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Uehling Lectures 2009 U Nonprofit Organization US Postage PAID Madison, Wisconsin EHLING Permit No. 658 OCPD in Medicine and Public Health 2701 International Lane, #208 Madison, WI 53704-3126 alem, NC alem, S Winston- chool of Medicine of chool S niversity U Foreset Wake and Public Health Health Public and Continuing Professional Development in Medicine Medicine in Development Professional Continuing egenerative Medicine egenerative R for Institute Director, Public Health, Department of Urology, and Office of of Office and Urology, of Department Health, Public rology rology U of Department Chairman, & Professor chool of Medicine and and Medicine of chool S Wisconsin of niversity U Anthony Atala, MD Atala, Anthony : Y B D RE O S SPON tephen Y. Nakada, MD Nakada, Y. tephen S R: O T C RE I D URSE O C , W , M ISCONSIN ADISON E E CATION U D TIVE U XEC C F OR F ENTER NO U L 6, 2009 6, N , F L U 2009 OVEMBER RIDAY RER U ECT EHLING L ECT 2009 UEHLING LECT U RES State of the Art Regenerative Dr. David T. Uehling was born and raised outside Chicago, and completed his urology training at Northwestern. Following a Medicine successful stint as a fellow at Chicago Children's Memorial Hospital, he joined the and staff at the University of Wisconsin in 1965. Clinically, Dr. Uehling developed a statewide Update in Pediatric Urology practice in pediatric urology, and has served the children of Wisconsin admirably for 40 U years. NOVEMBER 6, 2009 Throughout his career, Dr. Uehling distinguished himself in research, with FL U NO CENTER FOR EXEC U TIVE ED U CATION REScontinuous NIH funding in the treatment of urinary tract infections. In 1983, Dr. Uehling MADISON , WISCONSIN assumed the chair of the division at UW, and has grown the program into one of national Urology Pediatric in Update and Medicine Regenerative Art the of State standing. Upon stepping down as chairman COURSE DIRECTOR: Stephen Y. Nakada, MD 2009 in 2001, Dr. Uehling continues to serve the Department of Urology as an Emeritus SPONSORED BY: Professor. Dr. Uehling has impacted the lives University of Wisconsin School of Medicine and Public Health, Department of Urology, L of many patients, urologists and scientists and Office of Continuing Professional Development in Medicine and Public Health U RES U ECT throughout the world. This meeting in his EHLING honor is a small way to emphasize all of his accomplishments. State of the Art Regenerative Medicine and Update in Pediatric Urology FOR FURTHER INFORMATION REGISTRATION FORM #4015; ame-urol GENERAL INFORMATION For conference information please contact: Terese Bailey, OCPD in Medicine and Public Health 2009 Uehling Lectures INTENDED AUDIENCE SCHEDULE OF EVENTS Date: November 6, 2009 2701 International Lane, Suite 208 Please print in BLOCK letters This educational activity is intended for urologists and other Madison, WI 53704 interested health care professionals. Friday, November 6, 2009 Place: The Fluno Center Telephone: 608-240-2141, 601 University Avenue FAX: 608-240-6040 E-mail: [email protected] OBJECTIVES AM Madison, WI 53715 STEP 1: Participant Information At the conclusion of this activity, participants will be able to: 8:45 Registration Telephone: (608) 441-7117 Accreditation Statement Name __________________________________________________________________________________________ • Explain the diagnosis and management of hydronephrosis FAX: (608) 441-7133 The University of Wisconsin School of Medicine and Public 9:25 Introduction First M.I. Last • Recognize continent diversion in children Health is accredited by the Accreditation Council for Continuing Stephen Y. Nakada, MD • Discuss simple and complex clinical problems in pediatric PARKING Medical Education to provide continuing medical education for Professional degree (for name tag) ____MD ____DO _____PhD ____PA ____RN ____Other (please specify) urology physicians. 9:30 Diagnosis and Management of Hydronephrosis A 290-stall parking facility is conveniently located beneath the Company name _________________________________________________________________________________ • Discuss regenerative medicine and research in urology Anthony Atala, MD Fluno Center. The University of Wisconsin managed garage is available for $10.00 per day. There is also a city of Madison Credit Designation Statement Work address ___________________________________________________________________________________ parking ramp located on North Lake Street. The University of Wisconsin School of Medicine and Public PRACTICE GAPS AND ASSESSMENT 10:00 Break Health designates this educational activity for a maximum of 4.5 City, State, Zip __________________________________________________________________________________ AMA PRA Category 1 CreditsTM. Physicians should only claim OF NEED CONFERENCE FEES credit commensurate with the extent of their participation in the Daytime phone ___________________________________Daytime FAX ___________________________________ The content of this educational activity was selected to match 10:30 Case Presentations activity. Lectures Only...........................................................................$150 E-mail address __________________________________________________________________________________ identified gaps between current practices and best practices. The overall objective of this activity is to discuss these practice Continuing Education Units 11:30 Lunch Lectures and Dinner................................................................$175 The University of Wisconsin-Madison, as a member of the gaps and provide participants with the knowledge, skills, tools, STEP 2: Confirmation (please choose one) and resources needed to change their professional practice and Lectures, Dinner and one guest.............................................$200 University Continuing Education Association (UCEA), authorizes this program for .45 continuing education units (CEUs) or 4.5 improve the care of their patients. q hours. Work Address (as provided in Step 1) PM The conference fee includes the cost of tuition, materials, q Home Address - please complete the following: 12:30 View Exhibits lunch, refreshment breaks, and a nonrefundable registration Conference Completion Report ELEMENTS OF COMPETENCE fee of $50. Should you cancel your registration up to 72 You will be mailed a completion report 2-4 weeks after the Street address:__________________________________________________________________________________ This CME activity has been designed to change learner hours prior to the conference; you will be refunded the entire 1:00 Continent Diversion in Children conference. competency and focuses on the American Board of Medical conference fee except the $50 nonrefundable portion. No Anthony Atala, MD City, State, Zip:__________________________________________________________________________________ Specialties areas of patient care and medical knowledge. refunds will be made after that time. Policy on Faculty and Sponsor Disclosure It is the policy of the University of Wisconsin School of Medicine 1:30 Panel Discussion: Clinical Problems in Pediatric Urology FOUR EASY WAYS TO REGISTER and Public Health that the faculty, authors, planners, and other THE 2009 UEHLING LECTURER Moderator: John V. Kryger, MD persons who may influence content of this CME activity disclose STEP 3: Conference Fees - please check the appropriate box: ANTHONY ATALA, MD Panelists: Anthony Atala, MD; Bruce Slaughenhoupt, MD; all relevant financial relationships with commercial interests in By Mail: Return your completed registration form and q Professor & Chairman, Department of Urology Charles T. Durkee, MD order to allow CME staff to identify and resolve any potential $150, Lectures only payment q Director, Institute for Regenerative Medicine conflicts of interest. Faculty must also disclose any planned $175, Lectures and dinner q Wake Forest University School of Medicine discussion of unlabeled/unapproved uses of drugs or devices $200, Lectures, dinner and one guest for dinner q I request a vegetarian meal option for dinner Winston-Salem, NC 2:30 Refreshment Break By Phone: 608-262-1397. Call and give your billing during their presentation(s). Detailed disclosures will be made information or pay by VISA, MasterCard in the activity handout materials. q PO or check enclosed (payable to University of Wisconsin) or American Express GUEST FACULTY 3:00 Regenerative Medicine: New Approaches to Health Care q Please bill my company Anthony Atala, MD CHARLES T. DURKEE, MD By fax: 800-741-7416 (in Madison, 265-3163) q Credit Card: q MasterCard; q VISA; q American Express Associate Professor of Pediatric Urology Children's Hospital of Wisconsin Online: www.ocpd.wisc.edu/course_catalog 4:00 Research in Urology: Discussion Forum Cardholder’s Name ______________________________________________________________________________ Medical College of Wisconsin Stephen Y. Nakada, MD; Wade Bushman, MD, PhD Milwaukee, WI Card Number ___________________________________________________________________________________ CONFIRMATIONS Expiration Date __________________________________________________________________________________ UNIVERSITY OF WISCONSIN SCHOOL OF 4:30 Adjourn All registrations are confirmed in writing. If you do not receive a MEDICINE AND PUBLIC HEALTH FACULTY confirmation, call 608-262-1397. WADE BUSHMAN, MD, PhD 5:00 Cocktail Reception STEP 4: Send your registration form to: Professor of Urology, Department of Urology HOUSING Please return your payment with this form to: Robert and Dolores Schnoes Professor of
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