September 2014 #71

What’s Inside...

President’s Note

Page 2

Glasgow Update

Page 3

Congratulations

Page 4

Ottawa 2015 Conference

Page 5

Upcoming Events

Page 6

Doc in Motion

Page 7

News

Page 8

Job Opportunities

Page 8-10

Registrations

Pages 11-12

The Official Newsletter of the Canadian Academy of Sport and Exercise Medicine

Le bulletin officiel de l’académie canadienne de la médecine du sport et de l’exercice

180 Elgin Street - Ottawa, Ontario K2P 2K3

T. 613-748-5851 or 1-877-585-2394

F. 613-231-3739

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Saturday November 29th/Sunday November 30th 2014

Humber College (North Campus), Toronto, Ontario

Well it’s back – the CASEM Advanced Sport Medicine Course returns with a vengeance – this time

in a new location and with a new educational partner – Humber College, Toronto. Humber College

provides education for those who are looking for careers in the health-care field and as such meets

the ongoing demands of the contemporary health-care environment.

For those of you who are not familiar with the course, this two-day intensive course is a hands-on,

practical case-based approach to advanced sport medicine. Four modules spread over two days are

presented initiated by a mass-casualty scenario. The Faculty are all experienced practitioners who

will provide an experience second-to-none and our partner, Humber College, provide the educational

expertise as well as the site, sounds and equipment to make this course as realistic as possible.

Due to the nature of the course, registration is restricted to 48 participants – the student-teacher ratio

is low, the sessions are highly interactive and 100% participation is mandatory. For more infor-

mation or to register, please visit the CASEM website at:

http://casem-acmse.org/blog/event/advanced-sport-medicine-course/

Testimonials:

“This is one of THE best courses I have ever taken”

“The Mass Casualty simulation was excellent but nerve racking - next time, please provide

all participants with “Depends” !!!

“I have to say they were all outstanding. The splinting & stabilization session was great!

The mental health presentation was thought provoking and reminded me of my role in

looking after the "whole patient"

Check out this article on the Course from 2011

http://blogs.vancouversun.com/2011/04/05/mass-simulated-casualties-to-be-staged-here-for-2012-london-

olympic-games-lamb-pig-skin-and-actors-will-all-be-in-on-the-act/

ADVANCED SPORT MEDICINE COURSE

2

PRESIDENT’S NOTE

As this is my first contribution to the CASEM Newsletter as the new

President, other than the previous enlightening answers in the July edition,

I want to thank the Board and the CASEM membership for allowing me the privilege

of this position.

I want to thank all of the Committee Members and Chairs of the committees for their

tremendous contributions to keeping CASEM a vibrant and meaningful

organization. I especially want to congratulate Cathy Campbell and Jim Carson for

their tireless work in completing and promoting the ACL Injury Prevention in Youth

Soccer Players Position Statement. I would encourage CASEM members to become local champions in your community to

promote the FIFA 11+ program in youth sport..

The Canadian Concussion Collaborative, chaired by Pierre Fremont and CASEM, has just released and published in BJSM

recommendations that all sport organizations at every level of sport in Canada should have Concussion Management Protocols

in place. This is a tremendous statement from the key players involved in Sport and Medicine in Canada. One of my goals

this year as president is to develop a Collaborative Concussion Clinic Community Model in conjunction with CATA to be

used by community physicians, athletic therapists and sport physiotherapists together in the management of concussion.

Lastly, I want to thank Dawn Haworth and Rebecca Menard for maintaining such an efficient and organized CASEM head

office.

Don’t forget to mark your calendar for the Annual Meeting and Winterlude in Ottawa February 11 to 14, 2015 in collaboration

with the OMA Sport and Exercise Medicine Section.

Comme ceci est ma première contribution à « Sur le Terrain» en tant que présidente de l’ACMSE (à part les réponses

éclairantes dans l'édition du mois de Juillet!), je voudrais remercier le conseil et les membres de l’ ACMSE de me permettre le

privilège de ce rôle.

Je voudrais remercier tous les président(e)s et membres des comités pour leurs immenses contributions afin de rendre

l’ACMSE une organisation importante et vibrante. J’aimerais particulièrement féliciter Cathy Campbell et Jim Carson pour

leur travail assidu dans la finition et la promotion de l’énoncé de position « ACL Injury Prevention in Youth Soccer Players ».

J’encourage les membres de ACMSE à devenir des champions locaux de leurs communautés en faisans la promotion du

programme FIFA 11 + dans les sports pour nos jeunes.

La Collaboration Canadienne pour les commotions cérébrales, présidé par Pierre Frémont et l’ACMSE, a publié dans les

recommandations de BJSM que toutes les organisations sportives de chaque niveau de sport au Canada devraient avoir en

place des protocoles de gestion de commotions cérébrales. Ceci est une déclaration importante par les personnes clées

impliquées dans le sport et la médecine au Canada. Un de mes objectifs cette année en tant que présidente est de développer un

modèle collaboratif pour les commotions cérébrales pour les cliniques en communauté en collaboration avec CATA. Ceci

aiderait les docteurs de la communauté, les thérapeutes du sport et les physiothérapeutes dans la gestion des commotions

cérébrales.

Finalement, j’aimerais remercier Dawn Haworth et Rebecca Menard pour l’organisation et gestion du bureau central de

l’ACMSE.

N’oubliez pas de mettre à vos calendriers la conférence annuelle et le Bal de neige à Ottawa, du 11 au 14 février, 2015 en

collaboration avec la section de médecine du sport et de l’exercice de l’OMA.

Jennifer Fletcher

CASEM President

2014-2015

JENNIFER FLETCHER

3

XX Commonwealth Games Glasgow 2014

When Kylie Minogue sang in the closing ceremonies for the Glasgow Commonwealth

Games, I realized I had come full circle. Kylie had been one of the opening ceremonies acts

in my first Olympic Games in Sydney in 2000 and she still looked stunning singing and

dancing on the stage in Glasgow.

The Glasgow games were “Pure Dead Brilliant” as declared by Chief of the Commonwealth Games , Prince Imran at the closing ceremonies.

For Canada, the games were also successful as we reached our goal of finishing 3rd in the medal count and slightly higher total medals than

we expected. For our Health Care Team (HCT), the games were also a success. We were initially worried about how we were going to cover

265 athletes and 140 support staff with only 3 MD’s (myself, Dr. Dory Boyer, and Dr. Susan Labrecque) and 7 therapists (Lois Pohlod –CT,

Isabel Grondin, Karen Decker, Dave Blatz, Louise Ashcroft, Jason White, Erin Reid) for 17 sports. However, we were fortunate that we had

many NSO’s step up and bring a lot of experienced MD’s, PT’s, AT’s, MT’s, chiros, and mental trainers so that by the end our HCT was

about 25 in number.

No one got sick from the “haggis” although I think washing it down with a lot of Scotch helps disinfect. We did have an ebola rumor for a

while, but the only real scare was several host workers getting norovirus just prior to most of the athletes arriving. Luckily this was contained,

but I had a worried déjà vu about the Delhi games in 2010 when we were treating “delhi belly” more than MSK injuries at the start of those

games. At least the illnesses we encountered in Scotland were diseases I had seen or heard of and not Dengue fever or malaria or “Chicken

Guniya” like in India. We saved enough money on Imodium that we probably could have funded Dory’s pin collection (which was reaching

epic proportions during these games). More fun than the pin collecting was seeing what other nations were willing to give up or trade for our

Maple Leaf Tartan pants!! These were the hit of the Games for the traders on our team but I think most people liked them so much they were-

n’t willing to trade them.

The Glaswegian accent was definitely a challenge as we first arrived.

Fortunately I had to take a 2 hour ride with my driver to the shooting

village in Dundee on the first day so I was able to get “ acclimatized” to

the accent fairly quickly. Speaking of languages, we had fun with Dr.

Hugo Hebert and Susan Labrecque trying to convert common English

phrases into French ( I must say my French is getting better than my

Hindi the more often I work these multi-sport games). It is an inside

joke, but if you see Hugo, ask him to explain a “double edged sword” in

French.

These games were fun as we had the first Commonwealth Games with

integration of para athletes with able bodied athletes and no separate

para games after. I’m sure Richard Goudie would be proud of this and

hopefully this is a sign of the future in Olympic Games as well.

I also had my first ever newborn baby care at a major games. An email

arrived 1 week before my departure that a Canadian athlete had just

delivered a baby and would be bringing her 2 week old child to the Games and needed to arrange an area for breastfeeding her baby!!! After

my shock that an athlete could actually compete 2 weeks post-partum, I made some calls and discovered she was a shooting athlete and the

airline rules are that a baby can travel 1 week post-partum. We checked with the host medical committee, but apparently the baby could not

get accreditation to get into the village or venue. However, the hosts were able to arrange a separate site at the athlete’s hotel for breastfeed-

ing. Who knew all the things you had to prepare for in Sports Medicine!

All in all, however the games were remarkable for their camaraderie but also the competitive spirit in all the athletes. Those of you who have

never worked at a Commonwealth Games should definitely do so. They are not called the “friendly games” for nothing. Our HCT was also

amazing and we had a good balance of extroverts and introverts. I want to thank each and every one of the core team but also the NSO HCT

members who pitched in and helped whenever there was anything to do. That is always my best memory at a multi-sport games is to see indi-

viduals who are at the top of their health care profession still be so humble and become team players and create amazing team spirit at a major

games despite the immense pressure going on around them.

The Scottish people were also very friendly and made up for the Scottish weather with a term I think resonates with those who work multi-

sport games.

“ Haste ye back”

Dr. Navin Prasad

CMO Commonwealth Games 2014

4

So I met this cool doctor called Dory in 2010 and we immediately bond-

ed over the fact that we had the same name. He was the official doctor for

team Canada at the Youth Olympic Games and was there when I won my

first gold medal at a world event. Two years later I went to Thailand to

compete at my first Junior world championship and there he was again!

Team Dory reunited and I win another gold medal at that competition!

Now here I am in Scotland, and Dory is once again one of the team doc-

tors and was present when I won! Team Dory (dori) three-peat of golds! I

don't want to be superstitious or have a good luck charm but let's just say

I hope Dory is the Doctor in Rio 2016!!!

Dori Erzsébet

2015 Winter Universiade in Granada, Spain

CMO: Marie-Josée Klett

CT: Dinah Hampson

2015 Summer Universiade in Gwangju, Korea

CMO: Jack Ceaser

CT: Khatija Westbrook

Dory Boyer has been selected

as Chief Doctor for the

upcoming Pan American Games

Letter from an Athlete—Dori Erzsébet

CONGRATULATIONS 2014 Research Grant Winners

Brian Benson Research Grant: Quantitative Assessment of Acute Post-Concussion Sensorimotor and Neurocognitive Impair-

ment and Recovery using Robotics in High-Risk Athletes

Martin Lamontagne Research Grant: Return-to-play in athletes having had hamstring lesions: predictive value of muscle integration

measures obtain by ultrasonography and clinical measures of flexibility and muscle strength

Eileen Bridges New Investigator: Is Oral Hypertonic Saline effective in treating mild to moderate Exercise Associated

Hyponatremia?

5

2015

Register up to November 30th and you will automatically be entered to win a pair of tickets to

the Ottawa Senators vs. Penguins game on Thursday, February 12th 2015, parking

included at the Canadian Tire centre (25min drive from downtown Ottawa).

VS

EARLY BIRD DRAW FOR SENS/PENGUINS GAME

REGISTRATION NOW OPEN !

Pre-Conference Courses

MSK Ultrasound Course

(Wednesday 11th February 2015)

Winter Sport Medicine Endurance Course

(Tuesday 10th-Wednesday 11th February 2015)

February 11-14, 2015

The Westin Hotel—Ottawa, ON

Click here to see the preliminary program or visit the website http://casem-acmse.org/wp-content/uploads/2014/07/Preliminary-Program-2015.pdf

Click here to register or fill out the form at the end of the newsletter

6

UPCOMING EVENTS

Advanced Sport Medicine Course

To provide experienced Sport Medicine Professional with an intense and

realistic learning course to sharpen the skills required in preparation for

major games with elite athletes.

For more information or to register for the Course

See the events section of the CASEM website

Or fax in the registration form included at the end of

this newsletter.

Advanced Course Faculty Bruce Davidson, Chair, MPE, FRCPC,

Dip. Sport Med

Andy Marshall, MD, FRCPS, Dip. Sport

Med.

Julia Alleyne MD, CCFP, Dip. Sport

Med.

Janice Harvey, MD, CCFP, Dip. Sport

Med.

Robert Brock, MD, FRCPC, Dip. Sport

Med

Robert Foxford, MD, FRCPC, Dip.

Sport Med. Tatiana Jevremovic, MD, CCFP

(EM), Dip. Sport Med.

Change, Challenge and Opportunity

An interdisciplinary symposium on injury prevention in sport and recreation

The Play Safe Initiative (PSI) is a collaborative approach to reducing injury in sport

and recreation. Led by Sunnybrook Health Sciences Centre and Lakehead University,

PSI has partnered with more than 30 organizations in health, education, recreation and

sport to reduce injury risk. On Wednesday February 4, 2015, you are invited to join us

for a day of presentations and discussions focused on injury prevention in sport and

recreation. We are pleased to announce that Dr. Julia Alleyne, Chief Medical Officer

for the 2015 Toronto Pan and Parapan American Games, will deliver the keynote ad-

dress.

Links: Symposium: http://www.playsafeinitiative.ca/2015-play-safe-symposium.html

Call for abstracts: http://www.playsafeinitiative.ca/call-for-abstracts.html

Registration: http://www.karelo.com/register.php?BID=189&BT=10&Ev=14530

Accreditation Criteria

This program has been accredited by

the College of Family Physicians of Canada for 15

Mainpro—M1 credits.

“This is one of THE best courses I have ever taken”

“The Mass Casualty simulation was excellent but nerve racking - next time, please pro-

vide all participants with “Depends” !!!

“I have to say they were all outstanding. The splinting & stabilization session was

great!

The mental health presentation was thought provoking and reminded me of my role in

looking after the "whole patient"

7

Richard Goudie with his wife and friends cycling in Napa Valley

Nothing like wine, cycling and a visit to the Clif Family vineyard.

The inventor/developer of Clif Bars.

DOCS IN MOTION Manon Côté Synchronized swimmer

1. Quelle age aviez-vous quand vous avez commencé la

nage synchronisée? J’AI DÉBUTÉ LA

NAGE SYNCHRONISÉE À L’AGE DE 10 ANS.

2. Combien de temps pouvez-vous retenir votre souffle? DURANT UNE ROUTINE DE 30 À 40 SECONDES À RÉPÉ-TITIONS.

3. Quelle est le plus haut niveau de compétition au-

quelle vouz avez participé? J’AI FAIS DE LA COMPÉTI-

TION AU NIVEAU INTERNATIONAL SUR L’ÉQUIPE CANADIENNE DE NAGE SYNCHRONISÉE ET SUR

L’ÉQUIPE DE NAGE SYNCHRONISÉE DE OHIO STATE UNIVERSITY.

4. Comment avez vous commencé ce sport? J’AI DÉBUTÉ LA NAGE SYNCHRONISÉE CAR IL Y AVAIT UNE ÉQUIPE DANS MA VILLE LOCALE .

5. Quel est le movement le plus compliqué que vous avez maîtrisé LE SPIN BOOST.

6. Qu’est ce que vous aimez le mieux apropos du nata-tion synchronisée? TRAVAILLER COMME MEMBRE D’UNE ÉQUIPE.

7. Est-ce que vous nagez seul ou en équipe? JE NAGEAIS UN SOLO, DUO , TRIO ET ÉQUIPE

1) How old were you when you started synchro-nized swimming? I started synchronized swim-ming at the age of 10.

2) How long can you hold your breath? During a routine, between 30 to 40 seconds.

3) What is the highest level you have competed at? I have competed internationally on the Canadi-an synchronized swimming team as well as on the Ohio State University synchro team.

4) How did you get started in synchro? I got start-ed because my town had a team.

5) What’s the most complicated move you have mastered? The spin boost.

6) What is it you enjoy most about synchro? Work-ing as a member of a team.

7) Do you do solo or team? I have done solo, duo,

8

CASEM would like to welcome two new

board members

and

PART TIME PHYSICIAN WITH A DIPLOMA (or an interest) IN SPORTS MEDICINE or EXPERIENCE in DEALING WITH MUSKULO-SKELETAL PROBLEMS,

REQUIRED FOR THE NEPEAN SPORTS MEDICINE & PHYSIOTHERAPY CENTRE

The Centre has been located at The Nepean Sporstplex,

1701 Woodroffe Ave, Nepean, for 26 years.

The Clinic is multidisciplinary and includes Sports Medicine Physicians,

Physiotherapists, Massage therapists, a Chiropodist, and a Dietitian.

For further information please visit our web site www.nepeansportsmedicine.ca

or phone Virginia Boro Clinic director at 613-727-5755,

email info@nepeansportsmedicine.ca

NEW MEMBERS

1. What is your idea of perfect happiness? A quiet day in the wilder-

ness with my family.

2. What is your greatest fear? Spiders.

3. What is the trait you most deplore in yourself? I am very quiet in

large groups.

4. What is the trait you most deplore in others? The need to attract

undue attention to themselves.

5. Which living person do you most admire? Louise Walker.

6. What is your greatest extravagance? Bags, I love bags for every

occasion.

7. What's the most unusual conversation you've ever had? I practice

emergency medicine, I don't think you can publish some of the con-

versations I've had..

8. Do you prefer sunrises or sunsets? Sunrises.

9. What or who is the greatest love of your life? My husband.

10. When and where were you happiest? With my family at home in

the back yard.

11. What do you consider your greatest achievement? Providing some

comfort and care to those who need it.

12. If you were to die and come back as a person or a thing, what

would it be? A bird, I'd love to fly.

13. Where would you most like to live? Yorkshire.

14. What is your most treasured possession? Really it's all just stuff,

but I'd have to choose my grandmother's wedding band.

15. What is your most marked characteristic? My height.

16. Who are your favorite writers? Agatha Christie.

17. What did you want to be when you grew up? A ballerina.

18. What's the strangest talent you have? I can make up goofy lyrics

to any tune in a heartbeat. It’s great for embarrassing your teenage

children.

19. If you could learn any language fluently, what would it

be? Italian.

20. What is your favorite sundae topping? Chocolate, actually I be-

lieve chocolate is the best topping for just about anything.

Andrew Sim

Brenden Bechamp

Manjit Gosal

Randa Berdusco

Andrew Adamczyk

Robert Drapala

Jonathan Cyr

Ryan Weist

Michael Diab

Robert Gabor

Daniel Warshafsky

Q & A with Elizabeth Hobden

9

Foundation Physiotherapy & Sport Medicine is a modern sports injury and rehabilitation clinic located in the heart of

downtown Toronto.

We have an opening for a part-time physician beginning in October. Caseload is already established, as our

current physician is moving out of the province. Sports physicians and orthopedic specialists are welcome to

apply.

Our team consists of highly skilled sports physiotherapists and massage therapists. The physician should have a spe-

cial interest in sports medicine, MSK and orthopedics with a willingness to work in a rehabilitative team

setting.

Our practitioners utilize an evidence based and active approach to recovery with a focus on biomechanics, movement

patterns and active rehabilitation. We offer a beautiful facility on Front Street, near the Rogers

Centre, with private treatment rooms and an open gym area. We have good relationships with family physicians in

the area.

We are affiliated with a variety of sports organizations, the University of Toronto and McMaster University. As such,

we provide access to academic journals and literature.

We will provide full administrative support, equipment and marketing. Scheduling is flexible and open to

discussion. Please visit our website at www.foundationphysio.com for more information.

All interested applicants should contact Raj at raj@foundationphysio.com

Downtown Toronto Clinic seeking

CASEM/Sport Physician

10

University of Alberta Faculty of Medicine & Dentistry - Department of Family Medicine

Sport and Exercise Medicine (SEM) Academic Physician

Competition No. - A108624359

Closing Date - Will remain open until filled.

The University of Alberta, Faculty of Medicine & Dentistry, Department of Family Medicine, in collaboration with Alberta Health Services (AHS),

is inviting applications for an academic Sport and Exercise Medicine (SEM) physician to join the Department. Patient care duties will be per-

formed at the Glen Sather Sports Medicine Clinic in the Kaye Edmonton Clinic, and/or additional Clinics at the Academic Family Medicine Cen-

tres. A significant component of the position will be focused on teaching of SEM to Family Medicine residents, in both didactic and office-based

formats, as well as development of new musculoskeletal curricula. The incumbent will also have academic/teaching responsibilities with the

Enhanced Skills Fellowship in SEM, based out of the Glen Sather Sports Medicine Clinic.

Located in Edmonton, Alberta, Canada, the Faculty is internationally recognized as among the world’s top 50 medical schools, and is one of

Canada’s premier health education institutions. Alberta Health Services is Canada’s largest provincial health authority providing accessible,

coordinated, quality health services for all Albertans. The Department of Family Medicine is a champion of clinic-based medical education, the

Triple C curriculum, and rigorous primary care research, including medical education research. The Residency Program utilizes urban and rural

sites throughout northern and central Alberta to train more than 200 1st, 2nd and 3rd year residents annually. The program is fully accredited and

a leader in competency-based assessment, integrated horizontal training, and distributed education.

The University of Alberta Glen Sather Sports Medicine Clinic is a 13,000 square foot facility located in the new Kaye Edmonton Clinic, where a

multi-disciplinary group of physicians, physical therapists, massage therapists and orthotists specialize in assessment, diagnosis, treatment

and rehabilitation of orthopedic and sports related injury. The mandates of the Clinic include clinical care, education and research.

This position is a full-time, contingent, tenure-track faculty position. Academic salary and rank will be commensurate with qualifications and

experience, and will be supplemented with compensation for protected time from the Department’s Academic Alternate Relationship Plan.

The successful candidate will have completed a Fellowship or equivalent training in Sport and Exercise Medicine, and will either currently hold

or be planning to sit for the Diploma in Sport and Exercise Medicine (Dip. Sport Med.) of the Canadian Academy of Sport and Exercise Medi-

cine (CASEM). The Certificate of Added Qualification (CAQ) in Sports Medicine from the US, and specialist designations from other countries

may also be considered as equivalent credentials.

Certification by the College of Family Physicians of Canada, or equivalent, is required. Applicants must also be eligible for licensure with the

College of Physicians & Surgeons of Alberta. Candidates with a relevant advanced degree in medical education and an interest in curriculum

development are encouraged to apply.

Details about the Department of Family Medicine can be found at www.familymed.med.ualberta.ca, and information about the Faculty of Medi-cine & Dentistry at www.med.ualberta.ca. Further information about AHS can be found at www.albertahealthservices.ca, and about the Glen Sather Sports Medicine Clinic at www.glensatherclinic.ualberta.ca.

Interested individuals should submit an up-to-date curriculum vitae, along with the names and current addresses of three references to:

Dr. Lee A. Green, Professor and Chair

Department of Family Medicine, University of Alberta

205 College Plaza

Edmonton, AB, Canada T6G 2C8

Review of applications will begin on August 31, 2014, however the competition will remain open until the position is filled.

All qualified candidates are encouraged to apply; however, Canadians and permanent residents will be given priority. If suitable Canadian citi-

zens or permanent residents cannot be found, other individuals will be considered.

The University of Alberta and Alberta Health Services hire on the basis of merit. We are committed to the principle of equity in employment. We

welcome diversity and encourage applications from all qualified women and men, including persons with disabilities, members of visible minori-

ties, and Aboriginal persons.

How to Apply

Email

lagreen@ualberta.ca http://www.careers.ualberta.ca/Competition/A108624359/

11

ADVANCED SPORT MEDICINE COURSE November 29-30, 2014

REGISTRATION Registrations www.casem-acmse.org click on Events

Early Bird CASEM Members $1300.00 *early bird rate in effect until Nov 1, 2014 Early Bird Non Members $1700.00 *early bird rate in effect until Nov 1, 2014 Regular rate CASEM members $1800.00 Regular rate Non members $2000.00

Name: ____________________________________________________________ Address:___________________________________________________________ Address:___________________________________________________________ Email:_____________________________________________________________ Telephone:_________________________________________________________ Payment: Credit Card- MC Visa Card Number_______________________________________________________ Expiry Date: ________________________________________________________ Signature: _________________________________________________________

CANCELLATION POLICY $500.00 cancellation fee will apply to all reimbursements issued PRIOR to November 1, 2014 After this date NO refunds will be issued. Please complete the registration form with a method of payment and return to:

Canadian Academy of Sport and Exercise Medicine (CASEM)

180 Elgin Street, Suite 1400 Ottawa ON K2P 2K3

Tel. 613 748-5851 - Fax: 613 231-3739 or e-mail rmenard@casem-acmse.org

www.casem-acmse.org

*CASEM reserves the right to cancel the course should minimum numbers not be reached

12

2015 REGISTRATION ONLINE AVAILABLE

@ www.casem-acmse.org

Early Bird Rate Conference Rate Registration On Site

until November 31, 2014 after November 31, 2014 February 9-14, 2015

CASEM / ACMSE or OMA Member $625.00 $675.00 $750.00

Non Member $800.00 $850.00 $900.00

Allied Health (physio, nurse etc.) $700.00 $750.00 $800.00

Resident/Fellows $400.00 $450.00 $500.00

CASEM Medical Students $250.00 $300.00 $350.00

Daily Rate circle date (Friday-Saturday-Sunday) $300.00 $350.00 $400.00

Saturday Evening Gala Dinner $85.00* No of Pers. _____ $_______________________

*Gala Tickets purchased on site will be $100.00

TOTAL AMOUNT PAYABLE $_______________________

PLEASE PRINT

Date: MM_______DD________YYYY________

Last Name: _________________________________________ First Name:________________________________________

Address:____________________________________________________________________________________________

City:______________________________________________ Province: __________ Postal Code: _____________________

Phone:(____)_______________________ Alternate Phone:(____)___________________ Fax:(____)____________________

Email: (primary method of communication)

___________________________________________________________________________

METHOD OF PAYMENT

Cheque # ______ VISA ___ M/C ___ Total Amount: $________________

Credit Card No : _____________________________________________________________________

Expiry Date: Month _________ Year __________

Signature________________________________________________________________________________________

Please fax this completed form to 613-231-3739 or email it to rmenard@casem-acmse.org

CANCELLATION POLICY

A $100.00 CDN cancellation fee will apply to all reimbursements issued prior to December 31st , 2014.

After this date NO refunds will be issued.

Canadian Academy of Sport and Exercise Medicine (CASEM)

180 Elgin Street, Suite 1400

Ottawa ON K2P 2K3

Tel. 613 748-5851 - Fax: 613 231-3739 www.casem-acsme.org