Dysphagia Research Society27th Annual Meeting

March 7-9, 2019Wyndham San Diego Bayside,

San Diego, CA

Pre-ConferenceSwallowing, Airway, and

Aerodigestive Co-Dependence

March 6, 2019

CONFERENCE INFORMATIONCourse Overview and Intended AudienceThis meeting is designed for a variety of clinicians, researchers, residents, physicians, fellows and students from a wide range of disciplines including gastroenterology, neurology, otolaryngology, radiology, speech-language pathology, nutrition, biomedical engineering, dentistry, pediatrics, psychology and basic sciences, who take care of patients with swallowing disorders, including aspiration,and/or conduct research on patients with swallowing disorders.

Disclosures are available on the DRS website at www.dysphagiaresearch.org.

The breakdown of CEUs is as follows:

Pre-Conference: This course is offered for up to .85 ASHA CEUs (Advanced Level; Professional Area) Annual Meeting: This course is offered for up to 2.15 ASHA CEUs (Advanced level; Professional Area)

An annual ASHA CE Registry fee is required to register ASHA CEUs. The approved CEU count will be listed on the registration site and society website as it becomes available. CE Registry fees are paid by the participant directly to the ASHA National Office. The annual ASHA CE Registry fee allows registration of an unlimited number of ASHA CEUs for the calen-dar year. Visit www.asha.org/ce/CEUs/CERegistryfee/ for CE Registry fee subscription information.

Accreditation Statement: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of The Medical College of Wisconsin and The Dysphagia Research Society. The Medical College of Wisconsin is accredited by the ACCME to provide continuing medical education for physicians.

AMA Credit Designation Statement:The Medical College of Wisconsin designates this Live Activity for a maximum of 31 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Hours of Participation for Allied Health Care Professionals The Medical College of Wisconsin designates this activity for up to 31 hours of participation for continuing education for allied health professionals.

2019 SOCIAL EVENTSJoin us for This Year’s Exciting Social Events! Harbor Walk & Social Wednesday, March 6

Mark your calendars for the Harbor Walk & Social to help us ring in the 27th Annual Conference! With breathtaking views, the San Diego Harbor is the third largest of the three protected natural bays on California’s eight-hundred-forty-mile coastline after San Francisco Bay and Humboldt Bay. Today, the San Diego Harbor is a home port for major assets including the only remaining major naval base facilities that are still in operation in all of California. More details regarding the walk to come! Please refer to the DRS website at www.dysphagiaresearch.org for more information.

Reception on the Maritime Museum’s Star of India Thursday, March 7

Join us for a reception on the San Diego Maritime Museum’s Star of India! This vessel is the world’s oldest sailing ship and originally sailed from the stocks at Ramsey Shipyard in the Isle of Man in 1863. The Star of India was one of the only ships to be made of steel at the time and was given the name ‘Euterpe’ after the Greek muse of music and poetry. The ship’s life consisted of two near-disastrous trips to India suffering a collision and cyclone. After the vessel’s rough beginning, the Star of India made four more voyages to India to

transport cargo. To read more about the Star of India’s vibrant history, visit the Maritime Museum’s website: www.sdmaritime.org. We hope to see you aboard!

Awards Reception Friday, March 8

Please help us in celebrating the Dysphagia Research Society’s 2019 award winners! These awards include the CSDRG Logemann Travel Award, Clarence T. Sasaki, M.D. Award, Steven B. Leder Award and many more! For more information, please visit the DRS website at www.dysphagiaresearch.org. We hope to see you at this remarkable celebration of dysphagia research!

Faculty Organization

Joan Arvedson, PhD, CCC-SLP, BCS-S Children's Hospital of WisconsinLaura Baijens MD, PhD Maastricht University Medical Center

Jonathan Bock, MD Medical College of Wisconsin

Heather Bonilha, PhD, CCC-SLP Medical University of South CarolinaMartin Brodsky, PhD, ScM, CCC-SLP Johns Hopkins UniversityClare Burns, PhD Royal Brisbane & Women's HospitalPere Clave, MD, PhD Universitat Autonoma de Barcelona, Hospital de

MataroNadine Connor, PhD, CCC-SLP University of WisconsinJames Coyle, PhD, CCC-SLP, BCS-S University of PittsburghPamela Dodrill, CCC-SLP, PhD Brigham and Women's HospitalSebastian Doeltgen, MSLT, PhD Flinders UniversityKulwinder Dua, MD, FRCP(E), FRCP(L), FACP, FASGE

Medical College of Wisconsin

Lisa Duizer, PhD University of GuelphRebecca German, PhD Northeast Ohio Medical University (NEOMED)Karen Hegland, PhD, CCC-SLP University of FloridaIanessa Humbert, PhD University of Florida-GainesvilleKate Hutcheson, PhD, CCC-SLP, BCS-S University of TexasHarry Ingleby, PhD, MCCPM Cancer Care ManitobaSudarshan Jadcherla, MD, DCH, FRCP(Irel), AGAF

Nationwide Children's Hospital

Hanneke Kalf, PhD Radboud University Medical CenterMark Kern, MS, PhD Medical College of WisconsinSusan Langmore, PhD, CCC-SLP, BCS-S Boston UniversityMaureen Lefton-Greif, PhD, CCC-SLP, BCS-S John Hopkins MedicineAndrew Lotto, PhD University of FloridaGeorgia Malandraki, BS, MA, PhD, CCC-SLP, BCS-S

Purdue University

Jeanne Marshall, BSpPath, PhD Children's Health QueenslandBonnie Martin-Harris, PhD, CCC-SLP, BCS-S Northwestern UniversityRosemary Martino, MA, MSc, PhD University of Toronto Timothy McCullouch, MD, FACS University of WisconsinDavid McFarland, PhD McGill School of Communication Sciences and

DisordersKatlyn McGrattan, PhD, CCC-SLP Boston Children's Hospital

Faculty Organization

Barbara Messing, MA, CCC-SLP, BCS-S, FASHA GBMC, The Milton J. Dance, Jr. Head & Neck Center

Arthur Miller, PhD University of CaliforniaClaire Miller, PhD, MHA, CCC-SLP, BCS-S Cincinnati Children's HospitalRavinder Mittal, MD University of California-San DiegoSonja Molfenter, PhD, CCC-SLP New York UniversityAshli O’Rourke, MS, MD Medical University of South CarolinaJennifer Reynolds, MS, CCC-SLP, CLC, CNT Baylor University Medical CenterJoel Richter, MD University of South FloridaReza Shaker, MD Medical College of WisconsinAlan Silverman, PhD Medical College of WisconsinMargaret Skinner, MD John Hopkins MedicineCatriona Steele, PhD, MHSc, CCC-SLP, BCS-S Toronto Rehabilitation InstituteNeelesh Tipnis, MD University of AlabamaMichelle Troche, PhD, CCC-SLP, MA, BA Columbia UniversityDoug Van Daele, MD University of IowaElizabeth Ward, BSpThy(Hons), Grad Cert Ed., PhD University of Queensland

7:00AM-5:00PM Registration7:00AM-8:00AM Breakfast7:45AM-8:00AM Welcome and Opening Remarks

8:15AM-9:45AM Session I: Back to Basics, Swallowing and Aerodigestive Co-Dependence

Moderators: Sudarshan Jadcherla, MD, DCH, FRCP(Irel), AGAF | Rebecca German, PhD

8:15-8:35 AM Neuroscience of Feeding, Swallowing and Airway Protection: Emphasizing the Ubiquitous Connectivity of Vagus

Arthur Miller, PhD

8:35-8:55 AM Integration of Airway Protection During Swallowing: Understanding Cross-Systems Connectivity

Rebecca German, PhD

8:55-9:15 AM Developmental Physiology of Swallowing and Breathing During Infancy and Childhood

Katlyn McGrattan, PhD, CCC-SLP

9:15-9:35 AM Normal Adult Swallowing: Changing Physiology During Adulthood

Sonja Molfenter, PhD, CCC-SLP

9:35-9:45 AM Session I Panel and Audience Discussion

9:45AM-10:00AM Break10:00AM-11:30AM Session II: Understanding the Chaos of

Dysphagia and AspirationModerator: Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S

10:00-10:20 AM Natural History of Patients who Aspirate: Is It Time to Develop Better Predictors?

Jonathan Bock, MD

10:20-10:40 AM Feeding Through the Diagnosis of Aspiration: When to Feed and When to Pause?

James Coyle, PhD, CCC-SLP, BCS-S

10:40-11:00 AM Integration and Cross-Talk Between Deglutition and Respiratory Function

David McFarland, PhD

11:00-11:20 AM Physiology and Pathophysiology of Aspiration Prevention Mechanisms: Are We Failing to Recognize Them?

Reza Shaker, MD

11:20-11:30 AM Session II Panel and Audience Discussion11:30AM-1:00PM Lunch Break11:30AM-1:00PM Lunch & Learn I: Achieving Swallowing

Safety in Adult Head & Neck Cancer Patients: Evidence Based Learning From Successful Case Studies

Moderators: Kate Hutcheson, PhD, CCC-SLP, BCS-S | Kulwinder Dua, MD, FRCP(E), FRCP(L), FACP, FASGESpeakers: Kate Hutcheson, PhD, CCC-SLP, BCS-S | Barbara Messing, MA, CCC-SLP, BCS-S, FASHA | Doug Van Daele, MD | Kulwinder Dua, MD, FRCP(E), FRCP(L), FACP, FASGE

2019 DRS Annual Meeting Schedule

Time Program Moderators/Speakers

Wednesday, March 6: Pre-ConferenceSwallowing, Airway, and Aerodigestive Co-Dependence

11:30AM-1:00PM Lunch & Learn II: Evaluation and Management of Pediatric Dysphagia in the Midst of Chronic Lung Disease: Aerodigestive Team Approach

Moderators: Maureen Lefton-Greif, PhD, CCC-SLP, BCS-S | Neelesh Tipnis, MDSpeakers: Maureen Lefton-Greif, PhD, CCC-SLP, BCS-S | Claire Miller, PhD, MHA, CCC-SLP, BCS-S | Margaret Skinner, MD | Neelesh Tipnis, MD

1:00PM-2:30PM Session III: Dysphagia, Nagging Cough & Aging: What Are The Links?

Moderator: Doug Van Daele, MD

1:00-1:20 PM Dysphagia and the Nagging Cough: What Are The Causal and Ameliorating Mechanisms?

James Coyle, PhD, CCC-SLP, CLC, CNT, BCS-S

1:20-1:40 PM GERD and Cough: Mechanisms of Post-Swallow Dysphagia and Implications for Management

Joel Richter, MD

1:40-2:00 PM Implementation of Cough Testing in Clinical Practice

Karen Hegland, PhD, CCC-SLP

2:00-2:20 PM An Understanding of Deglutitive Disorders in the Settings of Stroke and Aging

Pere Clave, MD, PhD

2:20-2:30 PM Session III Panel and Audience Discussion2:30PM-2:45PM Break

Concurrent A – Bringing Quality Evidence Into the Pediatric Dysphagia Practice2:45PM-4:15PM Session IV-A : Bringing Quality Evidence

Into the Pediatric Dysphagia PracticeModerators: Joan Arvedson, PhD, CCC-SLP, BCS-S | Neelesh Tipnis, MD

2:45-3:05 PM Reducing Errors with Dysphagia Diagnosis Using the BabyVFSSlmP

Maureen Lefton-Greif, PhD, CCC-SLP, BCS-S

3:05-3:25 PM Preventing G-Tubes: Tube Weaning Practices in Children

Jeanne Marshall, BSpPath, PhD

3:25-3:45 PM Your Baby Needs a G-Tube: It Is Difficult to Swallow This Opinion

Alan Silverman, PhD

3:45-4:05 PM Building Interdisciplinary Feeding Programs in the NICU: Barriers, Role and Scope of Providers

Pamela Dodrill, CCC-SLP, PhD

4:05-4:15 PM Concurrent Session IV-A Panel and Audience Discussion

Concurrent B – Bringing Quality Evidence Into the Geriatric Dysphagia Practice2:45PM-4:15PM Session IV-B: Bringing Quality Evidence

Into The Geriatric Dysphagia PracticeModerators: Martin Brodsky, PhD, ScM, CCC-SLP and Hanneke Kalf, PhD

2:45-3:05 PM Applying Principles of Theory-Based Practice to Dysphagia Management

Andrew Lotto, PhD | Ianessa Humbert, PhD

3:05-3:25 PM Understanding the Dysphagic Patient with Parkinson’s Disease and Stroke

Hanneke Kalf, PhD

3:25-3:45 PM Challenges to Improving Compliance to Treatment in the Complex Dysphagic Patient

Martin Brodsky, PhD, ScM, CCC-SLP

2019 DRS Annual Meeting Schedule

Time Program Moderators/SpeakersWednesday, March 6: Pre-Conference

2019 DRS Annual Meeting Schedule

3:45-4:05 PM Interdisciplinary Dysphagia Clinical Programs: How Do We Develop?

Clare Burns, PhD

4:05-4:15 PM Concurrent Session IV-B Panel and Audience Discussion

Concurrent Session C – Early Investigator

2:45PM-5:15PM Session IV-C Early Investigator- Essentials for Transitioning From Trainee to Independent Investigator

Moderators: Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S | Michelle Troche, PhD, CCC-SLP, MA, BA

2:45PM-5:05PM Essentials for Transitioning From Trainee to Independent Investigator

Michelle Troche, PhD, CCC-SLP, MA, BA | Elizabeth Ward, BSpThy(Hons), Grad Cert Ed., PhD | Katlyn McGrattan, PhD, CCC-SLP | Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S

5:05PM-5:15PM Concurrent Session IV-C Panel and Audience Discussion

4:15PM-6:30PM Harbor Walk & Social

Time Program Moderators/Speakers

7:00AM-5:00PM Registration7:00AM-8:00AM Breakfast7:45AM-8:00AM Welcome and Opening Remarks

8:00AM-9:30AM Scientific Papers Session I: Pediatrics & Geriatrics

Moderator: Joan Arvedson, PhD, CCC-SLP, BCS-S

9:30AM-10:00AM New Investigator’s Forum Moderators: Barbara Sonies, PhD, CCC, BCS-S | Ashli O’Rourke, MS, MD

10:00AM-10:15AM Visit Exhibits10:15AM-11:45AM Scientific Papers Session II: Dysphagia

TherapeuticsModerator: Anna Miles, PhD

Lunch Break, View Exhibits and Posters

Lunch & Learn III: Something to Chew On: Mastication and Food Development for People With Dysphagia

Lunch & Learn IV: Concurrent and Sequential Testing Methods for Dysphagia Diagnosis: Downstream Motility Mechanisms in Pharyngo-Esophageal Dysphagia

Moderator: Catriona Steele, PhD, MHSc, CCC-SLP, BCS-S Speakers: Catriona Steele, PhD, MHSc, CCC-SLP, BCS-S | Koichiro Matsuo, DDS, PhD Moderator: Timothy McCullouch, MD, FACS | Ravinder Mittal, MDSpeakers: Mark Kern, MS, PhD | Timothy McCullouch, MD, FACS | Neelesh Tipnis, MD | Ravinder Mittal, MD

1:45PM-3:15PM Scientific Papers Session III: Physiologic Basis of Swallowing

Moderator: Kulwinder Dua, MD, FRCP(E), FRCP(L), FACP, FASGE

3:15PM-3:30PM Visit Exhibits

Time Program

Moderators/Speakers

11:45AM-1:45PM

Wednesday, March 6: Pre-Conference continued...

Thursday, March 7: Conference Day 1

12:15PM-1:15PM

Moderators/Speakers

7:00AM-5:00PM Registration7:00AM-8:00AM Breakfast7:45AM-8:00AM Welcome and Opening Remarks

8:00AM-8:45AM Grand Rounds I: More Than The First Bite: The Dynamic Sensory Experience of Eating

Moderator: Catriona Steele, PhD, MHSc, CCC-SLP, BCS-S Speakers: Lisa Duizer, PhD | Catriona Steele, PhD, MHSc, CCC-SLP, BCS-S

8:45AM-10:15AM Scientific Papers V: Dysphagia in Head & Neck Cancer

Moderator: Stephanie Daniels, PhD, CCC-SLP

10:15AM-10:30AM Visit Exhibits

10:30AM-12:00PM Scientific Papers VI: Evaluation of Swallowing Disorders

Moderator: Heather Bonilha, PhD, CCC-SLP

12:00PM- 2:00PM Lunch Break, View Exhibits and Posters12:00PM- 1:00PM Lunch & Learn V: Implementation of

FEES Protocols in the Dysphagic Patient from Pediatrics to Geriatrics

Lunch & Learn VI: Communications from Clinic to Community Using Technology & Tele-Health: Implications for Dysphagia Practice

Moderator: Susan Langmore, PhD, CCC-SLP, BCS-SSpeakers: Susan Langmore, PhD, CCC-SLP, BCS-S | Jennifer Reynolds, MS, CCC-SLP, CLC, CNT | Margaret Skinner, MD Moderator: Elizabeth Ward, BSpThy(Hons), Grad Cert Ed., PhDSpeakers: Elizabeth Ward, BSpThy(Hons), Grad Cert Ed., PhD | Georgia Malandraki, BS, MA, PhD, CCC-SLP, BCS-S | Clare Burns, PhD

2:00PM-3:30PM Scientific Papers VII: Novel Methods in the Evaluation of Dysphagia

Moderator: Reza Shaker, MD

3:30PM-3:45PM Visit Exhibits

3:45PM-5:15PM Scientific Papers VIII: Tongue and Aerodigestive Physiology

Moderator: Jan Vanderwegen, MD

5:30PM-7:00PM Awards Reception

Friday, March 8: Conference Day 2Time Program Moderators/Speakers

2019 DRS Annual Meeting Schedule

Time Program Moderators/SpeakersThursday, March 7: Conference Day 1 continued...

3:30PM-5:00PM Scientific Papers Session IV: Neurogenic Dysphagia

Moderator: Hanneke Kalf, PhD

5:00PM-7:00PM Reception on the Maritime Museum’s Star of India

7:00AM-1:00PM Registration7:00AM-8:00AM Breakfast7:30AM-8:00AM Annual Business Meeting

8:00AM-8:45AM Dodds Donner Lecture: The Patient With Dysphagia: In The Future, Who Will Take Ownership?

Moderator: Sudarshan Jadcherla, MD, DCH, FRCP(Irel), AGAF Speaker: Joel Richter, MD

8:45AM-9:30AM Grand Rounds II: Evaluation of Dysphagia at the Bed-Side: An In-Depth Review of Clinico-Pathological Correlations and Next Steps

Moderator: Sebastian Doeltgen, MSLT, PhD Speakers: Rosemary Martino, MA, MSc, PhD | Sebastian Doeltgen, MSLT, PhD

9:30AM-11:00AM Session V: Video-fluoroscopy Swallow Studies, Better Use and Not Abuse

Moderator: Nadine Connor, PhD, CCC-SLP

9:30AM-9:50 AM Types of Fluoroscopy Studies and Technical Requirements for Best Studies in Adults

Harry Ingleby, PhD, MCCPM

9:50AM-10:10AM Standardized Testing and Best Interpretation of the MBS

Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S

10:10AM-10:30AM Measurement of Swallow Timing andKinematics From Videofluoroscopy

Catriona Steele, PhD, MHSc, CCC-SLP, BCS-S

10:30AM-10:50AM Real Issues with VFSS: When is it Useful?When is it Harmful?

Heather Bonilha, PhD, CCC-SLP

10:50AM-11:00AM Session V Panel and Audience Discussion11:00AM-12:30PM Session VI: Testing the Aerodigestive

Patient in the ICU: What, When, Why, How?Moderators: Sudarshan Jadcherla, MD, DCH, FRCP(Irel), AGAF | Susan Langmore, PhD, CCC-SLP, BCS-S

11:00AM-11:20AM Clinical Decision Making in Managing Complex Patients With Dysphagia

Sebastian Doeltgen, MSLT, PhD

11:20AM-11:40AM A Critical Look at the Aerodigestive Evaluation Strategies in the ICU Patient: What Are They? When To Do and When Not To Do?

Ashli O’Rourke, MS, MD

11:40AM-12:00PM Critical Appraisal of Existing and Emerging Testing Methods in the Evaluation of the Dysphagic Patient

Ravinder Mittal, MD

12:00PM-12:20PM Evaluation of the Aerodigestive Tract in the ICU Patient: What, When, Why (or not) & How?

Sudarshan Jadcherla, MD, DCH, FRCP(Irel), AGAF

12:20PM-12:30PM Session VI Panel and Audience Discussion

12:30PM-1:00PM Closing Ceremony

Saturday, March 9: Conference Day 3Time Program Moderators/Speakers

2019 DRS Annual Meeting Schedule

Hotel InformationIt’s never too early to book your hotel room! The Wyndham San Diego Bayside Hotel offers breathtaking views of the San Diego Harbor and various amenities that make your stay a truly unique experience. Lodging is available at the Wyndham at the special group rate of $189/night (plus tax) for a single or double room.

To make a reservation, please contact the hotel by phone at 1-800-996-3426 or visit the website: https://book.passkey.com/go/DRS2019AnnualConference. When making a reservation, please tell the agent that you are booking a room under the Dysphagia Research Society room block or use the reservation code: 03046842DY to receive the hotel room rate. If you are using the link, please select ‘Make a Reservation’ on the left to begin scheduling your booking.

Reservation deadline is February 11, 2019.

The Dysphagia Research Society would like to honor the following members for their hard work in creating the 2019 Annual Meeting agenda:

Joan Arvedson, PhD, CCC-SLP, BCS-SChildren’s Hospital of Wisconsin

Arash Babaei, MDNational Jewish Health

Martin Brodsky, PhD, ScM, CCC-SLPJohns Hopkins University

Nadine Connor, PhD, CCC-SLPUniversity of Wisconsin-Madison

Roberto Dantas, MDUniversity of São Paulo

Sebastian Doeltgen, MSLT, PhDFlinders University

Karen Hegland, PhD, CCC-SLPUniversity of Florida-Gainesville

Yoko Inomoto, PhDFujita Health University

Sudarshan R. Jadcherla, MD, DCH, FRCP(Irel), AGAF (Chair)Nationwide Children’s Hospital

Hanneke Kalf, PhDRadboud University Medical Centre

Program Committee

Susan Langmore, PhD, CCC-SLP, BCS-SBoston University

Maureen Lefton-Greif, M.A., PhDJohns Hopkins University

Georgia Malandraki, PhDPurdue University

Koichiro Matsuo, DDSFujita Health University

Gary McCullough, PhDAppalachian State University

Mark Nicosia, PhDWidener University

Reza Shaker, MDMedical College of Wisconsin

Catriona Steele, PhD, MHSc, CCC-SLP, BCS-SToronto Rehabilitation Institute

Jan Vanderwegen, MDCentre Hospitalier Universitaire Saint-Pierre

Liz Ward, BSpThy(Hons), Grad Cert Ed., PhDThe University of Queensland

Pre-ConferenceOpen to all participants-Not included in Annual Meeting fees.

$175 $225 $245

Annual Meeting*Does not include Pre-Conference registration.

DRS Members: Physicians, Dental Surgeons $600 $650 $700

DRS Members: Allied Health Professionals, Non-Health Professional Scientists $450 $500 $550

DRS Members: Students and Residents $250 $300 $350

Non-Member: Physicians, Dental Surgeons $900 $950 $1,000

Non-Member: Allied Health Professionals, Non-Health Professional Scientists $700 $750 $800

Non-Member: Students and Residents** $300 $350 $400

On or before 2/11/2019

($50 discount)

After 2/11/2019

(Standard Rate)

On-Site3/6/2019

(Full Price)

Registration Information

You MUST log into your DRS online profile to receive the member discounts!

*Existing Members: To receive the discounted member rate for the annual meeting member dues must be paid in full by the start of the meeting (March 7, 2019). If dues or your complete membership application are not received by the dates listed, your registration will automatically be charged the difference in fees for the non-member rate at the start of the meeting. Visit the DRS website www.dysphagiaresearch.org for membership information.

**Non-Member Students and Residents: DRS membership is included in your Annual Conference registration fee. Student membership for the DRS is $50 (included in the price of the non-member student and resident purchase). Verification of Student or Resident status must be submitted to DRS@Badgerbay.co (not .com). If verification is not submitted by the Annual Meeting date, March 7, 2019, the non-member fee will be charged to your account.

Questions? Please contact the DRS office at 920-560-5624 or email DRS@badgerbay.co (not .com).

2019 DRS Annual Meeting Registration Choose your Registration Preferences

Register by February 11, 2019 and receive a $50 early bird discount on attendee and pre-conference registration!

Pre-Conference Course Formerly Post-Graduate Course. Open to all participants and not included in annual meeting fees.

Registration Rate-$225

PRE-CONFERENCE TOTAL: $:_______

Annual Meeting-Physicians and Dental Surgeons Member-$650* Non-Member-$950

Annual Meeting- Allied Health Professionals and Non-Health Professional Scientists Member- $500* Non-Member- $750

Students and Residents Member-$300 Non-Member-$350**

ANNUAL MEETING REGISTRATION TOTAL: $_______

Please select any discounts below if you are eligible: Registering for Annual Meeting before February 11, 2019: $50 Discount

Registering for Pre-Conference before February 11, 2019: $50 Discount

ANNUAL MEETING DISCOUNT TOTAL (-) $_______

SECTION I COSTS:

Please select only one Lunch & Learn session per day. Wednesday, March 6, 2019

Lunch & Learn I - $30 Lunch & Learn II - $30 Thursday, March 7, 2019 Lunch & Learn III - $30 Lunch & Learn IV - $30 Friday, March 8, 2019 Lunch & Learn V - $30 Lunch & Learn VI - $30

LUNCH AND LEARN REGISTRATION TOTAL: $:_______

Do you plan on attending the following events? Harbor Walk and Social: Wed. March 6-4:15 p.m Extra Small Small Medium Welcome Night Reception: Thurs. March 7- 5 p.m. Awards Reception: Friday, March 8 at 5:30 p.m.

No Charge

SECTION II COSTS: TOTAL $:_______

TOTAL ANNUAL MEETING COST: GRAND TOTAL $:_______

Registration Section I: RegistrationPlease select one. Pre-Conference is not included in Attendee Registration. Prices are listed at the standard rate. Registration fees include conference sessions and conference meals on the days selected

Section II: Additional Sessions and EventsThe Lunch & Learn sessions are not mandatory and cost $30 per session to cover food expenses.

LargeX-Large

2X-Large3X-Large

TOTAL $:_______

2019 DRS Annual Meeting Registration Contact InformationName and Credentials: ________________________________________________________________________

Address Line 1: ______________________________________________________________________________

Address Line 2: ______________________________________________________________________________

City: ______________________________________________________________________________________

State: ___________________________Zip: _______________________________________________________

Phone: ____________________________________________________________________________________

Email: _____________________________________________________________________________________

Please indicate any additional needs or special assistance (dietary or physical):

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Method of Payment DRS Tax ID: 39-1762941

TOTAL ENCLOSED: $_________________ Check #________ (checks payable to the DRS)

Visa Mastercard Discover Amex

Card Number: ______________________________________Exp. Date:____________ Security Code:________

Address on Billing Statement: ___________________________________________________________________

Name on Card:____________________________ Signature: ________________________________________

Please return completed form and payment to:Dysphagia Research Society563 Carter Court, Suite B, Kimberly, WI 54136Phone: 920-560-5624 | Fax: 920-882-3655 | Email: DRS@badgerbay.co (not .com)

2019 DRS Annual Meeting Registration 56

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