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REGISTRATION FORM SCHEDULE SUPPORTER Return this form with your payment by fax, mail or email as soon as possible. SUNDAY, NOVEMBER 1, 2015 Supported by an unrestricted educational grant from: SALUS UNIVERSITY Pennsylvania College of Optometry Office of International and Continuing Education 8360 Old York Road Elkins Park, PA 19027 f215.780.1325 [email protected] Registration will be processed on a first-come, first-served basis. Please register as soon as possible. 8 :50 am Use of Systemic Medications in Optometric Practice (1 tpa , 1 orals) EXHIBITORS 9 :40 amBreak 9:55 am Clinical Challenges in Ophthalmic Disease (2 tpa ) OPTOMETRIC EDUCATION Bernard Blaustein, OD, FAAO Mark the session you will attend: dates price One Day – Sunday, November 1 $225 $225 $350 One Day – Monday, November 2 Both Days – November 1 and 2 Name Address State Zip 11:35 amLunch 12:35 pm Latest Approaches in Vision Rehabilitation Richard Brilliant, OD, FAAO 2:15 pmBreak 2:30 pm Interdisciplinary Care for Patients with Type 2 Diabetes Mellitus SUNDAY & MONDAY NOVEMBER 1 & 2, 2015 Panelists Representing Every Discipline at Salus University 16 Hours — COPE Approval Pending 4:10 pmClosing OE Tracker Number (find your OE Tracker number at www.arbo.org) State of Licensure PCO Alumnus Tracey Offerdahl, PharmD Bernard Blaustein, OD, FAAO and Tracy Offerdahl, PharmD t215.780.1382 City 7:30 am Registration and Continental Breakfast 8 :00 am Common Adverse Effects of Anti-Diabetic Medications License Number Yes No Year Graduated Optometry School Phone 7 qualify as TPA 3 qualify as Orals 2 qualify as Glaucoma MONDAY, NOVEMBER 2, 2015 7:30 am Registration and Continental Breakfast 8:00 am Glaucoma Update and Grand Rounds (2 tpa , 2 glaucoma ) G. Richard Bennett, OD, MS, FAAO 9:40 amBreak 9:55 am Scleral Lenses in Your Primary Care Practice Email (required for registration confirmation) Check (payable to Salus University) Credit Card (circle one)VISA MasterCard Chantel Garcia, OD 11:35 amLunch 12:35 pm Pediatric Potpourri for the Primary Eye Care Practitioner Erin Jenewein, OD, MS, FAAO Card Number Expiration Date Cardholder’s Name Signature 2:15 pmBreak 2:30 pm Pharmaceutical Treatment of Anterior Segment Disease: A Collaborative Approach by an Optometrist and Pharmacist (2 tpa , 2 orals) Gregory A. Caldwell, OD, FAAO and Tracy Offerdahl, PharmD 4:10 pmClosing PCO008 2015 OE_FA-REV.indd 1 Hafter Student Community Center Elkins Park, PA Supported by an unrestricted grant from 8360 Old York Road Elkins Park, PA 19027 salus.edu t215.780.1382 f215.780.1325 [email protected] wsalus.edu THE FUTURE OF HEALTH SCIENCE SINCE 1919. salus.edu 9/11/15 4:32 PM LECTURERS PANELISTS REGISTRATION You may register for one or two days. Attend both days and get a discount: G. RICHARD BENNETT, OD, MS, FAAO CHANTEL GARCIA, OD Michael Mittelman, OD, MPH, president, Salus University Dr. Bennett is a professor at Salus University Pennsylvania College of Optometry, director of the Glaucoma Center for Excellence at The Eye Institute and adjunct associate professor in the Department of Ophthalmology at Drexel University School of Medicine. He serves as a referee for the American Journal of Optometry and Physiological Optics and a reviewer for Optometry and Vision Science. He is a principal investigator of the Ocular Hypertensive Treatment Study (OHTS), a multi-center clinical glaucoma trial funded by the National Eye Institute, currently in Phase 3. Dr. Garcia is a graduate of NOVA Southeastern College of Optometry. She completed a residency in cornea and contact lens at The Eye Institute of Salus University. Dr. Garcia specializes in comprehensive eye care and pre- and postoperative care for refractive and cataract surgery patients. She is an expert in fitting specialty contact lenses for patients with various corneal conditions. An adjunct instructor at Salus University Pennsylvania College of Optometry, she lectures and provides clinical instruction on advanced applications of contact lenses for regular and irregular cornea patients. Sarah Appel, OD, FAAO, associate professor, Salus University Pennsylvania College of Optometry; director, Pediatric Low Vision Service and LV Residency program coordinator, William Feinbloom Vision Rehabilitation Center at The Eye Institute BERNARD BLAUSTEIN, OD, FAAO ERIN JENEWEIN, OD, MS, FAAO Dr. Blaustein is an associate professor in the clinical sciences department and former director of residency programs at Salus University Pennsylvania College of Optometry. He has worked in private practice and served as chief of optometry services at the Veteran’s Administration Medical Center in Coatesville, PA. He has published articles and textbook chapters on anterior segment disease. Dr. Jenewein is an assistant professor at Salus University Pennsylvania College of Optometry, where she provides clinical instruction and lectures on pediatric eye and vision care. She completed a residency in pediatrics and binocular vision at Nova Southeastern University. She is an active member of the Pediatric Eye Disease Investigator Group. Her research interests include strabismus and binocular vision disorders. RICHARD BRILLIANT, OD, FAAO TRACY OFFERDAHL, PHARMD A professor at Salus University Pennsylvania College of Optometry, Dr. Brilliant is a senior low vision practitioner who lectures on low vision rehabilitation. He is a member of the Low Vision Executive Council of the Diplomate Program of the American Academy of Optometry. He has served as principal investigator and clinical evaluator in many NEI research grants involving low vision lens systems. Dr. Offerdahl is a graduate of Temple University School of Pharmacy and an assistant professor at Salus University. She completed a residency in pharmacy practice at Temple University Hospital, where she spent much of her training in the area of infectious diseases. She has held faculty positions at University of the Sciences in Philadelphia and Philadelphia College of Osteopathic Medicine. Dr. Offerdahl has a clinical practice outside of Philadelphia and is currently doing additional training in integrative medicine studies, including homeopathy and herbals. GREGORY A. CALDWELL, OD, FAAO A graduate of the Pennsylvania College of Optometry, Dr. Caldwell completed a one-year residency in primary care and ocular disease at The Eye Institute of Salus University. Dr. Caldwell has lectured extensively in the USA and abroad on anterior and posterior segment ocular disease. He is a diplomate of the American Board of Optometry. He served as president of the Pennsylvania Optometric Association in 2010 and was elected to the American Optometric Association Board of Trustees in 2013. HANDOUTS Download the handouts from our online course directory at ecampus.salus.edu. A user name and password will be provided with your registration confirmation. All handouts will be available by Friday, October 30, 2015. ADDITIONAL PARKING On Monday, November 2, please park at Keneseth Israel Synagogue, 8339 Old York Road, Elkins Park, PA. It is located directly across the street from Salus University. Linda Casser, OD, FAAO, FNAP, coordinator, Salus University Interprofessional Education Initiatives; professor, Salus University Pennsylvania College of Optometry; interim director of education, Physician Assistant program, Salus University College of Health Sciences Each day features continuing education, continental breakfast and lunch. Caitlyn Foy, OTD, MOTR/L, assistant professor, Occupational Therapy program, Salus University College of Education and Rehabilitation Email: [email protected] Tel: 215.780.1382 Fax: 215.780.1325 Joy Henderson, MMS, PA-C, assistant professor and academic coordinator, Physician Assistant program, Salus University College of Health Sciences Confirmation of your registration will be sent by email – please provide your email address on the registration form. Jonette Owen, AuD, assistant dean for the Practice and Assessment of Audiologic Medicine; assistant professor, Salus University Osborne College of Audiology A $25 administrative fee will be charged for all cancellations. No refunds will be made after Friday, October 23, 2015. Fabiana Perla, MS, EdD, chair, Department of Blindness and Low Vision Studies; director, Orientation & Mobility Program; associate professor, Salus University College of Education and Rehabilitation Robert Serianni, MS, CCC-SLP, instructor, Speech-Language Pathology program, Salus University College of Education and Rehabilitation; clinic director, Salus University SpeechLanguage Institute Melissa A. Vitek, OD, FAAO, director of International and Continuing Education; director of Advanced Studies and Electives; assistant professor, Salus University Pennsylvania College of Optometry Capacity is limited. Registration is processed on a first-come, first-served basis: For more information, call Salus University at 215.780.1382 or email [email protected]. EXHIBITORS Allergan Blanchard Contact Lens, Inc. Luxottica Norwood Device and Diagnostics OPTOMETRIC EDUCATION SUNDAY & MONDAY NOVEMBER 1 & 2, 2015 16 Hours — COPE Approval Pending PCO008 2015 OE_FA-REV.indd 2 One Day: $225 Two Days: $350 Hafter Student Community Center Elkins Park, PA 19027 9/11/15 4:32 PM