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September 19 – 21, 2011 The Hilton San Diego Resort & Spa San Diego, California Metro Area Hear From Leading Military Organizations, Government Agencies, and Medical Service Providers: www.BattlefieldHealthcare.com 1-800-882-8684 H. Westley Clark, M.D., J.D., M.P.H., CAS, FASAM, Director, Center for Substance Abuse Treatment COL Leopoldo Cancio, USA, Combat Critical Care Engineering Program, US Army Institute of Surgical Research Dr. Gary Abrams, Rehabilitation Section Chief, SF VA Medical Center Julie C. Chapman, PsyD, Neuroscientist, Principal Investigator, MIND Study, War Related Illness & Injury Study Center (WRIISC) Veterans Affairs Medical Center J. Wesson Ashford, MD, PhD, Director, War Related Illness and Injury Study Center, VA Palo Alto Healthcare System Presents a training conference: Maximizing the Efficiency of Our Caregivers Earn CME and Continuing Education Credits Post-Combat Casualty Care Receive Informative and Innovative Sessions from DoD and VA Medical Professionals Addressing the Need for our Military Personnel’s Continuum of Care Post Combat Diagnostics of Neuron-Analysis Pain Management Techniques and the Way Ahead Advanced TBI Treatments for Mild, Moderate and Severe Patients Next Generation Burn Treatment and Research The Latest in Prosthetics Advancement and Application from the VA Topics Include: Media Partners:

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Page 1: Post combatcare7

September 19 – 21, 2011 • The Hilton San Diego Resort & SpaSan Diego, California Metro Area

Hear From Leading Military Organizations, GovernmentAgencies, and Medical Service Providers:

www.BattlefieldHealthcare.com • 1-800-882-8684

H. Westley Clark, M.D., J.D., M.P.H.,CAS, FASAM, Director, Center forSubstance Abuse Treatment

COL Leopoldo Cancio, USA,Combat Critical Care EngineeringProgram, US Army Institute ofSurgical Research

Dr. Gary Abrams, RehabilitationSection Chief, SF VA Medical Center

Julie C. Chapman, PsyD,Neuroscientist, Principal Investigator,MIND Study, War Related Illness &Injury Study Center (WRIISC) VeteransAffairs Medical Center

J. Wesson Ashford, MD, PhD,Director, War Related Illness and Injury Study Center, VA Palo AltoHealthcare System

Presents a training conference:

Maximizing the Efficiency of Our Caregivers

Earn CME and

ContinuingEducation

Credits

Post-Combat Casualty Care

Receive Informative and Innovative Sessions fromDoD and VA Medical Professionals Addressing theNeed for our Military Personnel’s Continuum of Care

• Post Combat Diagnostics of Neuron-Analysis

• Pain Management Techniques and the Way Ahead

• Advanced TBI Treatments for Mild, Moderate and Severe Patients

• Next Generation Burn Treatment and Research

• The Latest in Prosthetics Advancement and Application from the VA

Topics Include:

Media Partners:

Page 2: Post combatcare7

Dear Colleague,

IDGA’s Battlefield Healthcare Series™ summits have become highly recognized andrespected forums where members of the military healthcare community can cometogether for an advanced and focused curriculum on up to date clinical diagnosis andtreatment techniques, lessons learned from the battlefield, and panel discussions thatallow participants to earn continuing education credits.

With the conclusion of major battle operations in Operation Iraqi Freedom (OIF), and thecontinued ground presence within Operation Enduring Freedom (OEF), the necessity foran adjusted allocation of resources becomes evident. New advancements in militaryhealthcare, rehabilitation, and civilian reintegration are of major importance to ourarmed service members. Issues such as Post Traumatic Stress Disorder (PTSD), TraumaticBrain Injury (TBI), and Substance Use Disorder (SUD) are now our military’s newestadversaries. Providing comprehensive wellbeing to the Warfighter has lead to thecreation of more and more behavioral health programs in order to address issues suchas PTSD, substance abuse, and suicide issues that face not just the DoD community, butthe VA community, and families as well.

Recognizing that the resiliency and well being of our Warfighters does not stop whenthey return home, we proudly feature a diverse group of subject matter experts tacklinga wide range of topics critical to the DoD and VA Community. By bringing togethervarious perspectives with an attention to improved, essential care at home, we willprovide you with three days of in-depth discussions and debates. Ultimately, you willleave with a better understanding of the current issues facing our Warfighters andVeterans.

Please join us in September to hear from our distinguished speaker faculty, and meetyour respective colleagues throughout all the Services and the VA.

Very Respectfully,

Matthew RussilloProgram Director, IDGA

Who You Will Meet:

About IDGA:

At IDGA’s Post-Combat Casualty CareSummit, you will have the exclusiveopportunity to interact, network, andlearn from the leading representativesfrom military units / organizations,government agencies, and medical serviceproviders. Attendees will hail from thegovernment, academia, and the privatesector, including:

• Physicians: Physical andPsychological

• Researchers and Developers

• Surgeon Generals’ Staff andAssistants

• Force Health Protection Personnel

• Case Management Professionals

• Medical Operations / Training /Caregivers

The Institute for Defense &Government Advancement (IDGA) is anon-partisan information basedorganization dedicated to the promotion ofinnovative ideas in public service anddefense. We bring together speaker panelscomprised of military and governmentprofessionals while attracting delegateswith decision-making power from military,government and defense industries.

In addition to our live events, IDGA offersan online community dedicated toproviding defense industry professionalswith industry analysis and insightsthrough podcasts, videos, webinars,articles, and presentations from keyindustry leaders. Members of our onlinecommunity are able to extend their liveevent experience and interact with thedefense industry by leveraging theopportunity to network, share ideas, bestpractices, and business solutions. Join ourcommunity today at www.idga.org

2 Log on to www.BattlefieldHealthcare.com or call 1-800-882-8684 to register today

Post-Combat Casualty Care

Join us on at http://www.LinkedIn.com/groups?gid=2479269

Become our fan on at www.facebook.com/IDGA.org

Follow us on at www.twitter.com/IDGAinsight

Page 3: Post combatcare7

Registration & Coffee8:00 am

Lunch1:00 pm – 1:30 pm

Social Competence Treatment of Soldiers and Veterans with TBI/PTSD

9:00 am – 11:00 am

Log on to www.BattlefieldHealthcare.com or call 1-800-882-8684 to register today3

Societal Collaboration

A Focus on the Recovery of Brain Injury Victims

11:00 am – 1:00 pm Cognitive Remediation

The Impact of Traumatic Brain Injury on the Warrior and the Family Unit

1:30 pm – 3:30 pm Family Functionality

Deciphering Neuroimaging: TBI and PTSD

3:30 pm – 5:30 pm Optimizing Technique

This session will present an evidence-based model for improving social competenceamong military personnel with TBI. The GIST (Group Interactive Structured Treatment)model blends a structured curriculum with group process techniques, addressing boththe psycho-social and speech-language aspects of social competence. Application of themodel for use with military/veteran participants will be discussed and illustrated with casestudies. A published evidenced based study demonstrating the efficacy of the GISTprogram will be reviewed.

What Will Be Covered:• Social Competence challenges in soldiers and veterans with TBI/PTSD• Group Interactive Structured Treatment – GIST: an evidenced-based group treatment

for social competence• Case studies and clinical observations of soldiers/veterans with TBI in the GIST Program

How You Will Benefit:• Identify common social competence problems of military personnel with TBI/PTSD• Describe key elements of the GIST Program• Ability to discuss the application of the GIST Program to meet the needs of

military/veterans with TBI/PTSD

Jody K. Newman, M.A., CCC-SLPPrivate Practice, Denver, Colorado

Clinical Professional in ResearchResearch Department, Craig HospitalEnglewood, Colorado

This session will focus on the damage done to the brain and the use of remediationtechniques to help lessen adverse effects. Neuron death and the severing of connectionsbetween neurons is the physiological cause of the mental impairments observed in braininjured people.

What Will Be Covered• Understanding the connection between physical and psychological damage• Cognitive Remediation: a focus on day to day rehabilitation of concentration and memory• Coping with any permanent changes as a result of the injury, including physical, emotional

and cognitive conditions

How You Will Benefit:• Enable caregivers to recognize symptoms and proceed with necessary

remediation techniques• Maximize the use of tools, such as computer programs, to help lessen adverse

effects• Create an action plan for the long term

Anthony J.-W. Chen, M.A., M.D.Center for Brain Injury Treatment and Research Director,VA Northern California Health Care System and San Francisco VAMC

Blast-related traumatic brain injuries have affected about 320,000 U.S. troops and their families.It is considered the "signature" injury of the wars in Iraq and Afghanistan generating a broadrange of disabling and debilitating problems. The treatment and pain management of TBIamong polytrauma victims varies substantially.

What Will Be Covered• What are the signs/symptoms of TBI as they relate to the warrior and the family• What are the resources available for the diagnosis and treatment of TBI nationally and locally • How can the cooperative efforts between military and civilian health care improve the

reintegration of the Warrior and provide support to the family

How You Will Benefit:• Developing elevated educational awareness at-home in order to combat TBI• Improved ability to access proper treatment• Determine effective and necessary improvements to strengthen the collaboration

of military and civilian health care

Dr. Chrisanne Gordon, M.D.Director of Rehabilitation ServicesMemorial Hospital of Union CountyMarysville, OH.

The myriad and quickly evolving methodologies used in brain imaging render theunderstanding of results challenging for the non-radiologist clinician. Dr. Julie C.Chapman will guide delegates through the complex task of decipheringexperimental results and clinical interpretation for patients suffering from combat-related TBI and PTSD. During the first part of the workshop, Dr. Chapman willcompare and contrast disparate imaging methods and detail their differentialrelevance. In the second part, delegates will incorporate this information intodidactics about currently known neuroimaging patterns associated with war-related TBI and PTSD. It is hoped that neuroimaging will contribute to theidentification of condition-specific markers. These markers could facilitate thediscovery of new therapeutic targets and ultimately improve of the quality of lifefor America’s Warfighters.

What Will Be Covered• Differences between neuroimaging methodologies and results • Brain Imaging results among patients sustaining blast and non-blast TBI • Neuroimaging differences in patients with TBI and PTSD

How You Will Benefit:• Learn about the differential usefulness of neuroimaging methods (when & why

they are used)• Improve understanding of clinical interpretation and experimental results• Gain knowledge of neuroimaging patterns associated with TBI and PTSD

Julie C. Chapman, PsyDDirector of Neuroscience, War Related Illness & Injury Study CenterAssistant Professor of Neurology, Georgetown University School of MedicinePrincipal Investigator, MIND Study

Post-Combat Casualty Care Master ClassFocusing on TBI/PTSDThis series of workshops will spotlight the rehabilitation of polytrauma victims with a focus on TBI. Lessons will be on thetreatment of TBI and how to increase social competence among our military personnel at home. A workshop session onneuron-imaging and diagnosis increase the participant’s ability to locate and treat blast related brain injuries. Other sessionsinclude the transition from government to civilian healthcare detailing its significance in regards to troop’s wellbeing.

Monday, September 19, 2011

Lenore A. Hawley, LCSW, CBITPrivate Practice, Denver, Colorado

Clinical Professional in ResearchResearch Department, Craig HospitalEnglewood, Colorado

Page 4: Post combatcare7

4 Log on to www.BattlefieldHealthcare.com or call 1-800-882-8684 to register today

7:15 am REGISTRATION AND COFFEE

8:00 am Chairperson’s Opening Remarks

8:15 am Opening Keynote Remarks: Trauma’s Impact onthe Behavioral Health of Returning Military andTheir Families• The relationship between trauma and substance abuse among

returning military and their families • The importance of trauma-informed care when treating

returning military and their families • SAMHSA’s role in supporting programs and services to address

the behavioral health needs of veterans and their families.

H. Westley Clark, M.D., J.D., M.P.H., CAS, FASAMDirectorCenter for Substance Abuse Treatment

9:00 am Assistive Technologies: The Benefits for Returnees• Definition of Assistive Technology (AT)• Domains of Assistive Technology (cognitive aids,

communication devices, adaptive computer access, adaptivesporting equipment, etc.)

• Potential benefits of AT to compensate for functionalimpairments resulting from combat injuries

Sandy Lai, MD, MBAMedical Director, Assistive Technology CenterVA Palo Alto Health Care System

9:45 am NETWORKING BREAK

10:30 am Neuropsychiatric Issues in the Diagnosis,Management, and Rehabilitation of TBI • Behavioral problems are commonly found in individuals who

have experienced a traumatic brain injury. Understanding theneuroanatomy of the lesion can help to understand what theproblems are, as opposed to considering the afflicted individualto be “willfully” misbehaving.

• While the behavioral problems associated with PTSD can bediagnosed and treated with standard psychiatric nosology,understanding the problems as failures to process informationin particular neuro-behavioral systems can improve theapproach to management.

• Understanding the concept of neuroplasticity and that brainconnections can be remodeled, leads to the tailoring ofindividual rehabilitation plans for patients who have had atraumatic brain injury

J. Wesson Ashford, MD, PhDDirector, War Related Illness and Injury Study CenterVA Palo Alto Healthcare System

11:15 am The "B" Really Matters in the "ABCs": ImprovingPrehospital Ventilation of Brain-Injured Casualties• Relationship between prehospital ventilation and mortality in

TBI patients• Data on effectiveness of prehospital ventilation in combat

casualty care• Strategies to improve ventilation in prehospital care: end-tidal

CO2 monitors, transcutaneous CO2 monitors, and decisionsupport for ventilation

Col. Leopoldo Cancio, USACombat Critical Care Engineering ProgramUS Army Institute of Surgical Research

12:00 pm LUNCH

1:00 pm Panel Discussion: Effect of CommunityRehabilitation & Reintegration among MilitaryPersonnel due to the Implications of Post-Combat Injury

Dr. Gary AbramsRehabilitation Section ChiefSF VA Medical Center

Judith T. Broder, M.DFounder and Director of: The Soldiers Project

Tatjana Novakovic-Agopian, Ph.D.Rehabilitation Neuropsychologist SF VA Medical Center.Assistant Professor Dept. of Neurology UCSF. Co-Director,Program in Rehabilitation Neuroscience San Francisco andMartinez VAM

2:15 pm NETWORKING BREAK

3:00 pm Effective Therapeutic Recreation Programming:Veterans with TBI/PTSD/Polytrauma• Developing peer relationships among wounded military

personnel and their spouses, friends or family • Combining sports, family and coping therapies to restore

and rehabilitate men and women of the armed forces

Bert Gillette, CTRSVeterans Outreach Coordinator Higher Ground

3:45 pm Returning to School or College: Issue forReturning Veterans with Polytrauma• How schooling re-emersion positively affects social

development • Steps the VA has taken to encourage soldier2student

transformation • Identifying the stressors experienced upon return to college

Oanh N. Mandal, M.D.Physical Medicine and RehabilitationPolytrauma Network SiteVA Palo Alto Healthcare System, Livermore Division

4:30 pm END OF MAIN SUMMIT DAY ONE

This was among the best conferences, most comprehensive and worthwhile training

I have ever attended.- NNMC Bethesda

Main Summit Day One Tuesday, September 20, 2011

Page 5: Post combatcare7

Log on to www.BattlefieldHealthcare.com or call 1-800-882-8684 to register today5

7:15 am REGISTRATION AND COFFEE

8:00 am Chairperson’s Opening Remarks

8:15 am Keynote Remarks: Addressing Suicidal OutreachPrograms for Unstable Vets• Uncovering the causes of suicidal tendencies• Crafting support programs as inhibitors • How outreach programs proactively enable their users

COL John C Bradley, MDChief, Integrated Department of PsychiatryArmy Medical Command

9:00 am Suicide Detection and Prevention in the Post-Combat Warrior • Emphasizing that receiving help is not weakness• Training personnel to recognize suicidal symptoms• A comprehensive look at all the elements around suicide,

including post-traumatic stress disorder (PTSD), mildtraumatic brain injury (TBI), and depression.

MAJ Jerald Block, USAPracticing PsychiatristOregon Health Science University

9:45 am NETWORKING BREAK

10:30 am Pain Management after Combat Injury:Battlefield to Recovery • Review pathophysiologic mechanisms leading to persistent

pain following injury• Review the continuum of care from injury to recovery• Review approaches to managing pain with complex co-

morbidity such as TBI and PTSD

Rollin M. Gallagher MD, MPHDeputy National Program Director for Pain Management, VACentral OfficeDoD - VA Health Executive Committee Working Group on PainManagement

11:15 am Burn Rehabilitation Challenges with Co-MorbidTrauma• Provide an Overview of Burn Rehabilitation Principles and

Practice in the DoD setting• Discuss Common Co-morbidities with Combat Related Burns• Describe Current Treatment Interventions used at the U.S.

Army Burn Center

Scott Dewey, PT, CHT, OCSClinical Coordinator, Burn RehabilitationU.S Army Burn Center, USAISR

12:00 pm LUNCH

1:00 pm Physical Health & Rehabilitation: AdvancedNeuroimaging Results Illustrate the Risks ofObesity and Diabetes• Brain imaging results from individuals with obesity and/or

type two diabetes mellitus • Implications for rehabilitation and recovery • Strategies for therapeutic intervention

Julie C. Chapman, PsyDDirector of Neuroscience, War Related Illness & Injury StudyCenterAssistant Professor of Neurology, Georgetown University Schoolof MedicinePrincipal Investigator, MIND Study

1:45 pm Advances in Prosthetic’s: Moving forward• Advances in upper and lower extremity power prosthetics

mimetic devices• Advances in microprocessors in lower extremity prosthetics• Prosthetic interfaces

- Sockets and advanced composites- Mind machine interface and other control mechanisms- Suspension systems

• Cutting edge devices now in use vs. the future

Charles R. Scoville PT, DPT, COL(R).Interim DirectorDoD/VA Center of Excellence for Traumatic Extremity Injury andAmputation

2:30 pm NETWORKING BREAK

3:15 pm mTBI/ TBI: Coordinated Care for ServiceMembers and Veterans• DoD and USMC policies and programs related to Traumatic

Brain Injury• Recent DoD and USMC advances in battlefield care of TBI

and post-deployment care coordination• The mission and capabilities of the National Intrepid Center

of Excellence for Traumatic Brain Injury

CDR David Tarantino, MD, MPH Director for Clinical Programs Headquarters Marine Corps/Health Services

4:00 pm The Reintegration and Rehabilitation ofVeterans with TBI• Diagnosis criteria for TBI• Overlapping features of TBI/PTSD• Rehabilitation of TBI

Allison Franklin, DOPolytrauma PhysicianPhysical Medicine and RehabilitationDenver VA Medical Center

4:45 pm END OF MAIN SUMMIT

Very organized and well presentedconference that highlighted a multitude of

current issues and raised interestingquestions for the future

- Delegate from Walter Reed Army Medical Center

Main Summit Day TwoWednesday, September 21, 2011

Page 6: Post combatcare7

Dress Code: Military personnel are kindly requested to attend in theUniform of the Day. Appropriate attire for civilians is business casual.

MAKE CHECKS PAYABLE TO: IDGA

A $99 processing charge will be assessed to all registrations notaccompanied by credit card payment at the time of registration.

* CT residents or people employed in the state of CT must add 6% sales tax.

Details for making payment via EFT or wire transfer:JPMorgan ChasePenton Learning Systems LLC dba IQPC: 957-097239ABA/Routing #: 021000021Reference: Please include the name of the attendee(s) andthe event number: 20393.001

Payment Policy: Payment is due in full at the time of registration andincludes lunches and refreshments. Your registration will not be confirmeduntil payment is received and may be subject to cancellation.

Please refer to www.idga.org/cancellation for cancellation,postponement and substitution policy

Special Dietary Needs: If you have a dietary restriction, please contactCustomer Service at 1-800-882-8684 to discuss your specific needs.

IDGA is not affiliated with the U.S. Government or any branch of theArmed Forces

©2011 IDGA. All Rights Reserved. The format, design, content andarrangement of this brochure constitute a trademark of IDGA.

Unauthorized reproduction will be actionable under the Lanham Act andcommon law principles.

Web: www.battlefieldhealthcare.com

Email: [email protected]

Phone: 1-800-882-8684 or 646-378-6026

Fax: 646-378-6025, 24 hours a day

Mail: IDGA535 5th Avenue, 8th FloorNew York, NY 10017

+ Discounts apply to registrations submitted together, at the same time. Cannot be combined withany other discount.

Team Discounts+

Number of Attendees: Savings of: 3 to 4 10% 5 or more 15%

Military, Government,& Academia*

* This category does NOT include government contractors. Contractors are consideredcivilian/industry for the purpose of determining registration fees.

SOCO ADVISORY 09-03: 7.(a) Admission fees of $645 per day or less for all attendeesare considered reasonable costs worldwide for the purposes of JER 3-211 (a)(7).

5 Easy Ways to Register Now!

Pricing

Register by Register by Register by StandardJune 24, 2011 July 29, 2011 August 26, 2011 Price

Conference $399 $499 $599 $699

Workshop Day $645 $645 $645 $645

Industry Register by Register by Register by StandardJune 24, 2011 July 29, 2011 August 26, 2011 Price

Conference $999 $1,089 $1,189 $1,289

Workshop Day $645 $645 $645 $645

Sponsorship and ExhibitionOpportunities Still Available!For more information please contact Tom Boccard at 646-253-5517or [email protected].

Location & Lodging InformationThe Hilton San Diego Resort & Spa1775 East Mission Bay DriveSan Diego, CA 92109619-276-4010

http://www1.hilton.com/en_US/hi/hotel/SANHIHF-Hilton-San-Diego-Resort-Spa-California/index.do

The Hilton San Diego Resort & Spa is just six miles from the San Diego InternationalAirport, and right on San Diego's famous Mission Bay. This Four-Diamond SanDiego, California resort and spa is conveniently located one mile from San DiegoSeaWorld and offers 5-star service. A romantic paradise of palms and perfect sandybayfronts, this bayside retreat is complete with our all-new $5 million dollar crownjewel, Spa Brezza, state-of-the-art fitness center, beautifully refreshed guestrooms,plus Concerts on the Bay. From championship tennis courts to waterfront finedining, wherever your inspiration comes from, the Hilton San Diego, CA Resort andSpa is your destination and your retreat. As guests at our San Diego, CA resort andspa, indulge yourself in spa treatments, playing tennis, wakeboarding, sailing,splashing around the pool, or taking a bike ride along the boardwalk of beautifulMission Bay. Relax around a fire pit at Acqua, our newly designed restaurant whileyou view Mission Bay and enjoy our California cuisine. Treat yourself to the manySan Diego attractions during your time away from home.

Group Rate-$179Please identify you are part of the IDGA – Post Combat group to ensure thespecial rate. Note that you are eligible for this rate three day prior and three dayspost the event. Reservations Telephone- (800) 445-8667

Directions from local Airports:San Diego International-Lindbergh FieldDistance from hotel: 10 mi. Drive time: 6 min. Directions: Take I-5 north to Seaworld Drive, turn left at top of exit, turn right onEast Mission Bay Drive. The resort is 3/4 mile on the left. Estimated taxi fare: 25.00 USD, Super Shuttle: 13.00 USD

McClellan-Palomar AirportDistance from hotel: 28 mi. Drive time: 35 min. Directions: Take I-5 South and exit Clairemont Drive/Mission Bay Drive. Turn Leftat stop sign. Turn left again at stop onto Mission Bay Drive. The resort is located1/2 mile on the right.

6 Log on to www.BattlefieldHealthcare.com or call 1-800-882-8684 to register today

Media Partners:

• Register for the event• Download the complete program agenda• View the complete speaker roster and biographies• Gain free access to relevant podcasts, videos, articles, interviews, whitepapers, and past presentations at our resource center

• Learn more about the location, venue, and hotel discounts• Learn more about our sponsors, exhibitors, and media partners

• Plus much more!

Stay Connected! Visit www.BattlefieldHealthcare.com today to:

Page 7: Post combatcare7

www.BattlefieldHealthcare.com

September 19th – 21st, 2011 • San Diego, California Metro Area

Maximizing the Efficiency of Our CaregiversSeptember 19 – 21, 2011 • The Hilton San Diego Resort & Spa

San Diego, California Metro Area

Presents a training conference:

Maximizing the Efficiency of Our Caregivers

Earn CME and

ContinuingEducation

Credits

Post-Combat Casualty Care

Please register me:

Name _________________________________________________________________________________________________________

Job Title/Rank ___________________________________________________________________________________________________

Organization ____________________________________________________________________________________________________

Address ________________________________________________________________________________________________________

City ____________________________________ State/Province __________ Country ____________ Zip/Postal Code ___________

Phone _____________________________________________________ Fax _______________________________________________

E-Mail_________________________________________________________________________________________________________

Please register me for: � Summit � Post-Combat Casualty Care Master Class Focusing on TBI/PTSDSee Page 6 for pricing details.

�Please keep me informed via email about this and other related events.

�Check enclosed for $______________(Payable in US Dollars to IDGA)

Please charge my: �AmEx �Visa �MasterCard �Discover

Card #________________________________________________________________ Exp Date:_______/________CVM Code:________

Details for making payment via EFT or wire transfer can be found on preceding page.

11132.009/D/KC

51 2 3 4Website:

www.BattlefieldHealthcare.com

Email:[email protected]

Phone:1-800-882-8684or 646-378-6026

Fax:646-378-6025 24 Hours a Day

Mail:IDGA - 535 5th Avenue,8th Floor, New York, NY10017

Physicians: This activity has been plannedand implemented in accordance with theEssential Areas and Policies of theAccreditation Council for Continuing MedicalEducation through the joint sponsorship ofThe Institute for the Advancement of HumanBehavior (IAHB) and the Institute for Defenseand Government Advancement. IAHB isaccredited by the ACCME to providecontinuing medical education for physicians.

AMA PRA Statement: IAHB designates thiseducational activity for a maximum of 20.75AMA PRA Category 1 Credit(s)TM. Physiciansshould only claim credit commensurate withthe extent of their participation in the activity.Nurse: Amedco is an approved provider ofcontinuing nursing education by the WisconsinNurses Association Continuing Education

Don’t Miss CME and Continuing Education Credits!Approval Program Committee, an accredited approver by theAmerican Nurses Credentialing Center's Commission onAccreditation. This course is coprovided by Amedco and theInstitute for Defense and Government Advancement.Maximum of 22 contact hours.

CA Nurse: Amedco approved by the CA Board of RegisteredNursing, Provider #CEP13683, for 20.75 contact hours.