55th Annual CME Meeting

June 4 - 6, 2010

Ritz-Carlton, Amelia Island, Florida

REGISTRATION BROCHURE (pdf)

Overview  | Hotel | Register to Attend

Agenda | Accreditation | Faculty | Speaker Forms

Resident Abstract Submission Form

Exhibitor Registration | Exhibitor Information | 2010 Exhibitors  | W-9

Additional Corporate Marketing Opportunities

Past Recipients of the Donald C. Abele MD Award

CALL FOR RESIDENT ABSTRACTS

The GSD Program Committee is calling for abstracts to be presented at the 55th Annual CME Meeting.  Resident abstracts will consist of short oral presentations (6-7 minutes).  MCG residents will present pm Friday, June 4 and Emory residents will present on Saturday, June 5 as participants of the Resident Symposium.  The Donald C. Abele, MD Award will be presented to the winner(s) of the Symposium on Sunday morning, June 6.

In addition to participating in the Resident Symposium competition, you will also be providing an element of CME to all the meeting attendees.  Outcomes measurement has become the focus of providing Continuing Medical Education, and therefore note the following single question that will appear on the attendees' evaluation forms.  Because of what I have learned at this CME Activity, I will make the following 3 changes/updates in my practice.  90 days after the activity is completed, the GSD will return the attendees' responses to them and ask them to follow up with us on if they indeed made those changes/updates and if not, why not?  The compiled evaluation results will be submitted, as required, to our accredited joint sponsor.

To submit an abstract, please complete the following form.  This submission will also act as your meeting registration. 

Name Req.
	Medical College of Georgia (Friday, June 4, 2010)
	Emory (Saturday, June 5, 2010)
Mailing Address
City, State  Zip
E-mail Req.
Phone
Mobile
Fax
Presentation Title: Req.
Educational Objectives:	Objectives should include a verb that is chosen to describe something a physician will do in practice (and not what the teacher will teach). For example, do not use verbs such as “discuss” or “describe, learn or understand.” Use words such as “apply, develop a strategy to…, etc.” Ensure that the objective clearly states a standard against which one can judge the success in achieving the objective. You must provide objectives for each talk. Upon completion of this presentation, the participant should be able to:
1.
2.
3.
Pre-Test/Post-Test Question	Please submit a multiple-choice question to test attendees' knowledge or competency of each topic pre- and post- presentation(s). Your question should be straightforward; no trick questions please! Question     Answers - please enter 1 per line A)   B)   C)   D)   E)   Correct Answer
AV Requirement	I will need the following equipment for my presentation(s): LCD Projector/Wireless Remote/Laser Pointer Other AV needed:   I will be presenting via Microsoft Power Point and have NO integrated video in my presentation(s) (a laptop will be provided) I will be presenting via Apple Keynote or other software (speaker must provide laptop to run onsite) I have integrated video into my presentation file (speaker must provide laptop to run onsite)   I require ONLY voice amplification I require sound amplification beyond my oration.  My presentation has sound that requires amplification.
Final Presentation	IMPORTANT: As you are preparing your final presentation(s), in accordance with accreditation requirements, be sure to include a slide stating your financial disclosures, placed just after the title slide.   If you are using Microsoft Power Point and your presentation has NO integrated video, please mail us a copy of your final presentation(s) on CD ahead of the meeting.  Allowing the AV technician to have the presentations pre-loaded on our laptop ensures fewer delays and the meeting running on time. I will mail a CD of my final presentation(s) by MAY 22 to GSD - 6134 Poplar Bluff Circle, Suite 101, Norcross, GA  30092 I will email my presentation(s) by MAY 22 to maryann@theassociationcompany.com
Handouts	It is highly encouraged that you supplement your presentation slides with supporting documents, articles, research results, etc.  In lieu of passing out printed handouts during the meeting, we will be mailing CDs with PDFs of the presentations and any additionally provided handouts to all interested attendees after the meeting.    YES, I will provide handouts and understand that they will be given to attendees via CD.  Please read the following disclaimer and "sign" your name to agree with the statements. The undersigned Faculty (the “Undersigned”) agrees to: 1.  Grant to GSD a nonexclusive, irrevocable worldwide license to reproduce, make derivative works, publish, distribute, and/or sell the recording, transcript, and/or related materials of my presentation. This license does not prohibit the Undersigned from using this presentation in the future for his/her own professional or personal work. 2.  Warrant and represent that, to the best of Undersigned’s knowledge, nothing in the presentation violates the personal rights of others (including, without limitation, any copyright or privacy rights), is factual and contains nothing libelous or otherwise unlawful. 3.  Warrant and represent that the presentation is the Undersigned’s own original work, that Undersigned has the   authority to enter into this agreement, and the Undersigned is the sole copyright holder or that has attained all necessary licenses from any persons or organizations whose material is included or used in the presentation. 4.  Indemnify and hold harmless GSD from any claims for damages, costs or expenses arising from claims of copyright infringement resulting from the publication, sale, dissemination or distribution of any materials submitted and/or presented by the undersigned, either orally or in writing. The undersigned further agrees to indemnify GSD against any liability from any statements, oral or written, made by the Undersigned during or after this presentation.   Entering your name in the following space acts as my signature and agreement to the above statement:   Select one option below: I will mail a CD of my handouts to GSD - 6134 Poplar Bluff Circle, Suite 101, Norcross, GA  30092. I will email my handouts to maryann@theassociationcompany.com Please acquire a copy of my final presentation from me at the meeting to use as my handout.   NO, I will not be providing handouts for the CD.
Faculty Disclosure	It is the policy of the GSD to comply with the Accreditation Council for Continuing Medical Education (ACCME) Standards for commercial support of CME activities.  All faculty are required to disclose to the program audience any real or apparent conflict(s) of interest related to this meeting or its content.  Having an interest in or affiliation with the corporate organization does not necessarily prevent you from making the presentation, but the relationship must be made known to the audience.  Failure to disclose or false disclosure will require the GSD to identify a replacement for your participation.   Use the following categories to indicate the type of financial relationships you are disclosing either for yourself or for you immediate family as defined above.  If an individual is uncertain about what might constitute a potential financial conflict or interest they should err on the side of full disclosure.   Category Code Description Consultant / Advisor C Consultant fee, paid advisory boards or fees for attending a meeting  (for the past 1 year) Employee E Employed by a commercial entity Lecture Fees L Lecture fees (honoraria), travel fees or reimbursements when speaking at the invitation of a commercial entity (for the past 1 year) Equity Owner O Equity ownership/stock options of publicly or privately traded firms (excluding mutual funds) with manufacturers of commercial dermatology products or commercial dermatology services Patents / Royalty P Patents and/or royalties that might be viewed as creating a potential conflict of interest Grant Support S Grant support for the past 1 year (all sources) and all sources used for this project if this form is an update for a specific talk or manuscript with no time limitation.   Please select one of the following two options I DO NOT have any financial relationship to disclose. OR I have the following financial relationships to disclose:   Company/Organization:     Code(s): C    E    L    O    P    S     Code(s): C    E    L    O    P    S     Code(s): C    E    L    O    P    S     Code(s): C    E    L    O    P    S     Code(s): C    E    L    O    P    S     Code(s): C    E    L    O    P    S     Code(s): C    E    L    O    P    S     Code(s): C    E    L    O    P    S   I intend to reference unlabeled/unapproved uses of drugs or products in my presentation (specify drug(s) or product(s) by name for which the unlabeled use will be discussed.   I have read the Disclosure Requirements and to the best of my knowledge, the information provided on this form is true and correct and represents all items for disclosure.  I understand that failure to comply with the disclosure policy, when known and deliberate, may result in disqualification for two years in similar educational or related activities.  I agree to promptly notify the program directors is any of this information changes.    See Faculty Disclosure Statements   Entering your name in the following space acts as my signature and agreement to the above statement: req.
Guests	Name , Relationship , Age (if under 18) Name , Relationship , Age (if under 18) Name , Relationship , Age (if under 18) Name , Relationship , Age (if under 18) Name , Relationship , Age (if under 18) Guest expenses are the responsibility of the speaker.  Please list the names of your guests (spouse, children/ages, relatives, guests, etc.)
Activities	Sign me and/or my guests up for the following:   FRIDAY Cocktail Reception - Friday, 6:00 - 7:30 p.m., number attending Children's Activity (ages 3 - 8) - 6:00 - 7:30 p.m., number attending Tween/Teen Movie Room (ages 9 - 14) - Friday, 6:00 - 7:30 p.m., number attending   SATURDAY Resident's Luncheon - Saturday, 12:30 p.m., number attending   Family Party and Dinner - Saturday, 6:30 p.m., total number attending , ages of any children attending