AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord
September 3 – 5, 2015Westin BellevueBellevue, Washington
Preliminary Program
Directly Provided by
Table of Contents
CME Mission 4 Statement
Course Overview 5
Target Audience 5
Learner Objectives 6
Accreditation 6
Designation 6 Statement
Faculty 7 – 8
Preliminary 9 – 13 Program
Presentation 14 Information
Course Tuition 15 and Registration
Hotel and Travel 16 – 17
Welcome
Welcome to AONeuro! In AO North America’s continued commitment to surgeon education:
It is our distinct pleasure to announce a special educational offering for Neurotrauma which represents a collaborative effort between AOSpine North America and AONeuro North America.
This unique course will provide participants with an outstanding opportunity to advance their knowledge and surgical skills in brain, spine and spinal cord trauma through didactic lectures and case-based discussions. Faculty selection includes recognized Neurotrauma leaders who are eager to share their knowledge and experience with you. We hope that you will consider registering for this course and sharing this opportunity with your colleagues.
Course Chairs
Randall M. Chesnut, MD, FCCM, FACS
Richard G. Ellenbogen, MD, FACS
Message from the Program Coordinator
On behalf of AO Foundation and your local and international faculty, I would like to welcome you to this AONeuro educational event.
AONeuro is a unique worldwide multi-specialty community that includes cranial Neurosurgeons, Neurologists, Neurointensivists, Neuro anesthesiologists, Neuro Traumatologists and Neurological professionals who are involved in cranial neurological trauma, cranial oncologic and cerebrovascular surgery, cranial reconstruction and cranial congenital anomalies surgery.
Our organization creates a forum for specialists from all over the world who have common interests and enthusiasm in these fields. It is our goal to encourage and inspire residents, fellows, and experienced practitioners by means of education, academic stimulation instruction and international communication to pursue more fulfilling, rewarding and productive careers in these fields.
Education has always been a major pillar in the AO Foundation. Currently, more than 46,000 surgeons participate in over 750 AO educational events worldwide per year. AONeuro is committed to communicating the latest advances, treatment information, protocols in education, equipment and new developments as we strive to improve your educational experience by providing you education at the forefront of your specialty.
Your cranial neurological colleagues are working diligently to bring you the latest in cranial neurological education, and most specifically have initiated programs in the area of traumatic brain injury. Cranial AO Neurosurgeons collaborate with their AOSpine colleagues to bring you the latest developments in combined brain and spinal cord trauma. For years, cranial neurological surgeons have cooperated with craniomaxillofacial colleagues in the areas of facial and cranial trauma, congenital craniofacial anomalies, and skull base trauma and surgery to provide the multidisciplinary perspective necessary to manage these areas.
AONeuro is a project of the AO Foundation, established to learn the needs and educational structure which cranial neurologists require to improve their worldwide educational efforts. AONeuro cooperates with AOSpine and AOCMF (Craniomaxillofacial) to provide multidisciplinary course education, and seeks to add a cranial dimension to existing AO Education in the present specialty areas of Orthopedics, Spine, Craniomaxillofacial and Veterinary surgery.
We hope that your experience with us over the next few days will result in the acquisition of new knowledge, skills and understanding that can directly translate into improved care for your patients.
We also hope that, as a result of this educational event, you will develop a longer term relationship with AOSpine and AONeuro, become a member of our communities, take advantage of our website www.AOFoundation.org, explore our comprehensive online medical reference tool and phone app AO Surgery Reference (www.AOSurgery.org), take up AO Membership, and participate in AONeuro and AOSpine courses and educational opportunities. You may also even wish to acquaint yourself with AOCMF educational events in the areas of congential anomalies surgery, craniofacial trauma and skull base surgery.
Make these organizations yours by bringing your opinions, ideas and contributions. Enjoy the camaraderie of our unique network, and help us maintain and expand the preeminent educational position that the AO Foundation enjoys worldwide.
Yours sincerely,
Paul Manson, MD Coordinator, AONeuro Pilot Program
4 AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord September 3 – 5, 2015
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 5 September 3 – 5, 2015
CME Mission StatementThe Continuing Medical Education (CME) mission of AO North America (AONA®) is to provide comprehensive multidisciplinary needs based education to surgeons, fellows, and residents in the specialties of orthopedic, hand, craniomaxillofacial, spine, neurosurgery, and veterinary surgery in the areas of trauma (i.e.), operative reduction and fixation), degenerative disorders, deformities, tumors, and reconstruction.
Expected results of AONA’s CME activities for surgeons, fellows, and residents are to:– Increase their knowledge base and surgical skill level– Improve competence by applying advances of knowledge in patient care in
the areas of trauma, degenerative disorders, deformities, tumors, and reconstructive surgical techniques
– Address practice performance gaps by improving management of all aspects of musculoskeletal injuries and disorders (i.e., pre-operative planning to post-operative care)
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 5 September 3 – 5, 2015
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 5 September 3 – 5, 2015
Course OverviewManaging neurotrauma patients in an evidence-based manner is challenging for even the most experienced clinician. Choosing the best available operative and nonoperative treatment options requires balancing numerous parameters and coordinating care between multiple disciplines. Formulating optimized, cooperative treatment plans requires understanding of the complex underlying pathophysiology, limitations of current monitoring systems, evolution of the injury over time and with treatment, and limitations in the available literature.
This course is designed to provide participants with a unique opportunity to advance their evidence-based knowledge and surgical skills in brain and spinal cord trauma through didactic lectures and case-based discussions with renowned neurotrauma thought leaders. Systematic, surgical, and critical care considerations in managing patients with traumatic brain and spinal cord injuries will be addressed.
Target AudienceNeurological Surgeons, Neurointensivists, Neurologists, Orthopedic Spine Surgeons, Registered Nurses, Physician Assistants, Nurse Practioners, and specialists involved in the care of the neurotrauma patient will benefit from attending this course. Residents and Fellows will especially find this course to be of interest as this will be geared towards their education, as well.
6 AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord September 3 – 5, 2015
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 7 September 3 – 5, 2015
Learner Objectives
Accreditation
Designation Statement
At the conclusion of this Course, the participant should be able to:– Apply evidence-based decision making to the management of the
neurotrauma patient– Recognize the clinically relevant pathophysiology underlying traumatic
brain and spinal cord injuries– Discuss the utility and limitations of currently available neurological
monitoring systems and their interactions– Recognize indications and opportunities for individualizing and fine tuning
treatment of traumatic brain and spinal cord injuries– Describe the utility and limitations of current guidelines in directing
neurotrauma management– Coordinate the acute management of neurological trauma with the overall
care of the polytrauma patient.– Outline the available methods and distinguish the advantages, and
disadvantages of various methods of managing traumatic cerebrospinal fluid leaks
– Identify the priorities and techniques that influence coordination of the surgical management of cranial neurological and maxillofacial injuries
AO North America is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
AO North America designates this live educational activity for a maximum of 18.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For Canadian Based Physicians Attending AONA CoursesAll live conferences or live courses held outside of Canada can be reported as accredited group learning activities under Section 1 of the MOC Program if they are developed by a university, academy, college, academic institution or physician organization.
Courses sponsored by AO North America meet the criteria of the Royal College of Physicians and Surgeons for accredited group learning activities.
This course meets the CME external trauma-related requirements of the American College of Surgeons, Committee on Trauma (ACS COT).
This course meets the requirements of the American Board of Neurological Surgery (ABNS) for Part II of Maintenance of Certification: Lifelong Learning and Self-Assessment.
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 7 September 3 – 5, 2015
FacultyCourse Chairs
Faculty
Randall M. Chesnut, MD, FCCM, FACSIntegra Endowed Professor of Neurotrauma
Department of Neurological Surgery
Department of Orthopaedic Surgery
Professor, School of Global Health
Harborview Medical Centre
University of Washington
Seattle, Washington
Richard G. Ellenbogen, MD, FACSProfessor and Chairman
Department of Neurological Surgery
University of Washington School of Medicine
Harborview Medical Center
University of Washington Medical Center
Seattle Children’s Hospital
Seattle, Washington
Rocco A. Armonda, MDDirector, Neurointerventional Surgery
Department of Neurosurgery
MedStar – Georgetown University and
Washington Hospital Center
Washington, District of Columbia
Neeraj Badjatia, MD, MSAssociate Professor
Chief of Neurocritical Care, Program in
Trauma Departments of Neurology,
Neurosurgery, Anesthesiology
University of Maryland School of Medicine
Baltimore, Maryland
Eileen M. Bulger, MD, FACSProfessor of Surgery
and Chief of Trauma
Harborview Medical Center
Seattle, Washington
Jefferson Chen, MD, PhD, FAANS, FACS, FCCMNeurological Surgeon
Director of NeuroTrauma
Department of Neurological Surgery
University of California, Irvine
Orange, California
Education AdvisorCarlo Bellabarba, MDProfessor, Departments of Orthopaedic &
Neurological Surgery
University of Washington School of Medicine
Acting Chief of Orthopaedics
Harborview Medical Center
Seattle, Washington
8 AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord September 3 – 5, 2015
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 9 September 3 – 5, 2015
Faculty (continued)
Joseph Gruss, MD, FRCSCMarlys C. Larson Professor Craniofacial Surgery
Division of Plastic and Craniofacial Surgery
Childrens Hospital & Medical Center
Seattle, Washington
Richard Hopper, MD, MSChief, Division of Pediatric Plastic Surgery
Surgical Director
The Craniofacial Center
Professor
Department of Surgery
University of Washington
Seattle, Washington
Peter Le Roux, MD, MBBCh, FACSProfessor
Department of Neurosurgery
Thomas Jefferson University
Philadelphia, Pennsylvania
Geoffrey T. Manley, MD, PhDProfessor and Vice-Chairman of
Neurological Surgery
Chief of Neurosurgery,
San Francisco General Hospital
Co-Director, UCSF Brain & Spinal Injury Center
San Francisco, California
Kris S. Moe, MD, FACSProfessor and Chief, Division of
Facial Plastic Surgery
Department of Otolaryngology – Head & Neck
University of Washington
Seattle, Washington
David O. Okonkwo, MD, PhDProfessor and Executive Vice Chair
Department of Neurological Surgery
University of Pittsburgh
Pittsburgh, Pennsylvania
Nino Stocchetti, MDMilan University
Neuro Intensive Care
Milan, Italy
Shelly D. Timmons, MD, PhD, FACS, FAANSDirector of Neurotrauma, Geisinger Health System
Neurosurgery Residency Program Director,
Geisinger Health System
Associate Director for Neurosciences Adult ICU
Geisinger Medical Center
Clinical Associate Professor, Temple University
Department of Neurosurgery
Danville, Pennsylvania
Miriam Treggiari, MD, PhD, MPHPortland, Oregon
Jennifer M. Zumsteg, MDAssistant Professor
Medical Director, TBI Rehabilitation
Fellowship Director, Brain Injury Medicine
Investigator, TBI Model System
University of Washington
Department of Rehabilitation Medicine
Seattle, Washington
Faculty list subject to change.
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 9 September 3 – 5, 2015
Preliminary Program
Thursday, September 3, 2015
Time Agenda Item
1700 – 1800 Registration / Buffet Dinner
18:00 – 18:15 Classification of Traumatic Brain Injury (TBI)
18:15 – 18:25 Discussion
18:25 – 18:40 What’s Wrong with Current Management
18:40 – 18:50 Discussion
18:50 – 19:05 Concussion/Return to Play
19:05 – 19:15 Discussion
19:15 – 19:30 Practical Multimodality Monitoring
19:30 – 19:40 Discussion
19:40 – 19:55 Guidelines
19:55 – 20:05 Discussion
20:05 – 20:15 Neurotrauma Practice in the Real World
20:15 – 20:25 Discussion
20:25 – 21:30 Case Discussions
10 AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord September 3 – 5, 2015
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 11 September 3 – 5, 2015
Preliminary Program
Friday, September 4, 2015
Time Agenda Item
08:00 – 08:10 Introduction
08:10 – 08:25 What is AONeuro
08:25 – 08:40 TBI Pathophysiologic Mechanisms
08:40 – 08:55 Intracranial Pressure (ICP) and Cerebral Compliance
08:55 – 09:10 Cerebral Blood Flow (CBF) and Autoregulation
09:10 – 09:25 Measuring and Treating Cerebral Ischemia
09:25 – 10:00 General Discussion
10:00 – 10:15 Coffee Break
10:15 – 10:30 Resuscitating the Polytrauma Patient with TBI
10:30 – 11:15 Principle Discussion Based on Patient Cases: Case 1 – TBI Patient Direct to Operating Room (OR) with General SurgeryCase 2 – Herniating Patient Needing Direct Transport to ORCase 3 – Timing of Non-emergent Surgery in TBI
11:15 – 11:30 Penetrating TBI
11:30 – 11:40 Discussion
11:40 – 11:55 Pediatric TBI
11:55 – 12:05 Discussion
12:05 – 12:20 TBI Rehabilitation
12:20 – 12:30 Discussion
12:30 – 13:15 Lunch
13:15 – 13:30 Decompressive Craniectomy
13:30 – 13:40 Discussion
13:40 – 13:55 Difficult Cranioplasty Management
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 11 September 3 – 5, 2015
Preliminary Program
Friday, September 4, 2015 (continued)
Time Agenda Item
13:55 – 14:05 Discussion
14:05 – 14:25 Bifrontal Injury But High Glasgow Coma Score (GCS)
14:25 – 14:45 Normal ICP, No PbrO2 Desaturations, DI III CT
14:45 – 15:05 Difficult ICP Control, No PbrO2 Desaturations
15:05 – 15:25 Difficult ICP Control With PbrO2 Desaturations
15:25 – 15:45 Normal ICP But PbrO2 Desaturations
15:45 – 16:05 Refractory ICP
16:05 – 16:25 Coffee Break
16:25 – 16:45 Principle Discussion Based on Patient Cases: Case 1 – Subdural Hematoma (SDH)Case 2 – No Subarachnoid Hematoma (SAH)Case 3 – Minimal Mass EffectCase 4 – Good GCS
16:45 – 17:05 SDH, Moderate Swelling at End of Evacuation
17:05 – 17:25 Gun Shot Wound with Bifrontal Injury, Alert, CSF Leak
17:25 – 17:45 Diffuse Swelling High ICP Needs Decompression
17:45 – 18:05 Pediatric Patient with High ICP
18:05 – 18:25 Severe TBI with Unstable Spine
18:25 – 18:45 Devastating TBI, Family Wants Everything Done
18:45 – 19:00 General Discussion
12 AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord September 3 – 5, 2015
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 13 September 3 – 5, 2015
Preliminary Program
Saturday, September 5, 2015
Time Agenda Item
08:00 – 08:20 Principle Discussion Based on Patient Cases: Case 1 – 14 Year Old Football Player with Concussion – Loss of Consciousness (LOC) on Field
08:20 – 08:40 Principle Discussion Based on Patient Cases: Case 1 – 24 Year Old NFL Player with > 1 Concussions in One Season
08:40 – 09:00 Status Post Discharge with Hydrocephalus
09:00 – 09:20 Status Post Cranioplasty with Large Hygroma Under Flap
09:20 – 09:40 Status Post Discharge, Ready for Rehabilitation at 3 Weeks
09:40 – 10:00 General Discussion
10:00 – 10:15 Coffee Break
10:15 – 10:25 Anticoagulants
10:25 – 10:35 Cerebral Spinal Fluid (CSF) Leak Management
10:35 – 10:45 Endoscopic Options for CSF Rhinorrhea
10:45 – 10:55 Cranioplasty Following Decompressive Craniectomy (DC)
10:55 – 11:15 Principles of Craniofacial Reconstruction
11:15 – 11:30 Principle Discussion Based on Patient Cases: Case 1 – CSF Rhinorrhea
11:30 – 11:45 Post DC Needing Cranioplasty – Scalp Problems
11:45 – 12:00 Patient with Combined Facial and Frontal Skull Defects Requiring Surgery
12:00 – 12:10 Pick up Boxed Lunch
12:10 – 12:25 Pathophysiology of Spinal Cord Injury
12:25 – 12:35 Blood Pressure Management
12:35 – 12:40 Emergent Decompression – Always
12:40 – 12:45 Emergent Decompression – Conditional
12:45 – 12:55 Discussion
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 13 September 3 – 5, 2015
Preliminary Program
Saturday, September 5, 2015 (continued)
Time Agenda Item
12:55 – 13:00 Steroids – Pro
13:00 – 13:10 Steroids – Con
13:10 – 13:20 Discussion
13:20 – 13:50 Principle Discussion Based on Patient Cases: Case 1 – Incomplete Spinal Cord Injury (SCI) with Jumped Facets
13:50 – 14:00 Course Evaluations and Adjourn
Preliminary program subject to modification.
14 AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord September 3 – 5, 2015
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 15 September 3 – 5, 2015
Faculty DisclosureIt is the policy of AO North America to abide by the Accreditation Council for Continuing Medical Education Standards for Commercial Support. Standard 2: “Disclosures Relevant to Potential Commercial Bias and Relevant Financial Relationships of Those with Control over CME Content,” requires all planners, including course directors, chairs, and faculty, involved in the development of CME content to disclose their relevant financial relationships prior to participating in the activity. Relevant financial relationships will be disclosed to the activity audience. The intent of the disclosure is not to prevent a faculty with a relevant financial or other relationship from teaching, but to provide participants with information that might be of importance to their evaluation of content. All potential conflicts of interest have been resolved prior to the commencement of this activity.
Conflict of Interest Resolution StatementWhen individuals in a position to control or influence the development of the content have reported financial relationships with one or more commercial interests, AO North America utilizes a process to identify and resolve potential conflicts to ensure that the content presented is free of commercial bias.
Off-Label / Experimental DiscussionsSome medical devices used for teaching purposes and/or discussed in AO North America’s educational activities may have been cleared by the FDA for specific uses only or may not yet be approved for any purpose. Faculty may discuss off-label, investigational, or experimental uses of products/devices in CME certified educational activities. Faculty have been advised that all recommendations involving clinical medicine in this CME activity are based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. All scientific research referred to, reported or used in this CME activity in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection and analysis.
Liability Statement AO North America faculty and staff assume no personal liability for the techniques or the use of any equipment and accessories used for teaching purposes in the laboratory. The certificate provided pertains only to the participants’ completion of the course and does not, in any way, attest to the proficiency of the participants’ clinical experience.
DisclaimerThe opinions or views expressed in this live continuing medical education activity are those of the faculty and do not necessarily reflect the opinions or recommendations of AO North America or any commercial supporter. The certificate provided pertains only to the participants’ completion of the course.
Presentation Information
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 15 September 3 – 5, 2015
Course Tuition and RegistrationTuition: $375.00 U.S.D.
Course, breakfasts, coffee breaks and lunch will be provided.
Registration is available online only at www.aona.org
We encourage early registration, as seating is limited.Upon receipt of your online registration you will be sent via email a confirmation of your registration in the Course, along with hotel and travel information to assist you in making your arrangements.
PLEASE NOTE: Registration deadline is August 13, 2015.
ADA StatementAO North America fully intends to comply with the legal requirements of the Americans with Disabilities Act. If any registrant is in need of accommodation, please do not hesitate to submit a written request at least one month prior to this activity.
Until an email confirmation is received, please do not consider yourself registered in this Course.
For Information:Contact AONA Customer Service DepartmentPhone: (800) 769-1391 (610) 695-2459 Fax: (610) 695-2420Email: [email protected]
16 AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord September 3 – 5, 2015
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 17 September 3 – 5, 2015
Hotel and TravelHotel Information: Westin Bellevue600 Bellevue Way, Bellevue, WA. 98004
Hotel Concessions: Complimentary internet in guestrooms.Complimentary local calls and 1-800 toll calls from guestrooms. Complimentary 2 bottles of water in each guestroom.
Travel We recommend flying into Seattle-Tacoma International Airport (SEA). SeaTac Airport is the gateway to Bellevue, Seattle and the Pacific Northwest. The Westin Bellevue is just an 18 mile drive north of SeaTac on Interstate 405, roughly a 25 minute drive. There are several ways to reach the hotel from the airport. You can catch a cab, rent a car, arrange for a private car service, or take the airport shuttle. To travel throughout the Bellevue area and beyond, we recommend hailing a taxi outside the hotel. If you’re heading to Seattle, take advantage of public transit at the city bus station, just three blocks from the hotel.
Port of Seattle Travel Distance: Approximately 20.92 km/13.0 miles
Options for getting to and from the hotel include:By TaxiFee: 40 USD Hours: hours
By ShuttleFee: 61 USD Hours: 24 hours
Airport Seattle/Tacoma International Airport (SEA) Travel Distance: Approximately 28.97 km/18.0 miles
Hertz Car Rental Travel Time: 25 minutes Contact: (425) 453-6097; Reservation Required
Budget Car Rental Travel Time: 25 minutes Contact: (425) 455-3653
Enterprise Rent A CarTravel Time: 25 minutes Contact: (425) 455-1660; Reservation Required
Green CabFee: 45 USD; One way, additional passenger fees apply Hours: 24 hours
Travel Time: 25 minutes Contact: (206) 575-4040; Reservation Required About: Green Cab taxis are readily available outside of the airport. Green Cab offers the only all-hybrid fleet of enviromentally friendly taxi cabs in Puget Sound. Learn more at www.greencab.com.
Alamo Rent A CarHours: 24 hours Travel Time: 25 minutes Contact: (800) 462-5266; Reservation Required
Thrifty Car RentalTravel Time: 25 minutes Contact: (425) 453-1857; Reservation Required
Avis Rent A CarTravel Time: 25 minutes Contact: (425) 462-9373
AONeuro Course — Controversies in Neurotrauma: Brain and Spinal Cord 17 September 3 – 5, 2015
National Car RentalTravel Time: 25 minutes Contact: (800) 328-4567; Reservation Required
Shuttle ExpressFee: 19 USD; Fee is one way, per person Hours: 24 hours Travel Time: 25 minutes Contact: (206) 981-7000; Reservation Required About: Shuttle Express buses depart regularly from the airport. Call in advance for airport pickup reservations, or book online. For more information visit www.shuttleexpress.com.
Bayview TransportationFee: Varies by vehicle type Hours: 24 hours
Travel Time: 25 minutes Contact: (206) 824-6200; Reservation Required About: Bayview Transportation offers a fleet of private cars that can be reserved for aiport pick-up. For more information or to make a reservation visit www.bayviewlimo.com.
• Complimentary Self-Parking on Friday and Saturday nights • $25 per night for Self-Parking on Sunday – Thursday nights • $29 per night for overnight Valet Parking Rates do not include taxes.
Valet Parking is available at the front door of The Westin Bellevue Hotel. Should you choose Self-Parking, you will be directed to the Lincoln Square parking garage by the doorman. Please park on level P4 or P5 near the south elevators and take the elevator up to the hotel lobby. Directional signage is posted.
Covered, lit parking is directly connected to hotel via elevators and indoor walkways. This is not a hotel-owned parking facility although parking fees can be added to your hotel bill. Rates are subject to change.
Please visit our website: www.aona.org to register for this Course
and for other course offerings.
Hotel and Travel (continued)
Options for getting to and from the hotel include:
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