risksofTel_regrtf - The American Academy of Ophthalmology in .rtf by shenreng9qgrg132

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									                     The Ophthalmic Mutual Insurance Company
                                                       and
                       the California Academy of Ophthalmology
                                                      present
                     “The Risks of Telephone Screening and Treatment”

Day/Date:     Thursday, October 9, 2003                  An interactive AUDIOCONFERENCE
Time:         4:00 pm - 5:00 pm                          for California ophthalmologists and their
Costs:        $25.00 per OMIC insured*
                                                         staff. This course will address the risks of
              $30.00 per non-OMIC insured*
                                                         telephone screening and treatment.
              *Costs include handouts and toll-free
              call.



FACULTY:          James J. Salz, MD – OMIC Director and a practicing ophthalmologist in Los
                  Angeles, California

                  Patrick Stockalper, JD – a medical malpractice defense attorney with the firm
                  Reback, McAndrews & Kjar with offices in Manhattan Beach, California

                  Anne M. Menke, RN, PhD – OMIC Risk Manager

                  Randy Morris, JD – OMIC Senior Claims Associate

Why an audioconference?

   Convenient and time saving: No travel time and expenses are required to participate in the
   seminar. Just call in from your office or anywhere a touch-tone phone is available. When you
   register for the seminar, we will send you a detailed handout to help you follow along with the
   presentation. You are encouraged to include your office colleagues in this important seminar.

   Interactive and fast paced: The speaker's interaction with you, the listener, will make this
   program enjoyable with Question & Answer sessions planned so that you may ask questions
   from your office.


      YOU MUST REGISTER BY FRIDAY, October 3rd TO GUARANTEE HANDOUT
                               MATERIALS.


                    Questions? Please call OMIC (800) 562-6642 ext. 652
                    OMIC/CAO Audioconference Registration Form

Objectives: After participating in the “The Risks of Telephone Screening and Treatment” audioconference,
ophthalmologists will be able to:

    Develop and implement a written telephone screening protocol and form that guides staff in asking
     questions in order to identify emergent, urgent, and routine complaints and their respective
     appointment times.
    Establish and implement a protocol for patient handoffs to identify high-risk patients and ensure
     timely communication.
                                         "This activity has been planned and implemented in accordance with the Essentials and
                                         Standards of the Accreditation Council for Continuing Medical Education through the
                                         joint sponsorship of the American Academy of Ophthalmology and Ophthalmic Mutual
                                         Insurance Company. The American Academy of Ophthalmology is accredited by the
                                         ACCME to provide continuing medical education for physicians."

The Academy designates this continuing medical education activity for 1.0-credit hours in Category 1 of
the Physician's Recognition Award of the American Medical Association. Each physician should claim
only those hours of credit that he or she actually spent in the educational activity.

                                     REGISTRATION FORM
PLEASE TYPE OR PRINT CLEARLY.

NAME:                                                  AAO#:
______________________________________________________________________________

ADDRESS:
______________________________________________________________________________

______________________________________________________________________________

PHONE #: ______________________________ FAX #: ________________________________
COST:
I am an OMIC insured:
   Yes, $25.00 (OMIC Professional Liability Policy OMC______________________________)
    No, $30.00

METHOD OF PAYMENT:
 Check – MAKE CHECK PAYABLE TO OMIC
    Visa            MasterCard

Account #: ___________________________________________ Expiration date: ____________

Name on card: __________________________________________________________________

Signature: ______________________________________________________________________

Return this form to: OMIC
                     ATTN: Risk Management Department
                     P.O. Box 880610
                     San Francisco, CA 94188-0610
       FAX #:        (415) 771-7087
                         OMIC/CAO Audiotape Order Form
              Please note: audiotape of the live program will be available in November 2003

Objectives: After participating in the “The Risks of Telephone Screening and Treatment” audioconference,
ophthalmologists will be able to:

    Develop and implement a written telephone screening protocol and form that guides staff in asking
     questions in order to identify emergent, urgent, and routine complaints and their respective
     appointment times.
    Establish and implement a protocol for patient handoffs to identify high-risk patients and ensure
     timely communication.
                                         "This activity has been planned and implemented in accordance with the Essentials and
                                         Standards of the Accreditation Council for Continuing Medical Education through the
                                         joint sponsorship of the American Academy of Ophthalmology and Ophthalmic Mutual
                                         Insurance Company. The American Academy of Ophthalmology is accredited by the
                                         ACCME to provide continuing medical education for physicians."

The Academy designates this continuing medical education activity for 1.0-credit hours in Category 1 of
the Physician's Recognition Award of the American Medical Association. Each physician should claim
only those hours of credit that he or she actually spent in the educational activity.

                            AUDIOTAPE ORDER FORM
PLEASE TYPE OR PRINT CLEARLY.

NAME:                                                  AAO#:
______________________________________________________________________________

ADDRESS:
______________________________________________________________________________

______________________________________________________________________________

PHONE #: ______________________________ FAX #: ________________________________

COST:
I am an OMIC insured:
   Yes, $25.00 (OMIC Professional Liability Policy OMC______________________________)
    No, $30.00

METHOD OF PAYMENT:
 Check – MAKE CHECK PAYABLE TO OMIC
    Visa            MasterCard

Account #: ___________________________________________ Expiration date: ____________

Name on card: __________________________________________________________________

Signature: ______________________________________________________________________

Return this form to: OMIC
                     ATTN: Risk Management
                     P.O. Box 880610
         San Francisco, CA 94188-0610
FAX #:   (415) 771-7087

								
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