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REGISTRATION FORM & CONTACT INFORMATION Pain Management in Women: Over the Lifecycle April 27-29, 2006 Mail your registration to: UC San Diego School of Medicine Continuing Medical Education 9500 Gilman Drive, MC0617 La Jolla, California 92093-0617 Toll Free: (888) 229-6263 Phone: (858) 534-3940 Fax: (858) 534-7672 E-mail: [email protected] Register online at: http://cme.ucsd.edu Make checks payable to: UC Regents and mail to the address above. All fees must be paid in US dollars and drawn on a US bank. The registration includes 2 full days, course syllabus, daily continental breakfast, coffee breaks. More details about the conference will be sent upon receipt of your registration form and payment. The full course tuition is refundable, less $50 if your cancellation is received in writing, no later than April 15, 2005. No refunds will be given after the beginning of the conference. NAME TITLE ADDRESS CITY STATE ZIP PHONE FAX E-MAIL SPECIALTY PLEASE INDICATE ANY SPECIAL NEEDS If paying by credit card, please provide the information requested below: Visa Mastercard American Express Discover CREDIT CARD NUMBER EXPIRATION DATE NAME ON CARD AUTHORIZING SIGNATURE Registration Fees On or before 3/27/05 After 3/27/05 Physicians $275 $325 Residents, Fellows, Allied Health & Complimentary Healthcare Providers $200 $250 Pain and Suicide Pelvic Pain Palliative Care for the Female Neuropathic Pain Sports Medicine Injuries, in Women: Diagnosis and Treatment A Zen Approach to Dealing with Physical and Emotional Pain Workshops (Please choose one)

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Page 1: aCCoMMoDatioNs, ParkiNg, traVel & aCCreDitatioN · bicycles, roller skates, body boards and surfboards for rent. The Catamaran resort Hotel offers 315 newly renovated rooms with bay,

Thursday, April 27, 2006

12:00 pm – 1:00 pm Registration

1:00 pm – 1:15 pm Welcome and Introduction Edward W. Holmes MD, Vice Chancellor for Health Sciences and Dean, UCSD School of Medicine Lewis L. Judd, MD

1:15 pm – 2:15 pm Keynote Speaker Susan Blumenthal, MD, MPA

2:15 pm – 3:15 pm Biology of Pain in Women Mark S. Wallace, MD

3:15 pm – 3:30 pm Break

3:30 pm – 4:30 pm evaluation/assessment of Pain in Women Farshad M. Ahadian, MD

4:30 pm – 5:30 pm Stress and Its Impact on the Health and Well-Being of Women Esther Sternberg, MD

5:30 pm adjourn for the day

6:00 pm – 7:30 pm Wine and Cheese Reception

Friday, April 28, 2006

7:30 am – 8:00 am Continental Breakfast

8:00 am – 9:00 am Common Female Pain Syndromes in Primary Care Ursula Wesselmann, MD, PhD

9:00 am – 10:00 am Overview of Management of acute and Chronic Pain in Women Mark S. Wallace, MD

10:00 am – 10:15 am Break

10:15 am – 11:15 am alternative/Complementary approaches to Pain Management in Women Margaret A. Chesney, PhD

11:15 am – 12:15 pm Case Studies with audience Response System (to address morning topics)

12:15 pm – 1:30 pm Luncheon

1:30 pm – 2:30 pm Side effects and Drug Interactions with emphasis on Steroid Psychosis and Current Information on SSRI Richard Hall, MD

2:30 pm – 3:30 pm empowering the Female from Pain: The Pain of Hormonal Change M. E. Ted Quigley, MD

3:30 pm – 3:45 pm Break

3:45 pm – 5:15 pm Workshop Sessions (Choice of One)

1. Pain and Suicide, Susan Blumenthal, MD, MPA

2. Pelvic Pain, Ursula Wesselmann, MD, PhD

3. Palliative Care for the Female, Elly Hann, DO

4. Neuropathic Pain, Mark S. Wallace, MD

5. Sports Medicine Injuries, in Women: Diagnosis and Treatment, Michelle Look, MD, FAAFP

6. a Zen approach to Dealing with Physical and emotional Pain, Darlene Cohen, MA

5:15 pm adjourn for the Day

Saturday, April 29, 2006

7:30 am – 8:00 am Continental Breakfast

8:00 am – 9:00 am Low Back Pain Douglas Chang, MD, PhD

9:00 am – 10:00 am The Stepwise evaluation and Treatment of Headache Christy M. Jackson, MD

10:00 am – 10:15 am Break

10:15 am – 11:15 am Pain Syndromes in Rheumatology Zuhre Tutuncu, MD

11:15 am – 12:15 am Case Studies with audience Response System (to address morning topics)

12:15 pm Closing Comments and Final adjournment

PrograM

registratioN ForM & CoNtaCt iNForMatioN

Pain Management in Women: Over the Lifecycle April 27-29, 2006

Mail your registration to: UC San Diego School of Medicine Continuing Medical Education 9500 Gilman Drive, MC0617 La Jolla, California 92093-0617

toll Free: (888) 229-6263 Phone: (858) 534-3940 Fax: (858) 534-7672

e-mail: [email protected]

register online at: http://cme.ucsd.edu

Make checks payable to: UC Regents and mail to the address above. All fees must be paid in US dollars and drawn on a US bank.

The registration includes 2 full days, course syllabus, daily continental breakfast, coffee breaks. More details about the conference will be sent upon receipt of your registration form and payment.

The full course tuition is refundable, less $50 if your cancellation is received in writing, no later than April 15, 2005. No refunds will be given after the beginning of the conference.

NAME TITLE

ADDrESS

CITy STATE ZIP

PHONE FAx

E-MAIL SPECIALTy

PLEASE INDICATE ANy SPECIAL NEEDS

If paying by credit card, please provide the information requested below:

Visa Mastercard American Express Discover

CrEDIT CArD NUMBEr ExPIrATION DATE

NAME ON CArD

AUTHOrIZING SIGNATUrE

aCCoMMoDatioNs, ParkiNg, traVel & aCCreDitatioNAccommodationsCatamaran resort Hotel 3999 Mission Boulevard, San Diego, California 92109

Toll Free 800-422-8386 • Toll Free Canada 800-233-8172 Hotel Direct 858-488-1081 • Fax 858-488-1619

www.catamaranresort.com

The Catamaran resort Hotel offers casual elegance in a tropical paradise with acres of lush foliage and sun drenched beaches. Mission Bay is at your doorstep and the enticing waves of the Pacific Ocean are just 100 yards away. Located just 15 minutes from the San Diego International Airport, it features a swimming pool, Jacuzzi, spa, health club, and water sport rentals including sailboats, sailboards, catamarans and paddle boats. Nearby are bicycles, roller skates, body boards and surfboards for rent.

The Catamaran resort Hotel offers 315 newly renovated rooms with bay, garden and ocean views. There are restaurants and lounges on the grounds that offer live entertainment. There is a brand new 93,000 square foot full service Spa and luxury health club located in the resort. It features 10 treatment rooms, Vichy Shower room, ritual room, Couples treatment room, full service men’s and women’s locker rooms with sauna and steam room, outdoor whirlpool, full service salon and a 900 square foot fitness facility.

A limited block of rooms has been reserved at the special discounted rates of $159 for single or double occupancy. When calling the hotel identify yourself as a UCSD Pain Management in Women Over the Lifecycle participant. April is a very popular time in sunny San Diego. Please make reservations early and prior to March 28, 2006. After the cut-off date, reservations will be accepted on a space available basis at prevailing rates.

Travel InfoCall our official travel agency, San Diego Travel Group, at 800-683-4074 or 858-455-7770, or email [email protected], to receive discounted airfare on United Airlines and American Airlines. Please identify yourself as a participant in the UCSD Pain Management in Women Over the Lifecycle.

Discount Car Rentals: AVIS has been selected as the official car rental company for this meeting. Call (800) 331-1600 and refer to AVIS World Wide Discount # A128896 or www.avis.com.

Parking Parking vouchers for daily use will be available at the registration desk, for a reduced rate of $4.00 for self parking.

AccreditationThis activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (“ACCME”) through the joint sponsorship of the University of California, San Diego School of Medicine and the California Department of Developmental Services. The University of California, San Diego School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of California, San Diego School of Medicine designates this educational activity for a maximum of 15.5 Category 1 credits toward the AMA Physician’s recognition Award.

Each physician should claim only those credits that he/she actually spent in the activity.

AAFP - Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

BrN – Under the California BrN guidelines, this course is accredited for up to 15.5 hours nursing credit (#CMA – Cat. 1).

MFT/LCSW – This course meets the qualifications for 15.5 hours of continuing education credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences (UCSD Provider Number PCE 683).

PAIN – This program meets the California AB487 legislation requiring physicians complete 12.0 hours of Pain Management and Palliative Care continuing medical education.

DisclosureIt is the policy of the University of California, San Diego School of Medicine to ensure balance, independence, objectivity and scientific rigor. All faculty participating are required to disclose any real or apparent conflicts of interest related to the content of their presentation. All faculty are also required to disclose any discussion of off label/unapproved uses of drugs or devices.

Registration Fees On or before 3/27/05 After 3/27/05

Physicians $275 $325

residents, Fellows, Allied Health & Complimentary Healthcare Providers $200 $250

Pain and Suicide

Pelvic Pain

Palliative Care for the Female

Neuropathic Pain

Sports Medicine Injuries, in Women: Diagnosis and Treatment

A Zen Approach to Dealing with Physical and Emotional Pain

Workshops (Please choose one)