Select Category GSD Member/Applicant*
Early Reg. N/C*
After May 13 $50*
*2010 dues or membership application fee MUST be paid in order to receive the member rate. Dues may be paid online at www.gaderm.org
Non-GSD Member/Resident of all states NOT listed above
Contact Info Name MD or other (please indicate) Spouse/Guest Name, IF attending Child(ren) Name(s)/Age(s), IF attending
Email (req.) Mailing Address City/State/ Zip Phone Fax Education Sessions, check all days you will be attending lectures Friday, June 4
Saturday, June 5
Sunday, June 6
Activities, I/we plan to attend the: Friday, June 4 Cocktail reception in the Exhibitor Hall, # attending _______ Childrenâ€™s Activity Room, # attending _______ Tween Movie Room, # attending _______ Saturday, June 5 (Registration includes 4 tickets, addâ€™l tickets are $75/adult, $30/child-age 4-12) Family Dinner and Luau, # attending _______ adults, _______ children (6-12), _______ children (5 and under) --------------------------------------------------------------------------Method of Payment TOTAL AMT Check
Make checks payable to: GSD
Card #: Exp:
Name as it appears on card: Full Billing Address:
Register online OR mail/fax this completed form to: 6134 Poplar Bluff Circle, Suite 101, Norcross, Georgia 30092 FAX (305) 422-3327 Please include payment if required
Georgia Society of Dermatologists
6134 Poplar Bluff Circle Suite 101 Norcross, Georgia 30092
Non-GSD Member/Resident of GA, NC, SC,TN, AL or FL
Register to attend the 2010 GSD Annual Meeting. Details at www.gaderm.org
2010 GSD Meeting Registration Form
Meeting Description The Annual Meeting of the Georgia Society of Dermatologists is a three-day program designed for Dermatologists, Dermatologic Surgeons, Dermatopathologists and other interested health care providers. We strive to create a program that is educational and informative using both nationally renowned speakers as well as our own physician members. We also include a resident abstract competition that includes the participants from Emory University and Medical College of Georgia Residency programs.
Objectives Attendees will be updated on a broad range of new developments in dermatology and acquire a better understanding of advances in medical and surgical therapies. They will also gain greater insight into current trends in practice management as well as financial and medical/legal challenges facing today’s clinician. At the conclusion of this learning activity, participants will have • Increased knowledge of recent medical advances in the diagnosis, management and treatment of diseases of the skin. • Reviewed, interpreted and summarized new clinical, scientific and research information in the study of dermatology, dermatologic surgery, pediatric dermatology, dermatopathology and cosmetic dermatology. • Learned and improved techniques that will allow the physician to offer the best treatment options and care to patients. • Expanded their expertise in select practical aspects of dermasurgery. • Compared and contrasted methods in order to fully assess patient needs and treatment options. • Improved standards of practice.
Speakers Stephen E. Wolverton MD Vice Chair of Clinical Affairs Theodore Arlook Professor of Clinical Dermatology IU Department of Dermatology | Indianapolis, Indiana Carlos H. Nousari, MD Director of the Institute for Immunofluorescence Professor of Dermatology at the University of Miami Marta VanBeek, M.D., M.P.H. Assistant Professor, Dept. of Dermatology University of Iowa College of Medicine Stephen F. Templeton MD Finan Templeton Dermatopathology Associates Clinical Assistant Professor of Dermatology Emory University Medical School John Oxendine Georgia Insurance and Safety Fire Commissioner
Accreditation See www.gaderm.org/2010Accreditation.htm
Agenda (subject to change)
Amelia Island, Florida
Friday June 4, 2010
Situated along 13 miles of pristine, picturesque Atlantic coastline, Amelia Island is the southernmost of the Sea Islands, a chain of barrier islands along the eastern U.S. seaboard.
9:00 -11:00 am 11:00 am - 12:00 pm 12:00 - 12:10 pm 12:10 - 12:50 pm 12:50 - 1:40 pm 1:40 - 2:30 pm 2:30 - 3:00 pm 3:00 - 3:45 pm
3:45 - 4:25 pm 4:25 - 5:00 pm 5:30 - 7:00 pm 7:30 p.m.
GSD Executive Committee Meeting Refreshments & Exhibit Viewing Welcome & Announcements Resident Abstracts - Session 1 Those Pesky FDA Black Box WarningsImportant Lessons Learned Stephen E. Wolverton, MD Cutaneous Vasculitis Carlos Nousari, MD Break & Exhibit Viewing How the Current Economy has and the Health Reform Bill will effect Medicine and Health Insurance in Georgia John Oxendine Georgia Legislative Update John Oxendine and Don Bolia GSD Business Meeting Cocktail Reception in the Exhibit Hall Kid's Activity Room/Tween Movie Room Exec Committee/Guest Speaker Dinner
Saturday, June 5, 2010 7:00 - 8:30 am 8:00 - 8:05 am 8:05 - 8:40 am 8:40 - 9:30 am 9:30 - 10:20 am 10:20 - 10:50 am 10:50 - 11:40 am 11:40 am - 12:25 pm 12:30 pm 6:30 pm
Continental Breakfast in Exhibit Hall Announcements Resident Abstracts - Session 2 Immunobullous Disorders Carlos Nousari, MD The AAD’s Health System Reform Task Force - Where We Are and What’s Next Marta Van Beek, MD Break & Exhibit Viewing Use of Traditional Immunosuppressants in Dermatology Stephen E. Wolverton, MD Clinicopathologic Implications of Biopsy & Excision Techniques Stephen Templeton, MD Resident’s Lunch Family Dinner & Luau
Sunday, June 6, 2010 7:00 - 8:30 am 8:00 - 8:10 am 8:10 - 8:55 am 8:55 - 9:45 am 9:45 - 10:15 am 10:25 - 11:15 am 11:15 - 11:30 am
Continental Breakfast in Exhibit Hall Announcements Resident Award Presentation AAD Update-MOC, Leadership Institute, FDA Tanning Bed Classification Update, etc. Marta Van Beek, MD Common Controversies in Systemic Drug Therapy Stephen E. Wolverton, MD Break and Exhibit Viewing Practical Immunopathology Algorithms Carlos Nousari, MD New President Introduction Closing Remarks
Located on Amelia Island, Fernandina Beach, Florida, was once a vibrant Victorian village by the sea. Amelia Island also owns the unique distinction of being the only U.S. city to have once been under the domain of eight different nations, and is still known as the Isle of 8 Flags. Today, Amelia Island is a seaside retreat for nature lovers and those who thrive on an abundance of sun, sand and outdoor sports. Visitors will also encounter a wealth of fine dining, and a variety of interesting shops and museums to browse as they stroll the cobblestone streets in the heart of historic Fernandina Beach, Florida.
Accommodations Find yourself on Amelia Island, Florida - where Southern charm meets the sea and live oaks meet white sandy beaches. Southern hospitality at its finest is on display here at The Ritz-Carlton, Amelia Island. One of the most popular beach destinations on the East Coast, this luxurious barrier island hotel provides a welcome barrier between you and the world beyond. Located on a grand stretch of the island’s 13 miles of coastline, The Ritz-Carlton, Amelia Island hotel is a resort that features:
444 well-appointed guestrooms, including 43 Club rooms, 42 suites and two Presidential suites
Four restaurants and lounges
• • • •
The Ritz-Carlton Spa
More than 35,000 square feet of function space, and several oceanside outdoor venues Fitness center On-site tennis facilities 18 holes of PGA championship golf available at the front door of our Amelia Island hotel
A block of rooms have been reserved at the Ritz-Carlton, Amelia Island, Florida at a reduced rate of $329 per standard room (single/ double).
Reserve your room at the Ritz-Carlton, Amelia Island! Call (800) 241-3333 and book under the Georgia Society of Dermatologist room block which expires on May 3, 2010