TH ANNUAL...1:15 pm – 2:45 pm Bullying in the Workplace Loraleigh Keashly, PhD, Wayne State University, Detroit, MI 2:45 pm - 3:05 pm Coding Syd Stevens, CPC, CIMC 3:05 pm – 3:20

“Like” us on Facebook - American Society of Diagnostic and Interventional Nephrology Follow us on Twitter - @ASDINNews

11TH

MEETING DIRECTORS: MICAH CHAN, MD, MPH AND YAEL VIN, MD, MPH

ANNUAL SCIENTIFIC MEETINGJW MARRIOTT ORLANDO, FL F E B R U A R Y 13 - 15 , 2 015

HANDS-ON PRE-COURSE - FEBRUARY 13TH ADMINISTRATOR/MANAGER PRE-COURSE - FEBRUARY 13TH

A m e r i c a n S o c i e t y o f D i a g n o s t i c & I n t e r v e n t i o n a l N e p h r o l o g y w w w . a s d i n . o r g

ASDIN 11TH ANNUAL SCIENTIFIC MEETING

MEETING HIGHLIGHTS •Hands-onPre-Course(separate registration required - including advanced and fellows track) •Full-DayPre-CourseProgramespeciallyforAdministratorsandManagers(separate registration required) •State-of-the-artnon-traditionalsessionscoveringarangeofinterventionaltopics •GeneralSessionsfeaturingmulti-specialtyfacultyandinteractiveaudienceresponse •Posterandabstractpresentations(visit www.asdin.org for Call for Abstracts) •Peer-to-peernetworking •Exhibits

SPECIAL SESSIONSAdministratorPre-CourseNon-PhysicianAssociatesProgramAbstractPresentations(PodiumandPoster)BreakoutSessiononNonDialysisInterventions

WHO SHOULD ATTEND? •Clinicalnephrologistsinterestedinoptimizingpatientcare •Establishedandaspiringinterventionalnephrologists •Interventionalradiologists •Vascularaccesssurgeons •Residents&fellows-in-training •Nephrologyoradvanced-practicenursesinvolvedin dialysispatientcareorvascularaccessmanagement •Radiologytechnologists

ABOUT ASDIN...Foundedin2000,ASDIN’smissionistopromotetheappropriateapplicationofnewandexistingproceduresinordertoimprovethecareofpatientswithkidneydisease.Theseproceduresinclude,butarenotlimitedto,insertionsoftunneledhemodialysisandperitonealdialysiscatheters,endovascularprocedures,anddiagnosticsonography.TheSocietyworkscloselywithothersocietiesandwithnephrologytrainingprogramstoachieveitsgoals.Allphysicians(nephrologistsandothers),administrators,technologists,andnursesinvolvedwiththecareofnephrologypatientsareinvitedtojoinandbe-comeactiveintheSociety.

ActivitiesoftheSocietyinclude: •Establishmentofpracticestandards •Certificationofphysiciansinspecificprocedures •Accreditationoftrainingprogramsinspecificprocedures •Developmentoftrainingtoolsandtechniques •Sponsoringsymposiaandtrainingcourses •Disseminationofinformationthroughperiodicmeetingsandthroughprintandothermedia

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HANDS-ON PRE-COURSE • FRIDAY, FEBRUARY 13TH

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TheASDIN11thAnnualScientificMeetingwillstartwithafull-dayHands-onWorkshop.Hands-onsessionsprovideanopportunitynotonlytolearn/improvenewskills,butalsotointeractwithexpertsandgainfromtheirexperiences.Basedonfeedbackfrompriormeetings,hands-ontimeattheworkshophasbeenexpandedtoallday!Participants,dividedintosmallgroups,willrotatethroughseveralstations(Coils,Stents,Snares,PeritonealDialysis-both Fluoroscopic/Peritoneoscopic,andPort-a-Catheter).ThisPre-Coursewillincludeabonussessiononadvancedsurgicaltechniquesinmanagementofaccessdysfunction.Dr.JohnRosswilldiscussuseofadvancedvascularaccessinpatientswithdifficultaccess.

ANNOUNCING FIRST INTERVENTIONAL NEPHROLOGY TRAINING FELLOWS PRE-COURSE! To address Nephrology Fellowship Procedural Milestones

Fellow Registration is limited to the first 40 registrants.NephrologyGraduatesarerequiredtobecompetentinRenalBiopsy,CentralVenousCatheterInsertions,andManagementofDialysisVascularAccess.ASDINispleasedtoannounceaHands-onworkshopforNephrologyFellowstoaddressNephrologyfellowshipproceduralmilestones.SimulationmodelsforRenalBiopsy,CentralVenousCatheterInsertion,andVascularUltrasoundwillprovideopportunitytoacquirerequiredskills.Physicalexamofvascularaccesswillbevaluableexperiencetodevelopcompetencyindiagnosing vascularaccessdysfunction.Groupdiscussionandliteraturereviewwill provideanswerstoseveralpracticalquestionsonaccessmanagement:whenandwhatarterialvenousaccesstoplaceandhowtomanagedysfunctionalaccess(AVF,AVG,andCatheters).

ASDINisprovidingtwenty(20)registrationscholarshipsforthisInterventionalNephrology FellowsPre-Course.Scholarshipsarelimitedtotwopertrainingprogramandawardedonafirstcome,firstservebasis. InordertobeconsideredforthePre-Courseregistration scholarship,Fellowsshouldsubmitthecompletedregistrationformonpage10ofthis brochurealongwithaletterofrecommendationsignedbytheirtrainingprogramdirector. Theformandlettermaybesubmittedbyemail,[email protected],orfaxedto601-924-6249.Firstcome,firstserveandprogramlimitswillbestrictlyenforced.

PRE-COURSE CHAIRS: Ivan Maya, MD, Nephrology Associates of Central Florida, Lake Mary, FL and Bharat Sachdeva, MD, Louisiana State University Health Sciences Center, Shreveport, LA

ADVANCED PRACTITIONER HANDS-ON PRE-COURSE! Advanced Registration is limited to the first 80 registrants.

9:00 am - 5:00 pm • No CME offered for Pre-Course

FELLOW SCHOLARSHIPS AVAILABLE

(Separate registration required)


ADMINISTRATOR/MANAGER PRE-COURSE • FRIDAY, FEBUARY 13TH(Separate registration required)

Pre-Course Co-Chairs:Charles Boyer, PA-C, MA, University of Michigan, Ann Arbor, MIRobin Simmons, RN, BS, MS, Kansas Vascular Access Center, Wichita, KSDon’tmisstheopportunitytojoinyourInterventionalPhysiciansandAssociatesStaffinOrlandotonetworkwithyouradministrativecolleaguesacrossthenationinthisPre-Coursedesignedespeciallyforadministratorsandcentermanagers.Sharethiswithyourmanagementteammembersandplantoattend!7:00am-8:00am Pre-Course Registration 8:00am-8:10am Welcome and Introductions Robin Simmons, RN, BS, MS, Kansas Vascular Access Center, LLC, Wichita, KS8:10am-8:30am Coding Syd Stevens, CPC, CIMC, Midwest Nephrology Consultants, PA, Kansas City, MO8:30am-10:15am Staff Recruitment, Onboarding, And Retention Tiffany D. Marsalis, People Services Director, DaVita, Inc., Kingwood, TX Staffing - Panel Discussion Chair: Robin Simmons, RN, BS, MS Panelists: Donna Lawrence, RN, Lifeline Vascular Access, Orlando, FL Pam Shelton, RN, Midwest Nephrology Consultants, PA, Kansas City, MO10:15am-10:35am Coding Syd Stevens, CPC, CIMC10:35am-10:50am Break 10:50am–12:05pm PD - (Almost) Everything That You Want to Know But Are Afraid to Ask Pierre Souraty, MD, Kansas Nephrology Physicians, Wichita, KS12:05pm–12:25pm Coding Syd Stevens, CPC, CIMC12:25pm–1:15pm Lunch1:15pm–2:45pm Bullying in the Workplace Loraleigh Keashly, PhD, Wayne State University, Detroit, MI2:45pm-3:05pm Coding Syd Stevens, CPC, CIMC 3:05pm–3:20pm Break3:20pm–5:20pm LEAN and Quality Improvement Ruste Wilke, RN, MS, UMH QI Michigan Quality System, Ann Arbor, MI5:20pm–5:30pm Questions and Closing Remarks Robin Simmons, RN, BS, MS

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ASDIN SCIENTIFIC MEETING SCHEDULE

FRIDAY - FEBRUARY 13, 2015 7:00am–10:00am Pre-CourseRegistration8:00am–5:30pm Administrator/Manager Pre-Course9:00am–5:00pm Hands-On Pre-Course1:00pm–5:00pm ExhibitorMove-in3:00pm–7:00pm ScientificMeetingRegistration5:30pm–7:00pm Welcome Reception/Exhibit Hall SATURDAY - FEBRUARY 14, 2015 7:00am–4:00pm Registration/Exhibits Open7:00am–8:00am Breakfast (within Exhibit Hall) 8:00am–8:05am Introduction Program Chairs: Micah Chan, MD, MPH, University of Wisconsin, Madison, WI and Yael Vin, MD, MPH, Beth Israel Deaconess Medical Center, Boston, MA

8:05am–8:15am Welcome & President’s Address Alexander S. Yevzlin, MD, ASDIN President, University of Wisconsin, Madison, WI

8:15am–8:30am GERALD BEATHARD ANNUAL STATE OF THE ART LECTURE The Art and Science of Vascular Access Creation in 2015 Eric Chemla, MD, St. Georges Healthcare NHS Trust, London, United Kingdom8:30am–9:15am ACCESS SELECTION Moderators: Marc Glickman, MD, FACS, Sentara Vascular Specialists, Norfolk, VA and Hemender S. Vats, MD, FACP, Midwest Nephrology Consultants, Kansas City, MO

Using Pre-Operative Maturation Prediction or Decision Analysis Models Michael Allon, MD, University of Alabama at Birmingham, Birmingham, AL

Why I Don’t Use Pre-Operative Models Eric Chemla, MD, St. Georges Healthcare NHS Trust, London, United Kingdom

Algorithms to Reduce Catheter Use Hemender S. Vats, MD, FACP, Midwest Nephrology Consultants, Kansas City, MO

Cases/Audience Response - What Access Would You Create? 9:15am–10:15amAVF Moderators: Eric Chemla, MD, St. Georges Healthcare NHS Trust, London, United Kingdom and Timothy W.I. Clark, MD, Penn Presbyterian Medical Center, Philadelphia, PA

Review of Recent Data: Current AVF Outcomes Hemender S. Vats, MD, FACP, Midwest Nephrology Consultants, Kansas City, MO

Role of BAM in AVF Maturation in HD Patients – When to Do, When to Stop, and Long Term Results Timothy W.I. Clark, MD, Penn Presbyterian Medical Center, Philadelphia, PA

When is Surgical Option a Better Option - Clotted Fistula, Inflow, and Outflow Stenosis Jason S. Burgess, MD, RVT, FACS, Surgical Specialists of Charlotte, PA, Charlotte, NC

Ultrasound Evaluation of the Mature AVF and Process Improvement Jose Ibeas, MD, PhD, Corporacion Sanitaria Universitaria Parc Tauli, Hospital de Sabadell, Universitat Autonoma Barcelona, Barcelona, Spain

Cases/Audience Response - What Would You Do With This Fistula? 10:15am-10:35am Break and Abstracts (within Exhibit Hall)

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10:35am–11:50am WHEN AND HOW Moderators: Rick Mishler, MD, FACP, Arizona Kidney Disease and Hypertension Center, Phoenix, AZ and Shouwen Wang, MD, PhD, Arizona Kidney Disease and Hypertension Center, Phoenix, AZ

Fistula Revision - When Should We Revise Aneurysms? Jason S. Burgess, MD, RVT, FACS, Surgical Specialists of Charlotte, PA, Charlotte, NC

Fistula Revision - How to Revise Aneurysms John R. Ross, MD, Regional Medical Center, Orangeburg, SC

Video - Aneurysm Repair Rick Mishler, MD FACP, Arizona Kidney Disease and Hypertension Center, Phoenix, AZ

High Flow Fistula – When Should We Address the Flow Dirk Hentschel, MD, Brigham and Women’s Hospital, Boston, MA

High Flow Fistula – How to Address the Flow David L. Cull, MD, Greenville Health System, Greenville, SC

Video - Banding Shouwen Wang, MD, PhD, Arizona Kidney Disease and Hypertension Center, Phoenix, AZ

11:50am–1:00pm Lunch (within Exhibit Hall) 1:00pm–1:45pm GRAFTS Moderators: Marius Florescu, MD, University of Nebraska Medical Center, Omaha, NE and Theodore F. Saad, MD, Nephrology Associates, PA, Newark, DE Review of Recent Data – Current AVG Outcomes David L. Cull, MD, Greenville Health System, Greenville, SC

Early Cannulation Grafts - Review of Longer Term Results and Use Marc Glickman, MD, FACS, Sentara Vascular Specialists, Nor-folk, VA

Pseudoaneurysms - Percutaneous and Surgical Treatments Marius Florescu, MD, University of Nebraska Medical Center, Omaha, NE

Cases/Audience Response - What Would You Do With This Graft?

Co-Committee Chairs: Kevin Graham, MBA, LVN, CHDN, CASC, FACMPE, Lifeline Vascular Access, College Station, TX and Jill Humes, RN, BSN, Renal Intervention Center, Morton, IL

Program Outline 10:35 am - 10:50 amNursing and RT Care Outside of Traditional Hemodialysis Access Care - Success in Fistula/ Graft Creation & PD Catheter Placement Jamie Eschete, RN, AKDHC, Phoenix, AZ 10:50 am - 11:05 amAccreditation Update Kevin Graham, MBA, LVN, CHDN, CASC, FACMPE, Lifeline Vascular Access, College Station, TX 11:05 am - 11:20 am Radiation Safety Update Lisa Kiss, RN, BSN, Fresenius Vascular Care, Rockville Centre, NY

11:20 am - 11:35 am Managing Common & Un-common Patient Complications Jill Humes, BSN, RN, Renal Intervention Center, Morton, IL 11:35 am - 11:50 am Panel Discussion/ Q&A

NON-PHYSICIAN/ ASSOCIATES BREAKOUT SESSIONS

SATURDAY, FEBRUARY 14TH • 10:35 am – 11:50 am

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1:45pm–2:30pm ACCESS ISSUES IN SPECIFIC POPULATIONS Moderators: Micah Chan, MD, MPH, University of Wisconsin, Madison, WI and Yael Vin, MD, MPH, Beth Israel Deaconess Medical Center, Boston, MA

Dialysis Access in Failed Transplant Patients Micah Chan, MD, MPH, University of Wisconsin, Madison, WI

Non-Maturing Pre-ESRD Fistula Anil K. Agarwal, MBBS, MD, FACP, FASN, FNKF, The Ohio State University Medical Center, Columbus, OH

Obese Patients and the Deep Fistula - Techniques to Address the Problem David Melnick, MD, MPH, University of Wisconsin, Madison, WI

Choice of Access in the Elderly Population Yael Vin, MD, MPH, Beth Israel Deaconess Medical Center, Boston, MA

2:30pm–3:15pm INNOVATION AND LATE BREAKING TRIALS Moderators: Timmy Lee, MD, MSPH, FACP, FASN, University of Alabama at Birmingham, Birmingham, AL and Alexander S. Yevzlin, MD, University of Wisconsin, Madison, WI

Percutaneous Creation of the AVF - Magnet Model William Cohn, MD, FACS, FACCP, FAHA, CHI St. Luke’s Health - Baylor St. Luke’s Medical Center, Houston, TX

Covered Stents to Treat Hemodialysis Access Stenosis in Central Veins Ziv J. Haskal, MD, FACP, FSIR, FACR, FAHA, University of Virginia School of Medicine, Charlottesville, VA

Review of Emerging Biological Therapies in AVF Maturation Timmy Lee, MD, MSPH, FACP, FASN, University of Alabama at Birmingham, Birmingham, AL

ASDIN Research - Vascular Conditioning with Novel Device to Improve Fistula Creation and Maturation Neelima Katragunta, MBBS, MPH, University of Iowa, Iowa City, IA

3:15pm–3:25pmASDIN Awards Presentations 3:25pm–3:45pmBreak and Abstracts (within Exhibit Hall) 3:45pm–4:30pm BREAKOUT PROGRAMSBreakout Program 1Abstract Presentations Moderator: Anil K. Agarwal, MBBS, MD, FACP, FASN, FNKF, The Ohio State University Medical Center, Columbus, OH

Breakout Program 2 NonDialysis Interventions Moderators: Ziv J. Haskal, MD, FACP, FSIR, FACR, FAHA, Universty of Virginia School of Medicine, Charlottesville, VA and Jason Pinchot, MD, University of Wisconsin, Madison, WI

Adrenal Vein Sampling Jason Pinchot, MD, University of Wisconsin, Madison, WI

IVC Filter Retrieval Ziv J. Haskal, MD, FACP, FSIR, FACR, FAHA, University of Virginia School of Medicine, Charlottesville, VA

Port/PICC Placement Jason Pinchot, MD, University of Wisconsin, Madison, WI

4:45pm–5:30pm ASDIN Business Meeting

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9:40am–10:25am CATHETERS Moderators: Tushar Vachharajani, MD, FASN, FACP, W. G (Bill) Hefner VA Medical Center, Salisbury, NC and Gary A. Gelbfish, MD, Mount Sinai Beth Israel, Brooklyn, NY

Catheter Related Atrial Thrombus: Diagnosis and Treatment - Time for Consensus? Tushar Vachharajani, MD, FASN, FACP, W. G (Bill) Hefner, VA Medical Center, Salisbury, NC

Catheter Infections - From Exit Site to Bacteremia and the Algorithms of Care Michael Allon, MD, University of Alabama at Birmingham, Birmingham, AL

Catheter Lock Solutions to Prevent Bacteremia and Dysfunction - Is it Economically Feasible? Gary Gelbfish, MD, Mount Sinai Beth Israel, Brooklyn, NY

Cases/Audience Response - What Would You Do With This Catheter?

10:25am–10:45am Break (within Exhibit Hall) 10:45am-11:45am THE BUSINESS OF ACCESS CENTERS Moderators: Timothy A. Pflederer, MD, Renal Intervention Center, Morton, IL and Alexander S. Yevzlin, MD, University of Wisconsin, Madison, WI

RPA’s Role in Creation and Valuation of Interventional Nephrology Codes Adam Weinstein, MD, Kidney Health Center of Maryland, PA, Easton, MD

CMS QIP PPS - What is Waiting for Us in 2016 and How This Will Affect Our Practice Timothy A. Pflederer, MD, Renal Intervention Center, Morton, IL

Access Centers in Today’s Economy - What is Needed to Survive Theodore F. Saad, MD, Nephrology Associates, PA, Newark, DE

Surgical Incentives for Access Creation - What is the Reimbursement Structure? Gary Gelbfish, MD, Mount Sinai Beth Israel, Brooklyn, NY

Has Interventional Nephrology Lost its Charm? Ways to Invigorate the Specialty and Ensure Its Survival Alexander S. Yevzlin, MD, University of Wisconsin, Madison, WI

11:45am Closing and Adjournment

SUNDAY - FEBRUARY 15, 2015 7:00am–12:00noon Registration Open7:00am–10:45am Exhibits Open 7:00am–8:00am Breakfast (within Exhibit Hall) 8:00am–8:45am PERITONEAL DIALYSIS Moderators: Kenneth Abreo, MD, Louisiana State University Health Sciences Center, Shreveport, LA and Ivan Maya, MD, Nephrology Associates of Central Florida, Lake Mary, FL

PD in the Acute Setting - Myth or Reality? Micah Chan, MD, MPH, University of Wisconsin, Madison, WI

Presternal and Buried PD Catheters - A Better Option? Bharat Sachdeva, MD, Louisiana State University Health Sciences Center, Shreveport, LA

How to Reposition PD Catheters with Minimally Invasive Techniques Kenneth Abreo, MD, Louisiana State University Health Sciences Center, Shreveport, LA

Cases/Audience Response - What Would You Do With This PD Catheter?

8:45am–9:30am SAFETY AND QUALITY IMPROVEMENT Moderators: Ingemar J. Davidson, MD, PhD, Tulane University, New Orleans, LA and Dirk Hentschel, MD, Brigham and Women’s Hospital, Boston, MA

Databases - What Are the Quality Benchmarks and How Do We Collect the Data that Allows Us to Track Them? Timothy A. Pflederer, MD, Renal Intervention Center, Morton, IL

Simulation and Training in Dialysis Access Ingemar J. Davidson, MD, PhD, Tulane University, New Orleans, LA

Treating Buttonhole Complications Arif Asif, MD, FASN, FNKF, Albany Medical College, Albany, NY

Cases/Audience Response - Access Complications and Near Misses - How to Treat, How to Avoid

9:30am–9:40am Abstract and Podium Presentation Awards

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ONSITE REGISTRATION/CHECK-INYoumaypickupyourbadgeandotherregistration materials,orregisteron-site,attheScientificMeetingRegistrationDesklocatedintheMediterraneanBallroomFoyerduringthesetimes: Friday,February13 7:00am–10:00am* FridayFebruary13 3:00pm–7:00pm Saturday,February14 7:00am–4:00pm Sunday,February15 7:00am–12:00noon* Special registration for Pre-Course programs only

EXHIBIT HALL INFORMATIONExhibitHallwillbeopenthefollowinghours: Friday,February13 5:30pm–7:00pm Saturday,February14 7:00am–4:00pm Sunday,February15 7:00am–10:45amRepresentativesfromawiderangeofcompanieswillbeavailabletoupdatetheparticipantsoncurrentandfutureproductsandservicesduringdedicatedExhibit Hallhours.

MEALS•Friday:ComplimentaryOpeningReceptionintheExhibitHallfrom5:30pm–7:00pm•Saturday:ComplimentarycontinentalbreakfasttworefreshmentbreaksandboxedlunchintheExhibitHall•Sunday:Complimentarybreakfastandrefreshment breakintheExhibitHall

ADDITIONAL MEETING INFORMATION

ABSTRACTSPosterpresentationswilltakeplacewithintheExhibitHallonSaturday,February14.Oralabstractpresentationswillbepresentedfrom3:45pm–4:30pmonSaturday,February14,aspartofbreakfastprogramming.

ADDITIONAL INFORMATIONVisitwww.asdin.org/11forup-to-dateprogram information.Formoreinformation,pleasecontactthe ASDINofficeat(601)924-2220.ProgramupdatesandotherpertinentinformationwillbepostedontheASDINwebsiteperiodically.

CONTINUING EDUCATION AND CMEVisittheASDINwebsiteorcalltheASDINofficeforthemostup-to-dateCMEandContinuingEducation information.

CE FOR NURSESThiscontinuingnursingofferingisprovidedbythe AmericanSocietyofDiagnosticandInterventionalNephrology.ProviderapprovedbytheCaliforniaBoardofRegisteredNursing,ProviderNumberCEP15468formaximumof9.5contacthours.Onecontacthourequalsonehourofprogramattendance.

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Scanthiscodewithyour smartphoneusinganyfree downloadableQRreadertogodirectlytothemeetingwebsite. www. a s d i n . o r g / 11


MEETING REGISTRATION ONLY$495 Member–Physicians$750 Non-Member–Physicians$325 Member–AssociatesorFellows$450 Non-Member–AssciatesorFellows

HANDS-ON PRE-COURSE ONLY (2/13)$300 Member(allcategories)$425 Non-Members

ADMINISTRATOR/MANAGERHANDS-ON PRE-COURSE ONLY (2/13)$250 Member(allcategories)$350 Non-Members

COMBINED– MEETING & HANDS-ON PRE-COURSE$795 Member–Physicians$1170 Non-Member–Physicians$625 Member–AssociatesorFellows$875 Non-Member–AssciatesorFellows

COMBINED– MEETING & ADMINISTRATOR PRE-COURSE$695 Member–Physicians$945 Non-Member–Physicians$525 Member–AssociatesorFellows$650 Non-Member–AssciatesorFellows

REGISTRATIONGotowww.asdin.org/11toregisteronline.EarlyBird registrationratesarevalidthroughJanuary19,2015 RegularRegistrationrateswillapplybeginningJanuary20,2015.

REFUND POLICYToreceiveafullrefund,cancellationsforthemeetingmustbereceivedinwritingonorbeforeJanuary19,2015.Afterthatdate,norefundswillbegranted.

EARLYBIRD(THROUGH1/19/15) MEETING ACCOMODATIONSTheJWMarriottOrlandoGrandeLakesisthecrownjewelofOrlandoluxuryresorthotels.Toweringabovea500-acre settingoftropicallandscape,theresortoffersanoasisofluxuryonlyminutesfromtheworld-classGregNormandesignedgolfcourse.

Special ASDIN Group Rates:$249forsingle/double occupancy;$20additionalfortriple/quadoccupancy.Localandstatetaxesandoccupancyratesapply.

Tomakereservations,calltheJWMarriottat1-800-266-9432andmentionASDINasgroupcode.Or,reserveyourroomonlinethroughtheconferencepageontheASDIN website-www.asdin.org/11hotel

TheASDINDiscountisavailableuntilMonday,Janauary19,2015oruntilallroomsaresold,whicheverisearlier.AfterJanuary19,2015,ratesandavailabilityareatthediscretionofthehotel.Roomsarealsoavailableatthediscountedratethreedayspreandposteventdatesbaseduponavailability.

ASDINguestswithintheroomblockwillreceiveadiscountedrateforin-roomwifi-$5.00perday(regularrateis$15.95)andcomplimentaryin-roombottledwater.ASDINguestsmaytakeadvantageofanoptionaldailyresortfeethatcoversseveralamenitiesincludingtransportationtoSeaWorld, UniversalStudiosandDisney,unlimitedlocalanddomesticlongdistancecalls,twopoolfloats,drivingrangeprivileges,anddailyrecreationalactivities.ThisOptionalResortFeewillbeofferedtoattendeesuponcheck-in.

MEETING/REGISTRATION/ACCOMODATIONS

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ASDINExhibitorswillbeutilizingleadretrievalsoftwaretobettertracktheirinteractionwithourASDINattendees.EachScientificMeetingregistrant’sbadgewillincludeaunique8-digitIDnumberonthebadge.WhenthisnumberisprovidedtoanexhibitorwiththeiLeadssoftware,yourname,address,phonenumberandemailwillbecapturedbythesoftware.Inaddition,eachattendeewhoprovideshis8-digitIDnumbertoanexhibitorwillreceiveanemailfollowingthemeetingwhichwilloutlinetheboothsthattheyvisited.☐ Tooptoutofthisprogram,pleasemarkthecheckbox.ASDINanditsdesignatedagent(s)areexpresslyauthorizedandgrantedtherighttophotographRegistrantandtousephotographsofRegistrantforpromotionalmaterialsrelatedtoASDINand/ortheASDINScientificMeeting. PleasecontacttheASDINofficetooptoutofthisphotographyrelease.

SCIENTIFIC MEETING REGISTRATION FORM *Early Bird available through 1/19/2015!

FullName Credentials

NPI#(Physician only)

PreferredFirstNameforBadge

CompanyName

Title

Address

City State/Province Zip/PostalCode

Country(ifnotU.S.)

Phone Fax

Email

PLEASE INDICATE PRIMARY SPECIALTY AFFILIATION ☐ InterventionalNephrologist ☐ Non-InterventionalNephrologist ☐InterventionalRadiologist ☐Surgeon ☐Other(please specify) PRIMARY REASON FOR MEETING ATTENDANCE?☐ Location ☐ CollegialNetworking ☐ Exhibits ☐ Valueofregistrationfee ☐CME ☐ Overalltopicsandfaculty ☐Other(please specify)

PRACTICE SETTING (CHECK ALL THAT APPLY)☐ Hospital-basedAccessCenter ☐ AmbulatorySurgeryCenter ☐Hospital ☐Free-standingAccessCenter ☐University-basedAccessCenter ☐Other(please specify)

IS THIS YOUR FIRST TIME TO ATTEND AN ASDIN MEETING? ☐ Yes ☐ No

☐ AMEX☐ MasterCard☐ Visa☐ Check(PayabletoASDIN)

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NameonCreditCard

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MEETING REGISTRATION ONLY ☐ $495Member–Physicians☐ $750Non-Member–Physicians☐$325Member–Associatesor Fellows☐ $450Non-Member–Assciatesor Fellows HANDS-ON PRE-COURSE ONLY (2/13)☐ $300Member(allcategories)☐ $425Non-Members

ADMINISTRATOR/MANAGERHANDS-ON PRE-COURSE ONLY (2/13) ☐ $250Member(allcategories)☐$350Non-MembersCOMBINED– MEETING & HANDS-ON PRE-COURSE ☐$795Member–Physicians ☐ $1170Non-Member–Physicians ☐ $625Member–Associatesor Fellows☐ $875Non-Member–Assciatesor FellowsCOMBINED– MEETING & ADMINISTRATOR PRE-COURSE ☐ $695Member–Physicians ☐ $945Non-Member–Physicians☐ $525Member–Associatesor Fellows☐ $650Non-Member–Assciatesor Fellows

SEND COMPLETE FORM TO:ASDIN • 134 Fairmont Street, Suite B • Clinton, MS 39056

email:[email protected]•fax:601-924-6249 ForadditionalInformation:601-924-2220•www.asdin.org

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TOTAL PAYMENT: $ DIETARY RESTRICTIONS: ☐ Vegetarian/Vegan

MEETING REGISTRATION ONLY ☐ $570Member–Physicians☐ $825Non-Member–Physicians☐$400Member–Associatesor Fellows☐ $525Non-Member–Assciatesor Fellows HANDS-ON PRE-COURSE ONLY (2/13)☐ $375Member(allcategories)☐ $500Non-Members

ADMINISTRATOR/MANAGERHANDS-ON PRE-COURSE ONLY (2/13) ☐ $325Member(allcategories)☐$425Non-MembersCOMBINED– MEETING & HANDS-ON PRE-COURSE ☐$870Member–Physicians ☐ $1245Non-Member–Physicians ☐ $700Member–Associatesor Fellows☐ $950Non-Member–Assciatesor FellowsCOMBINED– MEETING & ADMINISTRATOR PRE-COURSE ☐ $770Member–Physicians ☐ $1020Non-Member–Physicians☐ $600Member–Associatesor Fellows☐ $725Non-Member–Assciatesor Fellows

EARLY BIRD REGISTRATIONTHROUGH 1/19/15

REGULAR RATESAFTER 1/19/15


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TH ANNUAL...1:15 pm – 2:45 pm Bullying in the Workplace Loraleigh Keashly, PhD, Wayne State University, Detroit, MI 2:45 pm - 3:05 pm Coding Syd Stevens, CPC, CIMC 3:05 pm – 3:20

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