The Medical College of Wisconsin is a private college with a public mission:
excellence in education, research, patient care and community service.
Wisconsin Dermatological Society
Fall Meeting ~ Saturday, October 18, 2014
Shelly Martin
Department of Dermatology
9200 W. Wisconsin Avenue
Milwaukee, WI 53226
(414) 955-6221
REGISTRATION FORM
PLEASE FILL OUT THE REVERSE SIDE OF THIS FORM:
Send registration form to:
Fax:
[email protected]
Department of Dermatology
9200 West Wisconsin Avenue
Milwaukee, Wisconsin 53226
Registration and
payment
(if applicable)
must be
received by
October 10, 2014
Email:
If you have any questions regarding this event, please contact Shelly Martin at (414) 955-3106
Wisconsin
Dermatological Society
Fall Meeting
Saturday, October 18, 2014
To be held at:
Medical College of Wisconsin
Alumni Center
8701 Watertown Plank Road
Milwaukee, WI 53226
Presented by:
MCW
Department
of
Dermatology
Chairman’s Lecture
John E. Harris, MD, PhD
Assistant Professor of Dermatology
Director, Vitiligo Clinic and Research Center
University of Massachusetts Medical School
Nancy B. Esterly, MD Lecture
Elaine C. Siegfried, MD
Professor of Dermatology and Pediatrics
Saint Louis University
Cardinal Glennon Children’s Hospital
Accreditation Statement
This activity has been planned and implemented in accordance with the Essential Areas and policies of the
Accreditation Council for Continuing Medical Education through the joint sponsorship of the Medical College of
Wisconsin and the Wisconsin Dermatological Society. The Medical College of Wisconsin is accredited by the ACCME
to provide continuing medical education for physicians.
Designation of Credit Statement
The Medical College of Wisconsin designates this live activity for a maximum of 4.25 AMA PRA Category 1 Credit(s)
™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Medical College of Wisconsin designates this activity for up to 4.25 hours of participation for continuing
education for allied health professionals.
“Interesting Cases from MCW Dermatology”
Dermatology Residents
Medical College of Wisconsin
B lvd
Di
8
s co
ve r
yP
Blood
Center
Research
Institute
y
Closed
Mental
2
F
Children’s
Research
Institute
Complex
1
Medical College Front Entrance to Medical
College of Wisconsin
of Wisconsin
A
Visitor
Handicapped
Parking
parking
B
C
3*
Children’s
Clinic
Park Center
Curative
"Patient Care Pearls from the Contact Dermatitis Clinic"
Keri S. Chaney, MD
Assistant Professor of Dermatology
Medical College of Wisconsin
Fitness
Center
D
E
6
11:45-12:00 pm
(non-CME)
12:00-1:15 pm
"Multidisciplinary Melanoma Clinic at Froedtert Cancer Center Update on Clinical Trials”
Amy K. Harker-Murray, MD
Department of Medicine, Division of Hematology and Oncology
Stuart J. Wong, MD
Department of Medicine, Division of Hematology and Oncology
Stefan M. Schieke, MD
Department of Dermatology
5
92nd
Street
Area
Lunch and Wisconsin Dermatological Society Business Meeting
1:45-2:30 pm
“Neutrophilic Urticarial Dermatosis: The Patient Behind the Pattern”
Olayemi Sokumbi, MD
Assistant Professor of Dermatology
Medical College of Wisconsin
“Interesting Cases from MCW Dermatology”
Dermatology Residents
Medical College of Wisconsin
1
Dynacare
Labs
4 * Wisconsin
PARKING
7*
4
Eye
Institute
Froedtert
Hospital
ARKING
1:15-1:45 pm
Children’s
Hospital of
Children’s
Hospital
Offices
9*
Specialty Clinics
Skywalk
Future site
Froedtert & the
Medical College
Of Wisconsin
Center for
Advanced Care
Pavilion
87th
Street
Area
11*
10*
Parking
Skywalk
Cancer
Center12*
Mail To:
Shelly Martin
Department of Dermatology
9200 W. Wisconsin Avenue
Milwaukee, WI 53226
Zip Code
Please make checks payable to
MCW Dermatology
No charge
$100.00
$50.00
No Charge
16*
Sargeant
Health Center
Exit 39
PARKING
2
PARKING
3
*To claim CME credit for this event, you must log into http://ocpe.mcw.edu and create a learner profile prior
to the meeting. Instructions will be email to you upon receipt of your registration.
wan
13 Health
11:15-11:45 am
MRMC
Childcare
Center
Note: Watertown Plank Rd.
is under construction
E-mail Address
(parking is available across the street from the main entrance of the college)
kw
10:30-11:15 am
Break
Medical College of Wisconsin – use main entrance
Alumni Center
8701 Watertown Plank Road
Milwaukee, WI 53226
Business Phone
10:15-10:30 am
Nancy B. Esterly, MD Lecture
“Something Old, Something New, Something Borrowed:
Options for Systemic Treatment in Children”
Elaine C. Siegfried, MD
Professor of Dermatology and Pediatrics
Saint Louis University
Meeting Location:
Registration and
payment
(if applicable)
must be
received by
October 10, 2014
9:30-10:15 am
Chairman’s Lecture
"Vitiligo and Alopecia Areata: Recognizing Clinical Variations and Planning Treatment”
John E. Harris, MD, PhD
Assistant Professor of Dermatology
University of Massachusetts Medical School
The Medical College of Wisconsin fully intends to comply with the legal requirements of
the Americans with Disabilities Act. If any participant of the conference is in need of
accommodations, please call (414) 955-3106.
State
ADA Statement
City
Welcome
Sam T. Hwang, MD, PhD
Professor and Chairman of Dermatology
Medical College of Wisconsin
Street Address
8:20 am
Degrees
To keep dermatology providers abreast of relevant new clinical knowledge and
dermatological skills, in order to provide quality medical care for their patients, and
improved healthcare outcomes.
First Name
Registration and Pharmaceutical Exhibits
Last Name
7:30 am
8:30-9:30 am
FEE SCHEDULE
WDS Member
Guest MD
Guest PA or NP
Resident
Educational Purpose
REGISTRATION FORM / PLEASE PRINT
MCW Alumni Center
Fall Meeting ~ Saturday, October 18, 2014
Saturday, October 18, 2014
This program is intended for dermatologists, dermatopathologists, dermatologic
surgeons, nurse practitioners, physician assistants, WDS members, and other allied
healthcare providers who work with patients that have dermatologic diseases. The
secondary target audience is dermatology residents.
Wisconsin Dermatological Society
Schedule of Events
Target Audience and Scope of Practice