a registration form te si ntio n 13th a nual n u s e s d orde in … · 2020-01-06 · sciences...

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Mind Over Matter: Focusing on the Educational Needs of Children with Brain Tumors Thursday, October 16, 2014 Hilton garden Inn on the Campus  of Stony Brook University SIgN UP TOdAY. SEATINg IS LImITEd! ATTENTION ALL HEALTHCARE PROFESSIONALS, EdUCATORS ANd PARENTS – attend a fRee dinner conference to “educate the educators” about childhood cancer and blood disorders, and their impact on the educational process. Registration Form Please print and mail this form to the address below, by October 3, 2014, or Fax to (631) 444-9230. SEATINg IS LImITEd…REgISTER EARLY! Name: ________________________________________ School and District: _____________________________ Position/Title: __________________________________ address: ______________________________________ city/State: _____________________________________ Zip: __________ Phone: _________________________ email: ________________________________________ License number and State for ceUs: ________________________________ Due to limited seating, a $20 deposit must be included to secure your reservation. Your money will be returned upon check in. If you would like  to make your check a tax-deductible donation to support the School Re-entry Program, please check the box below. Please make checks payable to the Stony Brook foundation. q YES, please accept my check as a donation to the School Re-entry Program. To register, return this form and your check to: Stony Brook Children’s Hospital division of Pediatric Hematology/Oncology HSC T11, Room 020 Stony Brook, NY 11794-8111 ATTN: Nicole gutman for more information call (631) 444-7521 or email: [email protected] or [email protected] No commercial support was received for this education activity. The State University of New York is an equal Opportunity/affirmative action employer and educator. if you need disability-related accommodations, please call (631) 444-7521. DiViSiON Of PeDiaTRic HeMaTOLOgY/ONcOLOgY STONY BROOk, NY 11794-8111 NONPROFIT U.S. POSTAGE PAID Stony Brook University School INTERVENTIoN AND RE-ENTRy PRogRAm 13th Annual “Educating the Educators” Conference 3.5 CEUs! NEW  LOCATION!

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Page 1: A Registration Form TE SI NTIO N 13th A nual N U s e s D orde in … · 2020-01-06 · Sciences (SBS) Point of Woods Bldgs. dm ins tr ao Parking ar ge Hilton Garden Inn M E ntra ces

Mind Over Matter:Focusing on the Educational Needs

of Children with Brain Tumors

Thursday, October 16, 2014Hilton garden Inn on the Campus 

of Stony Brook University

SIgN UP TO

dAy. S

EATIN

g IS LIm

ITEd!

ATTENTIO

N ALL H

EALTH

CARE PROFESSIONALS, EdUCATO

RS ANd PA

RENTS –

attend a fr

ee dinner conference to “educate the educators” about childhood cancerand blood disorders, and their im

pact on the educational process.

Registration FormPlease print and mail this form to the address below,by October 3, 2014, or Fax to (631) 444-9230.

SEATINg IS LImITEd…REgISTER EARLy!name: ________________________________________

school and District: _____________________________

Position/title: __________________________________

address: ______________________________________

city/state: _____________________________________

Zip: __________ Phone: _________________________

email: ________________________________________

license number and state for ceUs: ________________________________

Due to limited seating, a $20 deposit must be included to secure your reservation. your money will be returned upon check in. If you would like to make your check a tax-deductible donation tosupport the School Re-entry Program, please checkthe box below. Please make checks payable to thestony Brook foundation.

q yES, please accept my check as a donation to the school re-entry Program.

To register, return this form and your check to:Stony Brook Children’s Hospitaldivision of Pediatric Hematology/OncologyHSC T11, Room 020Stony Brook, Ny 11794-8111ATTN: Nicole gutman

for more information call (631) 444-7521 or email: [email protected] [email protected]

No commercial support was received for this education activity.

the state University of new york is an equal opportunity/affirmative action employer and educator. if you need disability-related accommodations, please call (631) 444-7521.

Divisio

n o

f PeD

iatric

Hem

atolo

gy/o

nc

olo

gy

ston

y Br

oo

k, n

y 11794-8111

NONPROFITU.S. POSTAGE

PAIDStony Brook University

School INTERVENTIoN AND RE-ENTRy PRogRAm

13th Annual “Educating the Educators”

Conference

3.5CEUs!

NEW LOCATION!

Page 2: A Registration Form TE SI NTIO N 13th A nual N U s e s D orde in … · 2020-01-06 · Sciences (SBS) Point of Woods Bldgs. dm ins tr ao Parking ar ge Hilton Garden Inn M E ntra ces

Conference Outline4:30pm Registration Begins

Community Resources, Hands-on Educational Simulations and Networking

5:30pm Welcoming Remarksdinner Served

6:30pm mind Over matter: An Overview of Common Pediatric Brain Tumors

Devina Prakash, MDAssociate Professor, Pediatric Hematology/Oncology, Stony Brook Children’s

7:00pm Focusing on the Complex EducationalNeeds of Children with Brain Tumors –A multidisciplinary Approach

7:45pm Break

8:00pm  mind Over matter: Neuropsychological,Social-Emotional, and Quality of LifeLate Effects Arising From the Treatmentof Pediatric Brain Tumors

Stephen Sands, PsyDAssistant Professor of Pediatrics and Psychiatry, Columbia University Medical Center

9:00pm distribution of Attendance Certificates/Adjourn

Stony Brook University’s School of Nursing in an approvedprovider of continuing nursing education by Pennsylvania StateNurses Association, an accredited approver by the AmericanCredentialing Center’s Commission on Accreditation.

Special Guest Speaker dr. Stephen Sands, Psyd,earned his doctorate in child and school Psychology from new york University and completed his fellowship in clinical neuropsychology at thememorial sloan kettering cancercenter. Dr. sands is an associateProfessor of medical Psychology inthe Departments of Pediatrics andPsychiatry at the columbia University medical centerand is the Director of the valerie fund Psycho-socialand Palliative care Programs and co-Director of thecenter for comprehensive Wellness.

Dr. sands is a child psychologist who provides mentalhealth services to patients and families currently undergoing treatment within the pediatric hematology,oncology and stem cell transplantation program at thecolumbia University medical center and the morganstanley children’s Hospital of ny-Presbyterian. as a pediatric neuropsychologist, Dr. sands performs neuropsychological evaluations for pediatric hematology,oncology and stem cell transplantation patients as partof ongoing clinical research studies that evaluate the impact of treatment. He provides clinical assessmentsfor those returning to school or those off treatment whomay benefit from receiving appropriate educationalplacements and remedial interventions. Dr. sands is on the steering committee of the Behavioral sciencecommittee and the cns Brain tumor committee withinthe children’s oncology group (cog), the primary research consortium of over 270 Pediatric oncology programs across north america. Dr. sands is also onthe scientific council of the international society for Pediatric oncology (sioP) and is actively involved in numerous national and international research studiesexamining the late effects of treatment for pediatric cancer and blood disorders. lastly, Dr. sands has published numerous articles in peer reviewed medicaljournals on the late effects of treatment for pediatriccancer and blood disorders.

Hilton garden Inn, main Campus,Stony Brook University, Stony Brook, Nylong Island Expressway to exit 62. Follow Nicolls Road(Route 97) north for nine miles. The main entrance toStony Brook University is on the left. Turn left into thecampus and proceed to the traffic light. Turn left at thelight on to circle Road. The hilton garden Inn will beon your left.

For information, please call (631) 444-7521

Location and Directions

C A M P U S

P

Circle Road

Center

L.I.

Administration

or ts

Humanities

Social andBehavioralSciences

(SBS)e

Point of Woods Bldgs.

AdministrationParkingGarage

HiltonGarden Inn

MainEntrances

Circle Road

Nicolls Road

Shirley Kenny Drive

Objectivesgoal: to increase awareness of pediatric brain tumorsand their impact on education.

the participant will acquire important information regarding pediatric brain tumors:

• overview of common Pediatric Brain tumors

• symptoms and effects of Brain tumors and treatments

• medical, Psychosocial, and educational issues

• neurocognitive, social-emotional, and Quality of life late effects

• the role of school personnel in successful schoolintervention & re-entry

• strategies to eliminate barriers to school success.

• community, technological, and educational resources