Preparing Health Professionals for the 21St Century: Expanding the Mission

Community Faculty & Practice-Based Research Networks Collaborative Conference

March 13-14, 2015

Griffin Gate Marriott Resort and Spa

Lexington, Kentucky

To assist in the planning efforts for this conference, please respond promptly to this invitation, indicating whether you will attend. Reservations for hotel accommodations must be made by Thursday, February 26, 2015 to guarantee a room, limited rooms available. Registration for conference attendance must be received no later than Friday, March 6, 2015.

YOU HAVE 3 EASY WAYS TO REGISTER:

ON-LINE at
FAX this completed form to (859) 323-1043
BY PHONE at (859) 323-8018

Please call the Community Faculty Program office at (859) 323-8018 or (859) 323-8013 if you have questions or if you need to cancel your reservation.

PARTICIPANT INFORMATION:

FIRST Name MI LAST Name

Profession: ______Degree: ______

Specialty: ______

Mailing Address: ______

City State Zip

EMAIL ADDRESS:

CONFERENCE REGISTRATION: (check all that apply)

 I will attend both Friday and Saturday meetings

(beginning noon Friday, March 13, 2015)

 I will attend Friday meetings ONLY

MEALS:

 I will attend the keynote luncheon Friday, March 13, 2015.

 I will not attend the keynote luncheon Friday, March 13, 2015.

EVENTS:

(Please check all that apply)

 I will attend the reception on Friday, March 13, 2015.

I will bring a guest to the reception.

HOTEL RESERVATIONS – TO GUARANTEE A ROOM RESERVATIONS MUST BE MADE BY THURSDAY FEBRUARY 26, 2015:

(Please check all that apply)

Please reserve a  (single)  (double) room for me to stay at the Griffin Gate Marriott Resort and Spa as a guest of the University of Kentucky on Friday, March 13, 2015.

Please indicate any special needs here:

______

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Please select your session preferences below. This is for planning purposes only. Selections can be changed the day of the conference.

FRIDAY SESSIONS:

(Select one from each session)

Concurrent Session 1

 Development and validation of a clinically practical patient assessment: Engagement, Literacy and Adherence (P-ELA)

 Retinal Findings in Hypertension and Diabetes

 Dental Information Support for the Kentucky Oral Health Network (KOHN)

Concurrent Session 2

 Development and validation of a clinically practical patient assessment: Engagement, Literacy and Adherence (P-ELA)

 Retinal Findings in Hypertension and Diabetes

 Dental Information Support for the Kentucky Oral Health Network (KOHN)

SATURDAY SESSIONS:

Concurrent Session 1

 UK Center for Interprofessional HealthCare Education, Research, and Practice: Update

 Rural Physician Leadership Program Update: How to Provide Medical Education in Rural Eastern Kentucky

 Minimizing Productivity Loss While Precepting

 Population Health

 Dealing with Difficult Students

Concurrent Session 2

 Update on the Western Kentucky Initiative: A discussion among interested faculty and staff

 Rural Physician Leadership Program Update: How to Provide Medical Education in Rural Eastern Kentucky

 Minimizing Productivity Loss While Precepting

 Population Health