2014 New Jersey Chapter Hospitalist Summit October 18, 2014 St. Joseph’s Regional Medical Center Paterson, NJ Register online now! Dear Colleague, We invite you to join us and your colleagues in internal medicine at the Hospitalist Summit meeting of the New Jersey Chapter of the American College of Physicians, being held October 18 at the St. Joseph’s Regional Medical Center. This meeting is not just for ACP members. We particularly want to invite nonmembers to join us for this important clinical update and to learn about the benefits of membership at the same time. To ensure your place at this invaluable meeting, register online today. 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. We look forward to seeing you in Paterson. Sincerely, Beth R Nalitt, MD, FACP ACP Governor, New Jersey Northern Region Steven R Peskin, MD, FACP ACP Governor, New Jersey Southern Region Hospitalist Summit Program 8:00 a.m. Registration Continental Breakfast 8:45 a.m. Governor’s Welcome Steven Peskin, MD, FACP Governor, ACP New Jersey Chapter, Southern Region Beth Nalitt, MD, FACP Governor, ACP New Jersey Chapter, Northern Region 9:00 a.m. Palliative Care and Pain Management Mark Rosenberg, DO, MBA, FACEP, FACOEP-D 10:00am Observation vs Inpatient Status Nancy B. Clark, CPC, CPB, CPMA, CPC-1 11:00 a.m. Break 11:15 a.m. Readmission Prevention Leroi S. Hicks, MD 12:30-1:30 Lunch Faculty Nancy B. Clark, CPC, CPB, CPMA, CPC-1: Health Care Manager, EisnerAmper, Iselin, NJ. Saba A. Hasan, MD, FACP: Program Director, Internal Medicine Residency Program, Capital Health, Trenton, NJ. Leroi S. Hicks, MD: Vice-Chair, Department of Medicine, Chief, Section of General Internal Medicine, Christiana Care Health System, Newark, DE. Tamie Proscia-Lieto, MD, FACP: Internist, Ramsey, NJ Beth Nalitt, MD, FACP: Internist, Millburn, NJ Steven R. Peskin, MD, MBA, FACP: Senior Medical Director, Horizon Healthcare Innovations, a division of Horizon Blue Cross Blue Shield of New Jersey; Associate Clinical Professor of Medicine, Robert Wood Johnson Medical School- UMDNJ; Attending Physician, Eric B. Chandler Health Center, New Brunswick, NJ Mark Rosenberg, DO, MBA, FACEP, FACOEP-D: Chairman Emergency Medicine, Chief, Geriatric Emergency Medicine, Chief, Palliative Medicine, Osteopathic Director Medical Education, St. Joseph’s Regional Medical Center, Paterson, NJ. Jonathan Shammash, MD, FACP: Program Director, Englewood Hospital and Medical Center, Englewood, NJ. 2014 Program Planning Committee: Saba A. Hasan, MD, FACP – ACEL Tamie Lieto, MD, FACP Steven Peskin, MD, MBA, FACP Jonathan Shammash, MD, FACP Who Should Attend General Internists Hospitalists Subspecialty Internists Family Practitioners Fellows in Subspecialty Training CME Accreditation The American College of Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American College of Physicians designates this live activity for a maximum of 3 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity If you are interested in becoming a member of the College, please contact the Customer Service Department at 800-523-1546, ext. 2600, or 215-351-2600 (M-F, 9 a.m.-5 p.m. ET). How To Register Online Visit us on the Web and register at http://www.acponline.org/about_acp/chapters/nj/news_meet.htm. Mail To register by mail, complete the registration form at the back of this brochure and mail it to ACP at the address below. Be sure to list your daytime phone number in case we need to notify you of any changes. Please reproduce the form for additional registrations (one form per registrant). AC002 American College of Physicians 190 N. Independence Mall West Philadelphia, PA 19106-1572 Fax Register 24 hours a day via fax at 215-351-2799. Fax forms must include credit card number, expiration date, security code number, and signature. Do not mail a copy of the form because it may result in a duplicate registration and you will be charged twice. Phone Call 800-523-1546, ext. 2600, or 215-351-2600 (M-F, 9 a.m.–5 p.m. ET). Be sure to have your credit card number, expiration date, and security code number available before calling. Payment Options Payment in full is required. Make check or money order payable to ACP. Must remit in U.S. funds drawn on a U.S. bank. If paying by credit card, please provide the credit card number, expiration date, security code, and authorizing signature. Registration Form CML American College of Physicians New Jersey Chapter Hospitalist Summit October 18, 2014 DM1506 This form may be photocopied. ACP # (found on mailing label) Name Address □MD □DO City Daytime Phone Fax E-mail State ZIP Please check here to indicate a permanent change to your preferred address for all College mailings. Please exclude me from receiving mailings from the meeting exhibitors. PAYMENT OPTIONS: Please refer to the next page for all of your registration and payment options. Don’t forget you can register and pay online at http://www.acponline.org/about_acp/chapters/nj/news_meet.htm. If you are mailing or faxing this form, please indicate your payment preference and complete the form below. GRAND TOTAL (from next page) $___________ Check enclosed. (Payable to ACP. Must remit in U.S. funds drawn on U.S. bank.) Charge to: Visa MasterCard American Express Discover Card # _____________________________________________________ Exp. Date ____/____ MM / YY Security Code____________ (3- or 4-digit number found on front or back of card) Signature: ___________________________________________________ E-mail your questions to custserv@acponline.org Registration Fees: Check one category that best applies. Registration fee includes continental breakfast, lunch, all scientific sessions and materials. ACP Categories ACP Member $75 Nonmember Categories Nonmember Physician TOTAL $ Questions? Please call Stacey at 732-623-1128. $100
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