Please use insert to register for the 2016 Annual Meeting

Transcription

1 Please use insert to register for the 2016 Annual Meeting Completed form may be torn out and mailed or used as a reference for online registration.

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3 Register for the AANEM 2016 Annual Meeting Online registration is the preferred registration method. At you can view real-time session availability and receive immediate confirmation of your registration. You also can mail or fax the included insert, but we cannot guarantee your selected sessions will be available when your fax or mailed form is received. Confirmation will be sent to you within two weeks of receipt, but allow more time if you are a registrant from outside of the United States. NONMEMBERS Physicians-in-Training: You must submit a letter from your training director verifying your training status with your registration to receive the reduced fee. Medical Students: You must submit a letter from an AANEM physician member with this registration form, you cannot register online. Nonmember technologists, researchers, and collaborators: You must submit a letter of support from a fellow member with this registration form, you cannot register online. Please contact the AANEM office with questions or become a member at 1 Registrant Information mail AANEM 2621 Superior Drive NW Rochester, MN fax phone meeting@aanem.org Check if you have a disability and require some accommodation in order to attend this meeting. You will receive a Disability Accommodation Request Form that needs to be returned to the AANEM by the preregistration deadline. Check if you need a letter of invitation and provide your address: First Name, Middle Initial Designation Specialty NPI Number Institution/Practice Private Academic Hospital Multispecialty Government Other Address Business Home City State Country Zip Buisness Phone Cell Phone Fax is used to communicate important conference information, including conference materials and updates. REGISTRANT GUESTS Guests of registrants (family members or significant others) may attend all coffee breaks, the President s Reception, the Abstract Award Winners Reception and the Exhibit Hall* if registered, and wearing an AANEM guest badge. Guest badges will be included with the attendee s registration material. Please Note: There is a $ fee for each guest. Please include your guest s name/s below., First Name, Middle Initial, First Name, Middle Initial *Children are not allowed in the exhibit hall unsupervised. Guest Fee Subtotal: $, First Name, Middle Initial >> Continued 1

4 2 Select your registration type Choose either the General Registration Fee for access to all 4 days of meeting events (the blue path), or the Friday/ Saturday Only Registration Fee (the brown path). FULL REGISTRATION MEMBER Physicians Residents & Fellows Technologists, Collaborators, Researchers NONMEMBER Physicians *Residents & Fellows *Technologists, Collaborators, Researchers By 7/6 7/7-8/ Onsite Fri./Sat. REGISTRATION By 7/6 7/7-8/ Onsite MEMBER $ Physicians $ $ Residents & Fellows $ $ Technologists, Collaborators, $ Researchers NONMEMBER $ ,025 Physicians $ *Residents & Fellows $ $ *Technologists, Collaborators, $ Researchers $ *Need to submit forms and letter as noted on previous page or call AANEM office for registration Registration Session Subtotal: $ 3 Complete the appropriate elective session form based on your registration type Registration for the AANEM Annual Meeting includes plenary, courses, symposia, special interest groups, and ask the expert sessions. Please use the forms found on the following pages and be sure to write your last name on the bottom of each page: Form A: Physician General Registration - Elective sessions (red) Form B: Physician Friday/Saturday only Registration - Elective Sessions (orange) Form C: Technologist/Collaborator/ Researcher General Registration - Elective sessions (green) Form D: Technologist/Collaborator/ Researcher Friday/Saturday only Registration - Elective Sessions (blue) ELECTIVES By 7/6 7/7-8/ Onsite CME $ $ Workshops NCS Workshops Small Group Demo (SGD) Demo w. Didactic Chemodenervation **Ask the Experts (ATE) ***Resident & Fellow Boot Camp $195 $2 $ $0 0 0 Tours (various prices, refer to registration sheet) **Advance registration recommended to help with room set up. Registration does not guarantee seat - limited seating available. ***Advance registration recommended, no fee to attend Elective Session Subtotal: $ AANEM bans open or concealed weapons at the AANEM Annual Meeting >> Continued 2

5 4 Optional Educational Materials Free Digital Coursebooks for Meeting Attendees: Access to digital coursebooks is included with your general meeting registration. Attendees who pre-register for the meeting will receive a link to preview and download coursebooks in advance of the meeting, free of cost. Access instructions will also be available at the meeting. Coursebook Packages: New this year: There are several options for ordering printed coursebooks and E-Bundle printed coursebooks. There are two printed bundle options, one with and one without CME, both at a discounted meeting price, or you may order coursebooks individually. The CME recording fee is conveniently wrapped into pricing for individual coursebooks and CME coursebook bundles. Access to CME surveys will be available at the start of the meeting. The E-Bundles include all workshop handouts and coursebooks from the 2016 Annual Meeting, presented on a convenient and portable flash drive. Take advantage of the meeting attendee discount by ordering your coursebooks in advance. Get them while you can, these low prices will NOT be available after the meeting! Printed Coursebook Bundle (Non-CME) - $90: Includes all 7 coursebooks, covering 12 courses, including the plenary, for only $90! Pre-ordered coursebook bundles will be available for pick up at registration. Yes, I would like to order a printed coursebook bundle (Non-CME) for $90 Printed Coursebook Bundle (CME Included) - $200: Includes all 7 coursebooks, covering 12 courses, including the plenary that s a $50 savings! Each coursebook in the bundle is eligible for CME. Pre-ordered books will be available for pick up at registration and access to all CME surveys will open at the meeting. Yes, I would like to order a printed coursebook bundle (CME Included) for $200 Individual Printed Coursebooks (CME Included): Books 1-5 offer CME and are $40 each Book 1 Basics With the Experts & Principles of NCS With Needle EMG Book 2 The Approach to the Pediatric Patient With NM Disorders & Immunotherapy in NM Disease Book 3 EDX and Ultrasound for Focal Neuropathies & Common Polyneuropathies Book 4 NM Topics in Sports Medicine & MSK Medicine: Toe to Hip Book 5 Genetics of Hereditary Neuropathy and Myopathy & Neuropathy Associated With Systemic Disease Books 6 and 7 offer CME and are $25 each: Book 6 Crossfires: The Pros/Cons of: Quality Measures in Neuropathy and Other NM Disorders; Genetic Testing in LGMD; Inclusion Body Myositis, Antibody and Muscle Biopsy Needed in Each Patient; and Rating Scales in NM Disorders: Clinic Use Book 7 Plenary: Insight and Innovations in NM Medicine Digital Coursebooks with all 7 books, offering CME, will be for sale on the AANEM website after the annual meeting. E-Bundle Coursebooks (CME Included) - $200: Includes all workshop handouts and coursebooks from the 2016 Annual Meeting. This content is available on a portable, convenient flash drive. All 7 coursebooks included with the Annual Meeting E-Bundle are eligible for CME. Workshop handouts are not eligible for CME. CME surveys for coursebooks included on the flash drive will be available at the start of the meeting. Yes, I would like to order the E-Bundle coursebooks (CME Included) for $200 E-Bundle Coursebooks (Non-CME) - $100: Includes all workshop handouts and coursebooks from the 2016 Annual Meeting. This content is available on a portable, convenient flash drive. Yes, I would like to order the E-Bundle coursebooks (Non-CME) for $100 Additional Options Subtotal: $ 3

6 5 Optional Donations AANEM Advocacy monitors and advocates on issues that affect the practice of NM and EDX medicine, ensuring patients receive quality care and members receive appropriate reimbursement. Advocacy Contribution $ The AANEM Foundation funds research awards, fellowships, and education in the area of EDX/NM medicine, to help improve patient care and quality of life for patients with muscle and nerve disorders. Foundation Contribution $ Donation Subtotal: $ 6 Submit payment information Registration Fee Guest Fee Elective Session Fee Educational Materials Donations Total Fee You may attach a check in the amount of your total fee or fill out the form below to pay by credit card. $ $ $ $ $ $ Is your registration complete? 1. Registrant information section is completed 2. Choose ONE registration type based on the appropriate categories 3. Indicate if you d like educational materials, or to make a donation to AANEM Advocacy or the AANEM Foundation 4. Double-check all fee calculations to avoid delays in registration processing 5. Credit card information or check payment is included with registration 6. Last name is written on the bottom of each registration page Cardholder Name Card Number Exp CSV Billing Address City State Country Zip Signature 4

7 Wednesday, September 14 Form A: Physician General Registration - Elective Sessions Time Workshops Skill Level CME by 7/6 7/7-8/ onsite 12:00 12:00 12:00 12:00 Interactive Approach to EMG Waveform Recognition (Small Group Demo) W33A-B Basic 3.50 $195 $220 $245 Resident and Fellow Boot Camp W64AB Basic 0.00 $0 $0 $0 Chemodenervation W01M1 Advanced 3.50 $2 $265 $3 NCS Workshop W62W1 Multi-Level 3.50 $195 $220 $245 Time Workshops Skill Level CME by 7/6 7/7-8/ onsite Autonomic Testing Using EMG Equipment W02A Basic 1.50 $1 $140 $165 NM US W18A Basic 1.50 $1 $140 $165 Office-Based Injection Procedures W20A Basic 1.50 $1 $140 $165 Myopathies: EDX Approach W55A Basic 1.50 $1 $140 $165 US MSK Lower Extremity W57A Advanced 1.50 $1 $140 $165 US Upper Extremity Nerves and Plexus W58A Advanced 1.50 $1 $140 $165 US MSK Upper Extremity W60A Advanced 1.50 $1 $140 $165 Time Workshops Skill Level CME by 7/6 7/7-8/ onsite 10:30-12:00 10:30-12:00 10:30-12:00 10:30-12:00 10:30-12:00 10:30-12:00 10:30-12:00 Autonomic Testing Using EMG Equipment W02B Basic 1.50 $1 $140 $165 NM US W18B Basic 1.50 $1 $140 $165 Office-Based Injection Procedures W20B Basic 1.50 $1 $140 $165 Skin Biopsy Technique & Applications W22B Basic 1.50 $1 $140 $165 Myopathies: EDX Approach W55B Basic 1.50 $1 $140 $165 US Upper Extremity Nerves and Plexus W58B Advanced 1.50 $1 $140 $165 US Lower Extremity Nerves and Muscles W61B Advanced 1.50 $1 $140 $165 Time Workshops Skill Level CME by 7/6 7/7-8/ onsite 1:30-3:00 1:30-3:00 1:30-3:00 1:30-3:00 1:30-3:00 1:30-3:00 1:30-3:00 1:30-3:00 1:30-3:00 1:30-3:00 1:30-3:00 EMG Muscle ID W09C Basic 1.50 $1 $140 $165 Short Segment NCS W12C Basic 1.50 $1 $140 $165 NM US W18C Basic 1.50 $1 $140 $165 Office-Based Injection Procedures W20C Basic 1.50 $1 $140 $165 Skin Biopsy Technique & Applications W22C Basic 1.50 $1 $140 $165 Repetitive Nerve Stimulation W27C Basic 1.50 $1 $140 $165 Paraspinal Mapping/Lumbosacral Plexopathy W46C Basic 1.50 $1 $140 $165 Myopathies: EDX Approach W55C Basic 1.50 $1 $140 $165 EMG Laryngeal W08C Advanced 1.50 $1 $140 $165 EMG and US Respiratory W11C Advanced 1.50 $1 $140 $165 MUP Quantitation W16C Advanced 1.50 $1 $140 $165 5

8 1:30-3:00 1:30-3:00 US Guidance for Neurotoxins W59C Advanced 1.50 $1 $140 $165 US Lower Extremity Nerves and Muscles W61C Advanced 1.50 $1 $140 $165 Time Ask the Expert Skill Level CME by 7/6 7/7-8/ onsite 0:30 Friday, September 16 Integrative Medicine in NM Disease R01T Multi-Level 1.50 $0 $0 $0 Entrapment Neuropathies R02T Multi-Level 1.50 $0 $0 $0 Brachial Plexopathies R03T Multi-Level 1.50 $0 $0 $0 Peripheral Neuropathy R04T Multi-Level 1.50 $0 $0 $0 Coding for EDX/NMD R06T Multi-Level 1.50 $0 $0 $0 Lower Back Pain R07T Multi-Level 1.50 $0 $0 $0 Radiculopathy R08T Multi-Level 1.50 $0 $0 $0 MND and its Mimics R09T Multi-Level 1.50 $0 $0 $0 Incorporate Genetic Testing into Practice R10T Multi-Level 1.50 $0 $0 $0 Effective EDX Report Writing R11T Multi-Level 1.50 $0 $0 $0 Fasciculations, Myotonia and Myokymia R12T Multi-Level 1.50 $0 $0 $0 Time Ask the Expert Skill Level CME by 7/6 7/7-8/ onsite Saturday, September Idiopathic Brachial Plexopathy R21F Multi-Level 1.50 $0 $0 $0 Pelvic Floor Dysfunction R22F Multi-Level 1.50 $0 $0 $0 Immune Mediated NM Disorders R23F Multi-Level 1.50 $0 $0 $0 Post Traumatic/Surgical EDX Evaluation R24F Multi-Level 1.50 $0 $0 $0 Spasticity R26F Multi-Level 1.50 $0 $0 $0 EDX of the Foot R27F Multi-Level 1.50 $0 $0 $0 Chemodenervation R28F Multi-Level 1.50 $0 $0 $0 Neuropathic Pain R29F Multi-Level 1.50 $0 $0 $0 Botulinum Toxin for Pain R30F Multi-Level 1.50 $0 $0 $0 NM US R31F Multi-Level 1.50 $0 $0 $0 What Reference Values and NCS Techniques? R32F Multi-Level 1.50 $0 $0 $0 Time Workshops Skill Level CME by 7/6 7/7-8/ onsite Noninvasive Ventilation in NM Disorders W03AS Basic 1.50 $1 $140 $165 EMG Needle Basics W10AS Basic 1.50 $1 $140 $165 NCS Pitfalls W21AS Basic 1.50 $1 $140 $165 Repetitive Nerve Stimulation W27AS Basic 1.50 $1 $140 $165 Ulnar Techniques W32AS Basic 1.50 $1 $140 $165 6

9 Integrating EMGs and US in Sports Injuries W38AS Basic 1.50 $1 $140 $165 Gait Disorders in NM Disease W41AS Basic 1.50 $1 $140 $165 Cervical Radiculopathy/Brachial Plexopathy W45AS Basic 1.50 $1 $140 $165 Paraspinal Mapping/Lumbosacral Plexopathy W46AS Basic 1.50 $1 $140 $165 Cranial NCS and EMG Testing W05AS Advanced 1.50 $1 $140 $165 Measuring Jitter With Concentric Electrodes W07AS Advanced 1.50 $1 $140 $165 EMG Evaluation of Tremor WAS Advanced 1.50 $1 $140 $165 NCS Uncommon W23AS Advanced 1.50 $1 $140 $165 Advanced Autonomic Testing W50AS Advanced 1.50 $1 $140 $165 Most Reliable Techniques for CTS EDX W53AS Advanced 1.50 $1 $140 $165 Botulinum- Beyond Spasticity and Dystonia W63AS Advanced 1.50 $1 $140 $165 SFEMG Basic/Advanced W31AS Multi-Level 1.50 $1 $140 $165 Tours # Wednesday, September 14 Wednesday, September 14 10:00-12:00 2:00-4:30 10:00-12:00 1:00-3:00 7: - 10: Friday, September 16 8:30-12:30 Friday, September 16 2:00-4:00 Saturday, September 8:45-12: 16CTW Cooking Gumbo Ya Ya Demonstration Class - Cost: $50 per person 16CTW2 Garden District Grandeur and Shopping on Magazine Street - Cost: $60 per person 16CTR1 Antiquing at MS Rau - Cost: $40 per person 16CTR2 Garden District and Mansion Tour - Cost: $75 per person 16CTR3 Jazz Club Crawl - Cost: $125 per person 16CTF1 Cajun Pride Swamp Tour - Cost: $65 per person 16CTF2 Cooking Gumbo Ya Ya Demonstration Class - Friday - Cost: $50 per person 16CTS Down-Home Airboat Adventure - Cost: $110 per person Social Events # Thursday, Saturday, September Saturday, September 7:00 7: - 10:00 7: 5: - 10:00 7:30 5: - 7:30 Technologist Residents and Social Fellows Event Social - Cost: Event $25 - Cost: per person $25 per person Residents 16SOC Broussard's and Fellows French Social Quarter Event Fusion - Cost: $25 Dining per Experience person - Cost: $125 per person 16SOC Broussard's French Quarter Fusion Dining Experience - Cost: $125 per person 7

10 Friday, September 16 Form B: Physician Friday/Saturday Only Registration - Elective Sessions Time Ask the Expert Skill Level CME by 7/6 7/7-8/ onsite Saturday, September Idiopathic Brachial Plexopathy R21F Multi-Level 1.50 $0 $0 $0 Pelvic Floor Dysfunction R22F Multi-Level 1.50 $0 $0 $0 Immune Mediated NM Disorders R23F Multi-Level 1.50 $0 $0 $0 Post Traumatic/Surgical EDX Evaluation R24F Multi-Level 1.50 $0 $0 $0 Spasticity R26F Multi-Level 1.50 $0 $0 $0 EDX of the Foot R27F Multi-Level 1.50 $0 $0 $0 Chemodenervation R28F Multi-Level 1.50 $0 $0 $0 Neuropathic Pain R29F Multi-Level 1.50 $0 $0 $0 Botulinum Toxin for Pain R30F Multi-Level 1.50 $0 $0 $0 NM US R31F Multi-Level 1.50 $0 $0 $0 What Reference Values and NCS Techniques? R32F Multi-Level 1.50 $0 $0 $0 Time Workshops Skill Level CME by 7/6 7/7-8/ onsite Noninvasive Ventilation in NM Disorders W03AS Basic 1.50 $1 $140 $165 EMG Needle Basics W10AS Basic 1.50 $1 $140 $165 NCS Pitfalls W21AS Basic 1.50 $1 $140 $165 Repetitive Nerve Stimulation W27AS Basic 1.50 $1 $140 $165 Ulnar Techniques W32AS Basic 1.50 $1 $140 $165 Integrating EMGs and US in Sports Injuries W38AS Basic 1.50 $1 $140 $165 Gait Disorders in NM Disease W41AS Basic 1.50 $1 $140 $165 Cervical Radiculopathy/Brachial Plexopathy W45AS Basic 1.50 $1 $140 $165 Paraspinal Mapping/Lumbosacral Plexopathy W46AS Basic 1.50 $1 $140 $165 Cranial NCS and EMG Testing W05AS Advanced 1.50 $1 $140 $165 Measuring Jitter With Concentric Electrodes W07AS Advanced 1.50 $1 $140 $165 EMG Evaluation of Tremor WAS Advanced 1.50 $1 $140 $165 NCS Uncommon W23AS Advanced 1.50 $1 $140 $165 Advanced Autonomic Testing W50AS Advanced 1.50 $1 $140 $165 Most Reliable Techniques for CTS EDX W53AS Advanced 1.50 $1 $140 $165 Botulinum- Beyond Spasticity and Dystonia W63AS Advanced 1.50 $1 $140 $165 SFEMG Basic/Advanced W31AS Multi-Level 1.50 $1 $140 $165 Tours # Friday, September 16 8:30-12:30 16CTF1 Cajun Pride Swamp Tour - Cost: $65 per person 8

11 Tours # Friday, September 16 Friday, September 16 Saturday, September 7: - 10: 8:30-12:30 2:00-4:00 8:45-12: 16CTR3 Jazz Club Crawl - Cost: $125 per person 16CTF1 Cajun Pride Swamp Tour - Cost: $65 per person 16CTF2 Cooking Gumbo Ya Ya Demonstration Class - Friday - Cost: $50 per person 16CTS Down-Home Airboat Adventure - Cost: $110 per person Social Events # Thursday, Social Events September 7: - 10:00 Residents and Fellows Social Event - Cost: $25 per person # Saturday, September 5: - 7:30 16SOC Broussard's French Quarter Fusion Dining Experience - Cost: $125 per person 9

12 Form C: Technologist/Collaborator/Researcher General Registration - Elective Sessions Wednesday, September 14 Time Workshops Skill Level CEU by 7/6 7/7-8/ onsite 12:00 NCS Workshop W62W1 Multi-Level 3.50 $195 $220 $245 Time Workshops Skill Level CEU by 7/6 7/7-8/ onsite NM US W18A Basic 1.50 $1 $140 $165 US MSK Lower Extremity W57A Advanced 1.50 $1 $140 $165 US Upper Extremity Nerves and Plexus W58A Advanced 1.50 $1 $140 $165 US MSK Upper Extremity W60A Advanced 1.50 $1 $140 $165 Time Workshops Skill Level CEU by 7/6 7/7-8/ onsite 10:30-12:00 10:30-12:00 10:30-12:00 NM US W18B Basic 1.50 $1 $140 $165 US Upper Extremity Nerves and Plexus W58B Advanced 1.50 $1 $140 $165 US Lower Extremity Nerves and Muscles W61B Advanced 1.50 $1 $140 $165 Time Workshops Skill Level CEU by 7/6 7/7-8/ onsite 1:30-3:00 1:30-3:00 1:30-3:00 1:30-3:00 Short Segment NCS W12C Basic 1.50 $1 $140 $165 NM US W18C Basic 1.50 $1 $140 $165 Repetitive Nerve Stimulation W27C Basic 1.50 $1 $140 $165 US Lower Extremity Nerves and Muscles W61C Advanced 1.50 $1 $140 $165 Time Ask the Expert Skill Level CEU by 7/6 7/7-8/ onsite Friday, September 16 Integrative Medicine in NM Disease R01T Multi-Level 1.50 $0 $0 $0 Entrapment Neuropathies R02T Multi-Level 1.50 $0 $0 $0 Brachial Plexopathies R03T Multi-Level 1.50 $0 $0 $0 Peripheral Neuropathy R04T Multi-Level 1.50 $0 $0 $0 Coding for EDX/NMD R06T Multi-Level 1.50 $0 $0 $0 Lower Back Pain R07T Multi-Level 1.50 $0 $0 $0 Radiculopathy R08T Multi-Level 1.50 $0 $0 $0 MND and its Mimics R09T Multi-Level 1.50 $0 $0 $0 Incorporate Genetic Testing into Practice R10T Multi-Level 1.50 $0 $0 $0 Effective EDX Report Writing R11T Multi-Level 1.50 $0 $0 $0 Fasciculations, Myotonia and Myokymia R12T Multi-Level 1.50 $0 $0 $0 Time Ask the Expert Skill Level CEU by 7/6 7/7-8/ onsite Idiopathic Brachial Plexopathy R21F Multi-Level 1.50 $0 $0 $0 Pelvic Floor Dysfunction R22F Multi-Level 1.50 $0 $0 $0 10

13 9:30 9:30 9:30 9:30 9:30 9:30 9:30 9:30 9:30 Immune Post Traumatic/Surgical Mediated NM Disorders EDX Evaluation R23F R24F Multi-Level 1.50 $0 $0 $0 Post Spasticity Traumatic/Surgical EDX Evaluation R24F R26F Multi-Level 1.50 $0 $0 $0 Spasticity EDX of the Foot R26F R27F Multi-Level 1.50 $0 $0 $0 EDX Chemodenervation of the Foot R27F R28F Multi-Level 1.50 $0 $0 $0 Chemodenervation Neuropathic Pain R28F R29F Multi-Level 1.50 $0 $0 $0 Neuropathic Botulinum Toxin Painfor Pain R29F R30F Multi-Level 1.50 $0 $0 $0 Botulinum Neuromuscular Toxin Ultrasound for Pain R30F R31F Multi-Level 1.50 $0 $0 $0 NM What USReference Values and NCS Techniques? R31F R32F Multi-Level 1.50 $0 $0 $0 8:00 Saturday, - September What Reference Values and NCS Techniques? R32F Multi-Level 1.50 $0 $0 $0 Time Workshops Skill Level CEU by 7/6 7/7-8/ onsite Saturday, September 9:30 NCS Pitfalls W21AS Basic 1.50 $1 $140 $165 Time Workshops Skill Level CEU by 7/6 7/7-8/ onsite 9:30 9:30 NCS Repetitive Pitfalls Nerve Stimulation W21AS W27AS Basic 1.50 $1 $140 $165 Repetitive NCS Uncommon Nerve Stimulation W27AS W23AS Basic Advanced 1.50 $1 $140 $165 8:00 Tours - NCS Uncommon W23AS Advanced 1.50 $1 $140 $165 # Tours Wednesday, September 14 10:00-12:00 16CTW Cooking Gumbo Ya Ya Demonstration Class - Cost: $50 per person # Wednesday, September 14 Wednesday, September 14 10:00 2: :30 12:00 16CTW2 Cooking Garden Gumbo District Ya Grandeur Ya Demonstration and Shopping Class on Magazine - Cost: $50 Street per -person Cost: $60 per person 2:00 10: :30 12:00 16CTW2 16CTR1 Antiquing Garden District at MS Grandeur Rau - Cost: and $40 Shopping per person Magazine Street - Cost: $60 per person 10:00 1: :00 12:00 16CTR1 16CTR2 Antiquing Garden District at MS and Rau Mansion - Cost: $40 Tour per - Cost: person $75 per person 1:00 7: - 3:00 10: Thursday, Friday, September 16 7: 8:30-10: 12:30 Friday, September 16 8:30 2:00-12:30 4:00 Friday, Saturday, September 16 2:00 8:45-4:00 12: 16CTR2 16CTR3 Garden Jazz Club District Crawl and - Cost: Mansion $125 Tour per person - Cost: $75 per person 16CTR3 16CTF1 Cajun Jazz Club Pride Crawl Swamp - Cost: Tour $125 - Cost: per $65 person person 16CTF1 16CTF2 Cajun Cooking Pride Gumbo Swamp Ya Ya Tour Demonstration - Cost: $65 per Class person - Friday - Cost: $50 per person 16CTF2 16CTS Down-Home Cooking Gumbo Airboat Ya Adventure Ya Demonstration - Cost: $110 Class per - person Friday - Cost: $50 per person Saturday, Social Events September 8:45-12: 16CTS Down-Home Airboat Adventure - Cost: $110 per person # Social Thursday, Events September 7:00-10:00 Technologist Social Event - Cost: $25 per person # Thursday, Saturday, September Saturday, September Immune Mediated NM Disorders R23F Multi-Level 1.50 $0 $0 $0 7: - 10:00 7: 5: - 10:00 7:30 5: - 7:30 Technologist Residents and Social Fellows Event Social - Cost: Event $25 - Cost: per person $25 per person Residents 16SOC Broussard's and Fellows French Social Quarter Event Fusion - Cost: $25 Dining per Experience person - Cost: $125 per person 16SOC Broussard's French Quarter Fusion Dining Experience - Cost: $125 per person 11

14 Form D: Technologist/Collaborator/Researcher Friday/Saturday Only Registration - Elective Sessions 9:30 Immune Mediated NM Disorders R23F Multi-Level 1.50 $0 $0 $0 Friday, September 16 8:00 Time Form - 9:30 D: Technologist/Collaborator/Researcher Post Ask Traumatic/Surgical the Expert EDX Evaluation R24F Skill Multi-Level Level Friday/Saturday CEU 1.50 by $0 7/6 7/7-8/ Only $0 Registration onsite $0-8:00 Idiopathic Brachial Plexopathy Elective R21F Sessions Multi-Level 1.50 $0 $0 $0 9:30 Spasticity R26F Multi-Level 1.50 $0 $0 $0 Friday, 8:00 September - Pelvic 16 Floor Dysfunction R22F Multi-Level 1.50 $0 $0 $0 8:00-9:30 EDX of the Foot R27F Multi-Level 1.50 $0 $0 $0 Time Ask the Expert Skill Level CEU by 7/6 7/7-8/ onsite Immune Mediated NM Disorders R23F Multi-Level 1.50 $0 $0 $0 8:00-9:30 Chemodenervation Idiopathic Brachial Plexopathy R28F R21F Multi-Level 1.50 $0 $0 $0 8:00 Post Traumatic/Surgical EDX Evaluation R24F Multi-Level 1.50 $0 $0 $0 9:30 Neuropathic Pelvic Floor Dysfunction Pain R29F R22F Multi-Level 1.50 $0 $0 $0 Spasticity R26F Multi-Level 1.50 $0 $0 $0 8:00 9:30 Botulinum Immune Mediated Toxin for NM Pain Disorders R30F R23F Multi-Level 1.50 $0 $0 $0 EDX of the Foot R27F Multi-Level 1.50 $0 $0 $0 8:00 9:30 Neuromuscular Post Traumatic/Surgical Ultrasound EDX Evaluation R31F R24F Multi-Level 1.50 $0 $0 $0 Chemodenervation R28F Multi-Level 1.50 $0 $0 $0 8:00 9:30 What Spasticity Reference Values and NCS Techniques? R32F R26F Multi-Level 1.50 $0 $0 $0 Neuropathic Pain R29F Multi-Level 1.50 $0 $0 $0 Saturday, 8:00 9:30 9:30 September EDX of the Foot R27F Multi-Level 1.50 $0 $0 $0 Time Workshops Botulinum Toxin for Pain R30F Multi-Level Skill Level CEU 1.50 by $0 7/6 7/7-8/ $0 onsite $0 8:00 9:30 9:30 Chemodenervation R28F Multi-Level 1.50 $0 $0 $0 8:00-9:30 NCS Pitfalls W21AS Basic 1.50 $1 $140 $165 NM US R31F Multi-Level 1.50 $0 $0 $0 8:00 9:30 Neuropathic Pain R29F Multi-Level 1.50 $0 $0 $0 8:00-9:30 Repetitive Nerve Stimulation W27AS Basic 1.50 $1 $140 $165 8:00 - What Reference Values and NCS Techniques? R32F Multi-Level 1.50 $0 $0 $0 8:00 9:30 Botulinum Toxin for Pain R30F Multi-Level 1.50 $0 $0 $0 8:00-9:30 NCS Uncommon W23AS Advanced 1.50 $1 $140 $165 8:00 Saturday, - 9:30 September NM US R31F Multi-Level 1.50 $0 $0 $0 Tours Time Workshops Skill Level CEU by 7/6 7/7-8/ onsite # 8:00 8:00-9:30 What NCS Pitfalls Reference Values and NCS Techniques? R32F W21AS Multi-Level Basic $1 $0 $140 $0 $165 $0 Wednesday, 10:00-12:00 16CTW Cooking Gumbo Ya Ya Demonstration Class - Cost: $50 per person September Saturday, 14 September Repetitive Nerve Stimulation W27AS Basic 1.50 $1 $140 $165 Wednesday, 2:00-4:30 16CTW2 Garden District Grandeur and Shopping on Magazine Street - Cost: $60 per Time Workshops Skill Level CEU by 7/6 7/7-8/ onsite September 14 person NCS Uncommon W23AS Advanced 1.50 $1 $140 $165 Thursday, 9:30 8:00 9:30 September NCS 10:00 Pitfalls - 12:00 16CTR1 Antiquing at MS Rau W21AS - Cost: $40 Basic per person 1.50 $1 $140 $165 Tours # Thursday, 9:30 September Repetitive 1:00 Nerve - 3:00 Stimulation 16CTR2 Garden District and W27AS Mansion Basic Tour - Cost: $75 per person 1.50 $1 $140 $165 Thursday, 9:30 September NCS 7: Uncommon - 10: 16CTR3 Jazz Club Crawl -- W23AS Cost: $125 Advanced per per person 1.50 $1 $140 $165 Friday, Tours September 16 8:30-12:30 16CTF1 Cajun Pride Swamp Tour - Cost: $65 per person # Friday, September 16 8:30 2:00-12:30 4:00 16CTF1 16CTF2 Cajun Cooking Pride Gumbo Swamp Ya Tour Ya Demonstration - Cost: $65 per Class person - Friday - Cost: $50 per person Saturday, Friday, September 16 2:00 8:45-4:00 12: 16CTF2 16CTS Down-Home Cooking Gumbo Airboat Ya Adventure Ya Demonstration - Cost: $110 Class per - Friday person- Cost: $50 per person Social Saturday, Events September 8:45-12: 16CTS Down-Home Airboat Adventure - Cost: $110 per person # Thursday, Social Saturday, Events September 5: 7:00-7:30 10:00 16SOC Technologist Broussard's Social French Event - Quarter Cost: $25 Fusion per person Dining Experience - Cost: $125 per person # Thursday, Saturday, September 5: 7: - 7:30 10:00 16SOC Residents Broussard's and Fellows French Social Quarter Event Fusion - Cost: Dining $25 per Experience person - Cost: $125 per person Saturday, September 5: - 7:30 16SOC Broussard's French Quarter Fusion Dining Experience - Cost: $125 per person 12

15 Sessions included in General Registration fee. General Registration for the AANEM Meeting includes the Plenary, Courses, Symposia, *Ask the Experts, and Special Interest Group Sessions. You can attend any of these sessions and move freely between them. Registration also includes access to the Exhibit Hall. Wednesday, September 14 The Approach to the Pediatric Patient with NM Disorders NM Topics in Sports Medicine An Integrative Medicine Approach to Treating NM Disease Controversies in Electrodiagnosis Updates in NM Transmission Disorders MGFA Session PNS Session Plenary 1 - Insights and Innovations in NM Medicine Exhibits President s Reception *Integrative Medicine in NM Disease *Entrapment Neuropathies *Brachial Plexopathies *Radiculopathy *Effective EDX Report Writing *Lower Back Pain *Peripheral Neuropathy *MND and its Mimics *How to Incorporate Genetic Testing into Practice *Fasciculations, Myotonia and Myokymia *Coding for EDX/NMD Ethics Brachial Plexopathies & Shoulder Girdle Neuropathies Stem Cell Therapy and Other Novel Therapeutic Approaches in ALS: From Bench to Bedside How to Help Your Movement Disorders (MD) Colleagues Sort Out Real and Psychogenic MD in Your EMG Lab Biological Therapies in NM Diseases Exhibits Plenary 2- Insights and Innovations in NM Medicine Poster Session I Principles of NCSs and Needle EMG: What We Measure and What It Means Basics With the Experts Electrodiagnosis and Ultrasound for Focal Neuopathies Upper Extremity US and EDX Crossfires Genetics of Hereditary Neuropathy and Myopathy Abstract Award Winners Reception Friday, September 16 *Idiopathic Brachial Plexopathy *Pelvic Floor Dysfunction *Immune Mediated NM Disorders *Post Traumatic/Surgical EDX Evaluation *Spasticity *EDX of the Foot *Chemodenervation *Neuropathic Pain *Botulinim Toxin for Pain *NM US *What Reference Values and NCS Techniques Should I Use in My Practice? Autonomic Disorders in Your Practice EMG Reports: Issues of Report Formulation and Conveying Interpretation From Primary Demyelination to Nodopathy Emerging Tools in the Diagnosis of Muscle Disease Cutting Edge Ultrasound Exhibits Plenary 3 - Insights and Innovations in NM Medicine Poster Session II MSK Medicine: Toe to Hip Neuropathy Associated with Systemic Disease Immunotherapy in NM Disease: Current Concepts and Future Directions Common Polyneuropathies Saturday, September Diabetic Neuropathy Developing Education in NM and EDX Instrumentation Advocacy Challenges in EDX Medicine Plenary 4 - Insights and Innovations in NM Medicine Self-Assessment Credit Four courses at the 2016 annual meeting will be designated to offer Part II MOC Self-Assessment credit. Completion of a pre- and post-test in addition to course attendance will be required to obtain full self-assessment credit. AANEM will report completion of this self-assessment activity to ABPN and ABR. Physician registrants use Form A or B to register for elective sessions. Tech/Collaborator/Reseacher registrants use For C or D for elective sessions ALL registrants must enter payment information *Registration is recommended for Ask the Expert sessions as seating is limited. 13

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