Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
The BroAdmoor
Colorado Springs, CO
Faculty
Jean-Pierre Barral, Diplomate in Osteopathic
Medicine, Featured Speaker
Kenneth J. Lossing, DO, Program Chair, Faculty and
AAOPresident-elect
CME
32 hours of AOA Category 1-A credit are anticipated
Registration Rates
On or before Jan. 15 After Jan. 15
AAO Member
$ 1600.00
$ 1700.00
Member w/Convo Reg.
$ 1440.00
$ 1530.00
Non-Member
$ 1750.00
$ 1850.00
Non-Member w/Convo Reg. $ 1575.00
$ 1665.00
CME
16 hours of AOA Category 1-A credit are anticipated
Registration Rates
On or before Jan. 17 After Jan. 17
AAO Member
$ 680.00
$ 780.00
Member w/Convo Reg.
$ 612.00
$ 702.00
Non-Member
$ 780.00
$ 880.00
Non-Member w/Convo Reg. $ 702.00
$ 792.00
An Introduction to the
Fascial Distortion Model
March 17-18, 2014
CME
16 hours of AOA Category 1-A credit are anticipated
Registration Rates
On or before Jan. 17 After Jan. 17
AAO Member
$ 680.00
$ 780.00
Member w/Convo Reg.
$ 612.00
$ 702.00
Non-Member
$ 780.00
$ 880.00
Non-Member w/Convo Reg. $ 702.00
$ 792.00
Denise K. Burns,
DO, FAAO
Michael P. Rowane,
DO, FAAO
Sunday, March 16
9:00 am - 6:30 pm
Monday, March 17
8:00 am - 5:30 pm
8:00 am - 5:30 pm
9:00 am - 6:30 pm
Tuesday, March 18
8:00 am - 5:00 pm
8:00 am - 5:30 pm
8:00 am - 5:30 pm
9:00 am - 6:30 pm
6:00 pm - 8:00 pm
Wednesday, March 19
8:00 am - 12:00 pm
10:00 am - 6:00 pm
11:00 am - 1:00 pm
11:00 am - 2:00 pm
1:00 pm - 5:00 pm
2:00 pm - 5:00 pm
4:30 pm - 6:00 pm
5:00 pm - 6:00 pm
5:00 pm - 7:00 pm
7:00 pm - 9:00 pm
Thursday, March 20
Morning Lectures
7:30 am - 11:10 am
7:30 am - 4:00 pm Registration Hours
7:30 am - 7:40 am Welcome and Program Overview; Denise K.
Burns, DO, FAAO, Convocation Program
Chair
7:40 am - 8:25 am Mechanism of Injury: The Physics of Trauma
and Somatic Dysfunction; Dennis J. Dowling,
DO, FAAO
8:25 am - 9:10 am An Osteopathic Approach to Cranial Trauma;
Andrew M. Goldman, DO, FAAO
Friday, March 21
7:30 am - 4:00 pm
7:30 am - 8:15 am
8:15 am - 9:00 am
9:00 am - 10:00 am
9:00 am - 4:00 pm
9:00 am - 5:00 pm
10:00 am - 10:30 am
Morning Lectures
7:30 am - 12:00 pm
Registration Hours
Fluid Dynamics of the Cranium in Traumatic
and Neurodegenerative Processes; Michael L.
Kuchera, DO, FAAO
Impact Injuries: Viscoelastic Change and its
Effect on Tensegrity, Mechanotransduction and
the PRM; Lawrence J. Bellew,DO
Trauma in the Fascia: Undoing the Damage and
Supporting the Healing; Judith A. OConnell,
DO, FAAO
Osteopathic Education Service (OES)
closed 12:00 pm - 1:45 pm
Exhibit Hours
Visit with the Exhibitors
4 Physician Information
Saturday, March 22
Morning Lectures
7:30 am - 11:15 am
Registration Desk is closed today.
7:30 am - 8:00 am Anatomy of Cranial Dura Defects as Functional
Results of Trauma; Dr.Hagopian
8:00 am - 8:45 am Neurophysiology of Head Trauma; Frank H.
Willard, PhD
8:45 am - 9:30 am Precise Facet Activation at Your Fingertips:
Cervical and OA HVLA; Dr.Kuchera
9:00 am - 12:30 pm Osteopathic Education Service (OES)
9:30 am - 9:45 am Break
9:45 am - 10:30 am Obstetrical Trauma; To be determined
10:30 am - 11:15 am Perinatal Cranial Trauma: Cases and
Considerations; Anthony D. Capobianco,DO
IMPORTANT: Participants are responsible for placing the respective ticket in the
correct box to verify their attendance at each session eligible for CME credit.
Morning Breakout Sessions
ADVANCE REGISTRATION TICKET REQUIRED
11:30 am - 1:00 pm
8A: Precise Facet Activation at Your Fingertips: Cervical and OA
HVLA; Dr.Kuchera
8B: Obstetrical Trauma; To be determined
8C: Osteopathic Treatment for Perinatal Cranial Trauma;
Dr.Capobianco
8D: Faculty Development Workshop 1
The Teaching Identity; Evelyn A. Schwalenberg, DO, MS,
FACP, FACOI
Teaching While Practicing Osteopathic Medicine: Secrets of
Master Teachers; Dr. Rowane
8E: Ariadnes String in the Rising Labyrinth of Harmonization After
Trauma: An Osteosophical Conceptualization (How global
do you need to go to treat a local trauma?); JeanMarie A.T.
Beuckels, DO, BSc (Hons) Ost. Med., MSc. Ost.
1:00 pm - 2:30 pm Lunch on Your Own
1:00 pm - 2:30 pm AAO Board of Trustees Meeting
Sunday, March 23
Morning Lectures
7:30 am - 12:15 pm
7:30 am - 8:15 am Orthopedics, Sports Injuries and Osteopathy, a
perfect combination?!; Frank Mueller, MD, DO
8:15 am - 9:00 am The Importance of Early, Accurate Diagnosis
for Effective Hands-on Management of Sports
Injuries; Wayne R. English, DO
9:00 am - 9:45 am Football and Traumatic Head Injuries;
P.Gunnar Brolinson, DO, FAOASM, FAAFP
9:45 am - 10:00 am Break
10:00 am - 10:45 am An Osteopathic Approach to Facial Trauma;
Dr.Goldman
CME Hours
Possible Hours
Physician Information 5
2E:
6E:
8E:
Physician Information 7
Volunteers Needed
for OE Service
(formerly OD&TE)
Reasons for volunteering:
1) CME Credit
2) Chance to win a FREE registration for Convocation
in 2015
3) Sharing your expertise with others
4) Giving back to the profession
Dear Academy Members:
THURSDAY
FRIDAY
SATURDAY
Morning
Afternoon
____________
____________
closed
Meals
Retired.............................. $485
1st Year Practice........... $485
2nd Year Practice......... $485
Intern/Resident............ $460
PhD..................................... $345
After January 20
(but not on-site)
On-site registration
(after March 3)
AAO Non-Members
$925 on or before January 20
Fee includes one ticket to the Annual Business Meeting
Lunch on Thursday, March 20. Entrance to Saturday Nights
Presidents Banquet is NOT INCLUDED and must be
purchased separately.
Physician Information 9
Membership Application
3500 DePauw Blvd., Suite 1080 Indianapolis, Indiana 46268
Phone: (317) 879-1881 Fax: (317) 879-0563
www.academyofosteopathy.org
AOA # ____________
Citizenship____________
(M.I.)
(Last)
Male Female
(Title)
Zip ___________
Country_____________________
By releasing your Fax number/ E-mail address, you have given the AAO permission to send marketing information regarding courses via Fax/E-mail.
Zip ___________
Country_____________________
By releasing your Fax number/ E-mail address, you have given the AAO permission to send marketing information regarding courses via Fax/E-mail.
Home
Home
Home
Please indicate where the AAO may publish online your preferred mailing address and telephone number (check all that apply):
Medical Education
Premed College
Medical College
__________________________
Internship
__________________________
Residency
__________________________
Specialty
Medical Societies
__________________________
Yes No
Former NUFA
Other __________________________________
Yes No
Have you ever been denied or expelled from membership in a country/district/state society, or component society of the AOA or AAO? Yes No
Have you ever been convicted of a felony or violation of any state or federal narcotics act ?
Yes No
Yes No
(If you answered yes to any of the three questions above, please explain on an seperate sheet.)
AAO Sponsor/Reference
(Not required if graduated from an accredited U.S. osteopathic college)
*Membership in the American Academy of Osteopathy requires membership in the American Osteopathic Association (AOA).
Membership Categories (please select one)
Payment by Visa, MasterCard, Discover, or personal check in USD only
*Intern/Resident
$42.00
Supporter
$274.00
Card # _________________________________________________
*Active
$274.00
Associate (MD)
$274.00
Type
Visa
MasterCard
Discover
In signing this application form, I certify that the above information is correct and complete, and hereby agree to abide by the Constitution and Bylaws of the American
Academy of Osteopathy. I agree to accept the Board of Trustees of the AAO as the sole and only judge to my qualications to be and remain a member. I hereby authorize
the American Academy of Osteopathy to charge the above credit card for the amount of selected membership. I understand that any money submitted will be refunded
if my application is not approved.
Signature _______________________________________________________________________________________________________________
10 Physician Information
2014 AAO Convocation / March19-23, 2014 /The Broadmoor Hotel, Colorado Springs, CO
INSTRUCTIONS
1. REGISTER ONLINE at www.academyofosteopathy.org or complete ONE form for each registrant. Type or print clearly
within boxes (one character per box please).
2. MAIL completed forms and fee(s) to AAO Convocation, 3500 DePauw Blvd., Suite 1080, Indianapolis, IN 46268.
3. FAX both pages of completed form with credit card payment to 317-879-0563.
4. QUESTIONS: Call 317-879-1881. For program information, e-mail swarner@academyofosteopathy.org.
5. Complete one form per registrant.
FIRST NAME
LAST NAME
STREET ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
FAX
EMAIL ADDRESS
AOA INFORMATION
AOA NUMBER
REGISTRATION FEES
Registration Type
Active Member
Associate Member
International Affiliate
Supporter
1st Year in Practice
2 Year in Practice
nd
Retired
Intern/Resident/NUFA
PhD
Non-Member
COLLEGE
$100 Donation
$50 Donation
Regular/
Early Standard
(before 1/20)
$665
$665
$665
$665
$485
$485
$485
$460
$345
$925
Late/On-Site
(After 1/20)
(After 3/3)
$765
$765
$765
$765
$585
$585
$585
$560
$445
$1,025
GRADUATION YEAR
$25 Donation
$10 Donation
$815
$815
$815
$815
$635
$635
$635
$610
$495
$1,175
Other Amount
$___________
C-SPOMM
C-NMM/OMM
FAAO
AAO President
AAO Past President
AAO President-elect
AAO Sect.-Treasurer
2014 Convo. Speaker
AOA Representative
Sign me up as an A. Hollis Wolf judge
Gavel Club (3/20) Past Presidents & Guests #____ $35 each
Friday PAAO Luncheon (3/21)
Incl. in Price
Menu: Buffet (includes vegetarian options)
Fellows Dinner (3/21) FAAOs & Guests #____ $100 each
Meal Preference: Beef Veggie Gluten-free (Hotels choice)
Presidents Banquet (3/22) Not included in registration fee.
Banquet Tickets
#____ $110 each
PAYMENT
Visa
MasterCard
Check made payable to the AAO
CARD NUMBER
EXPIRATION DATE
SIGNATURE
Discover
No
Physician Information 11
Name: _______________________________________________________
Physician Workshops
Please number your workshop choices from one to three.
Thursday, March 20
2:30 pm - 4:00 pm
Friday, March 21
4:00 pm - 5:30 pm
_______
6A:
_______
6B:
_______
6C:
_______
6D:
_______
6E:
_______
8A:
_______
8B:
_______
8C:
_______
8D:
_______
8E:
Thursday, March 20
4:30 pm - 6:00 pm
_______ 3A: OMT & Physics to Reverse the Damage of Trauma;
Dr.Dowling
Friday, March 21
2:00 pm - 3:30 pm
5A:
_______
5B:
_______
5C:
_______
5D:
_______
5E:
_______
_______
12
5F:
Saturday, March 22
11:30 am - 1:00 pm
Saturday, March 22
2:45 pm - 5:00 pm
_______
9A:
_______
9B:
_______
9C:
_______
9D:
_______
9E:
9F:
_______
Benefits
The PAAO will have a booth in the Exhibit Hall, as well as hold
its Business Meeting/Elections on Friday, March 21, 2014, from
12:00 pm to 1:45 pm.
Name _______________________________________________________________
Phone _______________________________________________________________
Address _____________________________________________________________
City/State/Zip _____________________________________________________
E-mail_______________________________________________________________
Room Service
Business Center
Child Care
Gift Shop
Indoor Pool
Meeting Rooms
Parking
Spa
Bar
Conference Center
Restaurant
Internet Access
Childrens Activities
Golf
In-room Movies
Mini Bar
Pets Allowed
Valet
In-room Safe
Wireless Internet
Fitness Center
Airport Shuttle
Concierge
Hairdryer
Iron/Ironing Board
Outdoor Pool
Salon
Opening Windows
13
Colorado Springs...
so much more!
The Broadmoors Pikes Peak Cog Railway
The highest train in the United States, and the highest cog railroad in the world, this
114-year-old railway ferries passengers to the 14,110-foot summit of Pikes Peak
year-round. Visit cograilway.com or call (719) 685-5401 for more information.
One of the areas most photographed attractions, this 1300-acre park is a Registered
National Natural Landmark and is open to the public with no entry fee. The Garden
of the Gods is perfect for hiking, biking, horseback riding or, on crisper days, viewing
from the comfort of the indoor cafe. Visit gardenofgods.com or call (719) 634-6666
for more information.
This is Americas only mountain zoo, rising from 6,800 feet at the entrance to nearly
7,000 feet inside. The zoo cares for more than 800 animals from over 200 species,
more than 30 of which are endangered. Visit cmzoo.org or call (719) 633-9925 for
more information.
14 Physician Information
Please make your room reservations early in order to protect the AAOs ability
to block a sufficient number of rooms.
Arrival/Departure Dates
Rooms are not available for check-in until 3:00 pm. Checkout time is 11:00 am. Guests must provide payment information in
order to secure a reservation and will be charged one nights room and tax deposit immediately. Reservations may be cancelled
or changed up to seven days prior to arrival. Failure to notify the hotel of a cancellation will result in a charge of one nights
room and tax.
Arrival Date:
Departure Date:
Expiration Date:
Reservation Information
Please Type or Print Legibly
Name: _______________________________________________________________
Single/DoubleStandard...............................................................$174
City:
Single/DoubleSuperior................................................................$225
Address: ____________________________________________________________
Zip:
State: __________
Country: _________________________________________
_______________________________________________________________________
Sharing room with: ________________________________________________
_______________________________________________________________________
Single/DoubleIntermediate.......................................................$199
Daily Resort Fee.................................................................................. $16
Please note, all credit cards will be charged a minimum of one nights room and tax deposit immediately. Rates are European-Plan (no meals) and do not
include 9.63% tax or 2.25% public improvement fee (subject to change). Incidental services fees of $16 per room, single or double occupancy, and $2.50 for
each additional person, will be added to the room to include: unlimited access to The Broadmoor Spa Fitness Center, local access and toll-free calls, credit
card calls and collect calls up to one hour in length, all incoming faxes, in-room coffee and tea, daily newspaper, and in-room high speed internet service
both wireless and hardline. The incidental service fee is not included in the room rate and is subject to change.
Physician Information 15
Life in Motion