NAME

CREDENTIALS

ADDRESS COUNTRY

CITY STATE ZIP

DAYTIME PHONE FAX NUMBER

EMAIL ADDRESS

GENDER:

MALE

FEMALE

REGISTRATION FEESFEE SCHEDULE

PRE CONFERENCE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $159MAIN CONFERENCEEARLY BIRD (ON OR BEFORE 9/4/2009) . . . . . . . . . . . $250.00REGULAR (AFTER 9/4/2009) . . . . . . . . . . . . . . . . . . . . . $350.00CONFERENCE BANQUET GUEST FEE . . . . . . . . . . . . . . . . $50

______NUMBER OF GUESTS

TOTAL AMOUNT________________________________________.

CANCELLATION POLICYALL REFUNDS ARE SUBJECT TO $100.00 PROCESSING FEE.THERE WILL BE NO REFUNDS AFTER SEPTEMBER 1, 2009

ENCLOSED IS MY CHECK MADE PAYABLE TO USF HEALTH PROFESSIONS CONFERENCING CORPORATION (USF HPCC) IN THE AMOUNT OF $_______________________________________________

MAIL TO ADDRESS LISTED ABOVE

CREDIT CARD: VISA MASTERCARD AMEX

PLEASE CHARGE MY CREDIT CARD IN THE AMOUNT OF $___________________________________.

CARD NUMBER

EXP. DATE SECURITY CODE/CCV

NAME ON CARD (PRINT)

SIGNATUREPG2010537/1150

REGISTRATION FORMMAIL TO:ATTENTION: PG2010537/1150 USF HEALTH PROFESSIONS CONFERENCINGCORPORATIONP.O. BOX 864240ORLANDO, FL 32886-4240

FAX TO: 813-974-3217

REGISTER ONLINE AT: WWW.CME.HSC.USF.EDU/PNI

FOR MORE INFORMATION, PLEASE CALL THE OFFICE OF CONTINUING PROFESSIONAL DEVELOPMENT AT 813-974-4296 OR 800-852-5362.

ARNP/NURSE PSYCHOLOGIST LCSW LMHCLMFTOTHER

TYPE OF CREDIT REQUESTED: LICENSE TYPE LICENSE NUMBER

LICENSE STATE EMPLOYER

(AMEX-4 digits on front, MC/Visa-3 digits on back)

Course DescriptionSometimes you have to be in an optimal performance state even though you don’t feel like it.Athletes know this. So do health care providers, and others who have to make critical decisionsunder demanding circumstances. But your immune system and emotions may be working againstyou. Any inflammation, whether part of an allergy, an infection, or associated with injury can giverise to pro-inflammatory cytokines. These chemicals can derail your mood, your reaction time,and your motivation to push on. This second annual symposium will bring together some of thenation’s leading experts to discuss the impact emotions and the immune system have upon per-formance whether it’s a sports arena, hospital, or war zone. Attendees will gain a better under-standing of the cause of sub-optimal performance as well as potential solutions, at this three dayprogram that will include both theory and practical exercises.

ObjectivesUpon completion of this course, the symposium participant will be able to:

• Understand how stressful memories of traumatic events can impact the immune system and performance.

• Describe how self-destructive emotions can be triggered by the injury and the immune system.

• Understand how shift-work and crossing time zones can impact the immune system and performance.

AccreditationNurses: The University of South Florida is accredit-ed as a provider of continuing nursing educationby the American Nurses Credentialing Center’sCommission on Accreditation. This activity is for11.00 contact hours.

Physicians: USF Health is accredited by theAccreditation Council for Continuing MedicalEducation to provide continuing medical educationfor physicians.

USF Health designates this educational activity fora maximum of 11 AMA PRA Category 1Credit(s)™. Physicians should only claim creditcommensurate with the extent of their participationin the activity.

Psychologists: The University of South FloridaCollege of Medicine is approved by the AmericanPsychological Association to offer continuing edu-cation for psychologists. The University of SouthFlorida College of Medicine is offering this activityfor up to 11.00 hours of continuing educationcredit. The University of South Florida College ofMedicine maintains responsibility for the program.

Florida Licensed Clinical Social Workers, LicensedMarriage and Family Therapists, Licensed MentalHealth Counselors: The The University of SouthFlorida College of Public Health is an approvedprovider (BAP#433 – Exp. 3/31/09) of continuingeducation credits for clinical social work, marriageand family therapy, and mental health counseling.This program has been reviewed and approved for up to 13, 50-minute contact hours.

Target AudienceNurses, Physicians, Psychologists, Licensed Social Workers, Licensed Mental Health Counselors,Licensed Marriage and Family Therapists, Athletes, Sports Trainers and any person interested inthe in the impact of emotions and the immune system upon performance.

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Theresa M. Beckie, PhD, FAHAProfessor, University of South FloridaCollege of NursingTampa, FL

Charles R. Figley, Ph.D.The Paul Henry Kurzweg, MD DistinguishedChair in Disaster Mental Health Professor, Graduate School of Social Work Tulane UniversityNew Orleans, Louisiana

Monika Fleshner, PhDProfessorDepartment of Integrative PhysiologyCenter for NeuroscienceUniversity of Colorado Boulder, CO

Maureen Groer, RN, PhD, FAANDirector for the Center for Women's Health ResearchProfessor, University of South FloridaCollege of NursingTampa, FL

Nick Hall, PhDProfessor and Director of the Center forPsychoneuroimmunology College of Nursing, University of South FloridaTampa, FL

Keith W. Kelley, Ph.D.Professor of ImmunophysiologyIntegrative Immunology and Behavior ProgramUniversity of IllinoisChampaign, Illinois

Teodor Postolache, MDAssociate Professor of PsychiatryDirector, Mood and Anxiety ProgramUniversity of Maryland School of MedicineBaltimore, MD

Susan Taylor, PhDDirector of Educational ProgramsCenter for Meditation ScienceHonesdale, PA

Lydia Temoshok, PhDDirector of Behavioral Medicine ProgramInstitute of Human VirologyProfessor of MedicineUniversity of Maryland School of MedicineBaltimore, MD

Dick Tibbits, D.MinChief Learning OfficerVice President for Spirituality and HealthFlorida HospitalOrlando, FL

THURSDAY, SEPTEMBER 17

Pre Conference (Optional)

Secrets To Optimal Performance Through Meditation: Optimizing performance requires that you maintain balance as you learn to overcomefatigue and stay sharp. Learn about the secretsof movement, meditation, and martial arts in aresult oriented meditation-training seminar.The techniques learned may be used at home,in the workplace or on the playing field.Susan Taylor

8:00 AM – 9:00 AMRegistration

9:00 AM - 4:30 PMLecture and practicum

Provided by Nursing Spectrum ContinuingEducation

Nursing Spectrum is accredited as a providerof continuing nursing education by theAmerican Nurses Credentialing Center’sCommission on Accreditation. This activity isfor 5.5 contact hours.

MAIN CONFERENCE

5:00 PM – 7: 00 PM Registration for main conference opens WELCOME RECEPTION for all registrants and guest

FRIDAY, SEPTEMBER 18

Main Conference

7:00 AM – 8:00 AMRegistration

8:00 AM – 8:30 AMWelcome

8:30 AM – 9:20 AMThe Immunology of InflammationMonika Fleshner

9:20 AM – 10:10 AMCytokines, Mental Fatigue, and Motivation: It's All In Your HeadKeith Kelley

10:10 AM – 10:30 AMBreak

10:30 AM – 11:20 AMExercise and Stress ResilienceMonika Fleshner

11:20 AM – 12:10 PMExercise Training Reduces Inflammatory Biomarkers in Women with Coronary DiseaseTheresa Beckie

12:10 PM – 12:30 PMGeneral Discussion

12:30 PM – 1:30 PMLunch On Your Own

1:30 PM – 2:20 PMSleep, Biological Rhythms, Immunity, and PerformanceTeodor Postolache

2:20 PM – 3:10 PMEnhancing Performance by Appropriate Focusand Synchronized ResponseLydia Temoshok

3:10 PM – 3:30 PMBreak

3:30 PM – 4:20 PMJet Lag, Shift Work and Performance:Successful Coping StrategiesTeodor Postolache

4:20 PM – 4:40 PMGeneral Discussion

SATURDAY, SEPTEMBER 19

7:30 AM – 8:30 AMRegistration

8:30 AM – 9:20 AMEmotions and PerformanceNick Hall

9:20 AM – 10:10 AM Stress Injury and Performance: Lessons from the BattlefieldCharles Figley

10:10 AM – 10:30 AMBreak

10:30 AM – 11:20 AMPerformance of Police Officers in StressfulVirtual Reality ScenariosMaureen Groer

11:20 AM – 12:10 PMCreating Health in a Hospital: A New IdeaDick Tibbits

12:10 PM – 12:30 PMGeneral Discussion

12:30 PM – 1:30 PMLunch On Your Own

1:30 PM – 5:00 PMCross-Stress Training at the Executive Challenge Course

6:00 PM - 8:00 PMConference Banquet

Saddlebrook Resort in Tampa Florida, just 30miles north of Tampa International airport,offers an ideal and award winning resort settingwith luxury accommodations and facilities forcorporate events, meetings and conferences,spa getaways, family reunions, kids camp, andFlorida golf and tennis vacations.

Facilities include year round golf at one of theirtwo Arnold Palmer Signature Courses, 45 tenniscourts in every grand slam surface, a EuropeanStyle Spa, and four premier dining and restau-rant options. As a world renowned professionaltraining center in both tennis and golf, guestscan train at the Arnold Palmer Golf Academyand tennis enthusiasts can join the ranks ofsuch superstars as James Blake and Marty Fishwho call Saddlebrook Resort their preferredtraining center.

Conference registrants will receive the specialgroup rate of $95 per night plus applicablesales taxes. Reservations received afterWednesday, August 19, 2009 will be acceptedon a space available basis. Reservations maybe made by telephone at 800-729-8383 Ext.4401 or the direct line at 813-907-4401.Reservations may also be made by email atresv@saddlebrook.com or fax at 813-973-4504.When making reservations, please use thegroup code, PNI.

TransportationSaddlebrook is located one mile east of I-75 atExit 279, 30 miles north of Tampa InternationalAirport. If arriving by air, a dedicated, non-stoptransportation to and from Tampa InternationalAirport by Premier Limousine, an independentcontractor, is available for the cost of $40.00one way. Reservations are required. Call 813-907-4455

Saddlebrook Resort5700 Saddlebrook WayWesley Chapel, Florida 33543800-729-8383www.saddlebrook.com

Fee SchedulePre Conference . . . . . . . . . . . . . . .$159Main ConferenceEarly Bird (on or before 9/4/2009) . . . . . .$250.00Regular (after 9/4/2009) . . . . . . . . . . . .$350.00

Cancellation PolicyAll refunds are subject to $100.00 pro-cessing fee. There will be no refundsafter September 1, 2009

Accommodation for DisabilitiesPlease notify the CPD Office, 12901Bruce B. Downs Blvd., MDC Box 60,Tampa, Fl 33612 or cal 813-974-4296 aminimum of ten working days inadvance of the event if a reasonableaccommodation for disability is needed.

Events, activities and facilities of theUniversity of South Florida are availablewithout regard to race, color, sex,national origin, disability, age, orVietnam veteran status as provide bylaw and in accordance with theUniversity’s respect for personal dignity.

For Additional InformationFor more information, please go to ourwebsite at www.cme.hsc.usf.edu/pnior call the Office of ContinuingProfessional Development at 813-974-4392 or 800-852-5362.