Registration Brochure Don’T Miss the Opportunity to Mingle with 3,000+ Industry Professionals from Around the Globe in One of the Largest Podiatry Tradeshows

Every day brings new choices

8th Annual Meeting of the American Society for Podiatric Medical A ssistants Register Online & Save $20! www.midwestpodconf.org

Cutting edge education for Doctors & Assistants! registration brochure Don’t miss the opportunity to mingle with 3,000+ industry professionals from around the globe in one of the largest podiatry tradeshows.

Brought to you by:

Major Sponsor Diamond Sponsor Gold Sponsor Bronze Sponsor Copper Sponsor

APRIL 18-21, 2013 • Hyatt Regency • Chicago, IL Some choices are obvious.

Shouldn’t your only choice for podiatric malpractice insurance be the one that is dedicated 100% to podiatry?

You may not realize it, but some of PICA’s competitors’ podiatry business is less than 1%. PICA is the only podiatry-focused malpractice insurance company that is led by podiatrists for podiatrists.

• Risk management focused solely on podiatric issues with useful and customizable materials available to policyholders 24 hours a day, 7 days a week.

• Defense counsel teams across the nation with extensive experience defending podiatric claims.

• Outstanding customer service.

• Other insurance products available through ProAssurance Agency.

Stop by the PICA booth at the Midwest Podiatry Conference to learn how we can assist you. www.picagroup.com • (800) 251-5727

5249.1 //Table of C ontents

Mission Statement Page 4

A Note From the President Page 5

Travel & Accommodations Page 6

Conference Schedules — Doctor’s Page 7

Conference Schedules — Surgical Board Review Page 8

Conference Schedules — Ilizarov Workshops Page 9

Conference Schedules — Assistant’s Page 10

International Post-Graduate Research Symposium Page 12

Invited Faculty Page 12

Regulations & Disclaimers Page 14

Registration Form Page 15

Midwest Podiatry Conference • Registration Brochure • Page 3 i Midwest Podiatry Conference Mission Statement

Promote the art and science of podiatric medicine and the betterment of public health through an annual program of continuing education and other professionally oriented instruction for member podiatric physicians. Achieve a better rapport and understanding among health professions, and increase public awareness of podiatric medicine through public relations activities.

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Page 4 • Registration Brochure • Midwest Podiatry Conference //A note from the president

We invite you and your staff to join us from April 18th thru the 21st, 2013 at the newly renovated Hy- att Regency Chicago. Bring your family along, to discover all of the amazing ways that the city comes alive in the spring. We read your survey responses carefully at the end of last year, and we took them to heart. We tackled your challenges related to parking and scanning, and we dug into your suggestions about fur- ther expansion of our programming . We think you are going to love what you see this year! From the simple things such as easier to read brochures and better signage, to the big stuff that will build your practice, such as state of the art training from teams being flown in from Russia and an expanded As- sistant Program, this year has been designed with you and your team in mind. Bring your staff and take advantage of an expanded program that is designed to strengthen and build business. Come and explore the largest tradeshow floor in podiatry! For the first time, we are offering a $20 conference discount for online registration, and we shortened the form to allow you to complete it in less than 5 minutes. We secured the lowest rates in Chicago ($208 single/double occupancy), secured airline discounts and extended the 30% parking discount at the Hyatt to maximize the convenience for attendees.Now wait until you hear about our content! “Every Day Brings New Choices” Choices for everyone — with up to 34 hours of CME • New, cutting edge and exclusive programming, including the hands on, Ilizarov Workshop. • Comprehensive Surgical, Wound Healing, Sports Medicine and Pediatric tracks – with hands on workshops throughout the conference. We provide the hours you need to keep up sub specialty certification in wound care and many others. • Expanded Small Group Discussion — you loved them, we listened — and made them even better! • An expanded Surgical Board Review that is open to all attendees — with realistic computer and oral exam options. It is considered the best in the country — with some of the highest pass rates. • The International Post Graduate Research Symposium will highlight the new work and innova- tion of our best and brightest residents — if you have never attended, make it a point to! • A combined Doctor/Staff multi-day ICD10 and billing seminar and expanded Assistants Sessions with topics for all levels of experience! Bring your office team! What’s on the Evening Agenda? • Join me at our brand new MPC Exhibit Hall Reception on Thursday night. Enjoy cocktails and appetizers, reconnect with colleagues and meet the best suppliers in the business! • (Immediately after the PICA Presentation) Again, our most sincere thanks to the attendee’s and exhibitors who make the MPC the greatest gathering of the year… that means you!

John Ruff, DPM President, MPC Board of Directors

PS: Make sure to visit the MPC Concierge Desk to pick up free maps, coupons and discounts for some of the best restaurants, shows and attractions in Chicago!

Midwest Podiatry Conference • Registration Brochure • Page 5 //Travel & A ccommodations

Special hotel rate erete Foot Family

for attendees MetaCun™ / DuoMetaCun™ Hyatt Regency Chicago MetaFix™ Ludloff 151 E Wacker Drive • Chicago IL 60601

312-565-1234 or toll free 888-421-1442 MetaFix™ OpenWedge A special $208 rate (plus tax) for single or double occupancy has been reserved for our attendees. Visit us: Availability is on a first come, first serve basis and Booth 722 discounts expire on March 19, 2013 so reserve your room by calling 888-421-1442 or book online at midwestpodconf.org

MetaFix™ BLP™ partner airlines ToeMobile™ The MPC has teamed up with American Airlines

and United Airlines to offer you travel discounts on ™ MetaFix I ™ your flights. MetaFix MTP

United enter code ZNHY at www.united.com to For more information call toll free: receive a 2% to 10% discount on your flight 1 855-6373831 (Merete1) American enter code 5643BU at www.aa.com to [email protected] www.mereteUSA.com receive a 5% discount on your flight

PARKING INFORMATION We are an independent laboratory, so you stay independent. A discounted parking rate of $35 is available with in and out privileges at the Hyatt Regency Chicago. You don’t need to be a guest of the hotel to take advantage!. Stop by the concierge desk at the MPC and pick up your discounted validation pass. HISTOLOGY Additional parking ASSOCIATES Early Bird Rates are available Monday through Friday, ranging from $12-$18 per day at locations nearby. An Anatomic Pathology Laboratory Specializing in Podiatric Pathology

1 (800) 444–7522 www.histologyassoc.com

Accredited by the College of American Pathologists. Licensed in all states including New York and California.

Page 6 • Registration Brochure • Midwest Podiatry Conference //Travel & A ccommodations //Conference schedules

Doctor’s schedule-at-a-glance

Thursday, April 18 Exam 8:00 - 11:00 am Healthcare Provider CPR Certification and Renewal All Attendees 4:30 - 6:00 pm The Jury’s Out — Anatomy of a Podiatric Malpractice Trial. Sponsored by Pica. Track 1 Small group discussion covering: 8:00 am - 12:00 noon Tarsal Coalition, Growing Pains, Current Status of Clubfoot, Biomechanics of Flatfoot 1:00 pm - 2:00 pm Panel Discussion: “What would you do with these cases of pediatric flatfoot?” 2:00 - 2:30 pm Myths in Pediatric Podiatry 2:30 - 3:30 pm Roundtable on Arthrodesis in Children Track 2 9:30 - 10:30 pm Anatomy of an MRI 10:30 am - 12:00 noon Popliteal Lecture 1:00 - 2:00 pm Introduction to Ilizarov 2:00 - 3:30 pm Key Issues in Podiatric Dermatology. Sponsored by Bako. Friday, April 19 Track 1 Small group discussion covering: 8:00 - 9:30 am Foot injuries & Compartment syndrome; Trauma & Biomechanics Small group discussion covering: 9:30 - 12:00 noon Shockwave, Plasma Rich Protein and New Technologies — Where’s the Evidence 1:00 - 2:30 pm Panel Discussion: Heel Pain 2:30 - 3:30 pm President’s Lecture: Podiatrists in Congress Track 2 11:00 am - 12:00 noon Ultrasound Review 1:30 - 2:30 pm Radiology Lecture 2:30 - 3:30 pm President’s Lecture: Podiatrists in Congress Saturday, April 20 Track 1 9:30 - 10:30 am Anatomy Review 10:30 am - 12:00 noon Complications Panel 1:00 - 2:30 pm Mythbusters Panel 2:30 - 3:30 pm Harvesting Bone Grafts Panel Discussion 4:30 - 5:30 pm Options & Corrections of Forefoot Deformities i Log in at Track 2 midwestpodconf.org 8:00 - 12:00 noon International Post Graduate Research Symposium and create your own itinerary!

Midwest Podiatry Conference • Registration Brochure • Page 7 //Conference schedules //Conference schedules

Surgical Board Review schedule-at-a-glance

Thursday, April 18 8:00 - 8:30 am Introduction to Midwest Podiatry Board Review Course 8:30 - 9:00 am What To Expect On the ABPS Board Exams 9:30 - 10:00 am Radiology: Hints for Reading Films Out Loud 10:00 - 10:30 am Hallux Valgus 10:30 - 11:00 am Hallux Varus 11:00 - 11:30 am Hallux Rigidus 11:30 am - 12:00 noon Brachymetatarsia 1:00 - 1:45 pm Soft Tissue Tumors 1:45 - 2:15 pm Diabetic Foot Infection Management 2:15 - 2:45 pm Rheumatoid Arthritis Pain Management 2:45 - 3:15 pm Addressing a Non-Union 3:15 - 3:45 pm Addressing Post-Op Infections Friday, April 19 8:00 - 9:00 am Strategies to Prepare for Oral Surgical Board Examination 9:30 - 10:15 am Computer-Based Patient Simulation Prep Course 10:15 - 11:00 am Flatfoot: Work-Up from Calf to Toes 11:00 am - 12:00 noon Pes Cavus 1:00 - 3:00 pm Foot Trauma 3:30 - 4:15 pm Bone Tumors 4:15 - 5:00 pm Paralytic Conditions Saturday, April 20 8:00 - 9:00 am Pediatrics: Metatarsus Adductus, Clubfoot & Vertical Talus 9:30 - 10:00 am Tarsal Coalitions 10:00 - 10:30 am Rearfoot Arthrodesis Principles 10:30 - 11:00 am Principles of Tendon Transfers 11:30 am - 12:00 noon Achilles Tendon Surgery i sign up for our e-mail 1:00 - 2:30 pm Rearfoot & Ankle Trauma list to receive digital copies of your ce 2:30 - 3:30 pm Rearfoot, Ankle & Charcot Reconstruction certificates! 3:30 - 4:00 pm Talar Dome Lesions: Scope & OATS 4:00 - 5:00 pm Ankle Fusions vs. Ankle Implant Case Scnearios Sunday, April 21 7:30 - 8:00 am Mock Test Meeting 8:00 - 10:30 am Foot Mock Tests 10:30 am - 12:00 noon RRA Mock Tests

Page 8 • Registration Brochure • Midwest Podiatry Conference //Conference schedules //Conference schedules Gavriil Ilizarov is the founding father of circular fixation. His techniques are used for the treatment of bone fracture, deformity correction Ilizarov Workshops* schedule-at-a-glance and limb lengthening.

Thursday, April 18 The Russia Ilizarov Scientific Center for “Introduction to Ilizarov” Restorative Traumatology and Orthopedics, 1:00 - 2:00 pm Open to all attendees located in Kurgan Russia, is the birthplace of Friday, April 19 the Ilizarov technique. “Rebooting the Basics” • Patient Selection For the first time ever, • Pre-Op Planning the Midwest Podiatry Conference and Small • Frame Biomechanics Bone Innovations, Inc. presents three levels 8:00 am - 12:00 noon • Basic Principles of instruction in the United States, direct from • Wire & Half Pin Insertion Kurgan, Russia and the Ilizarov Scientific Center • Post-Op Follow-up to a group of select, pre-screened candidates. • Complications & Troubleshooting This is not to be missed and is exclusively Saturday, April 20 being offered at the Midwest Podiatry “Honing Your Skills” Conference: • Ankle Distraction Arthroplasty April 19 • Arthrodesis Rebooting the Basics for up to 36 pre-selected 8:00 am - 12:00 noon • Basic Charcot Recon & attendees Overview April 20 • Internal & External Fixation Honing Your Skills for up to 24 pre-selected • Soft-Tissue Management attendees Sunday, April 21 April 21 “Taking You To The Next Level” Taking You To The Next Level for up to 12 pre- • Advanced Charcot with selected attendees soft-tissue management • Correction of Congenital Attend one day, two days or 8:00 am - 12:00 noon Deformities receive a discount for the full • Lengthening & Bone three day hands on course! Transport • Adult acquired deformity correction using static frames All attendees will receive a * The Ilizarov workshops are available by invitation only. complimentary registration to the MPC for 2013!

i Networking events and the exhibit hall floor are great ways to learn about new products and services!

Midwest Podiatry Conference • Registration Brochure • Page 9 //Conference schedules //Conference schedules

Assistant’s schedule-at-a-glance

Thursday, April 18 Exam 8:00 am - 5:30 pm Administrative Review Course for PMAC 8:00 am - 5:30 pm Clinical Review Course for PMAC Use your online i 8:00 - 11:00 am Healthcare Provider CPR Certification and Renewal itinerary to receive all session materials All Attendees electronically after the conference! 1:00 - 1:30 pm Welcome to ASPMA 1:00 - 2:00 pm Workshop: Padding & Strapping 2:00 - 3:30 pm Workshop: Staff Training Hollywood Style Assistant’s Track 1: Clinical Track 1:30 - 2:30 pm Common Podiatric Surgical Procedures 2:30 - 3:30 pm Pediatric Flat Foot Reconstruction Assistant’s Track 2: Administrative Track 1:30 - 2:00 pm Rejuvenate & Re-Create Your Job Every Day 2:00 - 2:30 pm Hiring New Employees 2:30 - 3:00 pm Patient Communications 3:00 - 3:30 pm The Administrative Aspect of the Diabetic Shoe 4:30 - 5:00 pm Tips & Tricks in Billing 5:00 - 5:30 pm Patient Expectations 5:30 - 6:00 pm The Money Tree Friday, April 19 Exam 8:00 am - 12:00 noon Administrative Review Course for PMAC 8:00 am - 12:00 noon Clinical Review Course for PMAC Assistant’s Track 1: Clinical Track 9:00 - 9:30 am Chairside Assistant: How Can You Be More 9:30 - 10:00 am It’s Not Just Taking X-Rays Anymore 10:00 - 11:00 am Who Needs To Be Biopsied and Why 11:00 am - 12:00 noon Charcot Foot 1:00 - 1:30 pm Back Office Tool Box 1:30 - 2:30 pm Understanding Diabetic Wounds - Causes & Preventions 2:30 - 3:00 pm Type 1 Diabetes 3:00 - 3:30 pm Handling Patients With Special Needs 4:30 - 5:00 pm Deep Vein Thrombosis Assistant’s Track 2: Administrative Track 9:00 - 10:00 am OSHA 10:00 - 10:30 am Strategies to Improve your Bottom Line 10:30 am - 12:00 noon WPS Medicare 1:00 - 2:30 pm ICD-10 2:30 - 3:00 pm OIG — What’s that 3:00 - 3:30 pm Shades of Grey — Ethics in the Workplace 4:30 - 5:00 pm When Generations Collide

Page 10 • Registration Brochure • Midwest Podiatry Conference //Conference schedules //Conference schedules

Assistant’s schedule-at-a-glance

Saturday, April 20 8:00 - 9:00 am ASPMA Business Meeting Assistant’s Track 1: Clinical Track 9:00 - 10:00 am Surgery vs. Conservative Care 10:00 - 11:00 am Podiatric Conditions & Their Surgical Corrections 11:00 - 12:00 noon Biomechanics & Orthotics 1:00 - 1:30 pm Hypertensive Energy 1:30 - 2:30 pm Podiatric Jeopardy 2:30 - 3:00 pm Workplace Violence 3:00 - 3:30 pm Trauma 4:30 - 5:00 pm MRI & CT Imaging Assistant’s Track 2: Administrative Track 8:30 - 9:00 am Telephone Communications & Triage in the Podiatric Office 9:30 - 10:00 am How Important the Front Office Assistant Are To Their Podiatric Physicians 10:00 - 11:00 am Electronic Medical Records Meaningful Use Stage 2 11:00 - 11:30 am Looking Good 11:30 am - 12:00 noon Time Management i 1:30 - 2:00 pm Anger - The Misunderstood Emotion Ditch the paper registration and 2:00 - 2:30 pm In Office Collection save $20! 2:30 - 3:00 pm Scheduling — Minimizing No Shows 3:00 - 3:30 pm Baja Project 4:30 - 5:00 pm The Accounting Ledger

WELCOME TO THE 2013 MIDWEST PODIATRY CONFERENCE! Stop by booth #604 to meet the Bako Podiatric Pathology Services Team!

Midwest Podiatry Conference • Registration Brochure • Page 11 //Invited faculty

The following faculty members have graciously accepted our invitation to speak at the 2013 Midwest Podiatry Conference in Chicago. Jeffery Alexander, DPM Brian Elliott, DPM Donald Nichols, DPM Dan Bareither, PhD Chicago, IL Franklin, IN Wheaton, IL North Chicago, IL TOGETHER, WE ARE

Christopher Bailey, DPM Dan Evans, DPM Kai Olms, MD David Caminear, DPM Plainfield, IL Schaumburg, IL Fairfax, VA Hamden, CT

Brad Bakotic, DPM, DO Larry Fallat, DPM Laura Pickard, DPM J. David Bozarth Alpharetta, GA Taylor, MI Chicago, IL Chicago, IL

Bradley Bakotic, DPM, DO Sally Feeney, DPM Jake Ransom, DPM Lisa Crouch, PMAC Alpharetta, GA London, England New Braunfels, TX Puyallup, WA CHANGING

Bob Baron, DPM Brian Fullem, CPM Edgardo Rodriguez, DPM Tina DelBuono, PMAC Elgin, IL Tampa, FL Chicago, IL Santa Rosa, CA WHAT MEDICINE CAN DO.

Mark Bernard, DPM, DO Matthew Garoufalis, DPM Francis Rottier, DPM Nancy Diaz, PMAC, BSRT Lenoir City, TN Chicago, IL Maywood, IL Roslyn Heights, NY

Rich Bouche, DPM Philip Gianfortune, DPM Ron Sage, DPM Jessica DeLorenzo, PMAC Seattle, WA Chicago, IL Maywood, IL Fishkill, NY

Brian Burgess, DPM Richard Goad, DPM Amol Saxena, DPM Vicki Forni, RN Hinsdale, IL San Antonio, TX Palo Alto, CA Chicago, IL

Pat Burns, DPM Daniel Greenan, DPM Nate Schwartz, DPM Sheila Hall Pittsburg, PA Burien, WA Smyrna, GA H8rkimer, NY

Dave Calderella, DPM Edwin Harris, DPM Christian Smith, DPM Michelle Handley, PMAC La Crosse, WI Elmhurst, IL Memphis, TN Chicago, IL

Lou Carrozza, DPM Ami Herbstrith, DPM Ralph Springfield, MD Tressea Harvey, PMAC Homer Glen, IL Memphis, TN Hamburg, Germany Seymour, IN

Mary Crawford, DPM Zeeshan Husain, DPM Mark Tagoe, DPM Paula Hollister, PMAC Everett WA Detroit, MI Isleworth, West London, UK Saint Anthony, IN

Brittany Crowhurst, DPM Gennedy Ivanov, MD David Taylor, DPM Sue Hasenour, PMAC VISIT SHIRE RM AT THE MIDWEST PODIATRY CONFERENCE Otttawa, IL Kurgan, Russia Flint, MI Saint Anthony, IN BOOTH 631 Kathleen Daly, DPM Zahid Ladha, DPM John Visser, DPM Jesus Vazquez, PMAC Chicago, IL New Albany, IN Creve Coeur, MO Santa Rosa, CA

Mike DeGere, DPM Douglas Murdock, DPM Chad Webster, DPM Heather Wilson, PMAC Fond Du Lac, WI Richland, WA Memphis, TN Madison, WI

Patrick DeHeer, DPM Treavor Neal, DPM Brad Wenstrup, DPM Indianapolis, IN Sturgis, MI Cincinnati, OH

Larry DiDiminico, DPM Andrey Neretin, DPM David Yeager, DPM Youngstown, OH Kurgan, Russia Dixon, IL

International post graduate research symposium

Call for entries (Residents & Fellows only) ADVANCED BIOHEALING IS NOW SHIRE REGENERATIVE MEDICINE™ Submit your abstracts for consideration and possible presentation at the 16th Annual International Post Graduate Shire Regenerative Medicine provides regenerative medicine solutions for people Research Symposium [IPGRS]. with life-altering conditions. We aspire to harness the power of regenerative medicine Visit www.midwestpodconf.org and complete your online application. to address society's unmet medical needs, and are focused on developing and delivering solutions that support the body's natural healing process. Winners are eligible for publication, cash prices and recognition for their programs.

VISIT SHIRE RM AT THE MIDWEST PODIATRY CONFERENCE BOOTH 631

ADVANCED BIOHEALING IS NOW SHIRE REGENERATIVE MEDICINE™ Shire Regenerative Medicine provides regenerative medicine solutions for people with life-altering conditions. We aspire to harness the power of regenerative medicine to address society's unmet medical needs, and are focused on developing and delivering solutions that support the body's natural healing process.

Extra Fees: Guests/Spouses: A $25.00 exhibit hall only badge may be purchased by using online registration or on-site registration for a spouse, significant other or guest of a registered attendee. At no time are guests and spouses al- lowed in lectures, workshops or exam settings. Doctors and office staff are not eligible to register at the spouse/Guest rate and must register at the appropriate doctor/assistant conference registration fee. Lost Badges: A $5.00 replacement fee will be assessed for any lost badges Returned Checks: A $35.00 service fee will be assessed to any returned checks

Attendance Verification and Scanning Procedures: Attendee name badges will be scanned TWICE daily: once in the morning and once in the afternoon. Please review the chart below for scan times and locations. Attendees are responsible for ensuring that their own badge is scanned at appropriate times. Anyone possessing a badge other than their own will be turned away and that badge owner will be required to contact the Midwest Podiatry Conference office after April 22, 2013.

Continuing Education (CE) Hours: Hours will be awarded solely for actual days in attendance at the conference. If you attend and scan all four days, you will receive up to 34 CME’s for Doctors and 20.5 for Assistants.

Date Morning Scan Time - Location Afternoon Scan Time - Location Thursday, April 18 12:00pm – 1:00pm 3:30pm – 4:30pm Exhibit Hall Exhibit Hall Booths: 139, 455, 631 Booths: 139, 455, 631 Friday, April 19 12:00pm – 1:00pm 3:30pm – 4:30pm Exhibit Hall Exhibit Hall Booths: 139, 455, 631 Booths: 139, 455, 631 Saturday, April 20 12:00pm – 1:00pm 3:30pm – 4:30pm Exhibit Hall Grand Ballroom Foyer Booths: 139, 455, 631 Sunday, April 21 12:00pm – 1:00pm Grand Ballroom Foyer

Minors: The Midwest Podiatry Conference strongly discourages registered attendees from bringing children under the age of 16 into the exhibit hall. Surgical instruments, medical devices and equipment will be on display along with graphic images which may be harmful to minors. The Midwest Podiatry Conference will not be held liable for any injury or distress as a result.

Disclaimers: Workshops: Any and all participants attending workshops are responsible for their own eye protection. The Mid- west Podiatry Conference is not liable for any injuries to its exhibitors, invitees, guests or conference attendees in connection with any workshop. This includes the use, maintenance or handling of any material or equipment requiring the use of protective eye devices or any other protective equipment during the 2013 Midwest Podiatry Conference. Sponsorship/Endorsement: Acceptance of sponsorship and/or exhibiting of vendors at the Midwest Podiatry Conference (“MPC”) do not imply endorsement or approval of the company, product or service by the Midwest Podiatry Conference.

Page 14 • Registration Brochure • Midwest Podiatry Conference  Doctor’s Registration Form Attendee Information  Assistant’s Registration Form Name: Practice Name: Register online at Address: www.midwestpodconf.org City/State/Zip: Phone/Fax: Surgical Board Review  E-mail: Foot Mock Orals $100  APMA/ASPMA Member # (If applicable): RRA Mock Orals $100 I give the Midwest Podiatry Conference Permission to:  Fax me and/or  Syllabus $195  e-mail me at the address/fax number listed above.  Please check here if you need special accommodations under the ADA. Joint Workshops Please describe:  Healthcare Provider CPR. $85. Limit 30. Super Saver Early Bird Standard Onsite  Healthcare Provider CPR Renewal. $65. Doctor’s Conference Categories 11/7/2012 2/2/2013 3/9/2013 4/14/2013 Check ONE Category and ONE Fee in this section 2/1/2013 3/8/2013 4/13/2013 4/21/2013 Limit 60. Midwest members are those in good standing with one of the following state associations: AR, IL, IN, IA, KS, MI, MN, MO, ND, NE, OK, ON, SD, WI Midwest Member, DPM $215 $240 $290 $340 Midwest Life Member $65 $70 $75 $80 ASPMA Administrative or Out of Region APMA members are NOT a part of the above listed associations, but are members of APMA in good standing. Clinical Exams APMA Member, Out of Region $415 $440 $490 $560 If you’re interested in the Administra- APMA Life Member, Out of Region $95 $100 $105 $110 tive or Clinical Exams, please contact Affiliated Associations: Federal Service, American Society of Forensic Podiatry, Academy of Sports Medicine and Sue Hasenour, PMAC directly: American Society of Podiatric Sports Medicine Sue Hasenour, PMAC ASPMA Qualifying & Examining Chair     Affiliated Associations Member $215 $240 $290 $340 4472 S. Cross St. St. Anthony, IN 47575 Non-APMA, Ontario Members/Int’l Societies $215 $240 $290 $340 812.326.2046 Phone 812.326.2659 Fax [email protected] Non-APMA, DPM $990 $1,090 $1,190 $1,340 An order form is also available at www.aspma.org Resident/Preceptee/Fellow, DPM $75 $90 $100 $115 Podiatric Medical Student Non-Volunteer $50 $55 $60 $65 Super Saver Early Bird Standard Onsite Spouse or Guest Pass Assistant’s Conference Registration 11/7/2012 2/2/2013 3/9/2013 4/14/2013 Check ONE Category and ONE Fee in this section Registration 2/1/2013 3/8/2013 4/13/2013 4/21/2013 ASPMA Member $180 $200 $220 $240 Name:  Guest Registration $25 Non-ASPMA Member $230 $245 $275  $305

Payment Method Check* enclosed in the amount of $: Payable to Midwest Podiatry Conference Please charge to:  VISA  MASTERCARD  DISCOVER  AMEX Card #: Exp. Date: Sec. Code: Cardholder’s name: Signature: *A $35 serviche charge will apply to any returned checks.

Cancellation Policy All registration cancellations must be made in writing and received (not postmarked) at the Midwest Po- diatry Conference office by March 19, 2013 to receive a registration fee refund. A $50 fee will be charged for registration cancellations. Absolutely no refunds will be issued after March 19. No refunds or certificates for no-shows. Allow 4-6 weeks after the conference ends for refund checks. MIDWEST PODIATRY CONFERENCE 122 S MICHIGAN AVENUE, SUITE 1441 CHICAGO IL 60603

Every day brings new choices

APRIL 18-21, 2013 • Hyatt Regency • Chicago, IL www.midwestpodconf.org Page 16 • Registration Brochure • Midwest Podiatry Conference