* Required forreceipt confirmation ADA-We encourage by allindividuals.If participation you have a Please notify usofyour needsatleasttwoweeks inadvance. Please print Address (Home) Travel Approval withmanagersignature formonAnchor and forward Tax ID:31-4379441 Total AmountEnclosed: $ Using acredit card? Register onlineat: Organization City ______State ______Zip Credentials Email Address Online Registration Preferred. Preferred Phone with completedregistration form. Name (First, Last) How didyou hearabouttheconference? disability, advanced notificationof you better.your needswillhelpusserve q q Special Required: Services Registration Fees Fax (614) [email protected] A Team Outcomes toOptimizingNeonatal Approach Impaired 2019 OhioFetal MedicineConference: q q q q q q q q q q q

Interdepartmental Transfer: Check # Please makecheckpayabletoNationwide Children’s Hospital NCH Employee/OFMC Member Parent/Student Regular$20 Registration $90 seating Wheelchair Interpreter fortheHearing Hospital Employee Website Email Brochure Vegan Option Vegetarian Option Nationwide Children’sNationwide Hospital–Columbus, Ohio ______700 Children’s Drive, Columbus,OH 43205 * Nationwide Children’s Hospital Education _ Using acreditcard?Registeronlineat: ______and mailwithregistration form to: ______

2019 Fetal Medicine Conference

bit.ly/FetalMed2019 ATTN:Kate Wagener ______April 6, 2019

Please complete theAM-8Request for bit.ly/FetalMed2019 ______q q q q q q Other Other Support Group Past Participant Nursing Mother Gluten Free Option $50 $50

______

NONPROFIT ORG. U.S. POSTAGE PAID COLUMBUS, OH PERMIT NO. 777

Nationwide Children’s Hospital Community Education 700 Children’s Drive Columbus, OH 43205-2696

W72298 A Team Approach to Optimizing A Teamto Approach Nationwide Children’s Hospital |Columbus,Ohio Medicine Conference: Neonatal Outcomes Neonatal 2019 OhioFetal April 6, 2019

2019 Ohio Fetal Medicine Conference: Speakers Continuing Education A Team Approach to Optimizing Neonatal Outcomes CME – This activity has been planned and April 6, 2019 implemented in accordance with the accreditation requirements and policies of the Accreditation Nationwide Children’s Hospital − Columbus, Ohio Council for Continuing Medical Education 8-8:30 a.m. Registration and Breakfast (ACCME) through the joint providership of Nationwide Children’s Hospital and the Ohio Fetal 8:30-8:45 a.m. Welcome and Introduction to OFMC and Medicine Collaborative. The Nationwide Children’s Team Approach Hospital is accredited by the ACCME to provide continuing medical Ruth Seabrook, MD and Phil Shubert, MD Ruth Seabrook, MD Phil Shubert, MD Jiri Sonek, MD Nationwide Children’s Hospital Mount Carmel Health System Miami Valley Hospital education for physicians. Hot Topics in Prenatal Screening and Diagnosis The Nationwide Children’s Hospital designates this live activity for 8:45-9:30 a.m. Overview of first Trimester Ultrasound TM Screening for Fetal Genetic and Structural Defects a maximum of 7.25 AMA PRA Category 1 Credit(s) . Physicians Jiri Sonek, MD should claim only the credit commensurate with the extent of their participation in the activity. 9:30-10:15 a.m. Genetic Testing for the Front Line Provider Jill Pluciniczak, MD Nursing – Nationwide Children’s Hospital is approved as a provider of continuing nursing education by the Ohio Nurses Association, an 10:15-10:30 a.m. Q&A accredited approver by the American Nurses Credentialing Center’s 10:30 – 10:45 a.m. Break Commission on Accreditation. (OBN-001-91) Case Study #1 - Coordinated Perinatal Management We hope to apply for genetic counseling CEUs as well Karen Texter, MD Patrick Schneider, MD Molly Ball, MD for Complex Heart Lesions Nationwide Children’s Hospital Wexner Medical Center Nationwide Children’s Hospital Intended Audience 10:45-11:25 a.m. Fetal Echocardiography Karen Texter, MD and Patrick Schneider, MD This conference is designed for practitioners and students in the fields of neonatology, pediatrics, obstetrics, genetic counseling, maternal fetal 11:25 a.m.-11:45 a.m. Perinatal Management Molly Ball, MD medicine, cardiology and sonography. 11:45 a.m.-12:15 p.m. Surgical Approach and Outcomes Conference Location Mark Galantowicz, MD Nationwide Children’s Hospital – Education Center 12:15-1:15 p.m. Lunch/Parent Panel – Stories of prenatal, 575 South 18th Street, Columbus, OH 43205 postnatal diagnosis Registration Case Study #1 (continued) Mark Galantowicz, MD Corey Stiver, MD Jo Ann Davis, NP Attendees may register via the web at bit.ly/FetalMed2019 or by 1:15-1:45 p.m. Long term Outcomes for Single Ventricle Nationwide Children’s Hospital Nationwide Children’s Hospital Nationwide Children’s Hospital Heart Defects using the attached registration form. Please follow the instructions Corey Stiver, MD and Jo Ann Davis, NP carefully. Upon receipt of the registration payment, each participant registering will receive a confirmation letter via email. 1:45-2 p.m. Q&A The registration fee includes breakfast, lunch, afternoon refreshments Case Study #2 - Congenital Lung Lesions and educational materials. 2:00-2:40 p.m. Prenatal Diagnosis Megan Stover, MD Cancellation Policy 2:40-3:20 p.m. Role of Advanced Imaging in Diagnosing A full refund will be given for cancellations received in writing a Fetal Anomalies minimum of 2 weeks prior to the start of the educational activity. No Cody Young, DO Megan Stover, MD Cody Young, DO Karen Diefenbach, MD refunds will be given for cancellations received within two weeks of the 3:20-3:35 p.m. Break OhioHealth Nationwide Children’s Hospital Nationwide Children’s Hospital educational activity. Case Study #2 (continued) Questions? 3:35-4:15 p.m. Perinatal Management and Surgical Interventions for Nationwide Children’s Hospital Education | Professional Education Lung Lesions Karen Diefenbach, MD and Ruth Seabrook, MD 700 Children’s Dr., Columbus, OH, 43205 Not pictured: Phone (614) 355-0650 | FAX (614) 355-0670 4:15-4:30 p.m. Q&A Jill Pluciniczak, MD bit.ly/2019FetalMed 4:30-4:45 p.m. Wrap up and Adjourn Mount Carmel Health System