Intensive diagnostic interviewing board review course - CME
Intensive diagnostic interviewing board review course - CME
Intensive diagnostic interviewing board review course - CME
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TUITION<br />
Optional Day Fees<br />
Physicians: $250<br />
Non-Physicians, Residents* and Fellows in<br />
Training*: $135<br />
Two-Day Fees<br />
Physicians: $995<br />
Non-Physicians, Residents* and Fellows in<br />
Training*: $495<br />
ACCREDITATION<br />
Harvard Medical School is accredited by the<br />
Accreditation Council for Continuing Medical<br />
Education (AC<strong>CME</strong>) to provide continuing<br />
medical education for physicians. Harvard<br />
Medical School designates the Two-Day<br />
Course for a maximum of 15 category 1 credits,<br />
the Optional Day Course for a maximum<br />
of 6.5 category 1 credits, and the Complete<br />
Three-Day Course for a maximum of 21.5<br />
category 1 credits toward the AMA<br />
Physician's Recognition Award. Physicians<br />
should only claim credit commensurate with<br />
the extent of their participation in the activity.<br />
Psychologists - The Massachusetts Mental<br />
Health Center is approved by the American<br />
Psychological Association to sponsor continuing<br />
Education for psychologists. Massachusetts<br />
Mental Health Center maintains responsibility<br />
for the program and its content. The<br />
Two-Day Course offers 15 credit hours, the<br />
Optional Day Course offers 6.5 credit hours,<br />
and the Complete Three-Day Course offers<br />
21.5 credit hours.<br />
Counselors - Massachusetts Mental Health<br />
FACULTY (Partial List)<br />
Andrew Aldridge, M.D., Clinical Instructor<br />
of Psychiatry, Harvard Medical School.<br />
William Appleton, M.D., Assistant Clinical<br />
Professor of Psychiatry, Harvard Medical<br />
School.<br />
James Beck, M.D., Ph.D. Professor of<br />
Psychiatry, Harvard Medical School.<br />
Carla Canuso, M.D., Instructor in<br />
Psychiatry, Harvard Medical School.<br />
David E. Creasey, M.D., Clinical Instructor<br />
in Psychiatry, Harvard Medical School.<br />
John A. Fromson, M.D., Assistant Clinical<br />
Professor of Psychiatry, Harvard Medical<br />
School; Chairman, Department of Psychiatry,<br />
MetroWest Medical Center.<br />
Robert M. Goisman, M.D., Associate<br />
Professor of Psychiatry, Harvard Medical<br />
School; Director of Medical Student<br />
Education at Mass. Mental Health Center.<br />
Thomas G. Gutheil, M.D., Professor of<br />
Psychiatry, Harvard Medical School; Co-<br />
Director, Program in Psychiatry and the<br />
Law, Mass. Mental Health Center.<br />
Gordon Harper, M.D., Associate Professor<br />
of Psychiatry, Harvard Medical School.<br />
Center is approved by the National Board of<br />
Certified Counselors to offer continuing education<br />
to participants. The Two-Day Course<br />
meets the criteria for 15 credit hours, the<br />
Optional Day Course meets the criteria for<br />
6.5 credit hours, and the Complete Three-<br />
Day Course meets the criteria for 21.5 credit<br />
hours.<br />
Nurses - Massachusetts Mental Health<br />
Center is approved by the Arizona State<br />
Nurses Association to offer continuing education<br />
credits to participants. The Two-Day<br />
Course meets the criteria for 18 contact<br />
hours, the Optional Day Course meets the<br />
criteria for 7.8 contact hours, and the<br />
Complete Three-Day Course meets the criteria<br />
for 25.8 contact hours.<br />
REFUND POLICY<br />
A handling fee of $60 is deducted for cancellation.<br />
Refund requests must be received by<br />
mail or fax one week prior to the <strong>course</strong>. No<br />
refunds will be made thereafter.<br />
Please Note: Program changes/substitutions<br />
may be made without notice.<br />
REGISTRATION<br />
All foreign payments must be made by a draft<br />
on a United States bank, or by Visa or<br />
MasterCard. If paying by check, please make<br />
it payable to Harvard Medical School and mail<br />
with the completed registration form to:<br />
Harvard Medical School, Department of<br />
Continuing Education, P.O. Box 825,<br />
Boston, MA 02117-0825. If paying by credit<br />
card, please fax the completed registration<br />
form to (617) 384-8686, register online at<br />
www.cme.hms.harvard.edu, or mail it to the<br />
above address. Telephone registrations are<br />
not accepted. Inquiries should be directed to<br />
the above address, made by phone: (617)<br />
384-8600, Monday - Friday, 10 a.m. to 4 p.m.<br />
(EST), or by e-mail: hms-cme@hms.harvard<br />
.edu. Upon receipt of registration a confirmation<br />
will be mailed to the address listed on the form.<br />
ACCOMMODATIONS<br />
Hotel rooms in Boston are limited. You are<br />
urgd to make your reservations early. A limited<br />
number of rooms have been reserved at<br />
the Courtyard by Marriott, Brookline for the<br />
sessions. Call 617-734-1393 for reservations.<br />
Please specify that you are with the Harvard<br />
Medical School <strong>Intensive</strong> Diagnostic<br />
Interviewing Course. For additional housing<br />
assistance, call Boston Reservation at (617)<br />
332-4199.<br />
COURSE LOCATION<br />
The July sessions will be held at Courtyard<br />
by Marriott, Brookline, 40 Webster Street,<br />
Brookline, MA 02446 (617-734-1393). For<br />
location information for the other <strong>course</strong><br />
dates, please contact the Continuing<br />
Educaion Program at 617-998-5028.<br />
TRAVEL<br />
For information on reduced airfare, call<br />
Harvard Medical School, Department of<br />
Continuing Education at 617-384-8600,<br />
Monday-Friday, 10 a.m. to 4 p.m. (EST).<br />
✂--------------------------------------------------------------------------------------------------------------------------------------<br />
INTENSIVE DIAGNOSTIC INTERVIEWING<br />
Please indicate your first choice<br />
by inserting the number 1 into the<br />
box adjacent to the seminar date.<br />
If possible, rank subsequent<br />
choices with the numbers 2, 3,<br />
etc.<br />
An Optional Day Course<br />
Class #272564<br />
❐ December 6, 2006<br />
❐ March 14, 2007<br />
❐ March 28, 2007<br />
❐ April 11, 2007<br />
A Two-Day Course<br />
Class #272564<br />
❐ December 7-8, 2006<br />
❐ March 15-16, 2007<br />
❐ March 29-30, 2007<br />
❐ April 12-13, 2007<br />
INTENSIVE DIAGNOSTIC INTERVIEWING<br />
Visit Harvard Medical School, Department of Continuing Education online at www.cme.hms.harvard.edu<br />
J. Allan Hobson, M.D., Professor of<br />
Psychiatry, Harvard Medical School.<br />
Sheryl Hunter, M.D., Instructor in<br />
Psychiatry, Harvard Medical School.<br />
Marvin Krims, M.D., Lecturer on<br />
Psychiatry, Harvard Medical School.<br />
Richard Marcus, M.D., Lecturer on<br />
Psychiatry, Harvard Medical School;<br />
Medical Director, Child & Adolescent<br />
Service, Fuller Hospital.<br />
Matthew Robinson, Ph.D., Clinical<br />
Instructor in Psychiatry, Harvard Medical<br />
School.<br />
Carl Salzman, M.D., Professor of<br />
Psychiatry, Harvard Medical School;<br />
Director of Psychopharmacology,<br />
Massachusetts Mental Health Center.<br />
Graham Spruiell, M.D., Clinical Instructor<br />
in Psychiatry, Harvard Medical School.<br />
Russell G. Vasile, M.D., Associate<br />
Professor of Psychiatry, Harvard Medical<br />
School; Director of the Affective Disorders<br />
Consultation Service at Beth Israel<br />
Deaconess Medical Center.<br />
Suzanna Zimmet, M.D., Assistant<br />
Professor of Psychiatry, Harvard Medical<br />
School.<br />
OPTIONAL DAY TUITION FEES<br />
Physicians: $250 (USD)<br />
Residents* and Fellows in Training*: $135 (USD)<br />
Upcoming Programs<br />
FALL SEMINARS<br />
Esalen Institute, Big Sur, Calif.<br />
• September 25-29, 2006<br />
• October 13-15, 2006<br />
• October 20-22, 2006<br />
• October 23-27, 2006<br />
• October 27-29, 2006<br />
• November 10-12, 2006<br />
Liability, Boston, MA<br />
• December 1-2, 2006<br />
WINTER & SPRING SEMINARS<br />
Ocean Reef Club, Key Largo, FL.<br />
• February 26-March 2, 2007<br />
• March 5-9, 2007<br />
Esalen Institute, Big Sur, Calif.<br />
Week Long Seminars:<br />
• March 4-9, 2007<br />
• May 7-11, 2007<br />
• June 18-22, 2007<br />
• June 25-29, 2007<br />
Weekend Seminars:<br />
• January 29-February 2, 2007<br />
• March 16-18, 2007<br />
• March 30-April 1, 2007<br />
• April 13-15, 2007<br />
• May 4-6, 2007<br />
TWO-DAY TUITION FEES<br />
Physicians: $995 (USD)<br />
Residents* and Fellows in Training*: $495 (USD)<br />
*A letter of verification from Department Chair must accompany registration form for a reduced fee.<br />
Please Print Clearly<br />
Full Name ___________________________________________________________ Degree ___________________<br />
Last First Middle Initial<br />
Mailing Address ________________________________________________________________________________<br />
Street City State Zip Code<br />
Daytime Phone (____)__________________________________ Fax Number (____)_________________________<br />
E-Mail Address _________________________________________________________________________________<br />
❑ Please check if you want to be excluded from receiving email notices of future<br />
Harvard Medical School, Department of Continuing Education programs.<br />
Professional School Attended ________________________________________ Year of Graduation _____________<br />
Profession _____________________________________________________________________________________<br />
Principal Specialty ______________________________________________________ Board Certified: Yes ❏ No ❏<br />
Organization Affiliation ___________________________________________________________________________<br />
Form of Payment (please check one):<br />
❏ Check is enclosed: Please make your check payable to Harvard Medical School and mail it with this registration<br />
form to:<br />
Harvard Medical School, Department of Continuing Education, P.O. Box 825, Boston, MA 02117-0825<br />
❏ Bill my credit card: ❏ VISA ❏ MASTERCARD ______- ______-______- ______<br />
Credit Card Number<br />
Tuition Fee $ ______ ____________ __________________________ ___________________________<br />
Expiration Date Print Name As It Appears on Card Signature<br />
Registrations paid by credit card can be faxed to (617) 384-8686, or mailed to the above listed address.<br />
Source Code: A X Z