CAPA is a program which will
allow you to do it all in just a few moments
at the CAPA Conference. We will have
notaries public available, free of charge
for CURES paperwork. We will also have
envelopes, postage stamps and a secure
outgoing mail receptacle available to
you. We have made it easy, but you will
still need to have 3 documents with you
and/or copies of them. Without them,
you can’t register on-site at the CAPA
Conference for CURES. Come to the
conference with copies of the following
to be included in the envelope with the
CURES application: 1) Your PA license, 2)
your DEA Registration Certificate and 3) a
government issued identification (e.g. your
driver’s license). Make copies before you
come to Palm Springs (and remember to
BRING THEM with you) or we will have
a scanner and we can scan them for you.
Your life and ours will be easier if you
bring the copies. This is all about making it
easy for you!
Documents Needed to Complete the CURES Registration at the CAPA Conference:
1) A copy of your PA license
2) A copy of your DEA Registration Certificate
3) A copy of a government issued identification (e.g. your driver’s license).
Saturday, 4:00 – 5:00 p.m.
Prescription Drug Abuse: The EpidemicAndrew Lowe, Pharm.D.
Like Us On Facebook and Be Entered for a Chance to Win a $200 Visa Gift Card!
At the CAPA Conference, look for the people with the Facebook T-Shirt with the
. Show them you are a FAN of CAPA’s Facebook page or become one at the CAPA Conference and you will receive a ticket to be entered into a drawing for a $200 Visa Gift Card. It is that easy!
6 | CAPA’S 36TH ANNUAL CONFERENCE
CONFERENCE HIGHLIGHTS
CAPA Student Medical Challenge Bowl – Aqua CMEWe’re back poolside for the Student Medical Challenge Bowl. On Saturday afternoon, just as the sun begins to set behind the mountains, the game begins. You won’t want to miss this fun, light-hearted, Jeopardy-style game show format event. PA students answer questions in order to vie for the championship title, the coveted Student Challenge Bowl Trophy and cash prize for the winning program’s Student Society. It has become a highlight of the CAPA Conference and so much fun to watch (and learn). So, bring your sunglasses, have a beer, soft drink and/or popcorn (which we supply), grab a lounge chair and see who will win this year’s CAPA Student Medical Challenge Bowl.
TOUROUNIVERSITY
STUDENTS!Sign your teams up today for the Student Medical Challenge Bowl at www.capanet.org.
New This Year � 4-Hour Course: EKG Boot Camp
� CURES Registration - Free Service
� CAPA Facebook - on Facebook and be eligible for a prize drawing
� New Workshops:• Slit Lamp in the Emergency Room Setting
• Expert Suturing
• Motivational Interviewing and Diabetes Care Update: An Interactive Workshop
Back This Year � Hands-on Workshops
� Complimentary Cyber Café sponsored by CEP America
� The CAPA Dance and American PA Idol Competition
� CAPA Student Medical Challenge Bowl
� Live Band - Taxi Wisdom
� 6 Conference Meals
PA Program Alumni ReceptionsIf you graduated from a California PA Program, contact your school and see if they will be hosting an alumni reception on Friday or Saturday evenings. Several schools have already started to plan their alumni event at the CAPA Conference. Check with your school to see what you can do to make this year’s alumni reception even better.
REGISTER ONLINE AT WWW.CAPANET.ORG | 7
HOTEL AND GENERAL INFORMATION
Conference Hotels – Book Your Room Directly with the HotelsWe have a very special room rate at the Renaissance. Just $179. We also have rooms blocked at the Palm Springs Hilton. Both hotels are downtown within blocks of all of the Palm Canyon Drive activities. The Renaissance is connected to the Palm Springs Convention Center. All lectures and workshops take place at either the Renaissance or the Convention Center. The Hilton is just a short walk away. The Renaissance and Hilton are offering the CAPA Conference rate a day or two before and/or after the CAPA Conference. Make your reservations now. The hotels will sell out quickly. You must book your room no later than August 27, 2012 in order to take advantage of the special rate (assuming there are rooms left in the block on that date). You should call the hotels directly. Be sure to mention the CAPA Conference to receive our special group rate of $179 per night at the Renaissance and $162 per night at the Hilton.
Special CAPA Room Rates: Renaissance Palm Springs (888) 682-1238 or (760) 322-6000 $179 per night plus tax
Hilton Palm Springs(800) 522-6900 or (760) 320-6868
$162 per night plus tax
Be sure to mention the CAPA Group when calling in your reservation. You may also reserve your room online through the CAPA website at www.capanet.org/conferences/hotel-information/.
Please note: The hotels will be cross-referencing reservation names with our registration list to ensure that everyone who is holding a reservation under CAPA’s block at the special rate is also registered for the CAPA Conference. Those who are not registered for the CAPA Conference by the hotel cut-off date (August 27, 2012) will be moved outside of the CAPA block and a higher rate will apply.
What to WearBusiness casual attire is the standard dress code for the daily sessions. Come planning to have a good time, socialize and learn. The fall weather in Palm Springs can be rather warm. All meeting rooms are air-conditioned so you will want to bring a light sweater or jacket.
Child CareChild care services are available through the hotel concierge. Advance arrangements are suggested.
Exhibit HallYou must be registered for the conference in order to enter the Exhibit Hall. Name badges will be required. For your guests who did not pay the full guest registration price (includes Exhibit Hall, CAPA Student Medical Challenge Bowl, The Dance, American PA Idol Competition and 6 conference meals), you may purchase an Exhibit Hall Only badge for $25. Please mark the appropriate box on the registration form and be sure to include your guest’s name so that a name badge can be made. You are encouraged to visit the Exhibit Hall, spend time with and thank the exhibitors who support our conference. Exhibit times are listed in the conference program.
Refund PolicyTo receive a refund, registrants must return their registration receipt to: CAPA, 2318 S. Fairview St., Santa Ana, CA 92704 or fax to (714) 427-0324.
There will be a $50 service charge on refunds from August 17, 2012 through September 6, 2012; a $100 charge for refunds made from September 7, 2012 through September 21, 2012; no refunds will be made after September 21, 2012.
AccreditationThis program is not yet approved for CME credit. Conference organizers plan to request 20 hours of AAPA Category 1 CME credit from the American Academy of Physician Assistants. Total number of approved credits yet to be determined. Physician assistants should claim only those hours actually spent participating in the CME activity. These totals include optional workshops. This program was planned in accordance with the AAPA’s CME standards for Lecture-Learner Programs and for Commercial Support of Lecture-Learner Programs.
Important Notices• Name badges are provided for all registrants and MUST be
worn for admittance to all activities except The Dance on Friday night, American PA Idol Competition and Student Challenge Bowl.
• Guests of registrants must register if they wish to access Exhibit Hall and/or meals.
• Children under the age of 18 (including infants) will not be admitted to the Exhibit Hall or CME sessions.
• Hands-on workshops are optional and require a separate registration fee. Space is limited, so please register early.
8 | CAPA’S 36TH ANNUAL CONFERENCE
CONFERENCE SCHEDULE 2012
WEDNESDAY, OCTOBER 3
10:00 a.m. - 5:00 p.m.Cyber Café
Cyber Café sponsored by
10:00 a.m. - 5:45 p.m.Controlled Substances Education CourseAndrew G. Lowe, Pharm.D. and Jeremy Adler, MS, PA-C
2:00 p.m. - 6:00 p.m.EKG Boot Camp Jennifer Carlquist, PA-C
5:45 p.m.CURES at CAPA Notary
THURSDAY, OCTOBER 4
10:00 a.m. - 5:00 p.m.Cyber Café and CURES at CAPA Notary
OPTIONAL WORKSHOPS
9:00 a.m. - 12:00 p.m.Beginning SuturingBarbara Knudsen and Brandon DaumThis workshop is supported by an educational grant from Ethicon.
9:30 a.m. - 11:30 a.m.Minor Surgical ProceduresJohn Western, PA-C
9:30 a.m. - 11:30 a.m.Secrets of SplintingDavid Kowalski, BS, Sr. OTThis workshop is supported by an educational grant from 3M
BASIC COURSE
10:00 a.m. - 10:55 a.m.Critical Care PharmacotherapyAndrew G. Lowe, Pharm.D.
10:55 - 11:50 a.m.Transgender Primary CareRyan Nicholas Gorton, M.D. and Nora Branning, PA-C
11:50 a.m. - 12:20 p.m.Buffet Lunch in the Grand Ballroom Foyer
11:50 a.m. - 12:00 p.m.Fabric of the Profession from a Public Policy PerspectiveTeresa Anderson, MPH; CAPA Pubic Policy Director
12:00 p.m. - 1:00 p.m.Cymbalta® (duloxetine HCI): A Non-NSAID, Non-Narcotic, Once Daily Analgesic Option for the Management of Chronic Musculoskeletal Pain Due to Chronic Osteoarthritis Pain or Chronic Low Back Pain - With Focus on Chronic Osteoarthritis Pain.Cymbalta is a registered trademark of Eli Lilly and Company.Speaker TBA
AT CAPAURESC
CURES Sign-ups On-site
AT CAPAURESC
CURES Sign-ups On-site
Cyber Café sponsored by
REGISTER ONLINE AT WWW.CAPANET.ORG | 9
CAPA’S 36TH ANNUAL CONFERENCE
OPTIONAL WORKSHOPS
1:00 p.m. - 3:00 p.m.Basic Radiology: Chest X-Ray FundamentalsJohn Mabee, Ph.D., PA-C
1:00 p.m. - 4:00 p.m.Neurology ExamNancy Nielsen-Brown, MS, PA-C
1:00 p.m. - 4:00 p.m.Expert SuturingJason Sommers and Rodney Koenig, PA-CThis workshop is supported by an educational grant from Ethicon
1:00 p.m. - 5:00 p.m.ACLS RecertificationTom Mercier, RN, MS
1:00 p.m. - 2:00 p.m.Acid Base DisordersGreg Troll, M.D.
1:00 p.m. - 2:00 p.m.Common Pituitary DisordersDavid Doriguzzi, PA-C
2:00 p.m. - 3:00 p.m.Managing the Pre-Diabetic PatientIngrid Lopes, D.O.
2:00 p.m. - 3:00 p.m.Cervical Spine ProblemsGregory M. Yoshida, M.D.
3:00 p.m. - 3:15 p.m.Ice Cream Break
All Ice Cream breaks sponsored by
3:15 p.m. - 4:15 p.m.How To Be A Great PreceptorTracey DelNero, PA-C
3:15 p.m. - 4:15 p.m.Sleep DisordersJerrold Kram, M.D.
4:15 p.m. - 5:15 p.m.Common Ways PAs Get Themselves in TroubleRobert E. Sachs, PA-C
4:15 p.m. - 5:15 p.m.Chronic Pain UpdateJeremy Adler, MS, PA-C
5:15 p.m. - 6:15 p.m.The Coagulation Work-Up in the Office SettingRobert Miller, PA-C
5:15 p.m. - 6:15 p.m.Laser Tattoo RemovalGreg Mennie, PA-C, MSEd
FRIDAY, OCTOBER 5
BASIC COURSE
7:30 a.m. - 8:15 a.m.Breakfast Buffet
7:40 a.m. - 7:50 a.m.CURES – An Invaluable Tool for Patient AssessmentJeremy Adler, PA-C
7:50 a.m. - 8:50 a.m.Allergic Rhinitis: Addressing the Unmet NeedsSpeaker TBAThis session is presented through the AAPA Chapter Product Theater Series. This program is Supported by Teva Respiratory. This Session is not eligible for CME credit.
10 | CAPA’S 36TH ANNUAL CONFERENCE
CONFERENCE SCHEDULE 2012
FRIDAY, OCTOBER 5 (cont.)
9:00 a.m. - 10:00 a.m.More Than Medicine: Ending the HIV/AIDS EpidemicEric Walsh, M.D.
9:00 a.m. - 10:00 a.m.Legal Issues for the PA ProfessionRobert Miller, PA-C and Michael Scarano Jr.
9:00 a.m. - 10:00 a.m.A Primer for Working up AnemiaBradley Lewis, M.D.
10:00 a.m. - 5:00 p.m.Cyber Café and CURES at CAPA Notary
Cyber Café sponsored by
10:00 a.m. - 11:00 a.m.Sleep Apnea: The Unrecognized KillerJerrold Kram, M.D.
10:00 a.m. - 11:00 a.m.Pediatric Orthopedics for Primary Care ProvidersShelby Edwards, PA-C
10:00 a.m. - 11:00 a.m.Sports Concussions: Diagnosis and ManagementRonnie I. Mimran, M.D.
STUDENT TRACK
10:00 a.m. - 10:30 a.m.Microscopy - Part 1Greg Mennie, PA-C, MSEd
10:30 a.m. - 11:00 a.m.Microscopy - Part 2Greg Mennie, PA-C, MSEd
12:30 p.m. - 1:45 p.m.Student Lunch
This luncheon is sponsored by various California PA Programs (TBA) and the California Army National Guard.
2:00 p.m. - 2:30 p.m. Giving and Receiving Constructive FeedbackGrace Landel, PA-C, MEd
2:30 p.m. - 3:00 p.m.Don’t Lie When Filling Out Your Paperwork!Robert E. Sachs, PA-C
3:00 p.m. - 4:00 p.m. How To Be A Great Student At Your Clinical SiteMitzi D’Aquila, PA-C
11:00 a.m. - 12:30 p.m.Grand Opening of the Exhibit Hall
AT CAPAURESC
CURES Sign-ups On-site
Support Our Exhibitors – They Keep Registration Costs DownPAs are a unique group of providers who really want to listen and learn. We share this fact with our exhibitors all of the time. Please show them how much you appreciate their support by spending quality time with them to learn about their products and services. Word will get out that PAs offer a great return on their investment and our Exhibit Hall will grow. Exhibit fees help to defer costs of putting on the CAPA Conference. Let’s all show them that the CAPA Conference is where they want to exhibit year after year. Thank you.
REGISTER ONLINE AT WWW.CAPANET.ORG | 11
CAPA’S 36TH ANNUAL CONFERENCE
12:30 p.m.Lunch
12:30 p.m. - 12:40 p.m.AAPA Presidential Address James E. Delaney, PA-C
12:40 p.m. - 1:40 p.m.Helicobacter pylori: Importance of Appropriate Testing and ManagementEdward Ruiz, M.D.This program is sponsored by and the speaker is presented on behalf of Otsuka Pharmaceuticals. This session is not eligible for CME credit.
1:45 p.m. - 2:45 p.m.The Penis - Birth Through Adolescence Rodney Moser, PA, Ph.D.
1:45 p.m. - 2:45 p.m.The Truth and Lies About Your Eyes - What Everyone Should Know About VisionTommy Korn, M.D., FACS
1:45 p.m. - 2:45 p.m.I Swear I Will Not Kill AnyoneJohn Beuerle, M.D., M.S.
2:45 p.m. - 4:00 p.m.Exhibit Hall Open
2:45 p.m. - 3:00 p.m.Ice Cream Break in Exhibit Hall
4:00 p.m. - 5:00 p.m.Acute Burns: Evaluation, Treatment and Surgical ManagementStephen Hanson, MPA, PA-C
4:00 p.m. - 5:00 p.m.Hello 911? Know When To Hold ‘em and When To Fold ‘emJohn Mabee, Ph.D., PA-C
4:00 p.m. - 5:00 p.m.MICRA: Protecting the Avalilability and Affordability of Health Care in CaliforniaVictor Christy
5:00 p.m. - 6:00 p.m.PANRE - Sharpening Your FocusGrace Landel, PA-C, MEd
5:00 p.m. - 6:00 p.m.Functional Somatic Disorders: The Challenge to Modern MedicineC. Philip O’Carroll, M.D.
7:00 p.m. - 9:00 p.m.Alumni Receptions
9:00 p.m. - 1:00 a.m.The Dance & American PA Idol Competition
SATURDAY, OCTOBER 6
BASIC COURSE
7:40 a.m. - 8:15 a.m.Breakfast Buffet
7:40 a.m. - 7:50 a.m.CAPA Presidential AddressAdam Marks, MPA, PA-C
7:50 a.m. - 8:50 a.m.XARELTO: Paradigm Shift in VTE Prophylaxis After Knee and Hip Replacement SurgeryDarrell W. Harrington, M.D.This breakfast program is not part of the Course. It is a separate non-CME program sponsored by Janssen Pharmaceutical Companies/Johnson & Johnson Group.
9:00 a.m. - 10:00 a.m.
Landscape of Alzheimer’s DiseaseJack H. Florin, M.D.
12 | CAPA’S 36TH ANNUAL CONFERENCE
CONFERENCE SCHEDULE 2012
SATURDAY, OCTOBER 6 (cont.)
9:00 a.m. - 10:00 a.m.An Inter-professional Approach to Diabetes ManagementAndy S. Pumerantz, D.O., FACP
9:00 a.m. - 10:00 a.m.Brain in Balance - A Practical Approach Using Neurotransmitters in Chemical DependencyFred Von Stieff, M.D.
OPTIONAL WORKSHOPS
9:00 a.m. - 11:00 a.m. Joint Injection James E. Delaney, PA-C
9:00 a.m. - 11:00 a.m.Slit Lamp in the Emergency Room SettingJohn Nishimoto, O.D., MBASlit lamps for this workshop are provided by the Southern California College of Optometry
9:00 a.m. - 11:00 a.m.Orthopedic ExamGregory M. Yoshida, M.D.
10:00 a.m. - 5:00 p.m.Cyber Café and CURES at CAPA Notary
Cyber Café sponsored by
10:00 a.m. - 11:00 a.m.Driving and Older Adults - When You Have to Recommend Taking The Keys Away Freddi Segal-Gidan, PA, Ph.D.
10:00 a.m. - 11:00 a.m.PolyPharmacy in GeriatricsWalter Bortz II, M.D.
10:00 a.m. - 11:00 a.m.Seizures: What’s Shakin’?Thomas F. Minahan, D.O.
11:00 a.m. - 12:30 p.m.Exhibit Hall Open
12:30 p.m.Lunch
12:30 p.m. - 12:45 p.m.Awards and Presentations
12:45 p.m. - 1:45 p.m. Therapeutic Considerations for Successful Asthma ManagementSpeaker: TBDThis session is presented through the AAPA Chapter Product Theatre Series. This program is Supported by Teva Respiratory. This Session is not eligible for CME credit.
OPTIONAL WORKSHOPS
1:45 p.m. - 3:45 p.m.Joint InjectionJames E. Delaney, PA-C
1:45 p.m. - 3:45 p.m.Orthopedic ExamGregory M. Yoshida, M.D.
1:45 p.m. - 4:45 p.m.Motivational Interviewing and Diabetes Update: An Interactive WorkshopSusan Cornell, Pharm.D. andVincent J. Dorsey, Pharm.D.
AT CAPAURESC
CURES Sign-ups On-site
REGISTER ONLINE AT WWW.CAPANET.ORG | 13
CAPA’S 36TH ANNUAL CONFERENCE
1:45 p.m. - 2:45 p.m.What’s Hot in Febrile Seizures?Christopher Giza, M.D.
1:45 p.m. - 2:45 p.m.How To Think Like An EndocrinologistJerry Minkoff, M.D.
1:45 p.m. - 2:45 p.m.The Latest on PA Certification from NCCPAGreg P. Thomas, PA, MPH
2:45 p.m. - 3:00 p.m. Ice Cream Break
3:00 p.m. - 4:00 p.m.My Back Hurts!Bradford Stiles, M.D.
3:00 p.m. - 4:00 p.m.The Angry Red Eye and Ocular Emergencies Not to Miss in Primary Care!Tommy Korn, M.D., FACS
3:00 p.m. - 4:00 p.m.FibromyalgiaRobin Dore, M.D.
3:00 p.m. - 5:00 p.m.PA Program Directors & Faculty Reception
4:00 p.m. - 5:00 p.m.Prescription Drug Abuse: The Epidemic Andrew G. Lowe, Pharm.D.
4:00 p.m. - 5:00 p.m.Causes of 30 Day Hospital Readmission in Heart Failure PatientsEdward Kersh, M.D., FACC
5:00 p.m.PArty at the Pool Enjoy the music of Taxi Wisdom and find your seat for the Student Medical Challenge Bowl
5:45 p.m. - 7:15 p.m.Student Medical Challenge Bowl
7:30 p.m. - 10:30 p.m.PA Program Alumni Receptions
SUNDAY, OCTOBER 7
BASIC COURSE
7:30 a.m. - 8:15 a.m. Breakfast Buffet
7:45 a.m. - 8:45 a.m. Management of Rheumatoid Arthritis Anklyosing Spondylitis, and Psoriatic Arthritis: Early Detection to Ensure Appropriate CareRobin Dore, M.D.This program is sponsored by and the speaker is presented on behalf of Abbott Laboratories. This session is not eligible for CME credit.
8:45 a.m. - 9:45 a.m.Dealing with Difficult ParentsGhazala Q. Sharieff, M.D., MBA
9:45 a.m. - 10:45 a.m.Abnormal Uterine BleedingAnita Nelson, M.D.
Suggested dress for Sunday is Scrubs and Slippers
Get really comfy and wear your scrubs and slippers! Stay until the last lecture ends and you could win a set of scrubs and beautifully tailored lab coat from Medelita, sponsors of Scrubs and Slippers!
http://www.medelita.com
Scrubs and Slippers
Conference program is subject to change without notice
If you have any questions regarding the program or registration, please call CAPA at (714) 427-0321. For the latest conference information or to register on-line visit www.capanet.org.
Early RegistrationPlease note the date for early registration. You are encouraged to register by August 17, 2012 (Basic Course CAPA member price $370). By doing so you will save $35. After August 17th the Basic Course CAPA member price is $405. If you register after August 31, 2012, Basic Course registration for a CAPA member will be $425. As you can see, the sooner you register the more you will save. The CAPA office will strictly observe the late registration prices and will charge the appropriate fees on the date you register.
Guest RegistrationThe Renaissance and the Hilton will allow your guest(s) to stay in your room at no additional charge unless you need an additional bed placed in the room (e.g., crib or rollaway). If you would like your guest to be able to visit the exhibit hall, you may pay the Exhibit Hall Only price of $25 and a badge will be prepared for that person that will allow them entry to the Exhibit Hall only. If you would like your guest to be able to join you for up to 6 conference meals and the Exhibit Hall, you may pay the Guest Registration price of $120 and a badge will be prepared that will
allow your guest to join you for those events. Guest registration does not include CME credit.
Out of State PAsThe CAPA Conference is a great place to network. We look forward to welcoming you to Palm Springs. If you are a member of your state PA association, you may register for the CAPA Conference at the member price.
Student RegistrationFor those who are currently enrolled in a primary care PA program or if you graduate from PA school at any time during 2012, you may register at the student price.
Workshop RegistrationWorkshop registration requires a separate fee and a separate registration form (see page 17). All workshop assignments are made on a first-come-first-serve basis, based on availability and are not refundable. Workshops do fill up quickly. You may pay by personal check or with a credit card. If paying by check, please enclose a separate check for the appropriate workshop amount. Complying with this request ensures that your workshop check will be returned should any of the workshops you choose be full. If you are paying by credit card, you will only be charged for those workshops that are open at the time of registration.
REGISTRATION INFO & WORKSHOP REGISTRATION
THINGS TO KNOW...
Flying to the CAPA Conference?Fly Into Ontario (45 minutes from Palm Springs)Try Southwest Airlines. We checked Southwest.com and found round trip fares from Sacramento/San Jose/Oakland to Ontario for $160. We added a sweet little Sebring Convertible for 4 days ($200) – come on, you deserve it! Or, a compact car for ($90) – more money for shopping in Palm Springs!! Total for round trip airfare and car can be as low as $250!!
Fly Directly To Palm SpringsYou can fly directly into Palm Springs. Check with United or Alaska Airlines. We checked United.com and found round trip flights from Sacramento/San Francisco/Oakland/San Jose to Palm Springs for $184 - $274 per person. There is a free shuttle to and from the Renaissance Hotel and since you are staying downtown, almost everything is within walking distance.
Certified Athletic TrainersCAPA is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This conference has been approved for a maximum of 20 hours of Category A continuing
medical education. Certified Athletic Trainers are responsible for claiming only those hours actually participating in continuing education activity. BOC Approved Provider Number P8407.
PA Pioneer DiscountSpecial 20% Discount Off Of Basic Course Given to the First 500 PAs Licensed in California*California PA license number between PA 10001 and PA 10500? Use COUPON CODE: PAPioneer12 when registering online. Or call the CAPA office and we can take your registration over the phone (714) 427-0321.
We will be providing a special “Dino” sticker to those who were one of the first 500 PAs in California. Be sure to give them a warm thank you when you see them.
*Must be a current CAPA Member
The planners and sponsors of this function claim no liability for the safety of any attendee while in transit to or from this event. The planners and sponsors reserve the right to change speakers and/or cancel the event due to unforeseen circumstances without penalty. The total amount of any liability of the planners and sponsors will be limited to a refund of the registration fees.
BASIC COURSE – Save $35 by Registering by August 17, 2012!
$370* – Basic Course (20 Hrs. Cat. I CME)
$260* – PA Student Basic Course (20 Hrs. Cat. I CME)* ADD $35, if registration & payment are received after Friday, August 17, 2012
ADD $55, if registration & payment are received after Friday, August 31, 2012
ONE DAY – Save $35 by Registering by August 17, 2012!
$165* – Thursday Only (7 Hrs. Cat. I CME)
$120* – Friday Only (5 Hrs. Cat. I CME)
$120* – Saturday Only (5 Hrs. Cat. I CME)
$70* – Sunday Only (3 Hrs. Cat. I CME)
$110* – PA Student Thursday Only (7 Hrs. Cat. I CME)
$80* – PA Student Friday Only (5 Hrs. Cat. I CME)
$80* – PA Student Saturday Only (5 Hrs. Cat. I CME)
$45* – PA Student Sunday Only (3 Hrs. Cat. I CME)* ADD $35, if registration & payment are received after Friday, August 17, 2012
ADD $55, if registration & payment are received after Friday, August 31, 2012
GUEST REGISTRATION - Must be over 18 years of age
$120 – Guest - Meals & Exhibit Hall(Includes 6 conference meals; 3 breakfasts, 3 lunches, access to the Exhibit Hall, The Dance, American PA Idol and CAPA Student Medical Challenge Bowl)
Guest Name __________________________________________________________________________________________
$25 – Guest - Exhibit Hall Only(Access to the Exhibit Hall only)
Guest Name __________________________________________________________________________________________
NON-MEMBER REGISTRATION - California PAs & Students
If you are not a CAPA member and are a California PA or PA student, you must select one of the non-member registration options below.
Add $100 – CAPA Non-Member Graduate(Includes CAPA Membership through 4/30/13)
Add $10 – CAPA Non-Member Student(Includes CAPA Membership through 4/30/13)
NON-MEMBER REGISTRATION - Out of State
If you are a member of your state PA association, you may register for the CAPA Conference at the member price.
GENERAL INFORMATION
Included with Basic Course: Conference meals, Friday Night Dance PArty, Exhibit Hall and Student Challenge Bowl. Registration badges are required for all events except the Friday Night Dance PArty and the Student Challenge Bowl.
Vegetarian Meals Requested
Gluten-Free Meals Requested
In accordance with the Americans with Disabilities Act, please check here if you have any special needs. You will be contacted by CAPA.
REGISTRATION INFORMATION - Please print clearly
FIRST NAME LAST NAME
CHECK ONE: PA-C PA PA-S OTHER __________________________________________________________________________
PA LICENSE #
HOME ADDRESS
HOME CITY STATE ZIP
COMPANY NAME
COMPANY STREET ADDRESS
COMPANY CITY STATE ZIP
HOME PHONE WORK PHONE
MOBILE PHONE EMAIL ADDRESS
PA PROGRAM GRADUATION DATE
PAYMENT INFORMATION
Basic Course: $ ____________________
After August 17, 2012*: $ ____________________ *ADD $35 if registration & payment are postmarked/faxed/emailed after 8/17/12 or ADD $55 if registration & payment are postmarked/ faxed/emailed after 8/31/12
One Day: $ ____________________
After August 31, 2012*: $ ____________________ *ADD $35 if registration & payment are postmarked/faxed/emailed after 8/17/12 or ADD $55 if registration & payment are postmarked/ faxed/emailed after 8/31/12
Guest Registration: $ ____________________
Non-Member Registration: $ ____________________ I paid the non-member price and do not wish to be a CAPA member
Total Amount Enclosed: $ _____________________
CAPA PAC Donation Please mark this box if you do not wish to have $20 of your CAPA Conference Basic Course registration fees donated to CAPA PAC ID #981553.
Check enclosed (make check payable to CAPA)
Exp. Date ___________________________________ CVV# __________________
CREDIT CARD NUMBER
Billing Address for the card above is: Home Company
NAME AS IT APPEARS ON CARD SIGNATURE
Phone or fax Registration: MC/Visa/AMEX: Phone (714) 427-0321, Fax: (714) 427-0324. To avoid duplicate charges, please do not mail the original registration form if you have faxed it or emailed it to the CAPA office. Mail registration form and make checks payable to: CAPA, 2318 S. Fairview St., Santa Ana, CA 92704.
2012 CAPA CONFERENCE REGISTRATION FORM Up to 6 MealsIncluded
16 | CAPA’S 36TH ANNUAL CONFERENCE
already taken the basic suturing course, or are proficient with basic suturing and want to take your knowledge to the next level, then this is the suturing course for you. This session is supported by an educational grant from Ethicon.
Have Fun with Reflex Hammers! (1:00 p.m. to 4:00 p.m.)The patient with a neurologic complaint needs a good neurologic exam, but the reflexes are the only part most general clinicians feel really comfortable performing. Participants will learn the skills necessary to perform a complete neurologic examination in a workshop designed for hands-on practice. How does a Cranial Nerve Four lesion present? This workshop will discuss the relevant findings of abnormalities with case-based practice that will teach participants how to perform more specific neurologic tests in patients with multi-system disorders.
Session 3 - Saturday, October 6Joint Injection (9:00 a.m. to 11:00 a.m.)Patients complaining of joint pain? Learn how to offer your patient pain relief by attending this workshop. The workshop focuses on the proper technique of a joint injection. You will learn the anatomical location on the major joints for an appropriate injection, skills you can utilize in your everyday practice.
Slit Lamp in the Emergency Room Setting (9:00 a.m. to 11:00 a.m.)During this hands on workshop, participants will integrate the essentials of slit lamp examination as they rotate among different slit lamp stations. The basics of slit lamp equipment and examination of the eye will be described. Attendees will discuss common eye disorders and their presentations. Stations will include removal of foreign bodies and review of techniques for identifying various opthalmologic pathologies. This workshop is perfect for those working in any emergency room, urgent care, or any other environment dealing with opthalmologic injuries.
Orthopedic Exam (9:00 a.m. to 11:00 a.m.)Our most popular workshop – so sign up early! This workshop provides an in-depth, visual review of a good orthopedic exam, focusing on the major joints. Learn exam techniques to help narrow a differential diagnosis of common orthopedic complaints.
Session 4 - Saturday, October 6Joint Injection (1:45 p.m. to 3:45 p.m.)(See previous description.)
Motivational Interviewing and Diabetes Update: An Interactive Workshop (1:45 p.m. to 4:45 p.m.)New this year to CAPA’s workshop offerings is this hands-on workshop that will provide the skills, knowledge and attitudes
4 Hour Session – Thursday, October 4Advanced Cardiac Life Support (ACLS) Recertification (1:00 p.m. – 5:15 p.m.)Take your ACLS Recertification with fellow physician assistants in a fun, interactive course. Prior certification is required. Note: ACLS is a four-hour workshop. Those who wish to attend the ACLS workshop will not be able to attend Session 2 workshops on Thursday.
Session 1 - Thursday, October 4Beginning Suturing (9:00 a.m. to 12:00 p.m.)In this hands-on workshop, learn or review beginning suturing skills, including basic instrument handling and sterile technique, choice of suture material, and stitch selection. This is the ideal workshop for students or practitioners needing to learn basic technique or as a refresher. This session is supported by an educational grant from Ethicon.
Minor Surgical Procedures (9:30 a.m. to 11:30 a.m.)How to make yourself a more desirable part of the office staff! Learn minor surgical procedures commonly performed in the office setting. Review and practice procedures such as: shave/punch/excision biopsy and skin lesion removal. Workshop attendees may keep their suture kits.
The Secrets of Splinting (9:30 a.m. to 11:30 a.m.)An overview of splinting immobilization techniques for soft tissue and musculoskeletal injuries. This workshop will provide the participant a review of splint materials, selection of splint types and hands-on practice of application of splints to upper and lower extremities. This session is supported by an educational grant from 3M.
Session 2 - Thursday, October 4Basic Radiology: Chest X-Ray Fundamentals (1:00 p.m. to 3:00 p.m.)The goal of this two-hour workshop is to provide a step-by-step approach to reading CXRs and review indications for basic radiographic tests used in both the primary care and emergency department setting. Disease processes involving the heart and lungs will be discussed. This workshop encourages group participation with multiple case studies in order to improve recognition of common abnormalities on a CXR and formulate a differential diagnosis and plan.
Expert Suturing (1:00 p.m. to 4:00 p.m.)This 3-hour hands-on workshop will take those with basic suturing skills and advance those skills into what we call the “Expert” CAPA suturer. Each attendee who successfully completes this course will be awarded the CAPA Expert Suturing Certificate. This brand new workshop will provide advanced training into the world of complex closures with different types of suture materials and techniques. If you have
OPTIONAL WORKSHOPS
REGISTER ONLINE AT WWW.CAPANET.ORG | 17
for treating and approaching one of the most widely prevalent diseases in the United States. By the year 2050 as many as one in three Americans will have diabetes. The goals of the workshop are to help the attendee apply updated evidence-based clinical practice guidelines to support individualized approaches to treating patients with type 2 Diabetes Mellitus. The activities in this workshop will help the PA implement tactics that have been shown to improve patient compliance with therapy and lifestyle modifications. During the motivational interviewing portion of the workshop, the attendee will define what motivational interviewing is and through several exercises, demonstrate techniques to assist the patient in health behavior change.
Orthopedic Exam (1:45 p.m. to 3:45 p.m.)(See descriptio on previous page.)
ACLS RecertificationAdvanced Cardiac Life Support (ACLS) RecertificationThursday, October 4, 2012 – 1:00 p.m. to 5:15 p.m.Those registering for ACLS Recertification will not be able to attend Session 2 work-shops on Thursday. Absolutely no refunds will be given after August 31, 2012.
ACLS Recertification (4 hrs Cat I CME) $175
THURSDAY SESSIONS – October 4, 2012Session 1 Beginning Suturing (9:00 am-1:00 pm - 3 hrs Cat I CME) $100 Minor Surgical Procedures (9:30-11:30 am - 2 hrs Cat I CME) $65 Secrets of Splinting (9:30-11:30 am - 2 hrs Cat I CME) $65
Session 2 Basic Radiology: Chest X-Ray
(1:00-3:00 pm - 2 hrs Cat I CME) $65 Expert Suturing (1:00-4:00 pm - 3 hrs Cat I CME) $100 Have Fun with Reflex Hammers!
(1:00-4:00 pm - 3 hrs Cat I CME) $100
SATURDAY SESSIONS – October 6, 2012Session 3 Joint Injection (9:00-11:00 am - 2 hrs Cat I CME) $65 Slit Lamp in the Emergency Room Setting
(9:00-11:00 am - 2 hrs Cat I CME) $65 Orthopedic Exam (9:00-11:00 am - 2 hrs Cat I CME) $65
Session 4 Joint Injection (1:45-3:45 pm - 2 hrs Cat I CME) $65 Motivational Interviewing and Diabetes Update:
An Interactive Workshop (1:45-4:45 pm - 3 hrs Cat I CME) $100 Orthopedic Exam (1:45-3:45 pm - 2 hrs Cat I CME) $65
REGISTRATION INFORMATION - Please Print Due to minimum attendance requirements, all workshops are subject to cancellation.
Please fill out and include with your general conference registration form. Please include a separate check so it can be returned if one or more of the workshops you select are full. Your credit card will be charged for only those workshops that are open at the time you register.
NAME
CHECK ONE: PA-C PA PA-S OTHER
DAYTIME PHONE FAX NUMBER EMAIL ADDRESS
PAYMENT INFORMATION
Please register me for the selected workshops.
Total Amount Enclosed: $ ________________________
Check enclosed (make check payable to CAPA)
CREDIT CARD NUMBER
SIGNATURE
CVV# EXP. DATE
Optional Workshops Registration Form
OPTIONAL WORKSHOPS
T H E FA B R I C O F T H E PA P R O F E S S I O N : Competent, Versatile and the Texture of Compassion
Visit the video booth at the CAPA registration area to record your short video introduction simply stating your name, practice specialty(s) and location.
Controlled Substances Education Course Registration Form - Wednesday, 10/3/12
Controlled Substances Education Course(Meets requirements pursuant to California Code of Regulations Sections: 1399.541(h), 1399.610 and 1399.612)
AB 3 was signed by the Governor and became law on January 1, 2008 creating the California Physician Team Practice Improvement Act. In part, AB 3 authorized a PA to administer, provide, or issue a drug order for Schedule II through V controlled substances without patient specific
approval if the PA completes specified educational requirements and if his/her supervising physician delegates the author-ity to them. PAs completing this course and passing the post test will meet those educational requirements as defined in the above regulations.
Program (Registration begins at 9:00 a.m. Course begins promptly at 10:00 a.m. )Andrew Lowe, PharmD
10:00 a.m. Federal and state laws and regulations pertaining to the provision, administration and furnishing of controlled substances. The use of secure drug order forms.
11:00 a.m. Comparison of efficacy data and safety profiles which influence the selection, usage, conversion and clinical rationale for the use of pharmacological agents.
11:30 a.m. 10 Minute Break
Noon Other uses for controlled substances
1:00 p.m. Lunch presentation - New Perspectives in the Management of Moderate to Severe Chronic Pain
Speaker: Gerald Sacks, M.D. This lunch program is not part of the Course. It is a separate,
non CME program sponsored by Johnson & Johnson.
2:00 p.m. Disorders routinely requiring a therapeutic regimen of controlled substances for clinical management.
2:30 p.m. Controlled substance’s potential for abuse and addiction, its psychosocial aspects, the recognition of the symptoms (including controlled substance-seeking behaviors).
3:30 p.m. Break
Jeremy Adler, MS, PA-C
3:45 p.m. The legal and professional relationship between a physician assistant and the supervising physician. Charting requirements.
4:15 p.m. Recognition, prevention and management of acute and chronic pain.
Evaluation of the response and compliance of the patient to the controlled substances.
4:45 p.m. Provision of appropriate patient education regarding controlled substances.
5:00 p.m. Post Test
Name ___________________________________________________________________________ PA-C PA Other ____________________ PA License # _______________________________________
Address _____________________________________________________________________________City __________________________________________ State__________Zip Code __________________________________
Phone (________) __________________________________________________________________Email _______________________________________________________________________________________________________________
Work Address ____________________________________________________________________City __________________________________________ State__________Zip Code __________________________________
Work Phone (________) __________________________________________________________________________Work Fax (________) ____________________________________________________________________________
CAPA Member - $180 Non CAPA Member - $310 Course Registration and CAPA Membership - $275
Late Registration Fee after August 31, 2012 - Add $20 Total Amount Due: $ ______________________________________
Check enclosed (make check payable to CAPA)
CVV# _________________________________
Name on Card _______________________________________________________________ Signature ______________________________________________________________________Exp. Date ____________________
In accordance with the Americans with Disabilities Act, please check here if you have any special needs. You will be contacted by CAPA.
Mail completed Registration Form and make checks payable to: California Academy of Physician Assistants 2318 S. Fairview St., Santa Ana, CA 92704. Phone: (714) 427-0321 . Fax: (714) 427-0324
CONTROLLED SUBSTANCES EDUCATION COURSE
The planners and sponsors reserve the right to change speakers and/or cancel the course without penalty.6 Hours Cat. ICME
EKG Boot Camp Course Registration Form - Wednesday, 10/3/12
Name ___________________________________________________________________________ PA-C PA Other ____________________ PA License # _______________________________________
Address _____________________________________________________________________________City __________________________________________ State__________Zip Code __________________________________
Phone (________) __________________________________________________________________Email _______________________________________________________________________________________________________________
Work Address ____________________________________________________________________City __________________________________________ State__________Zip Code __________________________________
Work Phone (________) __________________________________________________________________________Work Fax (________) ____________________________________________________________________________
CAPA Member - $150 Non CAPA Member - $275 CAPA Student Member - $75 Non-Member Student - $95
Late Registration Fee after August 31, 2012 - Add $20 Total Amount Due: $ ______________________________________
Check enclosed (make check payable to CAPA)
CVV# _________________________________
Name on Card _______________________________________________________________ Signature ______________________________________________________________________Exp. Date ____________________
In accordance with the Americans with Disabilities Act, please check here if you have any special needs. You will be contacted by CAPA.
Mail completed Registration Form and make checks payable to: California Academy of Physician Assistants 2318 S. Fairview St., Santa Ana, CA 92704. Phone: (714) 427-0321 . Fax: (714) 427-0324
EKG BOOT CAMP COURSE
CAPA reserves the right to cancel this course without penalty. Registration fees will be refunded if the course is canceled.
EKG Boot Camp CourseOctober 3, 20122:00 p.m. to 6:00 p.m.Renaissance Palm Springs, CaliforniaPrior to the 2012 CAPA Conference
This course will focus on the high risk EKG that you can’t afford to miss. We will also cover five things you should look for on every EKG of a syncope/palpitations patient and document on their chart. Every participant will also receive an “MI Window” to use in class and take home to use in their clinic while reading EKGs. Practitioners at all levels of EKG interpretation will benefit from this course.
Out of State PAs: If you are a member of your state PA association, you may register for the course at the CAPA member price. Non-PA Providers: If you are not a PA, (i.e., NP, MD, DO) you may register for the course at the CAPA member price.
Program (Registration opens at 12:00 noon. Course begins promptly at 2:00 p.m.)
Jennifer Carlquist, PA-C
2:00 p.m. Algorithmic approach to reading a 12 lead EKG based on chief complaint
2:15 p.m. Ten Step general approach to reading a 12 lead EKGs2:30 p.m. Sneaky killer EKG findings you can’t afford to miss3:00 p.m. STEMI identification using the “MI Windows” 3:30 p.m. Break3:45 p.m. STEMI Mimics and how not to be fooled4:15 p.m. Subtle MI EKG findings and how not to miss them4:45 p.m. Practice EKG Cases with Real EKG’s5:30 p.m. EKG Jeapordy5:50 p.m. Live Electronic Resources Review
Please check if you would like to attend the 1:00 p.m. complimentary promotional lunch featuring the topic: New Perspectives in the Management of Moderate to Severe Chronic Pain, please check the box. (This lunch program is not part of the course. It is a separate, non CME program sponsored by Johnson & Johnson.)
Please check for special meal requests: Vegetarian Gluten-Free
4 Hours Cat. ICME
Jennifer Carlquist, PA-C
Register Online at www.capanet.org
California Academy of Physician Assistants2318 S. Fairview St.Santa Ana, CA 92704
Address Service Requested
PRSRT STDUS POSTAGE
PAIDSANTA ANA, CAPERMIT NO 949
W hile in Palm Springs don’t miss the 26 ft. tall sculpture of Marilyn Monroe by American artist and Johnson & Johnson heir Seward Johnson.
The sculpture is inspired by the famous photograph by Bernard of Hollywood from the film The Seven Year Itch. She is located at what many call the corner
Palm Springs Just Gets Better and Better! And, So Does the CAPA Conference!!
of “Main and Main,” Palm Canyon & Tahquitz Canyon Way in the heart of downtown Palm Springs and a short walk from PA Central at the Renaissance Palm Springs.
In May of 2012, “Forever Marilyn” made her journey to Palm Springs from Pioneer Court along famed Michigan Ave in Chicago.
Downtown Palm Springs is buzzing with enthusiasm as it braces for a renaissance triggered by the 100 million dollar revitalization of downtown Palm Springs currently underway. “Forever Marilyn” will provide a wonderful short-term attraction while the redevelopment takes place.
CAPA members will have a front row seat to witness the progress of the revitalization project. Our Fall conference will be held in Palm Springs each October through 2016. The downtown area will be transformed into an entertainment and shopping complex sort of “LA Live” like. The project is expected to take three years to complete. We are very excited to offer another excellent reason to attend the CAPA Conference.