Internal Medicine Review - Mayo Clinic

More documents

Recommendations

Info

Lodging Accommodations Blocks of guestrooms have been reserved with special course rates at the following Rochester hotels. Please contact the hotel of your choice to make reservations by June 20, 2004. When making reservations, please identify yourself as a participant in the Mayo Internal Medicine Review course. Early reservations are recommended due to limited availability. Radisson Plaza Hotel Hilton Garden Inn 150 South Broadway 225 South Broadway 800-333-3333 or 507-281-8000 800-445-8667 or 507-285-1234 www.radisson.com/internalmedicine2004 $89 single/double $99 single/double Rochester Marriott Hotel Holiday Inn City Centre 101 First Avenue SW 220 South Broadway 800-533-1655 or 507-280-6000 800-241-1597 or 507-288-3231 $139 single/double $85 single/double You may also wish to visit the Rochester Convention and Visitors Bureau website (www.rochestercvb.org) for additional accommodation options. A complete Hotel/Motel guide will be mailed with your registration confirmation letter. ABIM Information For specific questions regarding the ABIM examination location, registration, etc. please contact ABIM. American Board of Internal Medicine, 510 Walnut Street, Suite 1700, Philadelphia, PA 19106. Telephone: (215) 446-3500 or (800) 441-ABIM (2246). E-mail: e-mail at request@abim.org. The 2004 exam dates are: Certification Exam: Tuesday, August 24, and Wednesday, August 25 Recertification Exam: Wednesday, November 3 Future Mayo Clinic Internal Medicine Course 25th Annual Mayo Clinic Practice Selected Topics in Internal Medicine of Internal Medicine February 7-11, 2005 May 3-7, 2004 Hyatt Regency Resort and Spa Rochester, MN Maui, Hawaii Mayo Clinic Rochester-Clinical Reviews Oct 25-27 & Nov 8-10, 2004 Rochester, MN Program Topics How to Prepare for ABIM Examination Critical Care Medicine Adrenal Cortex & Gonads Cardiology (6 hours) Hematology (4 hours) Thyroid & Parathyroid Medical Ethics Infectious Diseases (5 hours) Diabetes & Hypoglycemia Nephrology (4 hours) General Internal Medicine Genetics Gastroenterology (4 hours) Oncology (2 hours) Preventive Medicine Pulmonology (4 hours) Neurology (2 hours) Allergic Diseases Non-Internal Medicine for the Internist: Dermatology Women’s Health Issues Urology, ENT, Ophthalmology Psychiatry Vascular Medicine Hypertension Rheumatology (4 hours) Geriatrics Chest Xays Pituitary & Adrenal Medulla For a complete Program Schedule including times and presenters, visit our website at: http://www.mayo.edu/cme/im.htm. The program begins on Sunday, July 11 at 7:30 a.m. and adjourns on Saturday, July 17 at 3:15 p.m. Cancellation If you are unable to attend this course and must cancel your registration, a refund of the tuition less a $75 administrative fee will be made when written notification is received in our office prior to June 13, 2004. Between June 13 and July 1, 2004, one half of the registration fee will be refunded. Please FAX to (507) 284-0532. After July 1, 2004, no refund can be made due to advance commitments and guarantees. Contact Information For further information about this or other Mayo Foundation continuing medical education courses, please contact: Mayo School of Continuing Telephone: 800-323-2688 Medical Education FAX: 507-284-0532 200 First Street SW Website: www.mayo.edu/cme Rochester, Minnesota 55905 E-mail: cme@mayo.edu
Registration Form R2004M217 Internal Medicine Review - Certification & Recertification July 11-17, 2004 To register, complete this registration form and return by mail or FAX. Payment must accompany the registration form. Residents in training will be allowed a discounted registration fee (registration must be accompanied by program director’s letter confirming the resident status.)* The registration fee includes tuition, Q&A book, daily continental breakfast, refreshment breaks, lunch, and attendee reception. The Lippincott -Williams & Wilkins Publishers book is not included in your registration fee. Mail or FAX this completed registration form to: Telephone: 800-323-2688 Mayo School of Continuing or 507-284-2509 Medical Education FAX: 507-284-0532 200 First Street SW E-mail: cme@mayo.edu Rochester, MN 55905 Website: www.mayo.edu/cme (Please print or type all information. You may duplicate this form for multiple registrations.) Name______________________________________________________________________________ First Name Middle Name or Initial Last Name Degree MD DO PhD PA NP Other_________________________ Primary purpose for attending: Certification Recertification CME Credits Institution __________________________________________________________________________ Medical Specialty____________________________________________________________________ E-mail Address______________________________________________________________________ Which is your preferred mailing address: Work/Business Home Address____________________________________________________________________________ City_________________State/PV________ZIP/Postal Code________Country_________________ Home Telephone (______)__________________ Business Telephone (______)_________________ Int'l Telephone (Country code)_________(City code)_________(Phone)______________________ FAX________________________________________________________________________________ Please check if you have any special assistance needs or dietary restrictions. Please indicate your needs here: _____________________________________________________ ___________________________________________________________________________________ P A Y M E N T By June 1 [ ] “Early Bird” physician registration fee $950.00 US By June 1 [ ] “Early Bird” *resident’s registration fee $850.00 US After June 1 [ ] Physician registration fee $1050.00 US After June 1 [ ] *Resident’s registration fee $950.00 US [ ] Textbook (not included in registration fee) $100.00 US Check (payable to Mayo Foundation) Credit Card: Visa MasterCard Discover Total Payment Enclosed (US currency): $_____________ Cardholder’s Name Card Number Expiration Date
Page 1 and 2: Mayo School of Continuing Medical E
Page 3: Registration Information Areduced

Internal Medicine Review - Mayo Clinic

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?