2014 Sanford Diabetes Symposium • November 13, 2014 NON PROFIT ORG US Postage PAID SANFORD Registration Form Diabetes Symposium Registration Fee: $60 Sanford Employee Fee/Affiliated Faith Community Nurse Fee: $25 Early Registraton Deadline: November 3, 2014 A late fee of $10 will be charged for registrations postmarked after November. 3. Name: _________________________________________________ Position/Title: __________________________________________ Organization:____________________________________________ Credentials/Certification:_________________________________ Address:________________________________________________ City: _________________ State: ________ Zip Code:_________ Telephone: ( )________________________________________ E-mail:_________________________________________________ November 13, 2014 Holiday Inn 3803 13th Ave, Fargo, ND Payment Method: ❑ Check (Payable to Sanford) ❑ Visa ❑ MasterCard ❑ American Express ❑ Discover Cardholder Name____________________________________________________ Card Number ___________________________ 3-Digit Security Code_ ______ Expiration Date__________________ Zip Code (billing address)____________ Signature___________________________________________________________ To Register: Mail: Send payment with registration form to Sanford Center for Learning, Rt 1511, PO Box 2010, Fargo, ND 58122-1511 Questions or more information: Call Sanford Center for Learning at (701) 280-4802 or (800) 437-4010. Visit our website at sanfordhealth.org for additional information and a complete conference listing. Please share extra brochures with your colleagues. Sanford PO Box 2010 Fargo, ND 58122 (E-mail addresses will be used for symposium correspondence such as registration confirmation.) Special dietary needs (i.e. vegetarian, etc.): _______________________________________________________ 2014 Sanford Health Sanford Diabetes Symposium This symposium is designed to enhance the knowledge and competence of participants by providing an update on the latest research and management of diabetes and subsequent complications. The target audience includes nurses, advanced practice providers, primary care physicians, diabetes educators, dietitians, and other interested health care professionals. Learning Objectives Upon completion of this program, participants should be able to: • Discuss the management of gestational diabetes. • Explore future risk of diabetes due to gestational diabetes. • Explain the role of pharmacists in the medical home model. • Explore challenges associated with medication compliance in patients with diabetes. • Examine the relationship between eye health and diabetes. • Explore treatment options for diabetic eye disease. • Discuss the importance of early recognition and foot screenings of patients with diabetes. •Describe common concerns associated with the feet of patients with diabetes. • Discuss the connection between eating disorders and diabetes. • Compare and contrast new devices used to assist patients in the management of their diabetes. • Explore how technological applications can be used in diabetes management. •Describe the role of the diabetes educator in the team management of diabetes. • Discuss how patient outcomes are affected by involvement of a diabetes educator. Disclosure It is the policy of Sanford to provide balance, indepence, objectivity and scientific rigor in all Sanford sponsored educational activities. The presence or absence of any potentially biasing finacial relationships on the part of those who are in a position to influence the content, design or implementation will be available at the activity so activity participants can formulate their own judgements regarding potential bias. Faculty Varsha Babu, M.D. Endocrinologist, Sanford Diabetes Center Natasha Petry, Pharm.D., R.Ph. Internal Medicine Medical Home Pharmacist, Assistant Professor, North Dakota State University Blaine Zieman, O.D. Optometrist, Sanford Eye Center Tim Uglem, D.P.M. Podiatrist, Sanford Southpointe Clinic Stephanie Critchley, M.S., R.D., L.D., C.D.E. Program Manager-Patient Services, International Diabetes Center & Melrose Institute, Park Nicollet Clinic, Minneapolis, MN Sue Cavalier, B.S.N., R.N., C.D.E. Diabetes Nurse Educator, Sanford Diabetes Center Angela Homuth, B.S.N., R.N., C.D.E. Diabetes Nurse Educator, Sanford Diabetes Center Program Agenda 7:30-8:25 a.m. Registration & Exhibits 8:25-8:30 a.m. Welcome & Introductions 8:30-9:15 a.m. Pregnancy & Gestational Diabetes Varsha Babu, M.D. 9:15-10:15 a.m. The Patient Centered Medical Home Pharmacist’s Role in Managing Diabetes Natasha Petry, Pharm.D., R.Ph. 10:15-10:30 a.m. Break & Exhibits 10:30-11:15 a.m. Ocular Manifestation of Diabetes: Detection & Treatment Blaine Zieman, O.D. 11:15 a.m. -12:15 p.m. The Diabetic Foot Tim Uglem, D.P.M. 12:15-1:15 p.m. Lunch 1:15-2:15 p.m. Eating Disorders & Diabetes Stephanie Critchley, M.S., R.D., L.D., C.D.E. 2:15-2:30 p.m. Break & Exhibits 2:30-3:30 p.m. Pumps, Sensors, & Other Tools to Help Manage Diabetes Sue Cavalier, B.S.N., R.N., C.D.E. 3:30-4 p.m. You Are Not The Boss of Me Angela Homuth, B.S.N., R.N., C.D.E. 4 p.m. Evaluation & Adjournment For your comfort, we recommend dressing in layers as it is difficult to control the room temperature in conference facilities. Registration & Accommodations Pre-registration is required. For more information, call (800) 437-4010, ext. 280-4802. The early registration deadline is Nov. 3, 2014. The fee, less $10, will be refunded if you choose to cancel on or before Nov. 10. Participants with disabilities who require assistive devices and accessible meeting rooms in order to attend this educational activity may call Sanford Center for Learning at (701) 280-4802, (800) 437-4010 or TDD (701) 234-6655. A block of rooms have been resered at the Holiday Inn. Room reservations must be received by Oct. 13 Reservations can be made by calling (877) 282-2700. Visit www.fargohi.com for more information. Continuing Education Credit/Contact Hours Sanford Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Sanford Health designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Sanford Health Center for Learning is an approved provider of continuing nursing education by the Washington State Nurses Asscociation ContinuingEducation Approval & Recognition Program (CEARP), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 6.1 contact hours.
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