www.swscongress.org

ADVANCE PROGR AM

April 8–11, 2018 The Meritage Resort & Spa | Napa, California

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UTHWESTERN SURGICAL CONGRESS•

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S O U T H W E S T E R N S U R G I C A L CO N G R E S S

70th Annual Meeting

PRESIDENTIAL ADDRESS

Daniel Margulies, MD

THOMAS G. ORR MEMORIAL LECTURE

Kenric Murayama, MD

CLAUDE H. ORGAN, JR. MEMORIAL LECTURE

Gregory J. Jurkovich, MD

EDGAR J. POTH MEMORIAL LECTURE

Walter Biffl, MD

REGISTER BY

MARCH 16

& SAVE

70th Annual MeetingS O U T H W E S T E R N S U R G I C A L C O N G R E S S

April 8–11, 2018 AT The Meritage Resort & Spa IN Napa, California

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The Southwestern Surgical Congress invite you to experience all that Napa has to offer. The Southwestern Surgical Congress Annual Meeting features a flexible schedule to allow you to maximize your educational opportunities, while leaving plenty of time to network with colleagues. The meeting will feature oral scientific abstract presentations, ePoster displays, quick shot presentations, video presentations, invited guest lectures, an exhibitor showcase, a special presentation from the American College of Surgeons, a special panel by past presidents of the association, and postgraduate courses.

PRESIDENTIAL ADDRESS Sunday April 8, 20184:30pm – 5:15pmDaniel Margulies, MD

SWSC PRESIDENTS’ ePOSTER SESSIONSunday, April 8, 20185:30pm – 6:30pm

Don’t miss simultaneous presentations of ePosters in thematic groupings. SWSC Past Presidents are set to moderate and you will not want to miss out on this fast-paced learning opportunity!

EDGAR J. POTH MEMORIAL LECTURE Tuesday, April 10, 20183:45pm - 4:30pmWalter L. Biffl, MD

Established in 1975, The Edgar J. Poth Memorial Lecture was named after the 15th President of The Southwestern Surgical Congress.

THOMAS G. ORR MEMORIAL LECTURE Monday, April 9, 20188:10am – 8:55amKenric M. Murayama, MD

The Thomas G. Orr Memorial Lecture, named after the 2nd President of The Southwestern Surgical Congress, began in 1966.

TOP 10 PAPERS SESSIONSWednesday, April 11, 201810:00am – 10:45am Top 10 Papers in Trauma

10:45am – 11:30amTop 10 Papers in General Surgery

CLAUDE H. ORGAN, JR. MEMORIAL LECTURE Wednesday, April 11, 20189:15am - 10:00amGregory J. Jurkovich, MD

Established in 1996, the Claude H. Organ, Jr. Memorial Lecture was named after Dr. Claude Organ for his tireless dedication to The Southwestern Surgical Congress and the surgical profession.

SCIENTIFIC SESSIONS Scientific papers will be presented with plenty of time todiscuss hot topics. Notable scientific session topics include Abdominal, GI, Trauma, Surgical Oncology, Breast, Endocrine and Acute Care Surgery.

QUICK SHOT PRESENTATIONS Hear Quick Shot presentations addressing issues faced in surgery every day. Topics include Trauma, GI, CT and Acute Care, Breast and Endocrine.

EXHIBITOR SHOWCASE The SWSC provides your best opportunity to network and interact with vendors from numerous companies representing medical equipment, pharmaceutical companies, and other surgical suppliers. All are waiting to discuss their newest products and get feedback from you. Plenty of time will be available to network in this engaging setting and to take valuable information back to your practice. There will be a Reception on Sunday evening to kick off the opening of the ePoster and exhibit displays.

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3ADVANCE PROGRAM SWSC 2018 Annual Meeting | April 8–11, 2018 | The Meritage Resort & Spa

LOWRY DONORS RECEPTIONSaturday, April 7, 20186:30pm – 7:00pm

Thank you to those who have generously donated to the Lowry Fund of the SWSC Foundation. The funds collected will be used for the annual Lowry Award (best paper by a new member), educational grants for medical students and residents, and other initiatives to be supported and defined by the Southwestern Surgical Congress.

POSTGRADUATE COURSE: COMMON BILE DUCT Sunday, April 8, 20189:30am - 12:00pmCost $100 (pre-registration required)9:30am - 10:45am Didactic10:45am - 12:00pm Hands-on

POSTGRADUATE COURSE - ISSUES IN TRAUMA CARESunday, April 8, 20188:00am - 9:55amModerator: Gail Tominaga, MD

Trauma Resuscitation Over the Last 155 Years | John Holcomb, MD

What to Do About the Truncal Hemorrhage Problem | John Holcomb, MD

REBOA: Limitations and Lessons Learned | Steve Smith, MD

Challenging Vascular Injuries | David Feliciano, MD

Panel Discussion

POSTGRADUATE COURSE - GENERAL SURGICAL UPDATESunday, April 8, 201810:10am - 12:00pmModerator: Clay Cothren Burlew, MD

Acute Appendicitis: Current Status of Antibiotics vs. Surgery | Daniel Vargo, MD

Management of Cholecystectomy-Associated Bile Duct Injuries | Bryan Clary, MD

Strangulated Small Bowel Obstruction | S. Rob Todd, MD

Reoperative Abdominal Surgery After Trauma / EGS Catastrophies -

Lessons Learned | David Feliciano, MD

Panel Discussion

WELCOME & EXHIBITOR RECEPTIONSunday, April 8, 20186:30pm - 7:30pm

Enjoy drinks, tasty light appetizers and networking with old friends and colleagues. Make plans to get together for dinner following the reception. This Reception is included in all registration fees. All guests attending the Exhibitor Reception must present their name badge.

AMERICAN COLLEGE OF SURGEONS SESSION Monday, April 9, 20188:55am – 12Noon

Hear the latest update from the American College of Surgeons, along with updates on surgical training opportunities.

PAST PRESIDENTS PANELTuesday, April 10, 201811:15am – 12Noon

Join us for this special panel of SWSC Past Presidents, and a unique early morning educational offering you will not want to miss!

MOCK ORAL BOARDS Tuesday, April 10, 201812Noon – 2:00pm

This session is geared specifically towards PY4 and PY5 Residents and recent graduates. Pre-registration required. For questions email swsc@lp-etc.com.

DEALING WITH MASS CASUALTIES - LUNCHEON Tuesday, April 10, 201812:15pm - 1:30pmModerator: Brian EastridgeTrauma systems in disaster and mass casualty response: Response to Hurricane Harvey and the mass shooting at Sutherland Springs | Ronald Stewart, MDLas Vegas Shooting | Deb Kuhls, MD Florida Hurricanes: Mitigation through Preparation | Stephen Smith, MD

CME CREDIT CME credit will be available for this activity.

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4ADVANCE PROGRAM SWSC 2018 Annual Meeting | April 8–11, 2018 | The Meritage Resort & Spa

TRAVEL INFORMATIONTravel may be booked to a variety of airports including the following:

• San Francisco International Airport (1 ¼ hours)

• Oakland International Airport (1 hour)

• Sacramento International Airport (1 hour)

Shuttle InformationEvans Transportation (from San Francisco & Oakland Airports)Telephone: 707-255-1559Web: www.evanstransportation.comCost: $40 per person (cash only)Napa Airporter (from Sacramento Airport)Telephone: 707-252-1900Web: www.napaairporter.com/serv.htm

Private CarReservations may be made from San Francisco, Oakland, Sacramento, and Santa Rosa/Sonoma. Cost: $215 each way (sedan)Telephone: 707-251-1916Email: concierge@themeritageresort.com

Car RentalsAll major car rental companies are available from the San Francisco, Oakland and Sacramento Airports.

ParkingAll parking fees are included in the resort fee for hotel guests.

HOTEL RESERVATIONS A block of rooms has been set aside at The Meritage Resort and Spa for attendees at a reduced rate. To ensure you receive the group rate of $289 Single/Double occupancy per night plus tax, and a daily resort fee of $20, reservations must be made prior to March 16, 2018. Resort fees include a complimentary bottle of wine per stay, two daily bottles of water, use of hotel’s fitness studio, basic internet access, in-room coffee, tea, newspaper, valet and self-parking, evening shuttle to downtown Napa and shuttle to Eagle Vines Golf Course. Reservations received after March 16 will be accepted based on availability. Reservations must be guaranteed with a major credit card.

Online reservations can be made on the website link at https://www.swscongress.org/. For additional resort information, visit www.themeritageresort.com.

The Meritage Resort & Spa 875 Bordeaux Way Napa, CA 94558 Reservations: 866-370-NAPA Web: www.themeritageresort.com.

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5ADVANCE PROGRAM SWSC 2018 Annual Meeting | April 8–11, 2018 | The Meritage Resort & Spa

MERITAGE RESORT

Spa Spa Terra offers a variety of massages, facials and body treatments. You can see a full list of treatment options online at http://meritagecollection.com/meritageresort/napa-valley-spa-resorts/#Treatments. To book your treatments in advance call 707-251-3000 directly or online at http://www.secure-booker.com/meritage/BookOnlineStart.aspx.

Complimentary Shuttle To Downtown Napa Resort guests can travel to Downtown Napa in a 25-passenger shuttle that offers convenient guest transportation to restaurants, shopping and tasting rooms. The Shuttle departs at beginning at 3:15pm every 45 minutes until 10:00, call for pick up after. The shuttle leaves from the front lobby of The Meritage Resort. The drive time to Downtown Napa is approximately 10 minutes. The three drop off points in Downtown Napa are: • Oxbow Market on 1st Street • 1st and Main • 3rd and Main The driver will provide guests with their business card to call when a return pickup is needed

Trinitas Tasting Room Guests to Trinitas Cellars can indulge in custom flights of Trinitas wine and Artisan chocolate pairings, or simply pick up a bottle to enjoy with dinner at Siena Restaurant. Guests can also shop for wine country gifts. Located at The Meritage Resort and open daily from 10:00am to 7:00pm and no appointments are necessary. Learn more about the tastings offered in the Trinitas Cellars Tasting Room by visiting this website http://www.trinitascellars.com/Visit-Us.

Biking The Meritage Resort typically has at least 4 bikes on property for guests to rent at their leisure. Please inquire with the Front Desk.

Pool The Meritage Resort features two swimming pools (one exclusively for adults) and three whirlpools. The outdoor pool area is open daily from sunrise to sunset. Poolside cabanas are available for rent and can be reserved through Crush Lounge (707) 251-3066.

Hiking And Parks Skyline Wilderness Park, , http://www.skylinepark.org/en/ 2201 Imola Ave. Phone: 707-252-0481. Hours of Operation 8:00am to 5pm. Open 7 days a week.

LOCAL ATTRACTIONS & TOURS

There are endless things to do and see in the Napa Valley area. To make the most of your trip, view these websites for ideas and pre-planning.

Legendary Napa Valley https://www.visitnapavalley.com/

Meritage Resort & Spa http://meritagecollection.com/meritageresort/

Local Area Event Calendar Check out the EVENT CALENDAR on the Meritage website at www.meritageresort.com under Attractions / Napa Valley Events Calendar for a list of events going on during your stay: http://meritagecollection.com/meritageresort/luxury-napa-valley-hotel/upcoming-resort-events/.

For updated activities available at both the hotel and the area, you can find information on the Meritage website under activities or directly on this link: http://meritagecollection.com/meritageresort/luxury-napa-valley-hotel/things-to-do-in-napa-valley/

The Meritage Concierge is happy to make arrangements for you for various activities throughout the Napa area. You can reach them directly at: http://meritagecollection.com/meritageresort/napa-valley-lodging/plan-your-stay/

Wine Tour Join this daily tour bus, which provides daily tours traveling to Napa or Sonoma wineries and includes a picnic lunch. Transportation to wineries and lunch is $110 per person, tasting fees, averaging $10-$15 per winery are additional. https://www.platypustours.com/

Napa Valley Wine Train There are 7 different lunch trains and 5 different dinner trains. Please feel free to check online or call their toll free number for details http://winetrain.com/ or 800-427-4124.

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6ADVANCE PROGRAM SWSC 2018 Annual Meeting | April 8–11, 2018 | The Meritage Resort & Spa

LOCAL ATTRACTIONS & TOURS

Napa Valley Epicurean Excursions Gourmet guided food tour of Napa Valley by a food-obsessed local. Tours are limited to 7 people to ensure an intimate experience and includes a wine country style lunch. You will learn about the history of the Napa Valley, unique AVA’s (American Viticultural Areas) weather, and soil profiles. The tour travels from Napa to Yountville, Oakville and St. Helena to meet artisanal food producers while receiving behind-the-scenes access at each location. A farm-to-table lunch at Farmstead is included. Potential stops include: Model Bakery, Lucero Olive Oil, Rancho Gordo, St. Clair Brown Winery, Oakville Grocery, Farmstead, Woodhouse Chocolate, Culinary Institute of America at Greystone, and Napa Style. 10am – 4pm. The tour starts at Model Bakery in Napa, fee is $190 per person + 9.50 booking fee. $199.50 total.

Napa Valley Balloons Allow us to reserve your flight and Napa Valley Balloons will pick you up from the lobby 30 minutes before the meeting time (pick up time varies monthly because of sunrise). The meeting place is Domaine Chandon Winery in Yountville and the excursion begins with continental breakfast while watching the balloon fill with air, a 45 minute to 1 hour flight and return drive, including Etoile Restaurant for a beautiful brunch. $239 per person, includes continental breakfast, balloon flight, brunch and transportation, duration is 3 to 5 hours. There is a 72 hour cancellation policy.

SWSC SPONSORED ACTIVITIES

Monday, April 9 YOGA ON THE VINEYARD Cost: $30 per person Time: 6:30am - 7:30am

Start your morning with a moment of yoga amid the rolling hills of the resort’s own 9-acre vineyard. You will greet the day with an invigorating yoga flow class to energize the body and awaken the mind. Towels and yoga mats included. Namaste!

GOLF TOURNAMENT Cost: $125 per person Time: 1:00pm - Shotgun Start

Eagle Vines Golf Club Web: www.eaglevinesgolfclub.com The annual golf tournament will be held at Eagle Vines Golf Club. Cost includes greens and cart fees, tournament coordination and prizes, and a boxed lunch. Eagle Vines Vineyards & Golf Club is tucked away in the foothills of Napa Valley, offering one of the most scenic courses in the area. It is also considered by many locals to be one of the most challenging. Every hole on the golf course provides stunning views of the surrounding vineyards. The layout sprawls across gently rolling hills that weave through stands of mature cherry and oak trees, shimmering waterfalls, and meandering creeks. The golf course offers challenging multi-tiered greens and postage-stamp landing areas that demand well placed iron shots. The memorable seventh hole features an even more difficult island green. There are also some tricky fairways that seem much more open than they are. Eagle Vines numerous risk-reward opportunities that will have golfers using every club in their bag.

VINEYARD TOUR & TASTING Cost: $45 per person Time – 1:00pm – 2:30pm 90 minutes wine guided tour through Meritage Resort and Spa vineyard. 5 flight wine tasting included.

SCIENCE OF FOOD & WINE TOUR Cost: $55 per person Time: 1:00pm – 2:30pm 90 minute class. Learn how elements of wine interacts with elements of basic flavor building in food. 5 wines and pairings included.

FOR ADDITIONAL INFORMATIONThe Southwestern Surgical CongressPO Box 219191Kansas City, MO 64121-9191

t: 913-402-7102swsc@lp-etc.comwww.swscongress.org

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7ADVANCE PROGRAM SWSC 2018 Annual Meeting | April 8–11, 2018 | The Meritage Resort & Spa

SWSC SPONSORED ACTIVITIES

Tuesday, April 10 BIKE TOUR Cost: $125 per person Time: 1:00pm – 4:00pmEnjoy a 3 hour guided bike tour through scenic the Carneros wine region. Learn the history of wineries and take in picturesque views along the way!  The difficulty level is leisurely and can accommodate all skill levels. Riders will stop at 2 wineries (tastings not included in price). Guests will be picked up right from the lobby and dropped off after. Unlimited water, transportation and guide gratuity included in price.

SWSC RECEPTION Time: 6:00pm – 9:00pmJoin your fellow SWSC colleagues for an evening of fabulous food and socializing. This reception promises to be the perfect conclusion to a wonderful week in Napa. This event will be held in the unique Estates Cave Venue on property at the Meritage. This event is included in the fee for all registered attendees and spouses/guests. Additional fees apply for non-registered guests.

ANNUAL MEETING REGISTRATION – Register by March 16thand SAVEComplete the enclosed registration form and mail with full payment, or register online at www.swscongress.org. Please make checks payable to SWSC or enclose credit card information. Balance dues are not accepted.

Take advantage of a reduced registration fee by having your registration postmarked by March 16th. Registrations postmarked after this date will be processed at the higher rate. All cancellations or requests for name substitutions must be received in writing. Refunds will be issued after the meeting for written cancellations received at SWSC Headquarters by March 16th.

There is a $100 processing fee for all cancellations. No refunds will be given for cancellations received after March 16th.

WEATHER/ATTIRE INFORMATION Maui weather in April ranges from the high 50s to high 60s. The dress code for the conference is resort casual. Resort attire is appropriate for the Exhibitor Welcome Reception and resort or cocktail attire is recommended for the SWSC Reception. Attendees may want to bring a light jacket or sweater for outdoor activities and meeting room air conditioning.

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8ADVANCE PROGRAM SWSC 2018 Annual Meeting | April 8–11, 2018 | The Meritage Resort & Spa

DON’T MISS THESE RESIDENT MEETING HIGHLIGHTS

Registration Discounts! Please contact the SWSC Headquarters if your institution is sending (3) or more Residents, to receive a $100 discount

Jack Barney Resident Award The Jack Barney Award for Best Resident Paper will be presented on Tuesday evening.

Mock Oral Boards Tuesday, April 10, 2018 12Noon - 2:00pm Mock Oral Boards for PY4 & PY5 Residents and recent graduates!

The Lowry Award The Lowry Award is for the Best Paper by a New Member. The award will be presented Wednesday at the close of the meeting.

SWSC 2017–18 OFFICERS President Daniel Margulies, MDPresident Elect Courtney Scaife, MDVice President S. Rob Todd, MDSecretary-Treasurer Shanu Kothari, MDRecorder Daniel Vargo, MD

PROGRAM COMMITTEE Gail Tominaga, Program ChairDaniel Margulies, PresidentDaniel Vargo, RecorderFred Pieracci, Immediate Past ChairLillian Liao, CME Chair Millard DavisNicolas MeloRichard FrazeeBartley PickronJorge DeAmorim FilhoLindsey O’Meara

SWSC HEADQUARTERS STAFF Marjorie Malia Director, Association Management Jill Willhite Director, Association Management Laura Fitzgerald Finance Corinne Hornsey Meetings & Events Deborah East Industry Relations Mary Kawulok Registration & Membership Dues Shayla Concannon Communications Tracy Brown Membership, Publications & Events Nora Barrett Registration

If you have any questions or need additional information please contact:

The Southwestern Surgical CongressPO Box 219191 Kansas City, MO 64121-9191

t: 913.402.7102swsc@lp-etc.comwww.swscongress.org

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9ADVANCE PROGRAM SWSC 2018 Annual Meeting | April 8–11, 2018 | The Meritage Resort & Spa

Saturday, April 7, 20181:00pm - 2:00pm Executive Committee Meeting

2:00pm - 5:00pm Council Meeting

5:00pm - 6:00pm Program Directors Meeting

6:30pm - 7:00pm Lowry Donors Reception

7:00pm - 8:30pm Presidents & Residents Reception

Sunday, April 8, 20187:45am - 5:00pm Registration Open

8:00am - 9:55am Postgraduate Course - Issues in Trauma Care

9:30am - 12:00pm Common Bile Duct Postgraduate Course

10:10am - 12Noon Postgraduate Course - General Surgical Update

1:00pm - 2:30pm Scientific Session 1: General Surgery/Oncology

2:30pm - 2:45pm Introduction of New Members

2:45pm - 3:15pm Afternoon Beverage Break, ePosters & Exhibits

3:15pm - 4:30pm Scientific Session 2: Trauma 1

4:30pm - 5:15pm Presidential Address Daniel Margulies, MD

5:30pm - 6:30pm SWSC Presidents’ ePoster Session

6:30pm - 7:30pm Welcome & Exhibitor Reception

Monday, April 9, 20186:30am - 7:30am Vineyard Yoga

6:30am - 8:30am Continental Breakfast

6:30am - 12:15pm Registration Open

6:45am - 12:00pm Exhibits & ePoster Displays

6:45am - 8:00am Quick Shot Session 1: Acute Care Surgery

6:45am - 8:00am Quick Shot Session 2: Trauma

6:45am - 8:00am Quick Shot Session 3: MIS/Hernia

8:10am - 8:55am Thomas G. Orr Memorial Lecture Kenric Murayama, MD

8:55am - 12Noon American College of Surgeons Presentation

10:15am - 10:30am Afternoon Beverage Break, ePosters & Exhibits

12Noon - 12:30pm MCT Committee Meeting

1:00pm - 6:00pm Annual Golf Tournament

1:00pm - 2:30pm Science of Food and Wine Tour

1:00pm - 2:30pm Vineyard Tour & Tasting

SCHEDULE AT-A-GLANCE

Tuesday, April 10, 20186:45am - 5:00pm Registration

7:00am - 8:15am Quick Shot Session 4: Education/Other

7:00am - 8:15am Quick Shot Session 5: Trauma

7:00am - 8:15am Quick Shot Session 6: Potpourri

6:45am - 8:30am Continental Breakfast

6:45am - 2:45pm Exhibits & ePoster Displays

8:15am - 9:30am Scientific Session 3: Potpourri

9:30am - 10:00am Afternoon Beverage Break, ePosters & Exhibits

10:00am - 11:15am Scientific Session 4: Critical Care/Infection

11:15am - 12:00noon Past Presidents Panel

12:00pm - 2:00pm Mock Oral Boards (pre-registration required)

12:15pm - 1:30pm Optional Lunch: Dealing with Mass Casualties

1:00pm - 4:00pm Optional: Guided Bike Tour

1:30pm - 2:30pm Scientific Session 5: General Surgery 2

2:30pm - 2:45pm Afternoon Beverage Break, ePosters & Exhibits

2:45pm - 3:45pm Scientific Session 6: Education/Wellness

3:45pm - 4:30pm Edgar J. Poth Memorial Lecture Walter Biffl, MD

4:30pm - 5:00pm SWSC Annual Business Meeting (Members Only)

5:15pm - 6:00pm SWSC APC Reception

6:00pm - 9:00pm SWSC Reception

Wednesday, April 11, 20186:45am - 12:00pm Registration

7:00am - 8:00am Quick Shot Session 7: General Surgery

7:00am - 8:00am Quick Shot Session 8: Trauma

7:00am - 8:00am Quick Shot Session 9: Oncology

6:45am - 8:30am Continental Breakfast

8:00am - 9:15am Scientific Session 7: Trauma 2

9:15am - 10:00am Claude H. Organ, Jr. Memorial Lecture Gregory Jurkovich, MD

10:00am - 10:45am Top 10 Papers in Trauma

10:45am - 11:30am Top 10 Papers in General Surgery

11:30am - 12Nooon Award Presentations & Closing Session

REGISTRANT CATEGORY Check one category below. Registration fee includes daily breakfast, breaks, scientific sessions,

postgraduate courses, reception, and the SWSC Reception. There are additional fees for the Optional Activities, as outlined below:

Member Physician Non Member Physician Retired Physician Member Associate Member

Resident/Fellow Advanced Practice Provider Medical Student Spouse / Companion

REGISTRANT INFORMATION Please print your name as you would like it to appear on your name badge.

FIRST NAME LAST NAME

INSTITUTION

WORK ADDRESS CITY/STATE/ZIP

OFFICE PHONE FAX

E-MAIL ADDRESS

REGISTRATION FEES BY MARCH 16 AFTER MARCH 16 REGISTRATION FEESMember Physician $495 $545 $

Non Member Physician $650 $700 $

Retired Physician Member $495 $545 $

Associate Member $350 $400 $

Resident/Fellow $400 $450 $

Advanced Practice Provider $400 $450 $

Medical Student $350 $400 $

Spouse / Companion $200 $250 $

*Companion name (if attending) as you would like it to appear on the name badge

OPTIONAL ACTIVITIES Please indicate below the functions you plan to attend.

TOTAL # ATTENDING ADDITIONAL FEE FEESSUNDAY, APRIL 8

$100 $

$30 $

$45 / $55 $

$125 $

$20 $$125 $

$25 $

Postgraduate Course: Common Bile Duct

MONDAY, APRIL 9Vineyard YogaVineyard Tour & Tasting OR Science of Food and WineAnnual Golf Tournament

TUESDAY, APRIL 10Dealing with Mass Casualties Luncheon Guided Bike Tour Mock Oral BoardsSWSC Reception tickets for non-registered spouse/guest x $125 $

Program Book Format Preference PDF Format Hardcopy Book @ $25 $25 $

(please include this fee in your registration total)

SWSC Tax ID # 73-0588502 GRAND TOTAL $

PAYMENT INFORMATION Full payment must be received with the registration form via a check, payable to SWSC, or by credit card by filling out the information below. NO BALANCE DUES ARE PERMITTED.

American Express MasterCard VISA Discover CheckIf paying by credit card, please provide the following:

NAME AS IT APPEARS ON CARD

CARD NUMBER EXPIRATION DATE

MAILING ADDRESS CITY/STATE/ZIP

REGISTRATIONQUESTIONS?SWSC Headquarterst: 913.402.7102swsc@lp-etc.com

Please complete ONE form for

EACH physician registrant.

Register prior to

March 16thand SAVE!

IF PAYING BY CREDIT CARDYou may register by emailing this form swsc@lp-etc.com or register online at www.swscongress.org

IF PAYING BY CHECK Please mail your completed registration form, along with payment to:

Southwestern Surgical Congress PO Box 219191Kansas City, MO 64121-9191

CANCELLATION POLICYRegistration cancellations received in writing and sent to the address above by March 16, 2018 will be refunded, less a $100 administrative fee. All refunds will be processed immediately following the conference. No refunds for cancellations received after March 16, 2018.

Meeting Con irmations will be e-mailed to the e-mail address provided in the “Registrant Information” section above.

THE SOUTHWESTERN SURGICAL CONGRESS | 2012 ANNUAL MEETINGMARCH 25-28, 2012 | TERRANEA RESORT | RANCHO PALOS VERDES, CA

SWSC 2018 Annual Meeting | April 8–11, 2018 | The Meritage Resort & Spa

REGISTRATION

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