Advanced Reconstruction of the Shoulder and Elbow Emerging Trends by lso20334

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									          Pennsylvania Orthopaedic Society


            Advanced Reconstruction
           of the Shoulder and Elbow:
Emerging Trends, Complications, and Results


                                 May 10-12, 2007
           Four Seasons Resort Scottsdale at Troon North
Advanced Reconstruction of                                                                            Program
the Shoulder and Elbow:                                                                               Wednesday, May 9, 2007
Emerging Trends, Complications, and Results                                                           1:00 – 5:00 pm     Board of Directors Meeting


Matthew L. Ramsey, MD, Program Chair                                                                  Thursday, May 10, 2007
Charles “Chip” Hummer III, MD, President                                                              6:30 – 7:15 am     Registration—Continental Breakfast

                                                                                                      7:15 – 7:30 am     Welcome
Description                                                                                                              Charles “Chip” Hummer III, MD, President
This course is designed for practicing orthopaedic surgeons, orthopaedic residents and fellows, and
                                                                                                                         Announcements
medical students who plan to specialize in the practice of orthopaedic surgery. The need for this
                                                                                                                         Matthew L. Ramsey, MD, Program Chair
program arose from the responses from previous course evaluations.


                                                                                                       SESSION I—ROTATOR CUFF
Educational Objectives
Upon completion of this course, the participant should be able to:                                    7:30 – 7:45 am     Natural History of Rotator Cuff Disease and its Effect on Treatment
• Discuss the stabilizing structures of the shoulder and determine appropriate nonoperative and                          Decision-Making
   operative management of shoulder instability.                                                                         David L. Glaser, MD
• Determine the indications for open and arthroscopic rotator cuff repair.
                                                                                                      7:45 – 8:00 am     Management of Partial Rotator Cuff Tears—Debridement, In Situ
• Identify the appropriate patient for reverse total shoulder arthroplasty.
                                                                                                                         Repair, and Tendon Takedown
• Compare the mechanism and injury patterns in complex instability of the elbow and describe the
                                                                                                                         Joseph A. Abboud, MD
   treatment algorithm for these injuries.
• Summarize the surgical approaches to the elbow and the management principles for fractures of       8:00 – 8:15 am     Open Rotator Cuff Repair—Is it Still the Gold Standard?
   the distal humerus.                                                                                                   John M. Fenlin Jr., MD
• Determine the role of elbow replacement in a variety of degenerative and post-traumatic condi-
   tions of the elbow.                                                                                8:15 – 8:30 am     Transition to Arthroscopic Rotator Cuff Repair—Indications,
•	 Recognize	political	and	financial	issues	that	affect	the	practice	of	orthopaedics.                                    Techniques, and Results
                                                                                                                         Joshua Port, MD

                                                                                                      8:30 – 8:45 am     The Rotator Cuff Footprint: Anatomic Dimensions of the Supraspinatus
Accreditation Statement                                                                                                  and Infraspinatus Tendon Insertions
This activity has been planned and implemented in accordance with the Essential Areas and Poli-                          Daniel J. Lee, MD
cies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of
the American College of Surgeons and the Pennsylvania Orthopaedic Society. The American College       8:45 – 9:00 am     Management of Irreparable Rotator Cuff Tears—The Role of Tendon
Surgeons is accredited by the ACCME to provide continuing medical education for physicians.                              Transfers and Graft Materials
                                                                                                                         Gerald R. Williams Jr., MD

                                                                                                      9:00 – 9:15 am     Biceps Tendon Pathology: Tenotomy vs. Tenodesis—What is the Best
                   AMA PRA Category 1 Credits™                                                                           Answer?
                   The American College of Surgeons designates this educational activity for a                           Charles L. Getz, MD
                   maximum of 13.25 AMA PRA Category 1 Credits™. Physicians
                                                                                                      9:15 – 9:30 am     Panel Discussion
                   should only claim credit commensurate with the extent of
                   their participation in the activity.                                               9:30 – 10:15 am    Coffee Break—Visit Exhibits


Faculty Disclosure                                                                                     SESSION II—ELBOW TRAUMA
A complete listing of faculty is included in this program. Any and all faculty
disclosures will be provided in the Final Program which will be distributed at the                    10:15 – 10:30 am   Management of Distal Humerus Fractures – Evolving Concepts and
course to all meeting attendees.                                                                                         Surgical Technique
                                                                                                                         Matthew L. Ramsey, MD

Disclaimer                                                                                            10:30 – 10:45 am   The Role of TEA in the Management of Distal Humerus Fractures
The material presented in this continuing medical education program is                                                   David J. Kolessar, MD
being made available by the American College of Surgeons (ACS) and the
Pennsylvania Orthopaedic Society (POS) for educational purposes                                       10:45 – 11:00 am   Radial Head Fracture Patterns and Associated Injuries—Is it really an
only. The material is not intended to represent the only, nor neces-                                                     Isolated Injury?
sarily the best, methods or procedures appropriate for the medical                                                       Scott P. Steinmann, MD
situation discussed, but rather is intended to present an approach,
view statement, or opinion of the authors or presenters, which may be                                 11:00 – 11:15am    Management of Radial Head Fractures—ORIF vs. Radial Head
helpful, or of interest, to other practitioners.                                                                         Replacement
                                                                                                                         Phani K. Dantaluri, MD

                                                                                                      11:15 – 11:30am    Complex Instability: Patterns of Bony and Soft Tissue Injury—What
                                                                                                                         Needs to be Fixed?
                                                                                                                         April D. Armstrong, MD
Program continued                                                                                  Program continued
11:30 – 11:45 am      Surgical Approach to Complex Instability of the Elbow—An Algorithmic
                      Approach to Maximize Outcome                                                 Saturday, May 12, 2007
                      Scott P. Steinmann, MD
                                                                                                   6:30 – 7:25 am        Registration—Continental Breakfast
11:45 am – 12:00 pm   Distal Biceps Tendon Ruptures—Indications for Surgery and Technique
                      Matthew L. Ramsey, MD                                                        7:25 – 7:30 am        Announcements
                                                                                                                         Matthew L. Ramsey, MD, Program Chair
12:00 – 12:15 pm      Surgical Management of Humeral Diaphyseal Nonunion in Elderly Patients
                      with Compression Plating, Bone Grafting and Cerclage Wire Fixation
                                                                                                    SESSION V—ELBOW ARTHRITIS/STIFFNESS
                      Matthew J. Garberina, MD

12:15 – 12:30 pm      Panel Discussion                                                             7:30 – 7:45 am        Surgical Management of Osteoarthritis—Open and Arthroscopic
                                                                                                                         Techniques
                                                                                                                         Charles L. Getz, MD
Friday, May 11, 2007                                                                               7:45 – 8:00 am        Post-Traumatic Arthritis—Are There Any Good Solutions?
                                                                                                                         Joseph A. Abboud, MD
6:30 – 7:25 am        Registration—Continental Breakfast
                                                                                                   8:00 – 8:15 am        Total Elbow Arthroplasty—Indications and Surgical Techniques
7:25 – 7:30 am        Announcements                                                                                      David J. Kolessar, MD
                      Matthew L. Ramsey, MD, Program Chair
                                                                                                   8:15 – 8:30 am        Results of TEA Based on Pathology Underlying Surgery—Who to Watch
                                                                                                                         Out For
 SESSION III—SHOULDER TRAUMA / INSTABILITY                                                                               April D. Armstrong, MD

7:30 – 7:45 am        Proximal Humerus Fractures—Indications for Surgery and Fixation Techniques   8:30 – 8:45 am        Complications of TEA—Management Strategies and Techniques for
                      G. Dean Harter, MD                                                                                 Revision Surgery
                                                                                                                         Matthew L. Ramsey, MD
7:45 – 8:00 am        Hemiarthroplasty for Proximal Humerus Fractures—Getting it Right
                      John M. Fenlin Jr., MD                                                       8:45 – 9:00 am        Open Contracture Release—Indications and Surgical Techniques
                                                                                                                         Phani K. Dantaluri, MD
8:00 – 8:15 am        Clavicle Fractures—Is This a Benign Injury or Not?
                      Thomas D. Meade, MD                                                          9:00 – 9:15 am        Arthroscopic Contracture Release of the Elbow—Can it be Done?
                                                                                                                         Should it be Done?
8:15 – 8:30 am        AC Joint Injuries—Is There Any Good Technique to Fix These Injuries?                               Scott P. Steinmann, MD
                      Charles L. Getz, MD
                                                                                                   9:15 – 9:30 am        Panel Discussion
8:30 – 8:45am         Arthroscopic vs. Open Bankhart Repair—Indications, Surgical
                      Technique, and Comparison of Results                                         9:30 – 10:15 am       Coffee Break/Visit Exhibits
                      Matthew L. Ramsey, MD

8:45 – 9:00 am        Management of Posterior and Multi-Directional Instability                     SESSION VI—SHOULDER ARTHRITIS
                      Gerald R. Williams Jr., MD
                                                                                                   10:15 – 10:30 am      Non-implant Management of Arthritis in the Young Patient
9:00- 9:15 am         SLAP Lesions—Diagnosis and Management                                                              David L. Glaser, MD
                      Joseph A. Abboud, MD
                                                                                                   10:30 – 10:45 am      Surface Replacement of the Shoulder—Is There Any Advantage Over
9:15 – 9:30 am        Total Ankle Arthroplasty                                                                           Humeral Head Replacement
                      Richard M. Marks, MD                                                                               Matthew L. Ramsey, MD
9:30 – 10:00 am       Panel Discussion                                                             10:45 – 11:00 am      Hemiarthroplasty or Total Shoulder Arthroplasty—Is One Better than
10:00 – 10:30 am      Coffee Break/Visit Exhibits                                                                        the Other?
                                                                                                                         John M. Fenlin Jr., MD
                                                                                                   11:00 – 11:10 am      Technical lecture: Methods of Obtaining Glenoid Exposure
 SESSION IV—POLITICAL AND FINANCIAL ISSUES                                                                               Gerald R. Williams Jr., MD
10:30 – 10:45 am      Business Meeting/OrthoPAC Update                                             11:10 – 11:25 am      Reverse TSA—Design, Philosophy, and Indications for Surgery
                      Charles D. Hummer III, MD                                                                          G. Dean Harter, MD
10:45 – 11:00 am      General Assembly Update                                                      11:25 – 11:40 am      Reverse TSA—Expected Results Based on Underlying Pathology
                      PA Rep. Mike Turzai                                                                                April D. Armstrong, MD
11:00 – 11:15 am      Ancillary Income in an Environment of Diminishing Practice Revenue—          11:40 – 11:55 am      Complications of Reverse TSA—Are You Ready for This?
                      A Blessing or a Curse?                                                                             Gerald R. Williams Jr., MD
                      Emil J. DiIorio, MD
                                                                                                   11:55 am – 12:10 pm   Suprascapular Nerve Block Technique: An Anatomic Study
11:15 – 11:30 am      Orthopaedic Specialty Hospitals—A Good Idea or a Recipe for Disaster?                              Kristofer S. Matullo, MD
                      Roger D. Strode Jr., JD
                                                                                                   12:10 – 12:30 pm      Panel Discussion
11:30 – 11:45 am      Fraud and Abuse in the Healthcare Industry—Federal Enforcement Trends
                      Andrew S. Quinn, JD                                                          12:30 pm              Adjourn

11:45 am – 12:00 pm   Pay for Performance Update
                      E. Anthony Rankin, MD

12:00 – 12:30 pm      Panel Discussion
Guest Faculty                                                                                          Hotel Information
E. Anthony Rankin, MD                               Surgery of Shoulder and Elbow, Department of       Please call 1-888-207-9696 to make your reservations for the Four Seasons Resort Scottsdale at
                                                    Orthopaedics, Penn Presbyterian Medical Cen-       Troon North. When making your reservations, be certain to identify yourself as part of the Pennsyl-
Chief of Orthopaedic Service; Providence Hos-       ter, University of Pennsylvania Health System,     vania Orthopaedic Society (POS) group. The daily room rate for the POS room block is $285 and is
pital, Clinical Professor of Orthopaedic Surgery;   Philadelphia, PA                                   subject to the following taxes, gratuities and charges: 12% occupancy sales tax; $18 per room per
Howard University College of Medicine and                                                              night service charge for all non-Food and Beverage gratuities; and $20 per car for overnight parking
Clinical Associate Professor; Georgetown Uni-       David L. Glaser, MD                                and valet charges (Complimentary
versity School of Medicine, 1st Vice President;                                                        self-parking will be available).
American Academy of Orthopaedic Surgeons,           Assistant Professor of Orthopaedic Surgery,
                                                    Shoulder and Elbow Service, Reconstructive         Based on availability, the POS
Washington, DC                                                                                         group rate will be honored three
                                                    Surgery of Shoulder and Elbow; Cali Family,
                                                                                                       days prior and three days follow-
Richard M. Marks, MD                                FOP Center; Assistant Professor of Molecular
                                                                                                       ing the POS meeting dates.
                                                    Orthopaedics; Director of Orthopaedic Surgery
Associate Professor, Department of Ortho-           Curriculum, University of Pennsylvania,
paedic Surgery;Director, Division of Foot &                                                            A limited number of rooms are
                                                    Philadelphia, PA                                   available at the POS group rate.
Ankle Surgery, Medical College of Wisconsin,
Milwaukee, WI                                                                                          Reservations must be made by
                                                    Gary Dean Harter, MD                               April 10th to receive the POS rate.
Andrew S. Quinn, JD                                 Director, Orthopaedic Surgery, Residency           It is also recommended that you
                                                    Program, Geising Health System, Danville, PA       make your dinner reservations as
Founder, Compliance Concepts Inc., Wexford, PA                                                         soon as possible.
                                                    Charles D. Hummer, III, MD
Scott P. Steinmann, MD
                                                    Orthopaedic Surgeon, Premier Orthopaedic
Associate Professor of Orthopedic Surgery,
Mayo Clinic, Rochester, MN
                                                    Medicine and Sports Associates, LTD., Direc-
                                                    tor of Sports Medicine, Swarthmore College,        Scottsdale Info
                                                    President, Pennsylvania Orthopaedic Society,       High in the Sonoran Desert, Four Seasons Resort Scottsdale rewards guests with heartbeat-skip-
Roger D. Strode Jr., JD                             Philadelphia, PA                                   ping views of rugged terrain, mountain vistas, and city lights. Just twenty minutes from downtown
Partner, McDermott Will & Emery LLP,                                                                   Scottsdale,	thirty-five	from	Phoenix,	you	can	experience	the	tranquility	of	the	sun-drenched	South-
Chicago, IL                                         David J. Kolessar, MD                              west landscape and the exciting atmosphere of the city in the same day. Whether its lounging at the
                                                    Orthopaedic Specialist, Geisinger Health Sys-      full service spa, hiking in the foothills of Pinnacle Peak, or teeing off at Arizona’s two top-ranked golf
Mike Turzai                                         tem, Danville, PA                                  courses, Four Seasons at Troon North has something for everyone.
Republican Policy Committee Chairman, 28th
Legislative District, Pennsylvania House of         Thomas D. Meade, MD
Representatives, Pittsburgh, PA                     Clinical Assistant Professor of Orthopaedics,
                                                    College of Medicine, Penn State University         Dining/Activities
Invited Faculty                                     Joshua Port, MD
                                                    Clinical Assistant Professor of Orthopaedics,
                                                                                                       Enjoy an elegant dinner at Acacia steakhouse while overlooking the quiet foothills, enjoy Southwest
                                                                                                       cuisine at the Crescent Moon where you can watch the chefs at work, or gaze at Troon Mountain
                                                                                                       from	Saguaro	Blossom,	a	poolside	café	to	compliment	the	breathtaking	views.	For	a	night	cap,	find	
Joseph A. Abboud, MD                                University of Pittsburgh; Team Physician, Al-      your way to the Lobby Lounge where a sophisticated atmosphere is accentuated by the open air
Clinical Assistant Professor, Orthopaedic           toona Curve Baseball Team, Altoona, PA             patio	or	fireside	seating.
Surgery, University of Pennsylvania School of                                                          Choose from an endless array of activities during the day or night. From tennis to golf, hiking to rock-
Medicine, Philadelphia, PA                          Matthew L. Ramsey, MD
                                                                                                       climbing, horseback riding to mountain biking, guests will never be bored. For something a little
                                                    Chief, Shoulder Study Group; Director, Shoulder    more romantic, why not have a wine-tasting, go stargazing, take a guided Jeep tour, or even take a
April D. Armstrong, MD, MSc, FRCSC                  & Elbow Fellowship, Department of Orthopae-        hot air balloon ride. Four Seasons at Troon North makes sure your kids have as much fun as you do,
Assistant Professor, Orthopaedics & Rehabili-       dic Surgery, University of Pennsylvania Health     offering	a	complete	in-room	package	as	well	as	specific	activities	to	cater	to	your	little	ones.	But	the	
tation, Penn State Milton S. Hershey Medical        System, Philadelphia, PA                           fun	doesn’t	stop	at	the	resort,	call	480-991-2575	for	the	Arena	Group	to	find	out	more	about	the	
Center, Hershey, PA                                                                                    many adventure tours in nearby Scottsdale, or visit them online at www.arenagrouponline.com.
                                                    Gerald R. Williams Jr., MD
Phani K. Dantuluri, MD                              Orthopaedic Surgeon, Philadelphia, PA
Assistant Clinical Professor, Department of
Orthopaedics,Thomas Jefferson University                                                               Airport/Parking Information
Hospital, The Philadelphia Hand Center,
Philadelphia, PA
                                                    Resident Speakers                                  The Phoenix Sky Harbor International is located 29 miles (45 minutes) from the resort. The resort
                                                                                                       provides transportation from the airport, including a driver to meet you at baggage claim and
                                                    Matthew J. Garberina, MD                           sedan service to the Resort, for an applicable fee. Please contact the Concierge for details. On-site
Emil J. DiIorio, MD                                                                                    complimentary self-parking or valet parking with applicable fee is also available. Rental cars are
                                                    Fellow in Shoulder and Elbow Reconstruction.
CEO, Coordinated Health Systems Professional        Department of Orthopaedic Surgery, University      also available at the airport as well as the resort via the Concierge. Please visit www.fouseasons.
Practice, Bethlehem, PA                             of Pennsylvania, Philadelphia, PA                  com/scottsdale for directions from the airport.

John M. Fenlin Jr., MD                              Daniel J. Lee, MD
Director, Shoulder and Elbow, Rothman Insti-        Resident, Department of Orthopaedic Surgery,
tute; Clinical Professor of Orthopaedic Surgery,    Drexel Universtiy College of Medicine, Philadel-
Thomas Jefferson University, Philadelphia, PA       phia, PA
Charles L. Getz, MD                                 Kristofer S. Matullo, MD
Assistant Professor of Orthopaedic Surgery,         Resident, Department of Orthopaedic Surgery,
Shoulder and Elbow Service, Reconstructive          Temple University Hospital, Philadelphia, PA
Exhibitor Information                                                                                   Event Info
Exhibit Description                                                                                     POS Welcome Reception
One 6’ skirted table, 2 chairs, wastebasket                                                             Fountain Terrace—Wednesday, May 9, 7-9pm
                                                                                                        Catch up with friends and colleagues as the beautiful Sonoran Desert plays backdrop to a South-
                                                                                                        west experience. This event is free to all attendees and one guest, but please register.
Shipping
All exhibit materials shipped to the hotel must be addressed to:
                                                                                                        Golf Tournament
Four Seasons Resort at Scottsdale Troon North
Attn: Christie Cline, CMP
                                                                                                        Pinnacle Course—Thursday, May 10, 1-6pm
                                                                                                        See why Troon North is home to Arizona’s two top-ranked courses. Designed by Tom Weiskopf, this
10600 E. Crescent Moon Drive, Scottsdale, AZ 85255
                                                                                                        7,044 yards, par-72 course paints a miles-wide panorama of balancing rocks, cinder cone and cac-
POS/May 10-12, 2007                                                                                     tus forests; serrated peaks, steep arroyos and massive granite boulders. The golf tournament fee is
                                                                                                        $225 and players can rent clubs for $65 + tax. Please register early as space is limited.
To	ensure	efficient	handling	and	storage	of	materials,	please	send	deliveries	to	arrive	no	more	than	
seventy-two (72) hours prior to your arrival date. We recommend incoming boxes indicate group
affiliation,	event	dates,	name	of	Catering/Conference	Services	Manager	and	patron’s	name.	Also,	
please make note of your tracking number.
                                                                                                        Dinner at the Oasis
                                                                                                        In the heart of the desert lies a hidden paradise, an escape from the dry, arid heat into the alluring
                                                                                                        beauty of the oasis. Bring your family to a Southwest dinner buffet on Friday night. Enjoy an evening
Handling Charges                                                                                        of delicious food and exciting entertainment as you soak in the harsh Sonoran Desert amid the
1-10 boxes                  No Charge                                                                   comfort and tranquility of the Four Seasons resort. The whole family will want to attend this event,
Additional boxes            $2.00 per box                                                               so make sure to register. Adults $75, kids $25
Palette Handling fee        $2.00 per pallet
Storage fees                $2.00 per box, per day*

(*Shipments received or stored in excess of 3 days prior to or following event dates)

Labeling, Packaging, and Preparation for Shipment                                                                                    Exhibitor Registration Form
$2.00 per box**                                                                                                                      PENNSYLVANIA ORTHOPAEDIC SOCIETY
(**Labor charge only, materials charged extra)
                                                                                                                             Advanced Reconstruction of the Shoulder and Elbow
                                                                                                                            May 10-12, 2007 . Four Seasons Scottsdale at Troon North
Labor Fee for Loading/Unloading Trucks (per staff member)
$35.00 per hour                                                                                                 THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR EXHIBIT CONTRACT.
                                                                                                                 Each company may have a maximum of four (4) representatives in the exhibit area.
Any questions may be directed to the Hotel’s Business Center Services at 480-513-5527.
                                                                                                        POS Tax ID Number: 23-2184602
Security                                                                                                Company Name
The exhibit area will be locked during all non-exhibit hours. If you require additional security you
must	contact	the	POS	office	prior	to	the	meeting.                                                       1. Representative Name

                                                                                                        2. Representative Name
Exhibit Set-Up
Wednesday May 9        3:00 – 6:00 pm                                                                   3. Representative Name
Thursday, May 10       6:00 am – 6:45 am
                                                                                                        4. Representative Name
EXHIBIT TABLES MUST BE READY BY 6:45 am on Thursday, May 10. Tables that are not occupied
by 6:45 am will be removed.                                                                             Electrical Requirements
                                                                                                        Please indicate:
Exhibit Dismantle                                                                                          We
                                                                                                        q	 do not require electricity.
Saturday, May 12       12:00 – 2:00 pm
                                                                                                          We
                                                                                                        q	 require            standard electrical outlets.

                                                                                                                                                                                       Yes
                                                                                                        Please indicate whether you will place a high back display behind your table: q	           No
Exhibit Hours                                                                                                                                                                                     q	

Thursday, May 10       7:00 am – 12:00 pm                                                               Please return registration form and exhibit contract with payment to:
Friday, May 11         7:00 am – 12:00 pm                                                               Colin Gabler, Associate Director
Saturday, May 12       7:00 am – 12:00 pm                                                               Pennsylvania Orthopaedic Society
                                                                                                        500 North Third Street, 11th Floor, Harrisburg, PA 17101-1111
                                                                                                        Fax: (717) 909-8906
POS Tax ID Number                                                                                       If you have questions, please call Colin Gabler at 1-888-772-7900 or email at
23-2184602                                                                                              colin@paorthosociety.org

                                                                                                        CANCELLATION POLICY—There will be a $25 processing fee for registration cancellations received
                                                                                                        before May 2, 2007. Refunds will not be granted for cancellations received on or after May 2, 2007.


                                                                                                                        EXHIBITORS MUST ALSO FILL OUT THE EXHIBIT CONTRACT
                                                                                                                                 ON THE REVERSE SIDE OF THIS PAGE
                                      Exhibit Contract                                                                                      Physician Registration
                             PENNSYLVANIA ORTHOPAEDIC SOCIETY                                                                          PENNSYLVANIA ORTHOPAEDIC SOCIETY
                      Advanced Reconstruction of the Shoulder and Elbow                                                        Advanced Reconstruction of the Shoulder and Elbow:
                     May 10-12, 2007 . Four Seasons Scottsdale at Troon North                                                     Emerging Trends, Complications, and Results
                                                                                                                               May 10-12, 2007 . Four Seasons Scottsdale at Troon North
Company:
                                                                                                                                           Register by April 10th and save $25.
Contact Person:                                                                                                                  You can also register online at www.paorthosociety.org

Address:
                                                                                                       Last Name:                                                            Title (MD/DO):
City:                                                     State:               Zip:
                                                                                                       First Name (MI):
Phone:                                          Fax:
                                                                                                       Office	Address:
Email:
                                                                                                       City:                                                       State:             Zip:
Exhibit Space
(The following fees are waived with a minimum $5,000 support of any event(s) below)                    Email Address:
         One 6’ Exhibit Table @ $1,500                    Two 6’ Exhibit Table @ $2,500
                                                                                                       Office	Phone:	      	           	           	      	        Fax:
                                            Thursday
We will exhibit on (check all that apply): q	             q	Friday           Saturday
                                                                            q	
                                                                                                       Office	Contact:
Available Event Support Opportunities
   Wednesday Board Meeting Luncheon                          $2,500                                    Registration	fee	includes	admission	to	scientific	sessions,	continental	breakfasts,	refreshment	
   Wednesday Welcome Reception                               $5,000                                    breaks, exhibit hall, and Wednesday Welcome Reception (attendee and one guest). You must pre-
   Thursday Continental Breakfast                            $1,500                                    register for the POS golf tournament at Friday Dinner Buffet.
   Thursday Morning Coffee Break                             $1,200
                                                                                                                                              BEFORE APRIL 10      AFTER APRIL 10         AMOUNT PAID
   Friday Continental Breakfast                              $1,500
   Friday Morning Coffee Break                               $1,200
                                                                                                       Member                                 $425                 $450                   $
   Friday Dinner Buffet                                      $5000
   Saturday Continental Breakfast                            $1,500
                                                                                                       Non-Member                             $525                 $550                   $
   Saturday Morning Coffee Break                             $1,200
   Educational Grant (amount at company discretion)          ($         )                              Resident/Fellow                        $150                 $175                   $
Events Included with Exhibit Fee—Entitled to 4 Company Representatives:
                                                                                                       Allied Health Professional             $100                 $125                   $
Registration	fee	includes:	Admission	to	scientific	sessions,	continental	breakfasts,	coffee	breaks,	
exhibit hall entrance and Wednesday evening reception (attendee and one guest) at no charge.
                                                                                                       Wednesday Welcome Reception            $0                   $0                     $
REGISTRATION IS REQUIRED FOR ALL EVENTS. PLEASE INDICATE THE NUMBER
ATTENDING EACH EVENT IN THE APPROPRIATE SPACE.                                                         Thursday POS Golf Tournament           $225                 $250                   $
Wednesday Welcome Reception (representatives and one guest at no charge)                               Friday Dinner Buffet : Number of Adults            @ $75 each =                    $
         Additional guests @ $25                                                                                                Number of Children (5-12)          @ $25 each =           $
Thursday Golf Tournament
Contact phone/email                                                                                                                                                           TOTAL $
Player name(s)
                                                                                                       Method of Payment
                                         BEFORE APRIL 10              AFTER APRIL 10
                                                                                                       q	Check enclosed made payable to POS
Thursday POS Golf Tournament             players @ $225               players @ $250 = $
                                                                                                       q	Amex             Visa
                                                                                                                         q	             MC
                                                                                                                                       q	
Friday Dinner Buffet
                                                                                                       Card Number:
         Adults (13 and up) - $75               Children (5-12) - $25
                                                                                                       Exp Date:                                          Security Code:
Method of Payment
                                                                                                       Signature:
q	Check enclosed made payable to POS
q	Amex       q	 Visa    q	 MC
                                                                                                       Please mail this form with payment to:
Card Number:
                                                                                                       Pennsylvania Orthopaedic Society, 500 North Third Street, Floor 11, Harrisburg, PA 17101-1111
Exp Date:                                       Security Code:                                         Phone: 717-909-8901; Fax: 717-909-8906; colin@paorthosociety.org

Signature:                                                                                             Cancellation Policy
We understand and agree to follow the policies and procedures in the ACCME STANDARDS FOR               There will be a $25 processing fee for cancellations received before May 2, 2007. Refunds will not
COMMERCIAL SUPPORT OF CONTINUING MEDICAL EDUCATION.                                                    be granted for cancellations received on or after May 2, 2007.
Authorized Signature:
Pennsylvania Orthopaedic Society       PRSRT STD
500 North Third Street, 11th Floor    U.S. POSTAGE
                                           PAID
Harrisburg, PA 17101-1111            HARRISBURG, PA
                                     PERMIT NO. 214

								
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