REGISTRATION FORM DYNAMIC DUOS SUNDAY, MARCH 13, 2016 REGISTRATION

Return this form with your payment by fax, mail or email Fee: $225 per person as soon as possible. This fee includes continuing education, SALUS UNIVERSITY continental breakfast, lunch and downloadable handouts. College of Optometry Office of International and Continuing Education Capacity is limited. Registration is processed on a 8360 Old York Road first-come, first-served basis. Please register as Elkins Park, PA 19027 soon as possible.

t 215.780.1382 t 215.780.1382 f 215.780.1325 e [email protected] e [email protected] f 215.780.1325 Confirmation of your registration will be sent by If paying by credit card, please use your billing address. email — please provide your email address on the registration form. Name DYNAMIC A $25 administrative fee will be charged for all Address cancellations. No refunds will be made after City State Zip Friday, March 4, 2016. OE Tracker Number For more information, call Salus University at DUOS (find your OE Tracker number at www.arbo.org) 215.780.1382 or email [email protected].

State(s) of Licensure License Number SUNDAY PCO Alumnus  Yes  No MARCH 13, 2016 Year Graduated Optometry School

Phone 8 Hours — COPE Approval Pending 6 qualify as TPA Email 4 qualify as Orals (required for registration confirmation) The registration fee is $225 per person. Salus University  Check (payable to Salus University) Pennsylvania College of Optometry Room 300 South  Credit Card (circle one) VISA MasterCard Elkins Park, PA

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Expiration Date 8360 Old York Road Elkins Park, PA 19027 Cardholder’s Name salus.edu

t 215.780.1382 Signature f 215.780.1325 e [email protected] THE FUTURE OF HEALTH SCIENCE SINCE 1919. salus.edu Sunday March 13, 2016 Elkins Park, PA DYNAMIC DUOS 2016

7:30 am Registration and Continental Breakfast 8:00 am Systemic Diseases and Related Medications SPEAKERS Kelly Malloy, OD, FAAO, Diplomate Tracy Offerdahl, PharmD RICHARD BRILLIANT, OD, FAAO, DIPLOMATE KELLY MALLOY, OD, FAAO, DIPLOMATE This case-based lecture will focus on various systemic (LOW VISION) (NEURO-OPHTHALMIC DISEASE) diseases and related medications. An optometrist An associate professor at Salus University Pennsylvania College of Dr. Malloy is the director of the Neuro-ophthalmic Disease specializing in neuro-ophthalmic disease and a doctor Optometry, Dr. Brilliant is a senior low vision practitioner who Service at The Eye Institute and an associate professor at Salus of pharmacy will share their perspectives on the lectures on low vision rehabilitation. He has served as principal University. She specializes in visual and ocular conditions related treatments of systemic diseases and their ocular investigator and clinical evaluator in many National Eye Institute to the brain or manifested as a more global systemic or manifestations. They will focus on commonly used research grants involving low vision lens systems. He is the author of neurologic process. Her areas of interest include vision loss, medications and common systemic diseases that are many articles in referred journals and editor of a textbook titled headache, double vision, optic nerve assessment and ocular applicable to your practice. Essentials of Low Vision Practice. He has also been appointed to the manifestations of stroke, thyroid dysfunction and other systemic 9:40 am Break Medical Advisory Board of the Food and Drug Administration in the and neurologic conditions. Dr. Malloy regularly consults with center for Devices and Radiological Health. multidisciplinary health care teams to improve patient outcomes. 9:55 am The Combined Role of Optometry and Occupational Therapy in the Evaluation and Treatment of Patients DAWN CICCARONE, MS, OTR/L, CLVT TRACY OFFERDAHL, PHARMD with Traumatic Brain Injury An instructor in Salus University’s College of Education and Dr. Offerdahl is a graduate of School of Dawn M. Ciccarone, MS, OTR/L, CLVT Rehabilitation, Ms. Ciccarone teaches in the occupational therapy Pharmacy and an assistant professor at Salus University. She Luis Trujillo, OD program and works in the low vision specialty clinic at The Eye completed a residency in pharmacy practice at Temple University This course features an optometrist and occupational Institute. She specializes in low vision rehabilitation and geriatrics. Hospital, where she spent much of her training in the area of therapist who will discuss the evaluation and treatment She earned a Bachelor of Science degree in Occupational Therapy infectious diseases. She has held faculty positions at University of process for patients with traumatic brain injury (TBI). from Thomas Jefferson University, Master of Science degree in the Sciences in and Philadelphia College of They will review how to screen, evaluate, and provide Gerontology from Saint Joseph’s University and a certificate in Low Osteopathic Medicine. Dr. Offerdahl has a clinical practice treatment for vision and cognition for patients with TBI. Vision Therapy from Salus University. outside of Philadelphia and is currently doing additional training They will also identify compensatory techniques, in integrative medicine studies, including homeopathy and environmental adaptations and educational resources MARCUS DEVLIN, OD herbals. of benefit to patients and their families. Dr. Devlin is the clinical director at James Lewis, MD, PC in Elkins 11:35 am Lunch Park, Pennsylvania. He concentrates on cornea, cataract and LUIS TRUJILLO, OD refractive surgical management. A graduate of the Pennsylvania A graduate of the Pennsylvania College of Optometry at Salus 12:35 pm Pharmacologically-Guided Pain Management College of Optometry, he completed a residency in cornea and University, Dr. Trujillo completed residency training in pediatrics in the Optometric Setting contact lens at The Eye Institute. Dr. Devlin is adjunct faculty at Salus and binocular vision at The Eye Institute. His clinical specialties Marcus Devlin, OD and Tracy Offerdahl, PharmD University, where he lectures on anterior segment and participates in are pediatric care, binocular vision, strabismus and amblyopia. This case-based presentation emphasizes pain the externship, advanced studies and residency programs. He previously worked as a clinical investigator in the management within the scope of optometry. An Convergence Insufficiency Treatment Trial funded by the optometrist and a pharmacist present cases on the JOSHUA GREENE, MD National Eye Institute of the National Institutes of Health. Dr. management of ocular pain stemming from infection, Dr. Greene is a board-certified ophthalmologist with subspecialty Trujillo is currently completing a Master of Public Health degree inflammation, trauma and surgery. training in vitreoretinal diseases and surgery. He completed an at Salus University. ophthalmology residency at Long Island Jewish Medical Center and 2:15 pm Break a surgical retina fellowship at Indiana University. He is the former 2:30 pm The Medical and Visual Rehabilitative Management director of vitreoretinal surgery at the Philadelphia VA Medical Center of Age-Related Macular Degeneration and and currently works in private practice specializing in diabetic retinal Retinitis Pigmentosa disease and macular degeneration. Richard Brilliant, OD, FAAO, Diplomate Joshua Greene, MD HANDOUTS Content experts discuss the medical management of Download the handouts from our online course directory age-related macular degeneration and retinitis at ecampus.salus.edu. A user name and password will be pigmentosa and how the optometrist provides vision provided with your registration confirmation. All handouts rehabilitation to patients with these conditions. will be available by Friday, March 11, 2016.

4:10 pm Closing