2015 Annual Meeting & Scientific Session Registration FormPlease mail the following form with your payment to: NCPA, 4917 Waters Edge Dr., Ste.

250, Raleigh, NC 27606. Online registration available, www.ncpsychiatry.org.

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Annual Meeting & Scientific Session

Thriving Today & Preparing for Tomorrow

Twin City QuarterWinston-Salem, NC

OCTOBER 1-4, 2015

Primary Attendee Name: Degree(s): First Meeting? Email: First Name for Name Badge: Address: City: State: Zip:

Add’l Attendee Name (for CME): Degree(s): First Meeting? Email: First Name for Name Badge: Address: City: State: Zip:

Guest Full Name(s) for Name Badges (not for CME):

MEEtiNG REGistRAtioN FEEs:PlEASE iNDiCAtE # AttENDiNg For CME/CEU: General Registration Ends September 24, 2015 NCPA/NCCCAP/APA Member $550 Psychiatry Resident (Registration is paid by the NC Psychiatric Foundation) Non-member $650 Nurse Practitioner/Phys. Asst. $500 Single Day Registration (indicate day) $250 Day:

PlEASE iNDiCAtE # oF gUEStS AttENDiNg: General Registration Ends September 24, 2015 Spouse/Guest (Non-CME) $100 Children 6-17 $25 Children 5 and under Free Saturday Dinner Only $50

REGistRAtioN FEEs iNCludE:Continental breakfasts (Friday, Saturday, Sunday), Thursday and Friday evening receptions and Saturday night reception and dinner for all registered members, guests, and children. Other receptions may be added. *If you are bringing a non-registered guest to the Saturday evening dinner only, there is a $50 per guest charge.

Please indicate the number of people attending (Registered Attendees/Guests Only): Thursday Evening Welcome Reception Friday NCPA Business Lunch (NCPA Members ONLY) Friday Evening Reception Friday Evening NCCCAP Social (NCCCAP Members and Residents ONLY) Saturday NCCCAP Business Lunch (NCCCAP Members ONLY) Saturday Evening Reception & Awards Dinner

Please Include any Dietary Restrictions:

ElECtRoNiC Handouts: NCPA will provide electronic handouts via web & USB to all registered atten-dants. Paper handouts are available for advance purchase for $25. Do you want to purchase paper handouts? Yes ($25) _______ No ________

totAl FoR NCPA MEEtiNG: $

To pay by CHECK, mail this registration form with payment to: NCPA, 4917 Waters Edge Dr., Suite 250, Raleigh, NC 27606. (Check payable to NCPA)

To pay by CREDIT CARD, Register Online: www.ncpsychiatry.org/annual-meeting or call 919-859-3370.Registration and Payment Confirmation Will Be Emailed Upon Receipt.

Cancellation Policy: Cancellations on or before September 24 will receive a full refund, less $50.00 for administrative fees. Refunds are not granted for no-shows.

Psychiatric Foundation of North Carolina: Would you like to make a tax-deductible contribution to the Psychiatric Foundation of North Carolina? if so, please specify amount: $ ____________

(Please send separate check payable to Psychiatric Foundation of North Carolina; mail to 4917 Waters Edge Dr., Ste. 250, Raleigh, NC 27606.) You will receive your donation information at the end of the year. Ea

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jOiNTly pROvidEd By ThE aMERiCaN pSyChiaTRiC aSSOCiaTiON aNd ThE NORTh CaROliNa pSyChiaTRiC aSSOCiaTiON.

ThiS CONfERENCE iS jOiNTly pROvidEd By ThE aMERiCaN pSyChiaTRiC aSSOCiaTiON (apa) aNd ThE NORTh CaROliNa pSyChiaTRiC aSSOCiaTiON.

hOTEl iNfORMaTiON This year join us at the Twin City Quarter, a conference center comprised of two hotels, the Winston-Salem Marriott and the Embassy Suites Winston-Salem.

Hotel reservations can be made now by calling the hotel of your choice – the Winston-Salem Marriott or the Embassy Suites Winston-Salem. Both hotels are equally accessible to conference meetings, and both are offering a discounted room block. Mention that you are with the NC Psychiatric Association Annual Meeting to receive the group rate. Make your reservations by September 2nd to receive the discounted rate.

Winston-Salem Marriott425 North Cherry Street Winston-Salem, NC 27101Reservations: 800-320-0934Single/Double: $149.00 per nightTriple/Quad: $159.00 per night

Embassy Suites Winston-Salem460 North Cherry Street Winston-Salem, NC 27101Reservations: 800-696-6107Single/Double: $159.00 per nightTriple/Quad: $169.00 per night

CONfERENCE REgiSTRaTiON iNfORMaTiON The General Registration deadline is September 24th; walk-in registrations will incur additional fees.

Registration is easy – Online registration allows attendees to pay with credit card or send a check. For detailed information and to register online, visit the NCPA website: www.ncpsychiatry.org/Annual-Meeting.

Or you can complete the registration form on the reverse side and mail it back to the NC Psychiatric Association. Mailing address: 4917 Waters Edge Drive, Suite 250, Raleigh, NC 27606.

CaNCEllaTiON pOliCy Cancellations on or before September 24th will receive a full refund less $50.00 for administrative fees. Refunds are not granted for “no-shows.”

MEalS Registration fees include continental breakfasts (Friday, Saturday, Sunday), Thursday and Friday night receptions and Saturday night reception and dinner for all regis-tered attendees, guests, and children. If unregistered guests wish to attend only the Saturday evening dinner, individual tickets are for sale. Business lunches for members only are also included in the registration fees.

dONaTE TO ThE pSyChiaTRiC fOuNdaTiON Of NORTh CaROliNaTraditionally, the Foundation pays for Psychiatric Residents’ registration fees to encourage attendance and engagement at the annual meeting. A contribution fund through the Psychiatric Foundation of North Carolina has been set up to assist with the residents’ meeting expenses. If you would like to “sponsor a resident” or make a general tax-deductible donation, please indicate accordingly on your registration form.

For more information about the Foundation or make a donation online, visit www.ncpsychiatry.org/foundation.

CME MEETiNg MiSSiON STaTEMENT Designed for psychiatrists, this continuing medical education live activity will provide information to maintain and expand competency and medical knowledge.

CREdiT STaTEMENT The American Psychiatric Association designates this live activity for a maximum of 13.5 AMA PRA Category 1 Credits™. Physicians should only claim the credit com-mensurate with the extent of their participation in the activity.

MEETiNg aCCREdiTaTiON This activity has been planned and implemented in accordance with the accredita-tion requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American Psychiatric Association (APA) and the North Carolina Psychiatric Association. The APA is accredited by the ACCME to provide continuing medical education for physicians.

2015 NCPA Annual Meeting & Scientific SessionThriving Today & Preparing for Tomorrow

Now is the time to make your plans for the fall – join us in Winston-Salem, City of Arts and Innovation, for a weekend of great food, networking, and CME!

Internationally-acclaimed addiction psychiatrist Nora Volkow, MD, Director of the National Institute on Drug Abuse, tops this year’s speaker line up at the 2015 Annual Meeting & Scientific Session.

Other notable speakers include Paul Summergrad, MD, APA Immediate Past President, Seth Powsner, MD, and Jeff Bostic, MD, EdD.

Winston-Salem is an easy drive from cities across the Southeast, and one of the most convenient locations in North Carolina. For information about the 2015 Annual Meeting including what to do during your stay in Winston-Salem, visit www.ncpsychiatry.org/Annual-Meeting.

TENTaTivE SChEdulEPlease note: the schedule is subject to change without notice. For the most

updated schedule and details, visit www.ncpsychiatry.org/scientific-schedule.

ThuRSday, OCTOBER 1Registration Opens at 2:00 pm

NCPA Executive Council Meeting

Disaster Psychiatry Workshop

Welcome Reception

fRiday, OCTOBER 2Registration & Exhibits Open at 7:00 am

Physicians Health, Jana Burson, MD

First Episode Psychosis, Diana Perkins, MD, MPH

ED Boarding and Other Approaches to Psychiatric Care, Seth Powsner, MD

Integrating Medical and Psychiatric Care, Paul Summergrad, MD

NCPA Business Lunch (Members Only)

afTERNOON WORkShOpSNeurolaw Workshop, Stephen Kramer, MD and Kate Mewhinney, JD

Collaborative Care Workshop

Evening Reception

NCCCAP Social

SaTuRday, OCTOBER 3Registration & Exhibits Open at 7:00

NCCCAP Executive Council Breakfast

SaTuRday, OCTOBER 3 CONTiNuEd...

gENERal pSyChiaTRy TRaCk Tobacco Use and Cessation in Psychiatry Patients, John Spangler, MD

NC-STeP: Using Telepsychiatry to Improve Access to Evidence-Based Care, Sy Saeed, MD, MS, MACPsych

Neuropsychiatric Masquerades, Manish Fozdar, MD

Child & adOlESCENT pSyChiaTRy TRaCk School Violence Across the Educational Lifespan, Jeff Bostic, MD, EdD

Case Conference: Collaboration and Co-ordination, Melissa Reeves, PhD, Jeff Bostic, MD, EdD

NCCCAP Business Lunch (Members Only)

Afternoon Reception (Sponsored by Novant Health Psychiatric Medicine)

Resident Session

Resident Poster Session, Reception & Awards Dinner

SuNday, OCTOBER 4How Do Drugs Enslave our Brains? Nora Volkow, MD, 2015 Sethi Award Recipient

Adult Autism, Jeff Bostic, MD, EdD

Reducing Disparities in Psychiatric Care, Rahn Bailey, MD

Top 20 Research Findings of 2014-15, Sy Saeed, MD, MS, MACPsych

CONfERENCE OBjECTivES By the end of this program participants will be able to:

•Critically discuss and evaluate the evidence base for psychiatric practice•Examine public policy trends and their potential impact on psychiatric practice• Identify emerging clinical practices and their promise for implementation

historic. artistic. convenient.

Courtesy of Visit Winston-Salem, © J. Sinclair Photography

Courtesy of Visit Winston-Salem

Drive Times to Winston-Salem

Asheville: 2 hrsCharlotte: 1.5 hrs

Greenville: 3 hrsMurphy: 4 hrsRaleigh: 2 hrs

Wilmington: 3.5 hrs