&REGISTRATION CONFERENCE PROGRAM

WITH THANKS TO OUR SPONSORS TO DATE

SECRETARIAT ADDRESS SPANZA 2013 Conference SecretariatPO Box 180Morisset NSW 2264 Australia Tel: +61 2 4973 6573Fax: +61 2 4973 6609Email: spanzaconf@willorganise.com.au Website: www.etouches.com/spanza2013

CONFERENCE VENUENovotel Sydney Manly Pacifi c

Novotel Sydney Manly Pacifi c is nestled perfectly to enjoy the very best of the Australian lifestyle. Located directly opposite Manly Beach and only 15 minutes from Sydney’s CBD by the Manly Fast Ferry or a leisurely 30 minutes via ferry.

Novotel Sydney Manly Pacifi c is one of Sydney’s leading beachside conference venues. Th e hotel features 213 guest rooms, including 72 refurbished ocean view rooms and suites; most with uninterrupted views from the Manly district to the ocean and beyond.

Travel time from Sydney Airport is approximately 40 minutes depending on traffi c and costs approximately $100 by taxi. Th ere are several Manly airport Shuttle Services that can be booked by phone or on-line.

Situated seven miles north-east of Sydney on the lower Northern Beaches, Manly was named by Captain Arthur Phillip aft er his encounter with the confi dent and manly Aboriginal people of the Kay-ye-my clan who lived here. Surrounded on three sides by water, Manly is the perfect destination to enjoy both the harbour and the 18 ocean beaches, coves and inlets to swim, sail and surf. But as the locals know, Manly is more than Sydney’s premier beach resort. Come by sea or road and take some time to discover its rich heritage and culture, its great shopping, dining and family attractions - it’s well worth the trip.

DESTINATION

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Th e Organising Committee of the SPANZA 2013 ASM invites you to Sydney, to take part in a challenging and compelling scientifi c program in the beautiful seaside resort of Manly. Th emed around the theatrical and dramatic aspects of our work, the conference will explore similarities between our daily work environment and that of a stage production. Reminding us that from the very earliest days of anaesthesia in the Boston Ether dome to the most innovative use of simulation training, the operating theatre is exactly that- a theatre!

Our two invited speakers, David Polaner from Denver, USA and Jenny Th omas from Cape Town, South Africa, will ensure that the scientifi c presentations include diverse perspectives. Both these speakers and a variety of internationally recognised presenters will challenge delegates to question the way we practice and how we see ourselves as paediatric anaesthetists. Programme sessions will explore the various roles played by the paediatric anaesthetist, peri-operative physician, pharmacologist, physiologist, proceduralist, trauma specialist, pain specialist and researcher.

Th is meeting provides a wonderful opportunity for you and your guests to explore the entertainment districts of the city and to take advantage of Sydney’s theatre and performing arts spring season. From the opera and ballet to live theatre, musicals and comedy clubs, a ferry ride across the harbour will get you there. Or if you prefer, relax and enjoy Sydney’s classic Manly beach, ocean views and iconic streetscapes. Take in an early morning harbour swim or try the surf. Th e conference hotel is nestled perfectly on a peninsula between the Pacifi c Ocean and Sydney harbour, surrounded by exceptional restaurants.

Th e social programme will have something for everybody and the conference dinner has been planned to make your visit to Sydney as memorable as any ‘grand opening night’.

Do register early (early bird by August 26) to ensure your place at this entertaining, thought-provoking and confronting conference.

Th e social programme will have something for everybody and the conference dinner has been planned to make your visit to Sydney as memorable as any ‘grand opening night’.

Do register early (early bird by August 26) to ensure your place at this entertaining, thought-

INVITATION TO ATTEND

David M. Polaner, MD, FAAP is Professor of Anesthesiology and Pediatrics at the University of Colorado School of Medicine and the Children’s Hospital Colorado, where he is Director of Transplant Anesthesia and former Chief of the Acute Pain Service. David received his undergraduate education at Yeshiva University and his MD from Mt. Sinai School of Medicine,

both in New York. He trained in pediatrics at Albert Einstein College of Medicine and Seattle Children’s Hospital and in anesthesiology at University of Washington. Following a fellowship in pediatric anesthesiology and critical care at Seattle Children’s, he was a research fellow in Warren Zapol’s laboratory at the Massachusetts General Hospital. He was appointed to the faculty of Harvard Medical School and subsequently became Director of Pediatric Critical Care at Tuft s University School of Medicine and the Floating Hospital for Children in Boston before moving to Denver in 2000.

David’s research and clinical interests are wide-ranging and include regional anesthetics in children, the pediatric airway, propofol infusion syndrome, anesthesia informatics, transplant anesthesia and high altitude medicine and physiology.

He is the co-founder of the Pediatric Regional Anesthesia Network (PRAN), co-director of the 7th International Symposium on the Pediatric Airway and is Section Editor for correspondence and case reports for the journal Pediatric Anesthesia.

Jenny Th omas is the Principal Specialist and Head of Paediatric Anaesthesia at the Red Cross War Memorial Children’s Hospital in Cape Town, South Africa. Th e Red Cross Hospital is the only dedicated children’s hospital on the African continent and is affi liated with the University of Cape Town. It provides anaesthesia services for all the major surgical disciplines including cardiac

surgery, liver transplantation and conjoint twin separation.

Jenny has spent more than 20 years in the fi eld of paediatric anaesthesia, mostly at Red Cross War Memorial Children’s Hospital. As Associate Professor in paediatric anaesthesia, Jenny is the fi rst female professor in the UCT Department of Anaesthesia. Jenny has a special interest in pain management and procedural sedation, burns anaesthesia and pain and cardiothoracic anaesthesia. Her department takes responsibility for a large and varied neonatal and general surgical caseload. Over her career, Jenny has gained un-paralleled experience in the management of conjoined twins and has written extensively about this. Teaching and training at all levels is also one of Jenny’s passions and this allows her department to take a leading role in professional development and workforce training for the whole of the African continent. Jenny maintains her research interests in paediatric pain management with collaborations with Professor Dick Tibboel and Dr Monique Van Dijk of the Sophia Children’s Hospital and the Erasmus University, Rotterdam.

She has recently been involved in setting up a paediatric trauma centre and has had signifi cant input into the design and planning of clinical infrastructure and operating theatres within her institution.

INVITED SPEAKERS

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OTHER INVITED SPEAKERS

INTERNATIONAL INVITED SPEAKERS

Karen Waters is Head of the Respiratory Support Service (Sleep Medicine) at the Children’s Hospital at Westmead. Dr Waters’ has undertaken research in this area for over 20 years, as she undertook a PhD on Sleep Breathing abnormalities in children during her specialist training in Respiratory and Sleep Medicine. Dr Waters has combined Clinical medicine and Medical Research, including basic

(laboratory-based) and clinical aspects of Research throughout her career. She has held NHMRC grants, and is currently Principal investigator on an RCT to evaluate IQ outcomes aft er adenotonsillectomy.

Les White was appointed as the inaugural NSW Chief Paediatrician in September 2010. Since November 2012 he has also held the role of Director, Paediatric Healthcare, NSW Kids & Families. He was Executive Director of Sydney Children’s Hospital (1995–2010), President of Children’s Hospitals Australasia (1999-2004), Convenor of the Greater Eastern and Southern

NSW Child Health Network (2001–2010) and the John Beveridge Professor of Paediatrics (2005-2010). He was awarded a Doctorate of Science for research contributions related to childhood cancer and holds a Master of Health Administration. In 2007 he received an Order of Australia award for service to medicine, medical administration and the community in the fi eld of paediatrics.

Since 2004, SPANZA has sponsored an anaesthetist with a strong interest in paediatric anaesthesia from a lesser developed country to attend the annual scientifi c SPANZA meeting. Th e sponsorship provides for airfares, accommodation and registration.

To date, SPANZA has sponsored anaesthetists from Uganda, Mongolia, Th ailand, Bhutan, Fiji, the Solomon Islands and India.

Applications (including a current Curriculum Vitae and the name of 2 referees) should be made to:

Dr George Chalkiadis Department of Paediatric Anaesthesia and Pain Management, Royal Children’s Hospital, Flemington Rd, Parkville VIC 3052, AustraliaFax: 61 3 9345 6003Email: george.chalkiadis@rch.org.au

To arrive no later than Sunday 30 June 2013

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SPONSORED OVERSEAS DELEGATE

We are currently calling for abstracts to be submitted. If you have a topic of interest, research data, audit or case series that you would like to present, please follow the guidelines detailed below. Selected authors will be asked to present their work in one of three formats.

All submitted abstracts are subject to review by the Organising Committee. Selected abstracts will be assigned to an oral free paper presentation, to the Research Open Forum session or to a poster display.

AN INVITATION TO SUBMIT AN ABSTRACT

Types of Presentations Poster displayPoster presentations of original research, audit or case series are welcomed and will be displayed in the Ballroom terrace for the duration of the meeting. All submitted abstracts will be considered for poster presentation. Th e presenting author will be allocated a lunchtime during which he/she should attend the poster and be available to fi eld questions from delegates.

Oral presentation of your poster Up to 8 posters will be selected for presentation to the Research open forum session. Authors of these selected posters will be notifi ed prior to the meeting and be allocated three minutes to present their work. Five minutes will be allocated for panel discussion and questions. (Please note the research open forum will be held on Friday aft ernoon, concurrent with workshops.)

Oral free paper presentation Up to 4 abstracts will be considered for presentation as oral free papers within the main body of the scientifi c programme. Nine minutes will be allocated to each paper with time for brief questions. If selected for oral free paper presentation, authors will not be expected to prepare a poster.

An invitation to submit a case report Valuable lessons can be learned by discussing unusual or eventful cases. You are invited to submit a brief report on interesting and or controversial cases for discussion in any of three open forums. Cases can be presented in the Pain open forum, Cardiac open forum or Day stay anaesthesia forum. Brief (2minute) case presentations will be followed by panel discussion and open debate.All case reports will be reviewed by the organising committee and convenors of the various forums. Th e convenors will then contact selected authors with presentation details.

Submission Details Authors should submit abstracts and case reports online, as early as possible, but no later than Sunday, 28th July 2013.You will receive an automatic acknowledgement of the receipt of your abstract and you will be notifi ed by email by the end of August on the success of your submission and the required format.Th e Organising Committee reserves the right to contact authors, if required to clarify the nature of intended presentations prior to making decisions regarding their acceptance.

Registration All presenters must register to attend the Meeting and are responsible for their own travel, accommodation and registration expenses. A condition of acceptance is that at least one author is available to present at the Meeting.

Format for Abstracts Th e following format must be followed for all abstracts:Title - 12 point, bold typeface, Arial font, left alignedLeave one blank line (12 point)Authors – 10 point, Arial font, Surname, First name, Presenting Author to be boldAffi liations numbered in superscriptLeave one blank line (12 point)Affi liations – 10 point, Arial font, Italics, Affi liation, City, CountryLeave one blank line (12 point)Abstract Text – 10 point, Arial font, left aligned, single spacing.Confl ict of interest statement - 8 point, Arial font, left aligned, single spacing

Maximum of 400 words Please note the following:• Do not insert any tables or fi gures.• Do not include titles or degrees. • Check spelling and grammar. Submitted material will be

published in the Meeting Handbook – the abstract should, therefore, contain no errors.

• Standard scientifi c abbreviations may be used – non-standard abbreviations should be included in parenthesis aft er the fi rst use of the full word.

• Do not indent paragraphs. • Name the fi le with the fi rst 8 characters from the surname of the

fi rst author (for example: wolf.doc). • Present suffi cient data to support conclusions – it is unsatisfactory

to use statements such as “data will be presented” or “results will be discussed”.

Presentation at the Meeting Posters should be displayed on the poster boards on the Ballroom terrace before lunchtime on Friday 18th. Board allocations will be sent to you before the meeting.If selected for presentation at the research open forum, authors should deliver an electronic version of their poster (maximum 5 slides) to the technician no later than 8.00am on Friday 18th. Oral free paper presentations are required no later than 8.00am on the morning of the presentation, and should be delivered to the technician in the main hall.Selected case reports will be presented orally in open forums at the discretion of the chairperson.Further detailed instructions will be sent to authors of accepted papers.

Important Dates Closing date for submission of Abstract Sunday 28th July 2013Acceptance, allocation or rejection will be advised by the end of August 2013

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CONFERENCE PROGRAM Program correct at time of print and subject to change.

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THURSDAY 17 OCTOBER

1300

PAIN OPEN FORUMPanel: George Chalkiadis, John Collins, Laura Burgoyne, David Polaner, Jane Thomas, Andy LileyAll delegates are invited to attend this open forum that will cover issues relevant to paediatric acute and complex pain management. The first part of the session will comprise of a panel discussion on a series of cases. Controversial and difficult issues in paediatric pain management will be discussed. Delegates are invited to submit case reports for discussion (see page 5 for further information). This year, the forum will progress the idea and logistics of an Australia and New Zealand collaborative acute pain dataset.

1500 AFTERNOON TEA

1530

CARDIAC OPEN FORUMIan McKenzie, Jenny ThomasAll delegates are invited to attend this cardiac open forum. Ian McKenzie will chair the session which will run as a problem-based learning discussion. One of our invited speakers, Prof Jenny Thomas will add to the combined experience of all session participants. This session will be an excellent opportunity to discuss many aspects of paediatric cardiac anaesthesia. Delegates are invited to submit case reports for discussion (see page 5 for further information).

1730 Close1830 Welcome Reception, The Manly Wine Suites

FRIDAY 18 OCTOBER 0815 Welcome

OVERTURE0820 Magnesium for everything Hugh Douglas0840 Blood products and coagulopathies what’s new? James Houghton0900 The potassium trap Jenny Thomas0920 Congenital diaphragmatic hernia Sarah Johnston0940 The difficult paediatric airway Britta von Ungern - Sternberg1000 MORNING TEASETTING THE STAGE1030 Sponsored delegate 1050 The theatre of the future Ruth Matters1115 Promises and pitfalls: Ergonomics and electronic anesthesia information systems David Polaner1145 Medication management in the modern era Chris Johnson1210 Panel discussion1230 LUNCHPROPS1320 Point of care testing 1345 Advanced cardiovascular monitoring Justin Skowno1410 New drugs and delivery 1435 Non-invasive ventilation –Prop, tool or toy Niall Wilton1500 AFTERNOON TEA

1530

RESEARCH OPEN FORUMPanel: Andrew Davidson, Britta von Ungern - Sternberg, David Polaner, David Costi, Justin Skowno All delegates are invited to join this research open forum. It will run concurrently with workshops and PBLDs. A selection of poster presenters will discuss their posters before an expert panel. Delegates will also have an opportunity to comment and to raise pertinent questions.The session will also be used to discuss two collaborative project proposals. These proposals will be ‘workshopped’ with a view to generating a truly collaborative project under the auspices of SPANZA.

CONCURENT WORKSHOPS (See page 8 for further information)

• Improve your practical teaching skills• Central venous access• Coping with difficult paediatric anaesthetic

problems in the developing world• PBLDs

1730 Close

CONFERENCE PROGRAM Program correct at time of print and subject to change.

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SATURDAY 19 OCTOBER GRAND OPERA AND VAUDEVILLE

0830 Paediatric trauma from the top end Suzi Nou

0855 The paediatric trauma centre Jenny Thomas

0930 Infant and neonatal emergency laparotomy Rob McDougall

0955 Spinal injury in children Andrew Weatherall

1015 MORNING TEA

REHEARSALS ON CENTRE STAGE

1045 Debate: Lifting the Curtain on SimulationSandy Garden, Cate McIntosh, Graham Knottenbelt, David Sainsbury, Rino Festa, Amanda Harvey, Sally Wharton

1145 SPANZA AGM

1245 LUNCH

NEW MUSIC

1330 Free Papers

1355 Obesity, sleep and respiratory disease Karen Waters

1425 Obesity and the Ganz procedure Stuart Ross

1445 Anaesthesia for muscle biopsy Catherine Olweny

1505 AFTERNOON TEA

1530

DILEMMAS IN DAY STAY - AN OPEN FORUMPanel: Val Taylor, Ana Englin, David Linscott, Phil Stephens, Jenny Thomas, Susan Hale

This year, SPANZA will host a special open forum on anaesthesia for day stay surgery. Topics and issues of interest to all paediatric anaesthetists will be discussed by an expert panel using case-based problems. This session will explore how to maximise the potential of the day stay suite.

CONCURRENT WORKSHOPS (See page 8 for further information)

• Paediatric resuscitation up-date• Central venous access• Regional anaesthesia• PBLDs

1730 Close

1830 Conference Dinner, The International School of Management (ICMS)

SUNDAY 20 OCTOBER THE APRES PARTY

0830 Turning on the house lights - Managing emergence agitation David Costi

0855 Lessons from the Pediatric Regional Anesthesia Network David Polaner

0930 GAS study Geoff Frawley

0955 Free Papers

1015 MORNING TEA

THE CONDUCTOR

1045 ‘Running the floor’ Eugene Neo

1100 Measuring outcomes in simulation Cate McIntosh

1120 Clinical redesign, Creating the ‘lean machine’ Fiona MacFarlane

1150 Health reform: From big picture to practical application Les White

1225 Conference Close

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SPANZA WORKSHOPS Friday 18 October Saturday 19 October

Regional anaesthesia 1530 - 1730Paediatric resuscitation up-date 1530 - 1730Coping with difficult paediatric anaesthetic problems in the developing world 1530 - 1730Improve your practical teaching skills 1530 - 1730Central venous access 1530 - 1730 1530 - 1730Problem based learning discussions (PBLDs) 1530 - 1730 1530 - 1730

Regional anaesthesia Cost: $100 Philip Wolstencroft (Starship), James Houghton (Starship), David Murrell (CHW), Sarah Johnston (CHW), David Sandeman (CHW), Geoff Frawley (RCH)

This workshop will include 6 stations with 15 minutes allotted per station. There will be three master classes and three hands on ultrasound guided regional anaesthesia stations. The master classes will include “Paediatric epidural trouble shooting” by David Murrell, “Neonatal subarachnoid block” by Geoff Frawley and “Ultrasound guided dorsal penile nerve block” by David Sandeman. The Ultrasound regional anaesthesia stations will be lead by Philip Wolstencroft (upper limb), James Houghton (lower limb) and Sarah Johnston (abdominal blocks).

Paediatric resuscitation up-date Cost: $50 Stuart Ross, Andrea Santoro, Ian Sherratt, Jenny Upton

This is a hands on up-to-date workshop designed to provide  you with  advanced resuscitation skills in the management of neonatal and paediatric emergencies through the use of practical scenarios and the latest APLS guidelines.

Coping with difficult paediatric anaesthetic problems in the developing world Cost: $25 Prof Albert Shun, Dr Wangari Nyaga, Dr Michael Cooper, Dr Lindsay McBride and Dr Andrew Weatherall

This workshop will feature a variety of discussions from presenters with expertise in different parts of the developing world on coping with difficult paediatric anaesthetic challenges where isolation and sparsely equipped environments are the norm. The facilitators will present their viewpoints followed by an interactive discussion.

Improve your practical teaching skills Cost: $50 Alison Carlyle, Mark Priestley

This interactive workshop focuses on effective ways of teaching key paediatric topics in the theatre environment, addresses the challenge of aligning trainee learning aspirations with your teaching goals and includes the practical implementation of the new trainee assessment tools with clinical examples.

Central venous access Cost: $100 Ian Smith

This session explores the provision of a gold standard vascular access service using an expert panel, discussion and practical demonstrations.

Problem based learning discussions (PBLDs) Cost: $55.00 per two hour session. Each session will be strictly limited to a maximum of 60 participants (6 x 10 people). Participants may register for both sessions in order to get the full range of cases.

These 3x40minute small-group, case-based, active learning sessions use specific case scenarios to address a selection of anaesthesia topics. The format involves a faculty facilitator (+/-assistant facilitator) and up to 10 participants per session. In each two hour session, participants will be exposed to a range of three cases with progressive complexity throughout each case. Advanced airway and pain management techniques will be included. The PBLD sessions are scheduled for Friday afternoon and will be repeated on Saturday afternoon.

REGISTRATION

Each person attending the Conference needs to complete his or her own registration form with payment. You can also register online at www.spanza.org.au/conference.

A letter of confi rmation will then be forwarded by email. Please ensure you read all information in this brochure carefully before answering the questions on the registration form.

REGISTRATION FEES (All prices are in Australian Dollars and inclusive of GST)

Early birdOn or Before

26 August

StandardOn or Before 30 September

LateA� er 30

SeptemberSPANZA Member $1260 $1425 $1490Non Member $1425 $1490 $1655Registrar $1020 $1070 $1120Technician/Student/Nurse* $730 $780 $830Day Registration $880 $930 $980Honorary Member $130 $130 $130Retired Member $350 $350 $350AccompanyingPerson $225 $225 $225

* Th is registration does not allow access to workshops

INCLUSIONS FOR REGISTERED PERSONSMembers, Non Members, Registrars, Technician’s and Honorary Members➢ Attendance at Sessions➢ All Offi cial Documentation➢ Morning & Aft ernoon Tea & Lunch as scheduled in program➢ Conference Dinner➢ Welcome Reception➢ Entrance to exhibitionDay Delegates All entitlements for day of attendance only➢ Attendance at Sessions➢ All Offi cial Documentation➢ Morning & Aft ernoon Tea & Lunch as scheduled in program➢ Entrance to exhibitionRetired Member ➢ Attendance at Sessions➢ All Ofi cial Documentation➢ Morning & Aft ernoon Tea & Lunch as scheduled in program➢ Welcome Reception➢ Entrance to exhibitionAccompanying Person ➢ Welcome Reception➢ Conference Dinner

PAYMENT OF FEESAll prices are quoted in Australian dollars. Payment of fees must accompany all registrations and may be made by cheque or credit card (MasterCard or Visa only). Cheques should be made payable to SPANZA Conference and drawn on an Australian bank.

GSTABN: 44 639 760 994

You will be sent a tax invoice once your registration has been received. Please refer to the accommodation section for tax invoices relating to accommodation bookings.

CANCELLATIONS AND REFUNDS (REGISTRATION)Cancellations must be notifi ed in writing to the Secretariat.

Cancellations received:

• Before 2 August 2013 will incur a A$150.00 cancellation fee.

• Before 13 September will receive a 50% refund of fees paid.

• Aft er 13 September there will be no refund.

INSURANCETh e Conference organising committee strongly recommends that you take out insurance for your travel and attendance at the Conference. Th e Conference cannot accept any responsibility for participants failing to arrange their own insurance.

EXHIBITION AND SPONSORSHIPA trade display will be held during the Conference. A list of participating companies will be provided at the Conference. Companies are also invited to take up Conference sponsorship. For more information on exhibition and sponsorship opportunities, contact the Secretariat on telephone +61 2 4973 6573, fax +61 2 4973 6609 or email: spanzaconf@willorganise.com.au

WHAT TO WEARSessions – Neat CasualWelcome Reception & Conference Dinner – Smart Casual

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Novotel Sydney Manly Pacifi c55 North Steyne StManly NSW 2095

Standard Room $259.00Ocean View Room $369.00

For any alternative accommodation options, including budget accommodation and family rooms, please contact the Secretariat directly on telephone +61 2 4973 6573 or email spanzaconf@willorganise.com.au.

Deposit

Hotel accommodation bookings must be accompanied by a fi rst night’s deposit or credit card guarantee in order to secure your reservation. Your deposit (or credit card number) will be passed on to the hotel and you must settle the balance of your account on check out. Th e hotel holds your credit card as a guarantee only and by providing the card number, you are also providing authorisation for the hotel to charge this card if you fail to arrive at the hotel on the date indicated. Your credit card will not be charged until you approve the account and check out (or fail to arrive).

How to Book

Please complete the accommodation section of the registration form. Th e secretariat will then book your room and send confi rmation of reservation. Any change to a reservation must be notifi ed to the Secretariat and not directly to the hotel.

Check in and check out

Hotel check in time is 1400 hours. If you are to arrive before this time, it is probable that you will not be able to gain access to your room. To guarantee a room to be available for an early arrival, you will need pre-register and pay for your room for the night before. If required please indicate on your registration form. Hotel check out time is 1100 hours. Many hotels do off er late check outs when asked. If you require a late checkout please indicate on your registration form. Please note however, this is subject to availability of the Hotel. Please indicate on your registration form or notify the secretariat in writing if you will arrive at your hotel aft er 1800 hours. Failure to do so may result in your room being released.

ACCOMMODATION

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WELCOME RECEPTION Th ursday 17 October 1830 - 2030

Venue: Th e Manly Wine SuitesPartner tickets: $95 per personDress: Smart Casual

As a welcome to the SPANZA Conference, before the sessions commence on the Friday, enjoy some drinks and canapés whilst catching up with colleagues.

CONFERENCE DINNER Saturday 19 October 1830 - 2300

Venue: Th e International School of Management (ICMS)Partner tickets: $130 per personDress: Smart Casual

With sweeping views over the Pacifi c Ocean and North Head reserve in beautiful Manly, the ICSM historic estate provides the perfect backdrop for the Conference dinner. Enjoy a sumptuous three course meal followed by dancing and local entertainment.

SOCIAL PROGRAM

Th e Manly Wine Suites

Th e Manly Wine Suites

ICMS

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SPANZA 2013 REGISTRATION FORMThe information below will be reproduced in the delegate list at the Conference and be used for all mailings. Please complete the form and submit to the Conference Secretariat via fax; +61 2 4973 6609 or email; spanzaconf@willorganise.com.au. An emailed confirmation will be sent to you within one week of submission.

A. CONTACT DETAILS

Title: (Prof/Dr/Mr/Mrs/Ms etc): ...................................................................................................................................................................................................

Given Name: .....................................................................................................................................................................................................................................

Surname: ...........................................................................................................................................................................................................................................

Organisation: ....................................................................................................................................................................................................................................

Position: ............................................................................................................................................................................................................................................

Postal Address: .................................................................................................................................................................................................................................

Suburb: .............................................................................................................................State: ..........................................Postcode: ............................................

Country: ...........................................................................................................................................................................................................................................

Tel: (............) .............................................................................................................. Mobile: (............) .........................................................................................

Email: ................................................................................................................................................................................................................................................

Preferred Name on Badge: .............................................................................................................................................................................................................

Special Needs (dietary, access etc): ................................................................................................................................................................................................

If you do not want details included in the delegate list provided, please tick:

ACCOMPANYING PERSON DETAILS

Given Name: .............................................................................................................. Surname: .....................................................................................................

Special Needs (dietary, access etc): ................................................................................................................................................................................................

B. REGISTRATION FEES (these include GST) – Please Circle

Early bird On or Before 26 August

Standard On or Before 30 September

Late Register After 30 September

SPANZA Member $1260 $1425 $1490

Non Member $1425 $1490 $1655

Registrar $1020 $1070 $1120

Technician/Student/Nurse $730 $780 $830

Day Registration * $880 $930 $980

Honorary Member $130 $130 $130

Retired Member $350 $350 $350

Accompanying Person $225 $225 $225

*Please circle which day you would like to attend: Friday Saturday Sunday

SUB-TOTAL REGISTRATION FEE: A$_________

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SPANZA 2013 REGISTRATION FORM C. ACCOMMODATIONAll rates include GST. One night’s deposit or credit card guarantee must be given to secure your booking.

I do not require the Secretariat to book accommodation for me.

HOTEL Room Type Cost per room per night Check in date Check out date Amount Enclosed

(Chq only)

OR Use credit card details as guarantee

(Please Tick)

Novotel Standard Room $259 /10/13 /10/13 A$

Ocean View Room $369 /10/13 /10/13 A$

Please circle: Single Twin Double

I wish to share my room with: ..................................................................................................................................................................................

Please note – the Conference Secretariat does not organise share accommodation – if you wish to share, you must find someone to share with.

SUB-TOTAL ACCOMMODATION: A$________

D. SOCIAL FUNCTION TICKETSIf you would like to bring a partner or friend to a social event please complete below and include payment with your registration. Extra tickets can be purchased at a later time by contacting the Conference Secretariat however tickets are subject to availability.

Event Cost (inc GST) No of Tickets TOTALWelcome Reception Thurs 17 October Included for fully registered persons - Extra Ticket: $95 A$Conference Dinner Sat 19 October Included for fully registered persons - Extra Ticket: $130 A$

SUB TOTAL SOCIAL FUNCTIONS: A$_________

E. WORKSHOPS

Workshop Cost (Inc GST) No. of Tickets TOTAL

Regional anaethesia - Saturday $100 A$

Paediatric resusatation up-date - Saturday $50 A$

Coping with difficult paediatric anaesthetic problems in the developing world - Friday $25 A$

Improve your practical teaching skills - Friday $50 A$

Central venous access Friday Saturday $100 A$

Problem based learning discussions (PBLDs) Friday Saturday $55 A$

SUBTOTAL WORKSHOPS: A$__________

F. PAYMENT(All prices include GST where applicable)

Section B Registration fees A$

Section C Accommodation (only complete if paying by cheque) A$

Section D Social functions A$

Section E Workshops A$

Total Fees Enclosed A$

I have read and agree to all the conditions outlined in this registration brochure

Please find enclosed cheque/money order payable to SPANZA ConferenceOR

Please charge the total amount above to the following credit card MasterCard Visa Card

Credit Card Number ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Expiry Date.................................

Name on card .......................................................................................................................................................................................................................................

Signature .............................................................................................................................................................Date .........................................................................{ 13 }