the north carolina society of radiologic technologists

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The North Carolina Society of Radiologic Technologists, Inc. One-Day Continuing Education Seminar Novant Health : Forsyth Medical Center ∫ Derrick L. Davis Cancer Center Winston-Salem, NC Saturday, January 24, 2015 CE Day Coordinator: Sherry Holloway, RT-R(ARRT) Program approved for 7.0 Category A CE by the ASRT through the NCSRT, Inc.

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The North Carolina Society of Radiologic Technologists, Inc. One-Day Continuing Education Seminar

Novant Health : Forsyth Medical Center ∫ Derrick L. Davis Cancer Center Winston-Salem, NC

Saturday, January 24, 2015 CE Day Coordinator: Sherry Holloway, RT-R(ARRT)

Program approved for 7.0 Category A CE by the ASRT through the NCSRT, Inc.

NCSRT, Inc. CE Proof of Attendance

“It’s All About The Image” Saturday, January 24, 2015

Novant Health / Forsyth Medical Center/

Derrick L. Davis Cancer Center/ Winston-Salem, NC

7:00 a.m.—7:45a.m. Check-In/On-Site Registration BREAKFAST SPONSOR:

Thank you to First Call Parts!

7:45 a.m.—8:00 a.m. WELCOME from the President, Robin Cornett, M.A. Ed, RT(R)(CV)

8:00 a.m.—9:00 a.m. What You Do When No One Is Looking

Joy Renner, M.A., RT(R), FAEIRS

UNC Chapel Hill

9:00 a.m.—9:50 a.m. Principles of Digital Radiography

for Today’s Workplace : Part 1

Andrew Woodward, M.A., RT(R)(QM)(CT)(ARRT)

UNC Chapel Hill

9:50 a.m.—10:00 a.m. BREAK

10:00 a.m.—11:00 a.m. Digital Radiography for Today’s Workplace : Part 2

Andrew Woodward, M.A., RT(R)(QM)(CT)(ARRT)

11:00 a.m.—11:55 a.m. Digital Radiography for Today’s Workplace : Part 3

Andrew Woodward, M.A., RT(R)(QM)(CT)(ARRT)

12:05 p.m.—1:00 p.m. LUNCH SPONSOR:

Thank you to Technical Prospects!

1:00 p.m.—2:00 p.m. Shielding Is Your Best Defense

Carmine M. Plott, Ph.D., CHP

Radiation Safety Officer, Novant Health

2:15 p.m.—3:15 p.m. Where’s Waldo?

A Look at Foreign Bodies and Other Interesting X-Ray Findings

Karen Brock, MD

Radiologist

3:15 p.m.—3:30 p.m. BREAK

3:25 p.m.—4:25 p.m. How To Be The Most Awesome Technologist Ever

Patrick Markwalter, MD

Triad Radiology

Pending ASRT CE Approval. Subject to change without notice.

Central Office PO Box 52355 Durham, NC 27717-2355 Tel: (919) 724-5800 Fax: (888) 276-8931 E-mail: [email protected] Web Site: www.ncsrt.org

Pre-Registration Form

Derrick L. Davis Cancer Center♦ One-Day Seminar ♦ Saturday, January 24, 2015

Forsyth Medical Center—enter from the Hawthorne Road entrance for free parking ♦ Winston-Salem

Date of Registration: NCSRT, Inc. Membership (if applicable) #:

Last Name: First Name: MI:

Home Phone: Work Phone: Mobile Phone:

Mailing Address:

City: State: County: Zip:

Email Address:

Indicate Registry: (R) (N) (T) (MR) (M) (CT) (QM) (BD) (CI) (VI) (CV) (VS) (Breast Sono) (R.R.A.) (circle all that apply)

Other: C.N.M.T. R.D.M.S. R.N. R.C.I.S.

Student _____________________________________________________________________ (specify modality and program)

Seating Limited** Please pre-register early** FAX: 888-276-8931

Novant Employees, Send in a copy of your employee badge for a 10% discount.

One-Day EARLY REGISTRATION FEES (If you register ON or BEFORE Saturday, January 10, 2015):

***

*Members: $110.00 *Non-Members: $220.00 *Student Members: $55.00 *Student Non-Members: $110.00

One-Day REGISTRATION FEES (If you register AFTER Saturday, January 10, 2015):

***

*Members: $135.00 *Non-Members: $245.00 *Student Members: $80.00 *Student Non-Members: $135.00

SEMINAR REGISTRATION FEE INCLUDES BREAKFAST, LUNCH and BREAKS

*Non-members may qualify for member registration rates if MEMBERSHIP APPLICATION accompanies this registration form.

OUT OF STATE TECHNOLOGISTS MAY REGISTER UNDER THE STATUS OF THEIR STATE IF PROOF OF STATUS IS PROVIDED.

CREDENTIALS WILL BE CHECKED. PROOF OF MEMBERSHIP IS REQUIRED AT THE MEETING REGISTRATION

IF YOU DO NOT PRE-REGISTER. CEC/ECE CREDITS WILL BE AVAILABLE.

METHOD OF PAYMENT

Make check or money order payable to NCSRT, Inc. CK # Visa MasterCard

Credit Card #: Exp. Date: CVV #:

Signature (as appears on card)

Billing address required if different from applicant:

To receive a refund, please submit your request to the NCSRT, Inc. Treasurer 14 days prior to the day of the meeting. Refunds will

be issued based on your original method of payment and a 40% cancellation fee will be deducted. Full refunds will be applied if the

conference is cancelled. The NCSRT, Inc. accepts no responsibility and offers no reimbursement for airfare or other expenses

incurred by participants.

By attending an NCSRT, Inc. event, you grant NCSRT, Inc. permission to use your name and likeness and your statements about the

event in photographs, videos, advertising or any other type of promotional material. Unless you revoke this permission in writing to

the NCSRT, Inc, by virtue of your attendance you agree to the use of your likeness in such materials.

Not A Member? Join Today!

You Can Also Join Online

Visit the website at www.ncsrt.org

While you’re there, check out other things that the NCSRT, Inc. has to offer.

W W W . N C S R T . O R G P.O. Box 52355, Durham, NC 27717-2355 Tel 919-724-5800 Fax 1-888-276-8931

NCSRT, Inc. An Affiliate of the ASRT P.O. Box 52355 Durham, NC 27717-2355 Phone: 919-724-5800 Fax: 1-888-276-8931 [email protected] Website: www.ncsrt.org

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