November 4–6, 2016Memorial Union–Arizona State UniversityTempe, ArizonaRegister Online Today!

Revolutionizing Internal Medicine with Digital Health This live activity has been designated for 14.5 CME credits.

Arizona Chapter Scientific Meeting 2016

Meeting Highlights

• Two SEP Modules• Doctor’s DilemmaTM for Medical Students

and Residents• Informatics! Outcomes with Wearables,

Using Big Data and Population Health toManage Health

• Patient Safety and Informatics• Panel: Updates on Vital Topics - Infectious

Diseases, Cardiology, and Hypertension• Panel: Humanism in Medicine• Medical Student and Resident Poster

Competitions

Dear Colleague,

Join me and your colleagues in internal medicine at the next scientific meeting of the Arizona Chapter of the American College of Physicians, being held November 4–6, 2016, at the Memorial Union–Arizona State University in Tempe.

The meeting is a great way for you to recharge, rewind, and reflect with your peers,chapter leaders, and great speakers. Connect with the Arizona Chapter’s rich source of knowledge content and networking by attending our premier meeting for general internists, subspecialty internists, hospitalists, allied health practitioners, residents, and medical students.

In addition to earning CME credits, this conference is about making personal contacts and getting involved in your chapter. You’ll engage with people who know your challenges and can help you find solutions. The opportunities available at this meeting will help you meet not only your needs as a physician but also the needs of the patients you serve.

To ensure your place at this invaluable meeting, register now by visiting us online atwww.acponline.org/about-acp/chapters-regions/united-states/arizona-chapter/news-meetings.

I look forward to seeing you in Tempe!

Sincerely,

Robert M. Aaronson, MD, FACPACP Governor, Arizona Chapter

Dear Colleague,

On behalf of the American College of Physicians Arizona Chapter Planning Committee,I would like to welcome you to this year's ACP - Arizona Annual Chapter meeting. Weare in the midst of massive health care system overhauls. As a result, the PlanningCommittee voted to make the theme of our conference "Revolutionizing InternalMedicine with Digital Health".

Now more than ever, new digital tools are being developed with the promise to helpimprove our care coordination, patient visits, efficiency, and quality of care. However, do these actually improve outcomes? This is a major question that needs to be proven before the physiciancommunity adopts these new digital tools. I am excited to report you will see outcome-related work at our conference.

With all this "digitalization", our committee felt it was appropriate to also include humanism as a topicas well. At the end of the day, no matter how care is delivered, there is another fellow human in needof care. This basic aspect of health care delivery cannot be forgotten.

These exciting topics along with the usual grand poster sessions, Doctor’s Dilemma™ competition, andthe Governor's Dinner will make for one of the most exciting chapter meetings in recent years!

See you in Tempe!

Hamed Abbaszadegan, MD, FACP2016 Program Chair

Schedule at a Glance

7:00 a.m.Registration/Continental Breakfast for ABIM SEPModules Attendees7:30–9:30ABIM SEP Module #1: Endocrinology Richard Arakaki, MD

9:40–11:40ABIM SEP Module #2: Internal MedicineHelene Labonte, DO, FACP

11:30Faculty Development Registration11:40–11:45Welcome and IntroductionsRobert M. Aaronson, MD, FACP - Governor, Arizona Chapter ACPHamed Abbaszadegan, MD, FACP - 2016 Program Chair

11:45–11:55Buffet Lunch11:55–12:55 p.m.Faculty Medical Education Consortium Luncheon:Educating the Health Care Workforce in the 21stCentury & BeyondOpen to all Meeting Attendees with Advance RegistrationDean Keith Lindor, MD

12:55–1:10Q&A Session1:10–2:45Panel: Updates on Vital Topics for Physicians

1:10-1:35HypertensionTimothy C. Fagan, MD, FACP

1:35–2:00Infectious Diseases: What’s new? EmergingPathogensNegin N. Blattman, MD

2:00–2:25CardiologyMajid D. Biglari, DO2:25–2:45Q&A Session

Medical Student & Resident/Fellow Tracks1:30–2:30 p.m.Medical Student & Resident/Fellow Registration2:30–3:15ResidentsPreparing for Fellowship and/or Clinical Practice (Exhibit Hall)

2:30–3:15Medical Students Track: Meet the Residency DirectorsMedical Students are afforded the opportunity to pose questions to Program Directors from all of the Arizona Internal Medicine Residency Programs and to engage in an informal dialogue.

2:30–3:15Residents Track: Preparing for Fellowship and/or Clinical Practice

Revolutionizing Internal Medicine with Digital Health

Friday, November 4, 2016

Schedule at a Glance3:15–3:30Networking Break/Visit Exhibits/View Posters Refreshments Served

3:15–3:30Session #1 Poster Judges AssembleHamed Abbaszadegan, MD, FACP

3:30–5:30Session #1: Medical Student & Resident/FellowMembers Poster Session JudgingRefreshments Served in Exhibit Hall

5:30–6:15Doctor’s Dilemma™ Medical Student RoundMedical Student team winner advances to final round on Sunday. Team members listed following the Sunday program.Please no videotaping or flash photography without permission.Moderators: Mark A. Zubriski, MD, FACP, and Avtar Singh, MD

6:30–7:00Social Hour7:00–9:00Governor’s Dinner

Saturday, November 5, 2016 7:00 a.m.Registration7:00–7:55Governor’s Advisory Council/Members-Only Breakfast8:00–8:10Welcome and IntroductionsRobert M. Aaronson, MD, FACP - Governor, Arizona Chapter ACPHamed Abbaszadegan, MD, FACP - 2016 Program Chair

8:10–9:10Advocacy–MACRA & Big Data: Your Digital FutureGeorge Runger, PhD

9:10–10:00Information Panel: AzHeC & the Network Moderator: Anita C. Murcko, MD, FACPPanelists: David Spitzer, JD, CISSP, and Priya Radhakrishnan,MD, FACP

10:00–10:30Networking Break/Visit Exhibits/View PostersRefreshments Served

10:30–11:10Informatics: Outcomes with Wearables, Using Big Data, and Population Health to Manage Health Shahram (Shez) Partov, MDModerator: Priya Radhakrishnan, MD, FACP

11:10–11:50Barriers to Value: People, Process, & TechnologyAlan Pitt, MD

Schedule at a Glance11:50–12:50 p.m.Lunch/Visit Exhibits for Demonstrations 12:50–1:30Informatics: Chandler Fire Department & Telehealth–Partnerships for Instant Access to CareHamed Abbaszadegan, MD, FACP

1:30–1:50Q&A/Panel Discussion 1:50–2:00Break/Doctor's DilemmaTM Check-in2:00–3:15Doctor’s DilemmaTM Preliminary RoundModerators: Mark A. Zubriski, MD, FACP, and Avtar Singh, MD

3:15–3:30Networking Break/Visit Exhibits/View PostersRefreshments Served

3:30–5:00Panel: Humanism in MedicineModerator: Rupal Vora, MD, FACPPanel: Jennifer Allie, PhD, MPAShakaib U. Rehman, MD, FACP

5:00–5:30Networking Break/Visit Exhibits/View PostersRefreshments Served

5:15–5:30Session #2 Poster Judges AssembleHamed Abbaszadegan, MD, FACP

5:30–7 pmSession #2: Medical Student & Resident/FellowMembers Poster CompetitionRefreshments Served in Exhibit Hall

Sunday, November 6, 20167:00 a.m.Registration7:00–8:00Breakfast Round Tables–CommitteesMentoring OpportunityAdvocacy–National and State IssuesCouncil of Early Career Physicians (formerly Young Physicians)Council of Resident/Fellow MembersHospitalists/International Medical Graduates CommitteeMedical Students Committee

8:00–8:10Welcome and IntroductionsRobert M. Aaronson, MD, FACP - Governor, ACP Arizona ChapterHamed Abbaszadegan, MD, FACP - 2016 Program Chair

8:10–10:00Oral Vignettes/PresentationsModerator: Hamed Abbaszadegan, MD, FACP

10:00–10:10Networking Break/Visit Exhibitors/View PostersRefreshments Served

10:10–11:10Keynote: Patient Safety and InformaticsDavid Bates, MD, MACP

11:10–11:20Break/Doctor’s DilemmaTM Team Check-in11:20–12:05 p.m.Doctor’s DilemmaTM Final RoundModerators: Mark A. Zubriski, MD, FACP, and Avtar Singh, MD

12:05Awards/Concluding Remarks/AdjournChapter Awards- Cheryl O’Malley, MD, FACP, Awards Chair

Presentation of Arizona Chapter Excellence Award– Robert M. Aaronson, MD, FACP - Governor, Arizona Chapter ACP

Presentation of Laureate Award – Robert M. Aaronson,MD, FACP - Governor, Arizona Chapter ACP

Awards Presentations: Posters, Oral Vignettes &Doctor’s DilemmaHamed Abbaszadegan, MD, FACPAvtar Singh, MDMark Zubriski, MD, FACP

Concluding RemarksRobert M. Aaronson, MD, FACP - Governor, Arizona Chapter ACPHamed Abbaszadegan, MD, FACP, 2016 Program Chair

Adjournment of Annual Meeting and Scientific Session

Meeting Information

Jennifer Allie, PhD, MPA, Faculty Affairs and Development, As-sistant Professor, Medical Education, UNTHSC/TCU School ofMedicine, Fort Worth, TX David Westfall Bates, MD, MSc, MACP, Chief Innovation Officer and Senior Vice President, Chief, Division of General Internal Medicine, Brigham and Women’s Hospital; Medical Director of Clinical and Quality Analysis, Partners HealthCare;Professor of Medicine, Harvard Medical School, Boston, MA;Professor of Health Policy and Management, Harvard School of Public Health, Cambridge, MA

Arizona FacultyRobert M. Aaronson, MD, FACP, FCCP, FAASM, ACP Governor,Arizona Chapter; Director of Medical Education, Tucson Medical Center, Tucson; Clinical Professor of Medicine, University of Arizona; Adjunct Associate Professor, MidwesternUniversity, Glendale, and A.T. Still University, MesaHamed Abbaszadegan, MD, FACP, 2016 Chapter Meeting Chair; Chief Health Informatics Officer, Phoenix VAHealth Care System, U.S. Department of Veterans Affairs; Clinical Assistant Professor of Internal Medicine and Biomedical Informatics, University of Arizona COM, PhoenixMayar Al Mohajer, MD, FACP, Infectious Disease Specialist,University of Arizona Medical Center, TucsonRichard Arakaki, MD, Endocrinologist/Diabetes Consultant,Phoenix Indian Medical Center, PhoenixM. David Biglari, DO, PhD, Staff Interventional Cardiologist,Phoenix VA Medical Center; Core Faculty, BUMC–CardiologyFellowship Program; Adjunct Faculty at University of ArizonaCollege of Medicine–Phoenix; Midwestern University, Glendale; and A.T. Still University, MesaJanis E. Blair, MD, FACP, Professor of Medicine, Internal Medicine Residency Program Director, Consultant, Division of Infectious Diseases, Mayo Clinic Hospital, PhoenixNegin N. Blattman, MD, PhD, Infectious Disease Specialist,Phoenix VA Health Care System, Phoenix Viet Do, DO, FACP, Associate Chief of Medicine, Associate Program Director, Phoenix VA Health Care System, U.S. Department of Veterans Affairs; Assistant Professor of Medicine, University of Arizona, College of Medicine, PhoenixWilliam G. Elliott, DO, FACC, FACOI, FACP, Director of MedicalEducation; Internal Medicine Residency Program Director,Canyon Vista Medical Center, Sierra VistaTimothy C. Fagan, MD, FACP, 2011 Chapter Meeting ProgramChair; 2015 Arizona ACP Chapter Laureate; Professor of Inter-nal Medicine Emeritus, University of Arizona College of Medi-cine, Tucson; President, Pima County Medical Society, Tucson

Eric P. Gall, MD, MACP, MACR, 2015 Chapter Meeting Program Chair; Professor of Medicine (Rheumatology), University of Arizona, Tucson; Emeritus Professor and PastChair, Department of Medicine, Chicago Medical School, Ros-alind Franklin University of Medicine and Science, Chicago, ILRichard Gerkin, MD, FACP, Clinical Faculty Banner UniversityMedical Center; Associate Professor of Medicine, University of Arizona, PhoenixPaul J. Howard, MD, MACP, Past Governor, ACP Arizona Chapter; National Director, ACP Arthrocentesis and Bursal Injection Course; Director Arthritis Health, ScottsdaleJames Keane, DO, Internist, Desert Bloom Family Practice, Tucson Helene R. Labonte, DO, FACP, 2014 Chapter Meeting ProgramChair; Program Director, Geriatric Medicine Fellowship; Chair,Community Internal Medicine; Assistant Professor of Medi-cine, Mayo Clinic Arizona, PhoenixKeith D. Lindor, MD, Executive Vice Provost and Dean, Collegeof Health Solutions, Arizona State University, TempeAllan L. Markus, MD, MS, MBA, FACP, 2008 Chapter MeetingProgram Chair; Internal Medicine Residency Program Director,HonorHealth; Clinical Associate Professor of Medicine, Univer-sity of Arizona College of Medicine, PhoenixDustin McCurry, Medical Student, Co-Chair, Medical StudentCommittee, University of Arizona College of Medicine, PhoenixLaura Meinke, MD, FACP, FCCP, Program Director, InternalMedicine/Pulmonary and Critical Care Medicine, University ofArizona College of Medicine at University Campus, TucsonKevin F. Moynahan, MD, FACP, 2009 Chapter Meeting Program Chair;Deputy Dean for Education; Director, SocietiesProgram; Professor of Medicine, University of Arizona Collegeof Medicine at University Campus, TucsonAnita C. Murcko, MD, FACP, Clinical Associate Professor, Department of Biomedical Informatics, Arizona State Univer-sity; University of Arizona Health Sciences Center, College ofPharmacy; President and CEO, Cambiare, LLC, ScottsdaleRakesh Nanda, MD, FACP, Gastroenterologist, Phoenix VAHealth Care System and Banner Good Samaritan Medical Center, PhoenixCheryl W. O’Malley, MD, FACP, Program Director, University of Arizona College of Medicine–Phoenix; Internal MedicineResidency Program; Associate Professor of Medicine, University of Arizona College of Medicine, PhoenixShahram (Shez) Partovi, MD, Neuro-Radiologist, Chief DigitalTransformation Officer, Dignity Health System, PhoenixSalma Patel, MD, Mayo Clinic Hospital, Phoenix

Guest Faculty

Meeting InformationJayne M. Peterson, MD, FACP, 2012 Chapter Meeting ProgramChair; Associate Program Director, Internal Medicine Resi-dency, Banner Good Samaritan Medical Center; Assistant Professor of Clinical Medicine, University of Arizona College ofMedicine, PhoenixAlan Pitt, MD, Chief Medical Officer, Avizia; Radiologist, Private Practice; Professor, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, PhoenixPriya Radhakrishnan, MD, FACP, Chief Academic OfficeHonorHealth, PhoenixJaya Raj, MD, FACP, Internal Medicine Residency Program Director, St Joseph’s Medical Center; Associate Professor ofMedicine, Creighton University School of Medicine; AssistantProfessor of Medicine, University of Arizona College of Medicine, Phoenix Shakaib U. Rehman, MD, FACP, FAACH, Associate Chief of Staff for Education, Phoenix VA Health Care System, U.S. Department of Veteran Affairs; Professor of Internal Medicineand Biomedical Informatics University of Arizona College ofMedicine, PhoenixGeorge Runger, PhD, Chair Department of Biomedical Informatics; Director of the International School of BiomedicalDiagnostics; Professor, School of Computing, Informatics, andDecision Systems Engineering, Arizona State University, TempeYamine Saddouk, MD, DO, Internal Medicine Program Director, Mountain Vista Medical Center, MesaDorothy J. Sanderson, MD, FACP, CDR, U.S. Public Health Service; Chief, Internal Medicine; Chair, Credentials Committee, Phoenix Indian Medical Center, PhoenixAvtar Singh, MD, Hospitalist and Assistant Professor of ClinicalMedicine, Department of Inpatient Medicine, Phoenix VAHealth Care System; Assistant Professor of Clinical Medicine,University of Arizona College of Medicine, PhoenixShannon E. Skinner, MD, FACP, FAAP, Internal Medicine Residency Program Director, Maricopa Integrated Health System, PhoenixDavid Spitzer, JD, CISSP, Chief Operating Officer, ArizonaHealth-e Connection, PhoenixEugene Trowers, MD, MPH, FACP, Professor of Medicine, Internal Medicine Residency Program Director, University ofArizona Medical Center–South Campus, TucsonRupal S. Vora, MD, FACP, 2013 Chapter Meeting Program Co-Chair; Associate Professor of Internal Medicine, Director of Student Academic Performance and Professional Development, A.T. Still University, School of Osteopathic Medicine, MesaKevin Wilson, DO, FACP, FACOI, Director, Medical Education,Internal Medicine Residency Program Director, Verde ValleyMedical Center, CottonwoodMark A. Zubriski, MD, PhD, FACP, Academic Hospitalist,Phoenix VA Health Care System, U.S. Department of VeteransAffairs; Clinical Assistant Professor, University of Arizona College of Medicine, Phoenix

Program CommitteeProgram Planning Committee MembersHamed Abbaszadegan, MD, FACP, ChairRobert M. Aaronson, MD, FACPMayer Al Mohajer, MD, FACPTimothy Fagan, MD, FACPEric Gall, MD, MACP, MACRPaul F. Howard, MD, MACPJames Keane, DOHelene Labonte, DO, FACPAllan L. Markus, MD, MS, MBA, FACPDustin McCurry, Medical StudentKevin F. Moynahan, MD, FACPAnita C. Murcko, MD, FACPRakesh Nanda, MD, FACP Salma Patel, MDPriya Radhakrishnan, MD, FACPJaya Raj, MD, FACP Shakaib U. Rehman, MD, FACP, FAACHDorothy J. Sanderson, MD, FACPAvtar Singh, MD Rupal S. Vora, MD, FACP Mark A. Zubriski, MD, PhD, FACPDixie Swan, Executive DirectorJoni Bowers, Meeting SupportAwards SubcommitteeCheryl O’Malley, MD, FACP, ChairRobert M. Aaronson, MD, FACPTimothy C. Fagan, MD, FACPKevin F. Moynahan, MD, FACPRobert Orford, MDCM, FACPHoward M. Shulman, DO, FACP, FACOIPosters/Abstracts/Oral Vignette SubcommitteeHamed Abbaszadegan, MD, FACP, Co-ChairAvtar Singh, MD, Co-ChairMark Zubriski, MD, FACP, Co-ChairViet Do, DOTimothy Fagan, MD, FACPRichard Gerkin MD, MS, FACP, FACMTMansoor Jatoi, DOHelene R. Labonte, DO, FACPLaura Meinke, MD, FACP, FCCPRakesh Nanda, MDJayne Peterson, MD, FACP, SGIMShakaib U. Rehman, MD, FACPRupal S. Vora, MD, FAC Doctor’s DilemmaTM SubcommitteeHamed Abbaszadegan, MD, FACP, Co-ChairAvtar Singh, MD, Co-ChairMark Zubriski, MD, FACP, Co-ChairWilliam G. Elliott, DO, FACPTimothy C. Fagan, MD, FACPHelene R. Labonte, DO, FACPLaura Meinke, MD, FACP, FCCPJayne Peterson, MD, FACP, SGIMRupal S. Vora, MD, FACP

Meeting Information

Learning ObjectivesAt the conclusion of this activity, the participant will be able to:

• Apply updated knowledge of how the frequency andconsequences of errors in medical care can be reduced bythe use of information technology in the provision of careapplied to clinical practice.

• Improve clinical practice by incorporating major newdevelopments in treating infectious diseases.

• Apply updated knowledge of telemedicine solutions,specifically the use of “smart health wearables,” toclinical practice.

• Apply updated knowledge of goals for blood pressurelevels in hypertensive patients and the advantages anddisadvantages of different classes of antihypertensiveagents as they apply to clinical practice.

Who should attend? • General internists

• Subspecialty internists

• Family practitioners

• Fellows in subspecialty training

• Hospitalists

• Allied health practitioners

• Residents

CME CME Accreditation

The American College of Physicians is accredited by the Accreditation Council for Continuing Medical Education(ACCME) to provide continuing medical education for physicians.

The American College of Physicians designates this live activity for a maximum of 14.5 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American College of Physicians designates this live activity,the SEP modules, for a maximum of 4 AMA PRA Category 1Credit(s)TM. Physicians should claim only the credit commen-surate with the extent of their participation in the activity.

Chapter Awards Laureate Award winners are long-standing and loyal supportersof the College who have rendered distinguished service totheir chapters and community and have upheld the high idealsand professional standards for which the College is known.The name of the Chapter Laureate Awardee will be announcedright before the Chapter Meeting.

The Arizona Chapter will be presenting the following Chapter awards:

• Laureate Award

• Volunteerism and Community Service Award

• Educator of the Year Award

• Internist of the Year Award

• Leader of the Year

• Researcher of the Year

• Resident/Fellow of the Year

• Medical Student of the Year

Please join us at noon on Sunday, November 6 to celebrate ourmembers’ accomplishments.

Resident/Fellow Members’ ActivitiesClinical vignettes, posters and research papers preparedby Resident/Fellow Members will be presented at themeeting. Winners will receive $150 for first place, $100 for second place and $50 for third place. Winners of theResident/Fellow Research Poster and Oral Vignette will be eligible for entrance into the National ACP Poster Competition, and will receive a $1000 stipend to attend Internal Medicine Meeting 2017 in San Diego California.Contact Dixie Swan at dswan@azmed.org for informationabout entering the competition. Deadline for submissionsis midnight, September 6, 2016.

• Friday-Speak with Fellowship Directors, one-on-one, in aspecial Residents’ track

• Saturday-Sunday - Doctor’s Dilemma competition.Winning team members will receive $150 each and a$1000 stipend to attend IM 2017 in San Diego, California

Medical Student Activities• Face and question a panel of Residency Program

Directors from programs all over the state

• Medical Student Poster Completion - $150 for first place,$100 for second place and $50 for third place.

Meeting Information

Maintenance of Certification

Friday, November 4, 20167:00 a.m.Registration and Continental Breakfast for ABIMSEP Modules Attendees7:30–9:30ABIM SEP Module #1: Endocrinology Update 2016Moderator: Richard Arakaki, MD

9:40–11:40ABIM SEP Module #2: Internal Medicine Update 2016Moderator: Helene Labonte, DO, FACP

SEP FacultyRichard Arakaki, MD, Endocrinologist/Diabetes Consultant,Phoenix Indian Medical Center, Phoenix

Helene R. Labonte, DO, FACP, Program Director, GeriatricMedicine Fellowship; Chair, Community Internal Medicine; Assistant Professor of Medicine, Mayo Clinic Arizona, Phoenix

SEP Learning Objectives• Participate in group discussion to determine answers

to multiple-choice questions.

• Apply updated knowledge of internal medicine toclinical practice.

• Understand recent advances in internal medicine.

• Complete an ABIM SEP Module toward partial fulfillmentof the ABIM’s Maintenance of Certification.

SEP CME Accreditation The American College of Physicians is accredited by the Accreditation Council for Continuing Medical Education(ACCME) to provide continuing medical education for physicians.

The American College of Physicians designates this live activity for a maximum of 4 AMA PRA Category 1 Credit(s)TM.Physicians should claim only the credit commensurate withthe extent of their participation in the activity.

Who Should Attend the SEP Pre-Course?• Internists participating in the ABIM Maintenance

of Certification Program

• General internists

• Family practitioners

• Subspecialty physicians

SEP NoteThe Arizona Chapter will provide you with a learner’s copy of the ABIM module(s) at the meeting. If you are enrolled inthe ABIM's Maintenance of Certification program, you alsomust order the module* directly from the ABIM by visitingwww.abim.org/online. After the Learning Session, submit youranswers online to the ABIM for Maintenance of Certificationcredit. For more information about the ABIM’s Maintenance of Certification program, visit www.abim.org/moc or call ABIM at 800-441-ABIM (2246).

Pre-course: ABIM SEP Modules Session for Maintenance of Certification

*If you are already enrolled in the ABIM Maintenance ofCertification program, there is no additional fee for this official version of the module. If you are not enrolled, you may attend the Learning Session; however, you must enroll before receiving Maintenance of Certification points for theknowledge module. To enroll, visit www.abim.org/online.

Additional Information

Questions?If using the College’s Meeting Registration Service, please complete the following:

• For registration information, contact ACP CustomerService (M–F, 9 a.m.–5 p.m. ET) toll-free at 800-523-1546,ext. 2600, or direct at 215-351-2600. You may also e-mailcustserv@acponline.org or fax 215-351-2799.

• If you have questions about the chapter, the meetingprogram, or have a disability or any special dietary needs,please contact Dixie Swan by telephone at 602-347-6916,or e-mail dswan@azmed.org.

Hotel AccommodationsOpen blocks of rooms are available at the following hotels:

Best Western Inn of TempeAddress: 670 North Scottsdale Road, Tempe, AZ 85281Rooms can be reserved by calling 480-784-2233 (mentionevent name ACP-AZ).

A block of guest rooms has been reserved at the following rates:

$84.99 for a single king bed or double queen; includes free Wi-Fi, hot breakfast buffet, 24 Hour Business Center and 24/7airport shuttle to Phoenix Sky Harbor. Shuttle service is alsoprovided within a 3 mile radius (which includes ASU) for a $5 fee per room.

This rate is available to registrants on a first-come, first-served basis.

To obtain a special rate, registrants should mention that they desire a room in the block reserved under the following name: ACP-AZ

Tempe Mission Palms Hotel Address: 60 East Fifth Street, Tempe, AZ 85281

Rooms can be reserved by calling Shayla Phelps at 480-317-1519, or e-mail sphelps @ destinationhotels.com (mentionevent name ACP-AZ).

A block of guest rooms has been reserved at the followingrates:

Room rate: $175.00Hospitality fee: $16.95Tax: 14.07% (Dollar amount: $27.00)Total per night including tax: $218.95

Additional amenities include valet or self-parking, in-room coffee/tea, high speed wireless internet connection, and use of workout facility.

This rate is available to registrants on a first-come, first-served basis.

Directions/ParkingLong-term visitor parking is available at the Apache BoulevardParking Structure, 300 East Lemon Street, Tempe, Arizona, atArizona State University. For an interactive guide/map, pleasevisit: www.asu.edu/map/interactive/?campus=tempe&visitorparking=APACHEBLVD

The Memorial Union at Arizona State University is located at 301 East Orange Street, Tempe, Arizona (directly North of the Apache Boulevard Parking Structure). For more information about the Memorial Union, visit//eoss.asu.edu/mu/about/directions

Registration/check-in and the educational sessions for the ACPArizona Chapter will be held on the Second Level of the MemorialUnion, in the hallway outside of the Arizona Ballroom. For amap of the Second Level of the Memorial Union, visit://eoss.asu.edu/sites/default/files/secondFloor_emsFeatures.pdf

Visit us online for details on hotel reservations, directions, parking, and areas of interest.

Additional Information

Registration InformationFor questions about the meeting schedule or location, please contact:

Dixie Swan602-347-6916

Each chapter is responsible for determining registration deadlines, onsite fees, and cancellation fees.

Late Registration & Onsite Fees

All registrations must be received by October 3, 2016 or a late registration fee of $50 will be added.

This includes on-site registrations. Save money by registering now!

Cancellations/Refunds

Notice of cancellation must be made in writing (fax, mail, or e-mail). Cancellations will not be accepted by telephone. Aprocessing fee of $25.00 will be deducted from the member’srefund. Individuals who fail to attend the course (no-shows)will not be entitled to any refund.

Additional FeesAll registrations must be received by October 3, 2016, or a late registration fee of $50 will be added.

This includes on-site registrations. Save money by registering now!

Satisfaction GuaranteeThe College offers a satisfaction guarantee for all of itscourses. If meeting attendees are not satisfied with their experience at a chapter meeting, they may write and request a refund of their registration fee.

v BY INTERNET UBY MAIL T BY FAX SBY PHONE(Credit Card only) Make check or money order (Credit Cards only) Call 800-523-1546, ext. 2600,Visit us on the Web payable to ACP. 215-351-2799 or 215-351-2600www.acponline.org/chapters AC002 (M–F, 9 a.m.–5 p.m. ET)

American College of Physicians190 N. Independence Mall WestPhiladelphia, PA 19106-1572

Contact Us

Arizona Chapter Registration Form CMB

ACP # (found on mailing label)

Name □ MD □ DO □ OTHER

Address

City State ZIP

Daytime Phone Fax E-mail

□ Please check here to indicate a permanent changeto your preferred address for all College mailings.

□ Please exclude me from receiving mailings fromthe meeting exhibitors.

□ Check here if you are disabled and require assistance. Pleasenotify the Arizona Chapter in writing before your course.We’ll be glad to help.�

Registration FeesCheck one category that best applies. Registration fee includes continental breakfast, lunch, all scientific sessions and materials,and CME documentation.

Chapter Meeting Only Chapter Meeting OnlyCategories Register by October 3, 2016 (RM1738) Register after October 3, 2016□ ACP Member $225 $275□ ACP Resident/Fellow Member $25 $25□ ACP Medical Student Member No Fee No Fee□ Nonmember Physician $325 $375□ Nonmember Resident* $25 $25□ Nonmember Medical Student* No Fee No Fee□ Nonmember Allied Health

Professional $325 $375

*Nonmember Residents and Medical Students cannot register online and must register by contacting Customer Service at800-523-1546, ext. 2600 in order to get the correct registration rate.

SEP Module Registration (Continental Breakfast Included)Friday, November 4, 2016

SEP Module #1: SEP Module #2:Endocrinology Internal Medicine SEP Modules 1 and 2

(RM1738A) (RM1738B) (RM1738C)□ ACP Member $75 $75 $150□ ACP Nonmember $90 $90 $180

RM1738Tempe, Arizona ● November 4–6, 2016

Arizona Chapter Registration Form CMB

CHS5085

Payment Options□ Check enclosed.

(Payable to ACP. Must remit in U.S. funds drawn on a U.S. bank.)

□ Charge to:

Card # ______________________________________________

Exp. Date ______/______ Security Code _______________MM/YY (3- or 4-digit number found on front or back of card)

Signature: __________________________________________

Please indicate your attendance at the following:

□ FMEF—Faculty Medical Education Focus (includes luncheon)—November 4, 11:45 a.m.

□ RFMT—Resident/Fellow Member Track—November 4, 1:30 p.m.

□ MSTK—Medical Student Track—November 4, 1:30 p.m.

□ GDBE—Governor’s Dinner (Beef)—$80 per person—November 4, 7:00 p.m.

□ GDFI—Governor’s Dinner (Fish)— $80 per person—November 4, 7:00 p.m.

□ GDCH—Governor’s Dinner (Chicken)—$80 per person—November 4, 7:00 p.m.

□ GDVE—Governor’s Dinner (Vegetarian)—$80 per person—November 4, 7:00 p.m.

□ SABR—Continental Breakfast—November 5, 7:00 a.m.

□ SABL—Boxed Lunch—November 5, Noon

□ SAVL—Vegetarian Boxed Lunch—November 5, Noon

□ SUBR—Continental Breakfast—November 6, 7:00 a.m.

Grand Total $ _______________