Annual Conference Brochure by CA Academy of PAs

CAPAâ&#x20AC;&#x2122;S 36 th ANNUAL CONFERENCE Renaissance 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

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 CONFERENCE The CAPA Conference…

Celebrating With Friends, Colleagues and Family

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.

There 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.

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.

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: 760-322-6000 You 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!

2 | CAPA’S 36TH ANNUAL CONFERENCE

Street Fair

Thursday, October 4 6:00 p.m. to 10:00 p.m. www.palmspringsoasis.com

FUN IN PALM SPRINGS Friday Evening at the CAPA Conference

PArty At The Pool – 5:00 p.m. - Saturday

9:00 P.M.

The Dance and American PA Idol Competition The 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!

APPLICATION

(Deadline September 5, 2012)

Sign U p for Id ol Today !

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 Images Registration 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.

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.com The Conference program and activities are subject to change without notice.

FABRIC OF THE PROFESSION The Fabric of the Profession: Competent, Versatile and the Texture of Compassion At 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!

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Scrubs and Slippers

n 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 Eric Glassman, PA-C, MHS with Newport Orthopedic colleagues 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

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.

CURES at CAPA

C URES AT CAPA C

APA 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

Free Service at the CAPA Conference This Year, Add a Few Important Documents to Your List of Things To Pack For the CAPA Conference! 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 Epidemic Andrew 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!

CONFERENCE HIGHLIGHTS CAPA Student Medical Challenge Bowl – Aqua CME We’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.

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 Receptions If 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.

TOURO

STUDENTS! Sign your teams up today for the Student Medical Challenge Bowl at www.capanet.org.

6 | CAPA’S 36TH ANNUAL CONFERENCE

UNIVERSITY

HOTEL AND GENERAL INFORMATION Conference Hotels –

Book Your Room Directly with the Hotels

We 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:

Exhibit Hall

You 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 Policy

To 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.

Renaissance Palm Springs (888) 682-1238 or (760) 322-6000 $179 per night plus tax

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.

Hilton Palm Springs (800) 522-6900 or (760) 320-6868 $162 per night plus tax

Accreditation

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/hotelinformation/. 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 Wear

Business 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 Care

Child care services are available through the hotel concierge. Advance arrangements are suggested.

This 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.

CONFERENCE SCHEDULE 2012 WEDNESDAY, OCTOBER 3 10:00 a.m. - 5:00 p.m. Cyber Café

Cyber Café sponsored by

OPTIONAL WORKSHOPS 9:00 a.m. - 12:00 p.m.

Beginning Suturing Barbara Knudsen and Brandon Daum

This workshop is supported by an educational grant from Ethicon.

9:30 a.m. - 11:30 a.m. 10:00 a.m. - 5:45 p.m.

Controlled Substances Education Course Andrew G. Lowe, Pharm.D. and Jeremy Adler, MS, PA-C

2:00 p.m. - 6:00 p.m.

Minor Surgical Procedures John Western, PA-C

9:30 a.m. - 11:30 a.m.

Secrets of Splinting David Kowalski, BS, Sr. OT

This workshop is supported by an educational grant from 3M

EKG Boot Camp Jennifer Carlquist, PA-C

BASIC COURSE

5:45 p.m.

CURES at CAPA Notary

C URES AT CAPA CURES Sign-ups On-site

THURSDAY, OCTOBER 4 10:00 a.m. - 5:00 p.m.

Cyber Café and CURES at CAPA Notary

C URES AT CAPA CURES Sign-ups On-site Cyber Café sponsored by

10:00 a.m. - 10:55 a.m.

Critical Care Pharmacotherapy Andrew G. Lowe, Pharm.D.

10:55 - 11:50 a.m.

Transgender Primary Care Ryan 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 Perspective Teresa Anderson, MPH; CAPA Pubic Policy Director

12:00 p.m. - 1:00 p.m.

Cymbalta® (duloxetine HCI): A Non-NSAID, NonNarcotic, 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 8 | CAPA’S 36TH ANNUAL CONFERENCE

CAPA’S 36TH ANNUAL CONFERENCE 3:15 p.m. - 4:15 p.m.

OPTIONAL WORKSHOPS 1:00 p.m. - 3:00 p.m.

Basic Radiology: Chest X-Ray Fundamentals John Mabee, Ph.D., PA-C

1:00 p.m. - 4:00 p.m.

Neurology Exam Nancy Nielsen-Brown, MS, PA-C

1:00 p.m. - 4:00 p.m.

Expert Suturing Jason Sommers and Rodney Koenig, PA-C This workshop is supported by an educational grant from Ethicon

1:00 p.m. - 5:00 p.m.

ACLS Recertification Tom Mercier, RN, MS

1:00 p.m. - 2:00 p.m.

Acid Base Disorders Greg Troll, M.D.

1:00 p.m. - 2:00 p.m.

Common Pituitary Disorders David Doriguzzi, PA-C

2:00 p.m. - 3:00 p.m.

Managing the Pre-Diabetic Patient Ingrid Lopes, D.O.

2:00 p.m. - 3:00 p.m.

Cervical Spine Problems Gregory M. Yoshida, M.D.

3:00 p.m. - 3:15 p.m.

Ice Cream Break All Ice Cream breaks sponsored by

How To Be A Great Preceptor Tracey DelNero, PA-C

3:15 p.m. - 4:15 p.m.

Sleep Disorders Jerrold Kram, M.D.

4:15 p.m. - 5:15 p.m.

Common Ways PAs Get Themselves in Trouble Robert E. Sachs, PA-C

4:15 p.m. - 5:15 p.m.

Chronic Pain Update Jeremy Adler, MS, PA-C

5:15 p.m. - 6:15 p.m.

The Coagulation Work-Up in the Office Setting Robert Miller, PA-C

5:15 p.m. - 6:15 p.m.

Laser Tattoo Removal Greg 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 Assessment Jeremy Adler, PA-C

7:50 a.m. - 8:50 a.m.

Allergic Rhinitis: Addressing the Unmet Needs Speaker TBA This 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.

CONFERENCE SCHEDULE 2012 FRIDAY, OCTOBER 5 (cont.) 9:00 a.m. - 10:00 a.m.

More Than Medicine: Ending the HIV/AIDS Epidemic Eric Walsh, M.D.

9:00 a.m. - 10:00 a.m.

Legal Issues for the PA Profession Robert Miller, PA-C and Michael Scarano Jr.

9:00 a.m. - 10:00 a.m.

A Primer for Working up Anemia Bradley Lewis, M.D.

10:00 a.m. - 5:00 p.m.

Cyber Café and CURES at CAPA Notary Cyber Café sponsored by

STUDENT TRACK 10:00 a.m. - 10:30 a.m.

Microscopy - Part 1 Greg Mennie, PA-C, MSEd

10:30 a.m. - 11:00 a.m.

Microscopy - Part 2 Greg 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 Feedback Grace 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

C URES AT CAPA CURES Sign-ups On-site

10:00 a.m. - 11:00 a.m.

Sleep Apnea: The Unrecognized Killer Jerrold Kram, M.D.

3:00 p.m. - 4:00 p.m.

How To Be A Great Student At Your Clinical Site Mitzi D’Aquila, PA-C

11:00 a.m. - 12:30 p.m.

Grand Opening of the Exhibit Hall

10:00 a.m. - 11:00 a.m.

Support Our Exhibitors – They Keep Registration Costs Down

10:00 a.m. - 11:00 a.m.

PAs 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.

Pediatric Orthopedics for Primary Care Providers Shelby Edwards, PA-C Sports Concussions: Diagnosis and Management Ronnie I. Mimran, M.D.

10 | CAPA’S 36TH ANNUAL CONFERENCE

CAPA’S 36TH ANNUAL CONFERENCE 12:30 p.m. Lunch

4:00 p.m. - 5:00 p.m.

MICRA: Protecting the Avalilability and Affordability of Health Care in California Victor Christy

12:30 p.m. - 12:40 p.m.

AAPA Presidential Address James E. Delaney, PA-C

5:00 p.m. - 6:00 p.m.

PANRE - Sharpening Your Focus Grace Landel, PA-C, MEd

12:40 p.m. - 1:40 p.m.

Helicobacter pylori: Importance of Appropriate Testing and Management Edward Ruiz, M.D.

5:00 p.m. - 6:00 p.m.

Functional Somatic Disorders: The Challenge to Modern Medicine C. Philip O’Carroll, 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.

7:00 p.m. - 9:00 p.m.

Alumni Receptions

9:00 p.m. - 1:00 a.m.

The Dance & American PA Idol Competition

1:45 p.m. - 2:45 p.m.

The Truth and Lies About Your Eyes - What Everyone Should Know About Vision Tommy Korn, M.D., FACS

1:45 p.m. - 2:45 p.m.

I Swear I Will Not Kill Anyone John Beuerle, M.D., M.S.

SATURDAY, OCTOBER 6 BASIC COURSE 7:40 a.m. - 8:15 a.m.

Breakfast Buffet

2:45 p.m. - 4:00 p.m.

Exhibit Hall Open

7:40 a.m. - 7:50 a.m.

CAPA Presidential Address Adam Marks, MPA, PA-C

2:45 p.m. - 3:00 p.m.

Ice Cream Break in Exhibit Hall

7:50 a.m. - 8:50 a.m.

4:00 p.m. - 5:00 p.m.

XARELTO: Paradigm Shift in VTE Prophylaxis After Knee and Hip Replacement Surgery Darrell W. Harrington, M.D.

Acute Burns: Evaluation, Treatment and Surgical Management Stephen Hanson, MPA, PA-C

4:00 p.m. - 5:00 p.m.

Hello 911? Know When To Hold ‘em and When To Fold ‘em John Mabee, Ph.D., PA-C

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 Disease Jack H. Florin, M.D.

CONFERENCE SCHEDULE 2012 SATURDAY, OCTOBER 6 (cont.) 9:00 a.m. - 10:00 a.m.

An Inter-professional Approach to Diabetes Management Andy S. Pumerantz, D.O., FACP

9:00 a.m. - 10:00 a.m.

Brain in Balance - A Practical Approach Using Neurotransmitters in Chemical Dependency Fred 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 Setting John Nishimoto, O.D., MBA

Slit lamps for this workshop are provided by the Southern California College of Optometry

9:00 a.m. - 11:00 a.m.

Orthopedic Exam Gregory 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 Geriatrics Walter 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 Management Speaker: TBD

This 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 Injection James E. Delaney, PA-C

1:45 p.m. - 3:45 p.m.

C URES AT CAPA CURES Sign-ups On-site

12 | CAPA’S 36TH ANNUAL CONFERENCE

Orthopedic Exam Gregory M. Yoshida, M.D.

1:45 p.m. - 4:45 p.m.

Motivational Interviewing and Diabetes Update: An Interactive Workshop Susan Cornell, Pharm.D. and Vincent J. Dorsey, Pharm.D.

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 Endocrinologist Jerry Minkoff, M.D.

1:45 p.m. - 2:45 p.m.

The Latest on PA Certification from NCCPA Greg P. Thomas, PA, MPH

2:45 p.m. - 3:00 p.m.

Ice Cream Break

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

Scrubs and Slippers

3:00 p.m. - 4:00 p.m.

Suggested dress for Sunday is Scrubs and Slippers

3:00 p.m. - 4:00 p.m.

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!

My Back Hurts! Bradford Stiles, M.D. The Angry Red Eye and Ocular Emergencies Not to Miss in Primary Care! Tommy Korn, M.D., FACS

http://www.medelita.com

3:00 p.m. - 4:00 p.m.

Fibromyalgia Robin 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 Patients Edward 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

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 Care Robin 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 Parents Ghazala Q. Sharieff, M.D., MBA

9:45 a.m. - 10:45 a.m.

Abnormal Uterine Bleeding Anita Nelson, M.D.

Conference program is subject to change without notice

REGISTRATION INFO & WORKSHOP REGISTRATION 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 Registration

Please 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 Registration

The 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 PAs

The 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 Registration

For 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 Registration

Workshop 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.

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 Springs

You 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 Trainers

CAPA 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 Discount Special 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.

2012 CAPA CONFERENCE REGISTRATION FORM BASIC COURSE – Save $35 by Registering by August 17, 2012!

 

REGISTRATION INFORMATION - Please print clearly

$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!

       

Up to 6 Meals Includ ed

$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)

FIRST NAME

LAST NAME

CHECK ONE:  PA-C  PA

 PA-S

 OTHER___________________________________________________________________________

PA LICENSE #

HOME ADDRESS

HOME CITY

STATE

ZIP

COMPANY CITY

STATE

ZIP

HOME PHONE

WORK PHONE

MOBILE PHONE

EMAIL ADDRESS

PA PROGRAM

GRADUATION DATE

COMPANY NAME

COMPANY STREET ADDRESS

$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

PAYMENT INFORMATION

(Access to the Exhibit Hall only)

After August 17, 2012*:

*ADD $35 if registration & payment are postmarked/faxed/emailed

Add $100 – CAPA Non-Member Graduate



Add $10 – CAPA Non-Member Student

(Includes CAPA Membership through 4/30/13) (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 with the Americans with Disabilities Act, please check here if you  Inhaveaccordance any special needs. You will be contacted by CAPA.

$ _____________________

One Day: After August 31, 2012*:

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.



$ _____________________

after 8/17/12 or ADD $55 if registration & payment are postmarked/ faxed/emailed after 8/31/12

Guest Name___________________________________________________________________________________________

NON-MEMBER REGISTRATION - California PAs & Students

$ _____________________

Basic Course:

*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:

$ _____________________

Total Amount Enclosed:

$______________________

 I paid the non-member price and do not wish to be a CAPA member

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:

NAME AS IT APPEARS ON CARD

 Home  Company 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.

OPTIONAL WORKSHOPS 4 Hour Session – Thursday, October 4 Advanced 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 4 Beginning 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 4 Basic 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 stepby-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

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 6 Joint 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 6 Joint 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

OPTIONAL WORKSHOPS 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 evidencebased 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.

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.

Orthopedic Exam (1:45 p.m. to 3:45 p.m.) (See descriptio on previous page.)

Optional Workshops Registration Form ACLS Recertification

REGISTRATION INFORMATION - Please Print

Advanced Cardiac Life Support (ACLS) Recertification

Due to minimum attendance requirements, all workshops are subject to cancellation.

Those registering for ACLS Recertification will not be able to attend Session 2 workshops on Thursday. Absolutely no refunds will be given after August 31, 2012.

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.

Thursday, October 4, 2012 – 1:00 p.m. to 5:15 p.m.

 ACLS Recertification (4 hrs Cat I CME)

$175

THURSDAY SESSIONS – October 4, 2012

NAME

Session 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)  Expert Suturing (1:00-4:00 pm - 3 hrs Cat I CME)  Have Fun with Reflex Hammers! (1:00-4:00 pm - 3 hrs Cat I CME)

CHECK ONE:

 PA-C

DAYTIME PHONE

 PA  PA-S

FAX NUMBER

 OTHER

EMAIL ADDRESS

PAYMENT INFORMATION $65 $100 $100

SATURDAY SESSIONS – October 6, 2012 Session 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

Please register me for the selected workshops. Total Amount Enclosed:

$_________________________

 Check enclosed (make check payable to CAPA)

CREDIT CARD NUMBER

SIGNATURE

CVV#

EXP. DATE

CONTROLLED SUBSTANCES EDUCATION COURSE 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 authority 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. ) 2:30 p.m. Andrew Lowe, PharmD 10:00 a.m.

11:00 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. 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.

3:30 p.m.

Controlled substance’s potential for abuse and addiction, its psychosocial aspects, the recognition of the symptoms (including controlled substanceseeking behaviors). 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

6 Hou rs Cat. I CME

The planners and sponsors reserve the right to change speakers and/or cancel the course without penalty.

Controlled Substances Education 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 - $180  Non CAPA Member - $310  Late Registration Fee after August 31, 2012 - Add $20  Check enclosed (make check payable to CAPA)

 Course Registration and CAPA Membership - $275 Total Amount Due: $_______________________________________

   

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 EKG Boot Camp Course October 3, 2012 2:00 p.m. to 6:00 p.m. Renaissance Palm Springs, California Prior to the 2012 CAPA Conference Jennifer Carlquist, PA-C

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. 2:15 p.m. 2:30 p.m. 3:00 p.m. 3:30 p.m. 3:45 p.m. 4:15 p.m. 4:45 p.m. 5:30 p.m. 5:50 p.m.

Algorithmic approach to reading a 12 lead EKG based on chief complaint Ten Step general approach to reading a 12 lead EKGs Sneaky killer EKG findings you can’t afford to miss STEMI identification using the “MI Windows” Break STEMI Mimics and how not to be fooled Subtle MI EKG findings and how not to miss them Practice EKG Cases with Real EKG’s EKG Jeapordy 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

CAPA reserves the right to cancel this course without penalty. Registration fees will be refunded if the course is canceled.

4 Hou rs Cat. I CME

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  Late Registration Fee after August 31, 2012 - Add $20  Check enclosed (make check payable to CAPA)

 CAPA Student Member - $75

 Non-Member Student - $95

Total Amount Due: $_______________________________________

   

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

California Academy of Physician Assistants 2318 S. Fairview St. Santa Ana, CA 92704

PRSRT STD US POSTAGE PAID SANTA ANA, CA PERMIT NO 949

Address Service Requested

Register Online at www.capanet.org 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.

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

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.