GENERAL INFORMATION 36th Annual Friday, February 20, 2015 FEATURED GUEST SPEAKER – SHARON ALAMALHODAEI, COMT UTAH Sharon Alamalhodaei has been JCAHPO-certified since 1994. She has worked as a COMT, a Clinic Manager/Practice Manager, in medical & surgical assisting, among other positions; however, her passion lies in educating others and motivating them to become THEIR personal best. Sharon started her own business four years ago, Eye Tech Training, and travels weekly all across the country conducting staff trainings, technical skills assessments, hosting certification exam courses, and providing one-on-one follow up training. In her “free time,” Sharon is also an author & designer! Her two books, How to be The Tech Your Doctor Can’t Live Without and 10 Steps to a Phenomenal Patient Experience - Customer Service Secrets for the Eye Care Team, have been popular sellers and her exclusive design of a unique, clear pupil gauge has quickly become a hit. Location Meeting Room Sheraton Salt Lake City Hotel 150 West 500 South, Salt Lake City, UT 84101 Canyons Ballroom Ophthalmic Technical Staff Education Program February 20, 2015 Registration Participants must submit a completed registration form and payment by February 11, 2015. Registration by fax to (651) 731-0410 or online at www.jcahpo.org/registration/ is accepted if fees are charged to a credit card. No onsite registration is available. Program Director: Annette Mahler, Executive Director, Utah Ophthalmology Society Special Needs If you have a disability and require special classroom accommodations, please append a statement regarding your disability-related needs. We cannot ensure the availability of appropriate accommodations without prior notification of need. Program Chairs: Sandra Staker, COT and Dana Dillon, COT, OSA Cancellations/Refunds Telephone cancellations will not be accepted. A written notice must be received no later than two weeks prior to the meeting for a refund minus a $50 administrative fee. No refunds will be made after February 11, 2015. Participant substitutions can be made up to 2 weeks prior to the meeting. Handouts/Online Evaluations A link to course handouts will be emailed to registrants one week prior to the meeting date, as they are not provided onsite. Handouts are available for two weeks. A link to the online program evaluation will be given to you at the meeting. Attendees are required to complete the online evaluation within two weeks in order to receive CE Credit for the meeting. Continuing EducationCredits This program has been awarded 8 JCAHPO Credits. AOC and OPS credits have been approved. JCAHPO continuing education credits earned will be posted on your account at www.jcahpo.org approximately 6-8 weeks after the program, for participants who complete evaluation forms. NOTE: Attendance is monitored for each hour of instruction. Participants absent for more than 15 minutes of any given hour will not receive credit for that hour. From Park City (East): Take Interstate 80 West to Interstate 15 North. Exit onto 600 South. Proceed to West Temple and turn left. Continue north on West Temple to 500 South, and turn left. The hotel is located on the right From Provo (South): Take I-15 and exit onto 600 South. Proceed to West Temple and turn left. Continue north on West Temple to 500 South and turn left. The hotel is located on the right. Parking Free Parking is available on the west or east side of the hotel. REGISTRATION DEADLINE: February 11, 2015 Featuring Guest Speaker From Salt Lake City International Airport (West): Take I-80 East to I-15 South. Exit onto 600 South. Proceed to West Temple and turn left. Continue north on West Temple to 500 South, and turn left. The hotel is located on the right. February 20, 2015 From Ogden (North): Take Interstate 15 and exit onto 400 South. Proceed east to West Temple and turn right. Continue to 500 South and turn right. The hotel is located on the right. 36th Annual Utah Ophthalmology Society Ophthalmic Technician Program Registration Driving Directions Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO®) 2025 Woodlane Drive St. Paul, MN 55125 A room block has been reserved at the Sheraton Salt Lake City Hotel at a discounted rate. To reserve a room, please call (801) 401-2000 and be sure to mention the Utah Ophthalmology Society meeting group rate. The discounted rate is $108/night and is available until January 23, 2015 or until space is filled. You can also book online at https://www.starwoodmeeting.com/StarGroupsWeb/ res?id=1409173980&key=135661EE Sharon Alamalhodaei, COMT Hotel Reservations Sheraton Salt Lake City Hotel 150 West 500 South, Salt Lake City, Utah UTAH EDUCATION PROGRAM for Ophthalmic Technical Staff, Friday, February 20, 2015 7:30 - 8:00 a.m. Registration and Continental Breakfast - Canyons Ballroom 8:00 - 8:50 a.m. How to be the Tech Your Doctor Can’t Live Without • Sharon C. Alamalhodaei, COMT This course reveals responses to a survey taken of thousands of Ophthalmologists and Practice Administrators asking two questions: 1. What do you value in a tech? 2. What makes a tech indispensable to you? This course explains how to increase your value and effectiveness in the workplace ultimately benefitting your employer, patients, and career. REGISTRATION FORM Registration and payment must be received by February 11, 2015. A processing fee of $50.00 will be deducted from each cancelled registration. All cancellations must be received in writing no later than February 11, 2015. NO ONSITE REGISTRATION IS AVAILABLE. • Register Online: http://www.jcahpo.org/registration/ • Mail form and payment to: JCAHPO, 2025 Woodlane Drive, Saint Paul, MN 55125-2998 • Fax completed form to: (651) 731-0410 (Credit card payments only) Program Registration Fee - C ourse fees include: JCAHPO CE Credits, continental breakfast, lunch, and 8:50 - 9:40 a.m. Electro-oculograms (EOG) and Multifocal Electroretinograms (ERG) • Donnell J. Creel, PhD This course will discuss the history, technology, basis, and clinical application for retinal dystrophies, ocular trauma, and retinal drug toxicities that can be assessed using electro-oculograms and multifocal electroretinograms. 9:40 - 10:00 a.m. Break 10:00 - 10:50 a.m. Minor Procedures: Can You Hand Me That? • Alison V. Crum, MD, and Emily Peterson, COT This course will provide a lecture and demonstration on how to set up, assist, and clean up minor ophthalmic procedures. Discussions will also include setting up and assisting in a sterile field as well as identifying the instruments used in the procedures. 10:50 - 11:40 a.m. Overview of Vitreoretinal Pathology Requiring Surgical Management • Ryan F. Isom, MD This course will provide an overview of vitreoretinal pathology that requires surgical intervention. Discussions will also include distinguishing between urgent vs. non-urgent pathology. Surgical videos will be shown. 11:40 a.m. - 12:45 p.m. Lunch 12:45 - 1:35 p.m. Ocular Motility: The Straight Story • Sharon C. Alamalhodaei, COMT, with Jacqueline Pullos, COT & AJ Ormond, COMT The functions of the extraocular muscles and the cranial nerves will be explained with helpful mnemonics given to retain important anatomy and physiology. Cover-Uncover Testing and Alternate Cover Testing will be explained and demonstrated. Krimsky and Hirshberg Tests and Convergence Testing will be described and explained. Participants will have the opportunity to practice Cover -Uncover Testing with fellow course participants. 1:35 - 2:25 p.m. Women’s Eye Health • Mary Elizabeth Hartnett, MD This course will discuss vision and goals of women’s eye health followed by some examples of conditions specific or more common to the female sex, common in women because women tend to live longer than men. We will also discuss international concerns secondary to access. Registration Deadline: February 11, 2015 ❏ UOS Member: $175 refreshments during breaks. ❏ JCAHPO Certified/ATPO Member: $185 ❏ Non-member: $210 Please PRINT clearly using blue or black ink. Name __________________________________________________ Professional Credentials_______________________ JCAHPO ID#_______________________________________________ Date of Birth (mm/dd/yy) _______/_______/_______ Practice/Business______________________________________ Home Address___________________________________________ Address___________________________________________ City_________________________State________Zip____________ City________________________State__________Zip_________ Home Telephone (________)_________________________________ Telephone (________)__________________________________ Fax (_______)_________________________________________ Fax (_______)______________________________________ E-mail (required to receive handouts and evaluation link) PAYMENT INFORMATION ❏ Check enclosed ❏ VISA ❏ MasterCard ❏ American Express ❏ Discover The following information is required to process credit card orders: _____________-_____________-_____________-_____________ _____________ ________/_______ ________________ Credit Card Number Security Code Expiration Date Cardholder’s Zip Code (3 or 4-digits on front or back of credit card) 2:25 - 2:35 p.m. Break 2:35 - 3:25 p.m. Oculoplastic Surgery for the Ophthalmic Technician • Conley B. Call, MD Cardholder’s Address _______________________________________________________________________________ This course will discuss oculoplastic issues commonly seen in a general oculoplastic practice. It will also review how the ophthalmic tech can be an active part of the eye care team. Name as it appears on credit card (please print) _______________________________________________________________ Refractive Cataract Surgery: IOLs and Beyond • Charles H. Weber, MD Cardholder’s Signature X_____________________________________________________________________________ This course will serve as a review of current refractive cataract surgery, including surgical technique, intraocular lenses, and emerging technologies. It will also review steps to maximize surgical outcomes, both before and after surgery. IN CASE OF EMERGENCY, PLEASE NOTIFY: 3:25 - 4:15 p.m. 4:15 p.m. Adjourn This program has been awarded 8 JCAHPO credits. AOC and OPS credits have been approved. Name ____________________________________________________ Telephone Number (__________)_______________________ REGISTRATION DEADLINE: February 11, 2015
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