Ninth Annual Meeting of the International College of Geriatric Psychoneuropharmacology Presented by The Johns Hopkins University School of Medicine Department of Psychiatry and Behavioral Sciences ICGP President: John T. O?Brien (United Kingdom) Co-Chairs of Program Committee: Gwenn S. Smith (USA) Paul Francis (United Kingdom) November 4 - 7, 2009 Thomas B. Turner Building The Johns Hopkins University School of Medicine Baltimore, Maryland USA Jointly sponsored by the International College of Geriatric Psychoneuropharmacology Description The ICGP was founded in 2000 with the mission to further clinical care, research and education in geriatric psychoneuropharmacology by fostering cross-fertilization of scientific knowledge among clinical and preclinical scientists from different related disciplines. The number of elderly people with neuropsychiatric disorders is increasing rapidly all over the world ? in developing as well as developed countries. In the U.S., the number of psychiatrically ill older persons is estimated to quadruple by the year 2030. More effective treatment strategies will be needed to lessen the disability and public health burden generated by neuropsychiatric disorders. Advances in such fields as psychopharmacology, therapeutics, genetics and neuro-imaging are occurring at an unprecedented rate. There is an increasing need to translate the knowledge from basic and clinical research into more effective prevention and intervention and strategies. The theme of the ninth annual meeting will be ?New Frontiers in Geriatric Psychoneuropharmacology?, with a focus on novel therapeutic interventions, molecular targets and cutting edge methodologies. The program will include scientific sessions as well as plenary lectures from the leading international preclinical and clinical scientists. Who Should Attend This activity is intended for general psychiatry, geriatric psychiatry, geriatric medicine, neurology, radiology, neuroradiology, neuroscience, nursing, psychology, neuropsychology, and social work. Objectives After attending this activity, the participant will demonstrate the ability to: - Discuss and integrate scientific information from basic and clinical research relevant to geriatric psychoneuropharmacology - Describe basic and clinical research methodologies necessary for treatment development and for clinical evaluation with the goal of developing more effective prevention and intervention approaches to prevent and treat neuropsychiatric disorders in aging individuals - Apply the information obtained to improve the health and well-being of the aging individuals with neuropsychiatric disorders who are residing in many culturally distinct societies world-wide ACCREDITATION STATEMENT This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of The Johns Hopkins University School of Medicine and the International College of Geriatric Psychoneuropharmacology. The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. CREDIT DESIGNATION STATEMENT The Johns Hopkins University School of Medicine designates this educational activity for a maximum of 21.75 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. OTHER CREDIT This CME activity is endorsed by the American Geriatrics Society. Credits earned from this activity may be counted toward the AGS Geriatrics Recognition Award. The Johns Hopkins University has approved this activity for 21.75 contact hours for non-physicians. The Johns Hopkins University School of Medicine is authorized by the State Board of Examiners of Psychologists as a provider of continuing education. The Johns Hopkins University School of Medicine maintains responsibility for this program. A certificate for 21.75 CEUs will be awarded upon completion of this activity. The Maryland Board of Social Work Examiners certifies that this program meets the criteria for 21.75 credit hours of Category 1 or 21.75 CEUs of continuing education for social workers and associates licensed in Maryland. This CE Program has been approved by the Maryland Board of Professional Counselors and Therapists for Category A. POLICY ON SPEAKER AND PROVIDER DISCLOSURE It is the policy of The Johns Hopkins University School of Medicine that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). The Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials. General Information REGISTRATION Thursday, November 5, 2009 - 7:00 a.m. LOCATION Thomas B. Turner Building The Johns Hopkins University School of Medicine 720 Rutland Avenue, Baltimore, Maryland 21205 The Turner Building is located on Rutland Avenue at Monument Street. Directions and campus parking information are available on our website under the contact and travel section at www.HopkinsCME.edu. Handicapped parking is available in the nearby Rutland Garage. Johns Hopkins is smoke-free. FEES REGISTRATION CUT-OFF DATE: Friday, October 30, 2009 Methods of Payment: Payment by check or credit card must accompany the registration form prior to the activity. On-site payments by credit card only. Foreign payments must be by credit card or with a U.S. Dollar World Money Order. The registration fee includes instructional materials and refreshment breaks. A boxed lunch can be purchased for an additional fee of $10.00 per lunch per day. Please note your lunch selection on the registration form. Registration Fees: ICGP Members $250 Non-Members $350 Students* $250 *with verification of status You will receive a confirmation by e-mail if you have provided your e-mail address. Otherwise confirmation will be sent by mail. If you have not received it by October 30, 2009, call (410) 502-9634 to confirm that you are registered. Certificates of attendance will be mailed by December 17, 2009. The Johns Hopkins University reserves the right to cancel or postpone any activity due to unforeseen circumstances. In this event, the University will refund the registration fee but is not responsible for travel expenses. Additionally, we reserve the right to change the venue to a comparable venue. Under such circumstances registrants will be notified as soon as possible. LATE FEE AND REFUND POLICY A $50 late fee applies to registrations received after 5:00 p.m. EST on October 30, 2009. A handling fee of $50 will be deducted for cancellation. Refund requests must be received by fax or mail by October 30, 2009. No refunds will be made thereafter. Transfer of registration to another Johns Hopkins conference in lieu of cancellation is not possible. HOTEL AND TRAVEL INFORMATION Courtyard by Marriott Phone: (800) 321-2211 Baltimore Inner Harbor or (443) 923-4000 1000 Aliceanna Street Fax: (443) 923-9970 Baltimore, Maryland 21202 HOTEL RESERVATION CUT-OFF DATE: FRIDAY, OCTOBER 9, 2009 A block of rooms has been reserved at the Courtyard by Marriott Baltimore Inner Harbor for the convenience of our registrants. The Baltimore Courtyard by Marriott? is hospitality on the harbor. Nestled in the Harbor East neighborhood one block from the picturesque waterfront and an easy stroll to the National Aquarium, Fells Point, Little Italy and the Inner Harbor attractions. Call the hotel directly and specify that you are attending the Johns Hopkins ICGP Conference to receive the special room rate of $159 single or double, plus tax. Complimentary transportation will be provided to the activity. Check-in time is 3:00 p.m. Check-out time is 12:00 noon. Call United Airlines at (800) 521-4041 for discounted rates and refer to Meeting ID Number 549TJ. EMERGENCY CALLS During the days of this activity only, November 4 - 7, 2009, direct emergency calls to the Hopkins registration desk, (410) 955-3673. Messages will be posted for participants. AMERICANS WITH DISABILITIES ACT The Johns Hopkins University School of Medicine fully comply with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs. TO REGISTER or FOR FURTHER INFORMATION Register Online www.HopkinsCME.edu Register by Phone (credit card only) (410) 502-9634 Register by Fax (866) 510-7088 Confirmation/Certificates (410) 502-9634 General Information (410) 955-2959 E-mail the Office of CME cmenet@jhmi.edu For general information, the direct link for this CME activity web page is: http://www.hopkinscme.edu/CourseDetail.aspx/80021419. ACKNOWLEDGEMENT Applications for commercial support from health care related industries are pending. A complete list of contributors will be provided in the syllabus. PROGRAM WEDNESDAY, NOVEMBER 4, 2009 This day will not be for CME AMA PRA Category 1 Credit(s)TM 12:00 - 1:00 Luncheon (ICGP Jr. Investigator Awardees and By Invitation Only) 1:00 - 6:00 ICGP Training Day Program (Open to all members) Jr. Investigator Awardees Presentations/ Career Development CO-CHAIRS: Hochang Benjamin Lee, MD and Alan Thomas, PhD, MRCPsych THURSDAY, NOVEMBER 5, 2009 7:00 - 8:00 Registration and Refreshment Break 8:00 - 10:00 PRESIDENT?S PLENARY Late Life Depression: Progress Towards an Understanding of Etiology and Better Treatments CHAIR / CO-CHAIR: John T. O?Brien, DM, FRCPsych and Gwenn Smith, PhD PRESENTERS: Hochang Benjamin Lee, MD John T. O?Brien, DM, FRCPsych Alan Thomas, PhD, MRCPsych Charles Reynolds III, MD 10:00 - 10:15 Refreshment Break 10:15 - 12:45 PANEL SESSION 1 - CONCURRENT SESSION SESSION 1 - GROUP A The Role of Functional Imaging and Deep Brain Stimulation in Understanding Parkinson?s Disease CHAIR / CO-CHAIR: Antonio Strafella, MD, PhD and Paola Piccini, MD, PhD, FRCP PRESENTERS: David Eidelberg, MD Paola Piccini, MD, PhD, FRCP Antonio Strafella, MD, PhD Andres Lozano, MD, PhD, FRCSC, FACS Debra Babcock, MD, PhD SESSION 1 - GROUP B KCGP/ICGP Session: Subsyndromal Depression, Minor or Major in Late Life? CHAIR / CO-CHAIR: Jung Hie Lee, MD, PhD and Jeffrey Lyness, MD PRESENTERS: Joon Hyuk Park, MD Jeffrey Lyness, MD Dong Young Lee, MD, PhD Sidney Zisook, MD Peter Rabins, MD, MPH 12:45 - 1:30 Business Meeting 12:45 - 1:45 Lunch on Own and Poster Viewing 1:45 - 4:15 PANEL SESSION 2 - CONCURRENT SESSION SESSION 2 - GROUP A The Role of Lipids in the Development of Alzheimer?s Disease: New Therapeutic Approaches? CHAIR / CO-CHAIR: Michelle Mielke, PhD and Norman Haughey, MD PRESENTERS: Michelle Mielke, PhD Stanley Rapoport, MD Deborah Gustafson, PhD Michael Ewers, MD John Hsiao, MD SESSION 2 - GROUP B Brain Banking: Current and Future Contributions to Understanding Neurodegenerative and Neuropsychiatric Disorders CHAIR / CO-CHAIR: Paul Francis, PhD and Robert Sweet, MD PRESENTERS: Paul Francis, PhD Robert Sweet, MD Steven Arnold, MD Etienne Sibille, PhD Douglas Meinecke, PhD 4:15 - 4:30 Refreshment Break 4:30 - 5:45 PLENARY PANEL Alzheimer?s Disease: New Frontiers in Biomarkers and Therapeutics CHAIR / CO-CHAIR: Antonios Politis, PhD and Gwenn Smith, PhD PRESENTERS: Madhav Thambisetty, MD, PhD Adrian Laxton, MD, PhD FRIDAY, NOVEMBER 6, 2009 7:30 - 8:00 Refreshment Break 8:00 - 10:30 PANEL SESSION 3 - CONCURRENT SESSION SESSION 3 - GROUP A Behavioral Disorders in Alzheimer?s Disease: Understanding Pathogenesis as a Basis for New Therapeutic Approaches CHAIR / CO-CHAIR: Constantine Lyketsos, MD, MHS and Lon Schneider, MD, MS PRESENTERS: Constantine Lyketsos, MD, MHS Paul Francis, PhD Alena Savonenko, MD, PhD Lon Schneider, MD, MS Barry Lebowitz, PhD SESSION 3 - GROUP B Neuroimaging Biomarkers in Geriatric Mood Disorders: Identifying Biological Correlates of Disease State and Treatment Response CHAIR / CO-CHAIR: Brent Forester, MD and Jovier Evans, PhD PRESENTERS: Olu Ajilore, MD, PhD Klaus Ebmeier, MD, FRCPsych Brent Forester, MD Constance Moore, PhD Peter Barker, PhD 10:30 - 10:45 Refreshment Break 10:45 - 11:45 Senior Investigator Award Lecture George Alexopoulos, MD 11:45 - 12:00 Distinguished Investigator Award Presentation Barry Lebowitz, PhD 12:00 - 1:00 Geriatric Psychiatry Pipeline Session Martha Bruce, PhD, Barry Lebowitz, PhD and John T. O?Brien, DM, FRCPsych 12:00 - 1:15 Lunch on Own and Poster Viewing 1:15 - 3:45 PANEL SESSION 4 - CONCURRENT SESSION SESSION 4 - GROUP A The Genetics of Late-Life Psychiatric Disorders: Lessons in Complexity CHAIR / CO-CHAIR: Ruth O?Hara, PhD and Marilyn Miller, PhD PRESENTERS: Robert Sweet, MD Warren Taylor, MD, MHS Dimitrios Avramopoulos, MD, PhD Christoph Nissen, MD Marilyn Miller, PhD SESSION 4 - GROUP B Molecular Imaging in Aging and Neurodegeneration CHAIR / CO-CHAIR: Gwenn Smith, PhD and Dean Wong, MD, PhD PRESENTERS: Susan Resnick, PhD Meryl Butters, PhD Victor Villemagne, MD Martin Pomper, MD, PhD Neil Buckholtz, PhD 3:45 - 4:00 Refreshment Break 4:00 - 5:30 PLENARY PANEL Wisdom and Other Positive Traits: Implications for Successful Aging CHAIR / CO-CHAIR: Dilip Jeste, MD and George Niederehe, PhD PRESENTERS: Dilip Jeste, MD Barbara Sahakian, FMedSci SATURDAY, NOVEMBER 7, 2009 7:30 - 8:00 Refreshment Break 8:00 - 10:30 PANEL SESSION 5 - CONCURRENT SESSION SESSION 5 - GROUP A Advances in Lewy Body Dementias CHAIR / CO-CHAIR: Alan Thomas, PhD, MRCPsych and John T. O?Brien, DM, FRCPsych PRESENTERS: Urs Mosimann, MD, PhD Tanis Ferman, PhD John T. O?Brien, DM, FRCPsych John-Paul Taylor, PhD, MRCPsych Alan Thomas, PhD, MRCPsych SESSION 5 - GROUP B Lifespan Approaches to Late-Life Psychiatric Disorders CHAIR / CO-CHAIR: Ruth O?Hara, PhD and Joachim Hallmayer, MD PRESENTERS: Helena Kraemer, PhD Ruth O?Hara, PhD Joachim Hallmayer, MD Carmen Schr”der, MD Andrius Baskys, MD, PhD 10:30 - 10:45 Refreshment Break 10:45 - 1:15 PANEL SESSION 6 - CONCURRENT SESSION SESSION 6 - GROUP A Novel Treatments for Alzheimer?s Disease CHAIR / CO-CHAIR: Andrius Baskys, MD, PhD and Giulio Maria Pasinetti, MD, PhD PRESENTERS: Hans-Ulrich Demuth, PhD Giulio Maria Pasinetti, MD, PhD MercŠ Pall…s-Lliberia, PhD Hernando Rafael, MD Fran‡ois Boller, MD, PhD SESSION 6 - GROUP B Inflammatory Cytokines and Depression CHAIR / CO-CHAIR: Jonathan Godbout, PhD and Francis Lotrich, MD, PhD PRESENTERS: Francis Lotrich, MD, PhD Lucile Capuron, PhD Jonathan Godbout, PhD Alan Thomas, PhD, MRCPsych Paul Rosenberg, MD 1:15 Adjourn The Johns Hopkins University School of Medicine takes responsibility for the content, quality and scientific integrity of this CME activity. This schedule is subject to change. SPEAKERS ACTIVITY CO-DIRECTORS Constantine Lyketsos, MD, MHS The Elizabeth Plank Althouse Professor and Chair of Psychiatry and Behavioral Sciences Johns Hopkins Bayview Medical Center Gwenn Smith, PhD Visiting Professor of Psychiatry and Behavioral Sciences Johns Hopkins Bayview Medical Center The Johns Hopkins University School of Medicine Baltimore, Maryland Paul Francis, PhD Professor of Neurochemistry Wolfson Centre for Age-Related Diseases King?s College London London, United Kingdom President - International College of Geriatric Psychoneuropharmacology John T. O?Brien, DM, FRCPsych Professor of Old Age Psychiatry Institute for Ageing and Health Newcastle University Wolfson Research Centre Campus for Ageing and Vitality Newcastle upon Tyne, United Kingdom JOHNS HOPKINS FACULTY Dimitrios Avramopoulos, MD, PhD Associate Professor of Psychiatry and Behavioral Sciences and of Genetic Medicine Peter Barker, PhD Professor of Radiology and Radiological Science Norman Haughey, MD Associate Professor of Neurology Hochang Benjamin Lee, MD Assistant Professor of Psychiatry and Behavioral Sciences Michelle Mielke, PhD Assistant Professor of Psychiatry and Behavioral Sciences Martin Pomper, MD, PhD Professor of Radiology and Radiological Science, Oncology, Radiation Oncology, Environmental Health Sciences, Pharmacology and Molecular Sciences, Psychiatry and Behavioral Sciences Peter Rabins, MD, MPH Richman Family Professor of Psychiatry and Behavioral Sciences Paul Rosenberg, MD Assistant Professor of Psychiatry and Behavioral Sciences Alena Savonenko, MD, PhD Assistant Professor of Pathology and Neuropathology Dean Wong, MD, PhD Professor of Radiology and Radiological Science, Psychiatry and Behavioral Sciences, Neuroscience and Environmental Health Sciences GUEST FACULTY Olu Ajilore MD, PhD Assistant Professor of Psychiatry University of Illinois Chicago, Illinois George Alexopoulos, MD Professor of Psychiatry Weill Cornell Institute of Geriatric Psychiatry Weill Medical College of Cornell University White Plains, New York Steven Arnold, MD Professor of Psychiatry and Neurology University of Pennsylvania Philadelphia, Pennsylvania Debra Babcock, MD, PhD Program Director, Extramural Research Program National Institutes of Health/NINDS Bethesda, Maryland Andrius Baskys, MD, PhD Associate Professor in Residence Department of Psychiatry and Human Behavior University of California, Irvine Irvine, California Fran‡ois Boller, MD, PhD Medical Officer Division of Extramural Activities National Institute of Mental Health Rockville, Maryland Martha Bruce, PhD Professor of Sociology in Psychiatry Weill Medical College of Cornell University White Plains, New York Neil Buckholtz, PhD Chief, Dementias of Aging Branch Division of Neuroscience National Institute on Aging Bethesda, Maryland Meryl Butters, PhD Associate Professor of Psychiatry Western Psychiatric Institute and Clinic University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania Lucile Capuron, PhD Senior Research Associate Laboratoire de Psychoneuroimmunologie, Nutrition et G‚n‚tique Universit‚ Bordeaux II Bƒtiment UFR Pharmacie Bordeaux, France Hans-Ulrich Demuth, PhD Professor of Pharmabiotechnology Anhalt University of Applied Sciences Halle/Saale, Germany Klaus Ebmeier, MD, FRCPsych Foundation Professor of Old Age Psychiatry The Warneford Hospital Oxford University Oxford, United Kingdom David Eidelberg, MD Professor of Neurology Center for Neurosciences North Shore University Hospital New York University School of Medicine Manhasset, New York Jovier Evans, PhD Program Officer Geriatrics Research Branch National Institute of Mental Health Bethesda, Maryland Michael Ewers, MD Senior Research Fellow Trinity College Institute of Neuroscience Trinity College Dublin Dublin, Ireland Tanis Ferman, PhD Associate Professor of Psychology Mayo Clinic Jacksonville, Florida Brent Forester, MD Assistant Professor of Psychiatry McLean Hospital Harvard University School of Medicine Belmont, Massachusetts Jonathan Godbout, PhD Assistant Professor of Molecular Virology, Immunology, and Medical Genetics The Ohio State University Columbus, Ohio Deborah Gustafson, PhD Associate Professor of Health Sciences The Sahlgrenska Academy University of Gothenburg Gothenburg, Sweden Joachim Hallmayer, MD Associate Professor of Psychiatry and Behavioral Science Stanford University School of Medicine Palo Alto, California John Hsiao, MD Health Science Administrator Division of Neuroscience National Institute on Aging Bethesda, Maryland Dilip Jeste, MD Distinguished Professor of Psychiatry and Neurosciences Estelle and Edgar Levi Chair in Aging Director, Sam and Rose Stein Institute for Research on Aging University of California, San Diego San Diego, California Helena Kraemer, PhD Visiting Professor University of Pittsburgh Medical School Professor Emeritus of Psychiatry and Behavioral Sciences Stanford University School of Medicine Palo Alto, California Adrian Laxton, MD, PhD Resident Physician Department of Surgery Division of Neurosurgery University of Toronto Toronto, Ontario, Canada Barry Lebowitz, PhD Professor of Psychiatry Deputy Director, Sam and Rose Stein Institute for Research on Aging University of California, San Diego San Diego, California Dong Young Lee, MD, PhD Associate Professor of Psychiatry Seoul National University College of Medicine Seoul, Korea Jung Hie Lee, MD, PhD Professor of Psychiatry Kangwon National University School of Medicine Director, Center for Sleep and Chronobiology Kangwon National University Hospital Kangwon-do, South Korea Francis Lotrich, MD, PhD Assistant Professor of Psychiatry University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania Andres Lozano, MD, PhD, FRCSC, FACS Professor Department of Surgery Division of Nueurosurgery University of Toronto Toronto, Ontario, Canada Jeffrey Lyness, MD Professor of Psychiatry Geriatric Psychiatry Program University of Rochester Medical Center Rochester, New York Douglas Meinecke, PhD Chief, Molecular and Cellular Psychopathology Program National Institute of Mental Health Bethesda, Maryland Marilyn Miller, PhD Program Director Etiology of Alzheimer?s Disease: Genetics, Tau, andÿHormone Research Division of Neuroscience National Institute on Aging Bethesda, Maryland Constance Moore, PhD Assistant Professor McLean Hospital - a Harvard Medical School Affiliate Belmont, Massachusetts Urs Mosimann, MD, PhD Professor University of Basel Basel, Switzerland George Niederehe, PhD Chief, Geriatrics Research Branch National Institute of Mental Health Bethesda, Maryland Christoph Nissen, MD University of Freiburg Department of Psychiatry and Psychotherapy Freiburg, Germany Ruth O?Hara, PhD Associate Professor of Psychiatry and Behavioral Sciences Stanford University School of Medicine Palo Alto, California MercŠ Pall…s-Lliberia, PhD Professor of Pharmacology and Therapeutic Chemistry University of Barcelona Barcelona, Spain Joon Hyuk Park, MD Assistant Professor of Psychiatry Jeju National University College of Medicine Jeju, Korea Giulio Maria Pasinetti, MD, PhD Professor of Psychiatry and Neuroscience Professor of Geriatrics and Adult Development The Mount Sinai School of Medicine New York, New York Paola Piccini MD, PhD, FRCP Professor of Neurology Imperial College London London, United Kingdom Antonios Politis, PhD Assistant Professor of Psychiatry University of Athens School of Medicine Athens, Greece Hernando Rafael, MD Neurosurgeon Department of Neurosurgery National Autonomous University of Mexico Mexico City, M‚xico Stanley Rapoport, MD Senior Investigator Chief, Brain Physiology and Metabolism Section National Institute on Aging Bethesda, Maryland Susan Resnick, PhD Senior Investigator, Cognition Section Laboratory of Personality and Cognition National Institute on Aging Baltimore, Maryland Charles Reynolds III, MD UPMC Endowed Professor of Geriatric Psychiatry Professor of Behavioral and Community Health Science University of Pittsburgh School of Medicine and Graduate School of Public Health Pittsburgh, Pennsylvania Barbara Sahakian, FMedSci Professor of Clinical Neuropsychology Department of Psychiatry University of Cambridge School of Clinical Medicine Addenbrooke?s Hospital Cambridge, United Kingdom Lon Schneider, MD, MS Professor of Psychiatry, Neurology and Gerontology Keck School of Medicine University of Southern California Los Angeles, California Carmen Schr”der, MD University Sleep Clinic Department of Neurology University of Strasbourg Strasbourg, Alsace, France Etienne Sibille, PhD Associate Professor of Psychiatry University of Pittsburgh Pittsburgh, Pennsylvania Antonio Strafella, MD, PhD Associate Professor of Medicine and Neurology University of Toronto Toronto, Ontario, Canada Robert Sweet, MD Professor of Psychiatry and Neurology University of Pittsburgh Pittsburgh, Pennsylvania John-Paul Taylor, PhD, MRCPsych Clinical Lecturer in Old Age Psychiatry Institute for Ageing and Health Wolfson Research Centre Newcastle General Hospital Newcastle upon Tyne, United Kingdom Warren Taylor, MD, MHS Associate Professor of Psychiatry Duke University Medical Center Durham, North Carolina Madhav Thambisetty, MD, PhD Staff-Clinician in Neurology Laboratory of Personality and Cognition and Brain Physiology and Metabolism Section National Institute on Aging Baltimore, Maryland Alan Thomas, PhD, MRCPsych Clinical Senior Lecturer in Old Age Psychiatry Institute for Ageing and Health Wolfson Research Centre Newcastle University Campus for Ageing and Vitality Newcastle upon Tyne, United Kingdom Victor Villemagne, MD Senior Research Fellow Department of Nuclear Medicine Austin Hospital Melbourne, Australia Sidney Zisook, MD Professor of Psychiatry University of California, San Diego San Diego, California Registration Form Course Number 80021419 International College of Geriatric Psychoneuropharmacology - November 4 - 7, 2009 To Register: Online: www.HopkinsCME.edu By phone: (410) 502-9634 (credit card only) By fax: (866) 510-7088 Or mail this form to The Johns Hopkins University, Office of Continuing Medical Education, P.O. Box 64128, Baltimore, Maryland 21264-4128. Include check payable to HOPKINS/80021419, or include credit card information below. PAYMENT MUST ACCOMPANY FORM TO CONFIRM YOUR REGISTRATION. Please type or print clearly: last name first name middle initial primary degree (for name badge) primary specialty preferred mailing address city state ZIP + 4 code country daytime telephone fax number e-mail / / / / / / / / / / / / / / / / / / / / / / / / / / You will receive confirmation notice by e-mail if you provide your e-mail address. M Check here if you wish to receive e-mail and/or fax notices about upcoming CME activities. M I plan to stay at the Courtyard by Marriott Baltimore Inner Harbor in Baltimore, MD What do you hope to learn by attending this activity? Please notify us if you have any special needs. Registration Fees: M ICGP Members $250 M Students* $250 M Non-Members $350 *with verification of status For registrations received after 5:00 p.m. EST on Friday, October 30, 2009, include a $50 late fee. On-site registrations are payable only by credit card. Lunch Box $10 per lunch per day Day 1 (Thur) Ham Turkey Tuna Day 2 (Fri) Ham Turkey Tuna Day 3 (Sat) Ham Turkey Tuna Total amount enclosed $ Payment Type: JHU Faculty/Staff Only: Complete registration form and return with appropriate form below to OCME, Turner 20. M Internal Order Number: The ION Data Request Form, can be found online at http://www.hopkinscme.edu/pdfs/IonRequest.pdf. M Tuition Remission: To apply for TR, go to http://benefits.jhu.edu/EduBenefits/tuitionRemission.cfm. This is a non-credit professional development activity. M Check (See instructions on top of form.) M Credit Card:???M VISA???M MASTERCARD???M DISCOVER???M AMEX Card # - - - Exp. Date Name on Card Signature and Date