Spring Refresher 2010 Registration
(Residents & Medical Students Only)

Name

Mailing address

Phone

Email Address

PLEASE CHECK THE DAYS YOU PLAN TO ATTEND:
Thursday, April 15, 2010
Friday, April 16, 2010

PLEASE CHECK ONE:
Resident (MAFP Member) - Free
Resident (Non-Member) - $35/You will be invoiced.
Medical Student - Free

CONFERENCE HANDOUTS
All participants will receive CME handouts on a flashdrive with note-taking capability.  If you would like a paper bound syllabus, you MUST request one below.

I would like a paper bound syllabus.
Yes
No

NURSING MOTHER'S ROOM
Will you need to use the Nursing Mother's Room during the Spring Refresher?
Yes
No

FAMILY DOCS IN MOTION
Do you plan to participate in the 3k Run/Walk on Friday, April 16, 2010, at 6:15 a.m.?
Yes
No

RESIDENT/STUDENT LUNCH
Do you plan to attend the resident/student lunch at 12:05 P.M. on Thursday, April 15, 2010?
Yes
No

LUNCH  (One lunch ticket per day is included with registration)

Thursday
Regular
Vegetarian

List Any Guests for Thursday($20 each) and meal choice (reg/veg)

Friday
Regular
Vegetarian

List Any Guests for Friday ($20 each) and meal choice (reg/veg)

MAFP ALL-MEMBER CELEBRATION AND BUFFET-STYLE DINNER
Do you plan to attend the All-Member Celebration on Thursday, April 15, 2010, at 5:15 p.m.?
Yes
No

List Any Guests for All-Member Celebration ($10 each)

SPRING REFRESHER SESSIONS:  Please indicate the tracks you are likely to attend.  You responses will be used to determine room sizes, but are not binding and do not guarantee seating, which will be offered on a first-come, first-served basis.

Thursday, April 15, 2010

THURSDAY MORNING TRACKS (Choose One)

Neurology Track 10:30 a.m.
Pain Management Track 10:30 a.m
Pediatrics Track 10:30 a.m
 

THURSDAY AFTERNOON TRACKS (Choose One)

Mental Health Track 3:30 p.m.
Cardiology Track 3:30 p.m.
Infectious Disease Track 3:30 p.m.

 

Friday, April 16, 2010

FRIDAY MORNING TRACKS (Choose One)

Screening Track 10:30 a.m.
Toxic Behaviors Workshop Track 10:30 a.m.
Teaching Skills in the Office Track 10:30 a.m.
   

FRIDAY AFTERNOON TRACKS (Choose One)

ENT Track 1:15 p.m.
Obstetrical Track 1:15 p.m.
Practice Transformation Track 1:15 p.m.