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registration &

Accomodation form committee RSMH

BIODATA (Please Complete All Fields) Patron


Chairman of Indonesian Medical Association of South Sumatera Region
Academic Title : □ Prof □ Dr □ dr □ Specialist □ Other Rector of Universitas Sriwijaya
Full Name : Advisory Board
Dean of Faculty of Medicine Universitas Sriwijaya
Organization/Institution : Director of Dr. Mohammad Hoesin Hospital Palembang
Prof. dr. Rusdi Ismail, SpA(K)
Mailing Address :
Prof. dr. Zarkasih Anwar, SpA(K)
Country : Steering Committee
Zip Code :
Chairman of Cardiology Working Group Indonesian Pediatric Society : dr. Noormanto,SpA(K)
Secretary of Cardiology Working Group Indonesian Pediatric Society : dr. Rahmat Budi K, SpA(K)
Mobile Phone : Chairman of Indonesian Pediatric Society of South Sumatera Branch : dr. Silvia Triratna, SpA(K)
Head of Department of Child Health Faculty of Medicine Universitas Sriwijaya : dr.Yusmala, SpA(K)

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Email :
Organizing Committee
Sponsor : Name: Chairman : dr. Ria Nova, SpA(K)
Mobile Phone :
General secretary
Treasurer
:
:
dr. Deny Salverra Yosy, SpA(K), M.Kes
dr. RA Myrna Alia, SpA(K), M.Kes th
PEDIATRIC
All workshop participants must register at symposium Funding and partnership : dr. Achirul Bakri, SpA(K)
Please Mark (√) on Symposium you choose dr. Ziske Machmudi, SpA
dr. Syarif Darwin Anshori, SpA(K)
Registration Fee dr. Meliza Zubir, SpA

cardiology
No Symposium dr. KH. Yantjik, SpA(K)
Before January 31 st 2019 After January 31 st 2019 dr. Herman Bermawi, SpA(K)
1. General Pediatrician & Other Specialist  IDR 2,000,000  IDR 2,500,000 dr. HM. Nazir, SpA(K)
Secretariat : dr. Eka Intan Fitriana, SpA(K), M.Kes
2. Pediatric Resident / General Practitioner  IDR 1,500,000  IDR 2,000,000 dr. Atika Akbari, SpA
THE ROLE OF PEDIATRICIAN update
dr. Virdayanty, SpA
IN PEDIATRIC CARDIAC care
TOTAL IDR
Scientific and event : DR. dr. Yulia Iriani, SpA(K)
dr. RA Myrna Alia, SpA(K), M.Kes
Please Mark (√) on Workshop you choose dr. Yudianita Kesuma, SpA(K), M.Kes WITH LIMITED RESOURCEs
Workshop
dr. Msy Rita Dewi, SpA(K), MARS
No Registration Fee
dr. Rismarini, SpA(K)
ECG (WS 1) dr. Dewi Rosariah Ayu, SpA
1  IDR 2,500,000
 April 6th 2019 or  April 7th 2019 dr. Indrayady, SpA(K)
dr. Afifa Ramadanty, SpA(K)
CRITICAL CHD (WS 2)
2  IDR 2,500,000 dr. Fifi Sofiah, SpA(K)
 April 6th 2019 or  April 7th 2019 dr. Moretta Damayanty, SpA(K), M.Kes
CARDIAC SOUNDS (WS 3) Food & beverages : dr. Elvietha Alamanda, SpA, M.Sc.

symposium&WORKSHOP
3  IDR 2,500,000
 April 6th 2019 or  April 7th 2019 dr. Julniar M. Tasli, SpA(K)
Information & technology : dr. R.M. Indra, SpA(K)
ECHOCARDIOGRAPHY (WS 4)
dr. Azwar Aruf, SpA, M.Sc.
general Pediatrician &
4  IDR 4,000,000
 April 6th - 7th 2019 Publication : dr. Hertanti Indah Lestari, SpA(K)

Other specialist
TOTAL IDR
dr. Aditiawati, SpA(K)
Transportation : dr. Hasri Salwan, SpA(K)
dr. Hadi Asyik, SpA
pediatric resident
* Each participant may attend two single day workshops (1-3) on different day
Accomodation : dr. Prakanita, SpA
general practitioner
HOTEL ROOM TYPE ACCOMODATION FEE dr. Dian Puspita Sari, SpA(K), M.Kes
Superior  IDR 1,100,000 Equipment : dr. Julius Anzar, SpA(K)
lIVE CASE
Permit and security : dr. Syamsul Rizal, SpA Transcatheter closure
Novotel Hotel Deluxe  IDR 1,250,000 (vsd, pda, asd)

Junior Suite  IDR 2,000,000

CHECK - IN DATE : CHECK - OUT DATE : TOTAL NIGHT(S) :

CANCELLATION AND REFUND POLICY RECERTIFICATION OF PEDIATRIC CARDIOLOGY CONSULTANT


Written cancellation notice is required. Cancellation must be received before March 1st 2019 a 50% refund will be returned
ELECTROPHYSIOLOGY AND FETAL ECHOCARDIOGRAPHY
after congress ended. No refund will be allowed thereafter

PAYMENT BY SIGNATURE
Bank Name : BTPN Branch Menara BTPN Jakarta
Account Number : 0537.3.002323
Account Name : GPDI-PEDIATRIC CARDIOLOGY UPDATE 7
Bank Code : 213
Swift Code : BTPNIDJA

Please quote the sender’s name on the bank transfer statement


When transmitting, please make sure who send the money possibly by fax.

THIS FORM TOGETHER WITH THE REQUISITEMENT PAYMENT AND/OR DOCUMENTATION SHOULD BE EMAILED/FAXED
NOVOTEL HOTEL
PALEMBANG, APRIL 6 - 7 , 2019
th th
TO SECRETARIAT:
Phone: +62217254424, +62217229339, +628111332664 | Fax: +6221 – 7396261
SKP
Email : erlin@gpdindonesia.com | pcu2019palembang@gmail.com
information & registration IDI & IDAI
email: pcu2019palembang@gmail.com, erlin@gpdindonesia.com
Ph. 021-7254424: Fax. 021-7396261:
Erlin (+628111662664) Damar (+628111332664)
scientific schedule
GREETING
Day 1, Saturday 6 April 2019 Day 2, Sunday 7 April 2019
Time Programme Speaker Time Programme Speaker

07.00 - 08.00 Registration & Coffee Morning


Session I:
08.00 - 09.20 Moderator : dr. Noormanto, SpAK
08.00 - 08.20 Opening Cardio vascular problems in preterm infant

Chairman of the Organizing Committee dr. Ria Nova, SpA(K)


Dr. dr. Rinawati Rohsiswatmo,
08.00 - 08.20 Should we treat hypotension in preterm infant?
Chairman of Cardiology Working Group SpA(K)
dr. Noormanto, SpA(K)
Indonesian Pediatric Society

Chairman of Indonesian Pediatric Society of


South Sumatera Branch
dr. Silvia Triratna, SpA(K) 08.20 - 08.40
Current evidence of pharmacotherapy to close
patent ductusarteriosus in preterm infant
Dr. dr. Ni Putu Veny Kartika
Yantie, SpA(K) With the advance of pediatric cardiology, pediatrician
Session I:
08.20 - 09.10 Challenges in Pediatric Cardiology Service and
Moderator : Prof. dr. Rusdi
08.40 - 09.00 Pulmonary hypertension and prematurity
Dr. dr. Nikmah Salamia Idris, in general and pediatric cardiologist specifically have to
Ismail , SpA(K) SpA(K),PhD
Training in ASEAN

09.00 - 09.20 Discussion


improve their knowledge and competence in the current
Challenges in Pediatric Cardiology Service in the Prof. Dr. dr. Sukman Tulus Putra,
08.20 - 08.40
Era of ASEAN Economic Community SpA(K). FACC, FESC
09.20 - 09.35 Coffee break treatment of childhood cardiac diseases. In regard to
Future Trends of Pediatric Cardiology Training Dr. Hasri Samion MD, M.Med, Session II:
08.40 - 09.00
in Asia Paci�ic Region FNHAM, FAsCC 09.35 - 10.55 Evidence, ethic, and expand competency in
Moderator : dr. Achirul Bakri,
SpA(K)
those objectives that Pediatric Cardiology Update VII
Congenital Heart Disease
09.00 - 09.10 Discussion

Opening of Industrial Exhibition Echocardiography for pediatrician: Do we need Dr. Haifa binti Abdul Latiff, MBBS, will be held in Palembang on April 6th and 7th, 2019.
09.35 - 09.55
09.10 - 09.30 to expand the competency? M.Med, FNHAM,FAsCC
Coffee break The event will encompass exploration of topics
Adult Congenital Heart Disease Optimal Care in Prof. Dr. Teddy Ontoseno, dr.,
09.55 - 10.15
09.30 - 10.45
Session II: Moderator : dr. Ria Nova,
Congenital Heart Disease: from Basic to Practice SpA(K)
limited resources SpA(K) frequently encountered by pediatricians and general

09.30 - 09.50
Heart Failure in Congenital Heart Disease: From
dr. Sasmito, SpA(K)
10.15 - 10.35 Improving quality of care: Scienti�ic evidence
or real world evidence?
Prof. Dr. dr. Sudigdo
Sastroasmoro, SpA(K)
practitioners, in hope that childhood cardiac diseases
Hemodynamic Changes to Treatment

09.50 - 10.10 Cyanosis & Cyanotic Spell: What Pediatrician dr. Sri Lilijanti, SpA(K)
10.35 - 10.55 Discussion can be detected as early as possible and initial treatment
Should Know & Do? Session III:
Recurrent Pneumonia in Congenital Heart
10.55 - 12.15 The Role of primary care provider in the
Moderator : dr. Renny
Suwarniaty, ,SpA(K)
can be provided even with limited resources, before
10.10 - 10.30 dr. M.Ali, SpA(K) management of acquired heart disease
Disease: Treatment Approach

10.30 - 10.50 Discussion Rheumatic fever: Primary Vs. secondary


referral to tertiary services.
10.55 - 11.15 dr. Tina Tobing, SpA(K)
prophylaxis in clinical practice

10.50 – 12.00
Session III: Moderator : dr. Silvia Triratna, The Pediatric Cardiology Update VII is organized by
Pediatric Cardiac Emergencies SpA(K)
11.15 - 11.35 Myocarditis diphtheria: Old enemy has back! dr. Agus Priyatno, SpA(K)
Pediatric Cardiology Working Group in conjunction
Pediatric Chest Pain: How to Identify Risk
10.50 - 11.10 dr. Alit Utamayasa, SpA(K)
Factors for Serious Condition
11.35 - 11.55
Practical approach of endocarditis prevention in
daily practices
Dr. dr. Sri Endah R, SpA(K) with the Indonesian Pediatric Society Branch of South
11.10 - 11.30
Identi�ication of Arrhythmias in Children: Tips & Prof. Dr.dr. Mulyadi M. Djer,
Tricks SpA(K) 11.55 - 12.15 Discussion Sumatera, Department of Child Health of Sriwijaya
Moderator : dr. Santoso Soeroso,
Shock Cardiogenic vs. Shock Sepsis: Practical
12.15 - 12.45
Lunch symposium: Nutritional care in children SpA(K), MARS University Medical Faculty/ Dr. Mohammad Hoesin
11.30 - 11.50 dr. Rizky Ardiansyah, SpA(K) with heart disease Speaker : dr. Julius Anzar,
Approach of Diagnosis and Treatment
SpA(K)
General Hospital Palembang, and the Indonesian
11.50 - 12.00 Discussion 12.45 - 13.15 Break and Pray
Moderator : Dr. dr. David
WORKSHOP Physicians Association South Sumatera Region.
Lunch Symposium : Kaunang, SpA(K)
12.00 - 12.30
The role of IVIG treatment in Kawasaki disease Speaker : Dr. dr. Nadjib WS 1 WS 2 WS 3 WS 4
Advani, SpA(K), M.Med(Paed)
Identi�ication of
How to Interpret Basic Pediatric
12.30 - 13.00 Break and Pray
13.15-17.15
Pediatric ECG Made Critical Congenital
Easy Heart Disease
Cardiac Sounds in Echocardiography Chairman
WORKSHOP Children (Part 2)
in Daily Practice
WS 1 WS 2 WS 3 WS 4
Dr. dr. Anindita dr. Rahmat Budi dr. Herlina dr. Shirley Leonita,
Identi�ication of
How to Interpret Basic Pediatric Soetadji, SpA(K) Kuswiyanto, SpA(K) Dimiyati,SpA(K) SpA(K)
Pediatric ECG Made Critical Congenital
Cardiac Sounds in Echocardiography
dr. Ria Nova, SpA(K)
13.00 - 17.00 Easy Heart Disease
Children (Part 1)
in Daily Practice

Dr. dr. Anindita dr. Rahmat Budi dr. Herlina Dimiyati, dr. Shirley Leonita,
Soetadji, SpA(K) Kuswiyanto, SpA(K) SpA(K) SpA(K)