This continuing medical education activity is jointly provided by the. North Carolina Dermatology Association and the So
North Carolina Dermatology Association
2016 ANNUAL MEETING 10.5 CME HOURS! The
January 15-17, 2016 Pinehurst Resort, Village of Pinehurst
This continuing medical education activity is jointly provided by the North Carolina Dermatology Association and the Southern Regional Area Health Education Center
2016 Annual Meeting Target Audience and Purpose The North Carolina Dermatology Association is pleased to announce its 2016 Annual Meeting, to be held at the historic Pinehurst Resort in Village of Pinehurst, NC. The target audience for this meeting includes dermatologists in private practice and in academic medicine, residents in training, physician assistants, and midlevel providers. This educational activity will update attendees on the latest medical knowledge available from medical literature, clinical experience and research, to keep practitioners on the forefront of new discoveries and their application to the practice of dermatology for the benefit of their patients.
Objectives • Discuss important tips and pitfalls with respect to pediatric dermatology. • Describe the importance of responsible antibiotic prescribing.
• Discuss and review the importance of clinicopathologic correlation.
• Recognize the clinical findings observed and mechanisms behind skin aging.
• Discuss surgical pearls and important lessons learned from the perspective of a Mohs micrographic surgeon. • Describe the importance of correct pathologic classification of vulvar lesions.
• Discuss the importance of measuring and trying to optimize patient satisfaction.
Credit Statement AMA PRA Category 1 CreditTM - 10.5 hours
The Southern Regional AHEC designates this live activity for a maximum of 10.5 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The North Carolina Dermatology Association 2016 Annual Meeting, AAD program #358100, is recognized by the American Academy of Dermatology for 10.5 AAD Recognized Credits and may be used toward the AAD CME Award.
Accreditation This activity has been planned and implemented in accordance with the Essentials and Standards of the North Carolina Medical Society through the joint providership of the Southern Regional AHEC and the North Carolina Dermatology Association. The Southern Regional AHEC is accredited by the NCMS to provide continuing medical education for physicians.
Additional Credit Other health professionals will receive Southern Regional AHEC CEU and/or contact hours and a certificate of attendance from an AMA PRA Category 1TM activity. These certificates are accepted by the NC boards for physician assistants, nurse practitioners, and nurses. License requirements are subject to change. Southern Regional AHEC recommends that participants contact their licensing board with specific questions. Southern Regional AHEC will provide 1.1 Continuing Education Units (10.5 contact hours) to participants upon completion of this activity.
Disclosure Statement The Southern Regional AHEC adheres to ACCME Essential Areas and Policies regarding industry support of continuing medical education. Disclosure of faculty/planning committee members and commercial relationships will be made known at the activity. Speakers are also expected to openly disclose a discussion of any off-label, experimental, or investigational use of drugs or devices in their presentations.
OVERVIEW Meeting Features The Annual Meeting program features outstanding faculty who will address current topics of interest to the practicing dermatologist. The meeting also includes daily breaks in a networking hub presenting products and services to help the dermatology practice. Friday evening includes a welcome reception in the networking hub. Saturday and Sunday include continental breakfasts. On Saturday evening, bring your family to the optional reception, featuring musical entertainment. These social events will provide an opportunity to renew friendships and meet new colleagues. Attire for all functions is business or resort casual.
Resort Features and Accommodations The Pinehurst Resort is a four-diamond, family-friendly resort featuring so much more than its world-class golf courses! Lawn sports, a European-style spa, tennis courts, shops, and a fitness center are onsite, and nearby are antique and pottery shops, upscale boutiques, equestrian activities, museums and more. Advance reservations are required for most resort dining outlets and recreational activities. To secure your accommodations, please use the form in this brochure, or call the Pinehurst Resort at (877) 615-0407. Our block of rooms will be released on December 15; you are urged to make your reservation promptly. Rates are just $168 plus resort fee and taxes, per night. The resort fee covers gratuities, afternoon tea, use of the fitness center, tennis courts, putting green, bicycles, valet and self-parking, and on-demand, on-property transportation. Please be aware that the resort does have a 30-day cancellation policy.
Meeting Registration The registration fee for this meeting is $175 for member physicians, $325 for non-member physicians, $150 for member PA/NP, and $300 for non-member PA/NP or PharmD. The fee for emeritus/retired members is $125. Registration fees are waived for residents and medical students. Members of neighboring state societies may register at the NC member rate. Registration fees include continental breakfasts, daily breaks and the Friday and Saturday evening receptions. You may register securely online at https://www.123signup.com/event?id=pvnfs, or complete the registration form in this brochure and return it by December 15. After that date, registration fees will increase.
Registration Cancellation Please note that refunds of registration fees will not be made after January 4. Refunds, less $25, will be made for cancellations received prior to that date.
Americans with Disabilities Act The NCDA is fully committed to the principle of equal educational opportunities for all individuals and does not discriminate on the basis of any characteristics protected by federal or state law. If you require any of the auxiliary aids or services identified in the Americans with Disabilities Act in order to participate in this program, please call Nancy Lowe at the NCDA at (919) 833-3836, no later than 10 business days before the date of the activity.
Questions? If you have any questions or need assistance, contact the NCDA at (919) 833-3836 or
[email protected].
SCHEDULE Friday, January 15 12:00pm-5:30pm Meeting Registration 1:00pm Welcome and Introductions - Russell Kilpatrick, MD, President, and Kevin Stein, MD, Secretary-Treasurer and Program Chair 1:10pm Top 10 Pediatric Dermatology Tips and Pitfalls - Craig Burkhart, MD 1:50pm Antibiotic Stewardship - Zack Moore, MD, MPH 2:30pm Break / Networking 3:00pm Saved by the Patient: The Importance of Clinicopathologic Correlation - Omar P. Sangueza, MD 3:40pm Dermatology and the Disease of Aging - Zoe Diana Draelos, MD 4:20pm Surgical Pearls and Lessons Learned from a Mohs Surgical Perspective - John Albertini, MD 5:00pm Q&A/Discussion 5:05pm Adjourn 5:05pm-6:30pm Reception / Networking
Saturday, January 16
7:00am-12:00pm Meeting Registration 7:00am-8:00am Continental Breakfast / Networking 7:55am Introductions - Kevin Stein, MD 8:00am Vulvar Pathology - Russell Ball, MD 8:40am Patient Satisfaction - Steve Feldman, MD, PhD 9:20am Legislative Update - Rob Lamme 9:45am NCDA Business Meeting (no credit will be awarded) - Russell Kilpatrick, MD 10:05am Break / Networking 10:35am Biosimilars and their Future Role in the Treatment of Psoriasis - Alison Ehrlich, MD, MHS 11:15am The Science of Fillers - Timothy Flynn, MD 11:55am Dr. Gloria Graham Lecture: Behavioral Economics of Psoriasis Treatment - Steve Feldman, MD, PhD 12:35pm Adjourn Afternoon free 6:30pm-8:30pm Reception with Musical Entertainment - Families Welcome! (pre-registration required)
Sunday, January 17 7:00am-12:00pm Meeting Registration 7:00am-8:00am Continental Breakfast / Networking 7:55am Introductions - Kevin Stein, MD 8:00am ICD-10 - Faith McNicholas, RHIT, CPC, CPCD, PCS, CDC 8:30am AAD Update - Tim Berger, MD 9:00am Medical and Surgical Treatment of Hair Loss - Larry Shapiro, MD Resident Presentations: 9:40am Scleromyxederma Complicated by the Dermato-Neuro Syndrome Successfully Treated with IVIG and Steroids - Anne Donato, MD (Duke) 9:50am Two Cases of Kaposi’s Syndrome - Rebecca Shanesmith, MD (ECU/Brody) 10:00am Galli-Galli Disease - Carolyn Ziemer, MD, MPH (UNC) 10:10am Break / Networking 10:40am Management of Periocular Soft Tissue Defects and Malpositions - Parag Gandhi, MD 11:20am Hidradenitis Suppurativa - Christopher Sayed, MD 12:00pm Wrap Up and Awarding of Resident Prize 12:15pm Adjourn
MEETING FACULTY & LEADERSHIP Program Faculty
NCDA 2015-16 Officers
John Albertini, MD
Rob Lamme, BA
Russell J. Kilpatrick, MD
Russell A. Ball, MD
Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC
Pamela J. Guest, MD
The Skin Surgery Center Ball DermPath
Tim Berger, MD
University of California San Francisco
Rob Lamme & Associates
American Academy of Dermatology Zack Moore, MD, MPH
President Greenville, NC
President-Elect Pinehurst, NC
Kevin R. Stein, MD
North Carolina Department of Health and Human Services
Secretary-Treasurer and Program Chair Winston-Salem, NC
Omar P. Sangueza, MD
C. Brent Mizelle, MD
Duke University Medical Center
Wake Forest University School of Medicine
Zoe Diana Draelos, MD
Christopher Sayed, MD
W. Alan Skipper, CAE
Alison Ehrlich, MD, MHS
Rebecca Shanesmith, MD (Resident)
Craig Burkhart, MD
UNC Dermatology Anne Donato, MD (Resident)
Zoe Diana Draelos, MD George Washington University Steven R. Feldman, MD, PhD
Wake Forest School of Medicine Tim Flynn, MD
Cary Skin Center Parag Gandhi, MD
UNC Dermatology
Immediate Past President New Bern, NC Executive Director Raleigh, NC
East Carolina/Brody School of Medicine Larry Shapiro, DO
Dr. Shapiro’s Hair Institute Carolyn Ziemer, MD, MPH (Resident)
University of North Carolina
Duke University Eye Center
Mark Your Calendar! 2016 NCDA Summer Meeting July 8-10, 2016 The Lodge at Colonial Williamsburg Williamsburg, VA
2016 NC Dermatology Association Annual Meeting Booking ID # 53308
Friday, January 15 - Sunday, January 17, 2016
We look forward to welcoming you to Pinehurst! Please take a moment to fill out this reservation form to ensure your accommodations for your upcoming visit. Pinehurst requires that your reservation request form be completed and returned on or before Tuesday, December 15, 2015. Reservation forms received after this date will be processed on a “spaceavailable basis.” Pinehurst consists of a variety of accommodations including the Carolina, Villas, Holly Inn, The Manor and Condominiums. THE RESORT WILL MAKE EVERY EFFORT TO HONOR SPECIFIC ROOM REQUESTS. If your request is not available, the best substitution will be made. DAILY RATES: European Plan LOCATION: Carolina Specific ** Should the number of group room reservations exceed what has been contracted for the Carolina, Pinehurst may need to place the additional reservations requests in other lodging accommodations within the Resort. (Please Check Desired Occupancy) SINGLE OCCUPANCY: _____$168 per room per night DOUBLE OCCUPANCY: _____$84 per person per night (One person per room) (Two or more people per room) Rates are per person, per night and include your lodging only. Arrival Date ___________________________ Check-In Time: 4:00 PM
Departure Date ___________________________ -
Check-Out Time: 12:00 NOON
RESORT SERVICE FEE & STATE SALES TAX: For your convenience a 10% resort service fee will be added to your account. State sales tax of 6.75% and occupancy tax of 3% are additional. The Resort Service Fee covers the following amenities and services: unlimited use of the fitness center, bicycles, practice putting greens, pitching areas, driving range, in-coming faxes, afternoon tea in the Carolina, self & valet parking, on-call transportation, outdoor pools and beach club (based on seasonal availability). Package meal gratuities for staff in the dining venues as well as the bell and door staff are also included. For non-package meals and beverages in our resort dining outlets a separate 18% service charge is added to your account. Housekeeping and transportation staffs do not participate in the resort service fee. Gratuities in addition to the above and for any other resort staff are at your discretion. DEPOSIT AND CANCELLATION POLICY: A deposit representing one night’s rate per person is charged at the time the reservation is made. Pinehurst must receive notice of any cancellation at least 30 days prior to date of arrival in order to refund a deposit. Please complete and fax or mail with deposit to: Group Reservations FAX: 910-235-8240 Pinehurst PHONE: 877-615-0407 PO BOX 4000, VILLAGE OF PINEHURST, NC 28374-4000 ROOMS TO BE OCCUPIED BY: (Type or Print all names) (ALL GUESTS WILL BE CHARGED A ONE-NIGHT ROOM DEPOSIT) ___________________________________________________________________________________________________________________________________ Name Address City State Zip Home Phone (_____) __________________ Business Phone (_____) ________________ E-Mail ____________________________________________ SHARING ROOM WITH: ___________________________________________________________________________________________________________________________________ Name Address City State Zip Home Phone (_____) __________________ Business Phone (_____) ________________ E-Mail __________________________________________ CREDIT CARD INFORMATION FOR ROOM DEPOSIT(S): Credit Card Name & Number______________________________________________________________________EXP_______/_________ Card Holder Name ____________________________________________________________________________________________________ Card Holder Authorized Signature: ____________________________________________________________________________________
MEETING REGISTRATION FORM January 15-17, 2016 • The Pinehurst Resort • Village of Pinehurst, NC Register securely online! Go to https://www.123signup.com/event?id=pvnfs 1. Personal Information (Please print.) Name: _________________________________________________________________________________ Degree(s): ___________________________ Preferred Name For Badge: __________________________________ Spouse/Guest, if attending: __________________________________ Child(ren) Name(s) and Age(s), if attending: __________________________________________________________________________________ Last Four Digits of SSN (required for CME): _____ _____ _____ _____ Practice Name: ________________________________________________________________________________________________________________ Address: _______________________________________________________________________________________________________________________ City/State/Zip: ________________________________________________________________________________________________________________ Phone: (
) ______________________________________________ Fax: (
) ___________________________________________________
E-Mail: ________________________________________________________________________________________________________________________ Home Address: ________________________________________________________________________________________________________________ Home City/State/Zip: _________________________________________________________________________________________________________ Emergency Contact: (Name) ____________________________________________ (Phone) _____________________________________________ Accessibility Needs/Dietary Restrictions: ______________________________________________________________________________________
2. Registration fees (To qualify for member rate, 2016 dues must be current.) Prior to 12/15 After 12/15 Member Physician $175 $225 Non-Member Physician $325 $375 Member PA/NP $150 $200 Non-member PA/NP or PharmD $300 $350 Resident/Medical Student $0 $0 Emeritus/Retired Member $125 $175
• • • Registration Fee Total
$ _________
3. ACTIVITIES (Please indicate number attending for catering purposes.) _____ Friday Evening Welcome Reception @ n/c _____ Saturday Evening Reception @ n/c Adults _____ / Child(ren) _____ Age(s) of Child(ren) ___________ 4. Total fees (section 2) (No refunds after January 4.)
Presentations will be available for download online prior to the meeting date. If you prefer to have a printed, paper copy of the lecture handouts, you must pre-order one. Check below to order a paper syllabus. Additional syllabi will not be available at the meeting.
____ Printed Syllabus
Enclosed is check # ___________ for $ ___________ payable to NCDA OR Visa _____ MasterCard _____ (AmEx is not accepted.) Name as it appears on credit card: ___________________________________________________________________________________________ Account #: _________-_________-_________-_________ Expiration Date: ____________ CVV#: _____________ Billing Address: ________________________________________________________________________________________________________________ City/State/Zip: ________________________________________________________________________________________________________________
Please register online, or mail or fax this form to: NCDA, PO Box 27167, Raleigh, NC 27611, FAX: (919) 833-2023
NCDA PO Box 27167 Raleigh, NC 27611
North Carolina Dermatology Association
2016 ANNUAL MEETING The
January 15-17, 2016 Pinehurst Resort, Village of Pinehurst
