A APM&R 2012 Annual Assembly PRELIMINARY PR GRAM. Get on Board for Atlanta. Take advantage of your member discount. Register today at

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1 A APM&R 2012 Annual Assembly PRELIMINARY PR GRAM Get on Board for Atlanta Take advantage of your member discount. Register today at

2 Life is sweet again, as sweet as a peach. Thanks to MedStar NRH! Ranked by you for 17 consecutive years as one of the top rehabilitation hospitals in the nation in U.S. News & World Report National Rehabilitation Hospital (NRH) has grown from a single hospital into a network of inpatient, day treatment and outpatient services offered at more than 30 locations in Washington, D.C., Maryland and Northern Virginia. In recognition of that and the strengths associated with being part of a larger system, we have become MedStar National Rehabilitation Network. We may have changed our name, but we are still dedicated to Adding life to years. We help people with disabling injuries or illness as well as those with orthopaedic and sports injuries learn to help themselves. Through specialized medical care, research, and the latest technology, we focus on abilities rather than disabilities. To learn more about one of the nation s most respected networks for rehabilitation care, call MedStar NRH at NRH or visit us on the web at

3 Get n Board: AAPM&R 2012 Annual Assembly 2 3 Meeting Highlights 5 ATLANTA Offers Something for Everyone 7 Plenary Sessions 8 International Symposium 9 The Use, Misuse, and Abuse of Prescription Opioids A Day-Long Focus on Managing Opioids and Limiting Risk 51 Networking Receptions & Member Events 52 Networking Receptions 53 AAPM&R Job Fair 54 State Society Meetings & Alumni Receptions 55 Foundation for PM&R Meetings & Events 59 ISPRM Meetings 11 Member Councils 13 Preconference Courses Coding and Billing Workshop Hands-On Diagnostic Musculoskeletal Ultrasound: In-Depth Introduction to Uses and Techniques Optimizing Outcomes for Patients With Spasticity: Improving Assessment and Maximizing Intervention Options 21 Educational Program 24 Accreditation 24 CME Credit Designation 27 Track Offerings At-A-Glance 35 Courses and Workshop Listings by Track 35 Musculoskeletal and Sports Medicine Track 38 Neurological Rehabilitation Track (TBI, Stroke, SCI) 40 Practice Management & Leadership Track 42 General Rehabilitation Track (includes neuromuscular medicine, pediatric rehabilitation, and medical rehabilitation) 45 Pain and Spine Medicine Track 48 Resident Program 1 REGISTER NOW: 61 Technical Exhibition 64 Product Theaters 67 Corporate Support & Recognition 71 General Information 74 Hotel & Travel 77 Registration Information & Form The photos on the following pages are courtesy of Kevin C. Rose and the Atlanta Convention and Visitors Bureau: 1 (Peaches & Pears, High Museum of Art), 5 (Martin Luther King, Jr., Arcade Facade), 7 (Olympia at the Promenade II Courtyard, Midtown), 11 (Phoenix Rising at Woodruff Park), 22 (Georgia World Congress Center), 23 (Tulips on the Capitol Lawn), 30 (Georgia Aquarium), 31 (Dogwoods in Bloom), 32 (Piedmont Park), 33 (Georgia Aquarium), 42 (Confederate Carving, Stone Mountain Park), 44 and 45 (High Museum of Art), 47 (Promenade, Downtown), 52 (Buckhead Georgian Estate), 53 (Lichtenstein Sculpture, High Museum of Art), 54 (Georgia World Congress Center), 55 (Tulips on the Capitol Lawn), 57 (Inman Park Home), 59 (Flat-Iron Building, Downtown), 62 and 63 (Georgia Aquarium), 69 (Martin Luther King, Jr., Arcade Facade), 74 (Phoenix Rising at Woodruff Park), 75 (Piedmont Park), 78 (Georgia World Congress Center), 79 (Tulips on the Capitol Lawn), 80 (Martin Luther King, Jr., Childhood Home), 81 (Phoenix Rising at Woodruff Park), 82 (Flat-Iron Building, Downtown) 83 (Promenade, Midtown), 84 (Margaret Mitchell House), and 85 (Night View, Downtown). The appearance of advertising or marketing of any kind in the American Academy of Physical Medicine and Rehabilitation publications or at events sponsored by the American Academy of Physical Medicine and Rehabilitation is not an endorsement or guarantee of the product or service being advertised or of the claims made for the product or service by the advertiser. Copyright 2012 AAPM&R. 15M 05/2012 Peaches & Pears, High Museum of Art Table of Contents

4 Renowned speakers and blockbuster topics! Several renowned speakers will address blockbuster themes that cut across the specialty at the 2012 Annual Assembly: RAY BAKER, MD THOMAS BYRD, MD DENNIS BRAMBLE, PHD IRENE DAVIS, PHD, PT SCOTT HUCKABEE ELIZABETH ARENDT, MD left, Flat-iron Building Downtown, ATLANTA RAY BAKER, MD Interdisciplinary Pain Treatment Programs: Are They Successful? Policies & Politics Impacting Spine Care Interventional Controverse Z s DENNIS BRAMBLE, PHD Running Injuries and Barefoot Running: A Natural Solution to Injuries? SCOTT HUCKABEE The Use, Misuse, and Abuse of Prescription Opioids: Pain Medicine and the Law Register Now: THOMAS BYRD, MD Presentation, Progression, and Treatment of Femoroacetabular Impingement in Athletes Physical Exam of the Hip: Distinguishing Intra-Articular and Extra-Articular Pain IRENE DAVIS, PHD, PT Running Injuries and Barefoot Running: A Natural Solution to Injuries? Mechanical Interventions in the Treatment of Osteoarthritis Running Analysis ELIZABETH ARENDT, MD Patellofemoral Disorders

5 Meeting Highlights AAPM&R 2012 ANNUAL ASSEMBLY Get on Board for Atlanta The American Academy of Physical Medicine and Rehabilitation (AAPM&R) invites you to attend this year s premier meeting for PM&R physicians: the AAPM&R 2012 Annual Assembly, November in Atlanta, GA. The AAPM&R Annual Assembly is the largest annual gathering of physiatrists. Sessions come in a variety of educational formats including large, didactic courses and small group sessions. Plus, earn up to 26 AMA PRA Category 1 Credits TM all in one place! Residents will find targeted educational programming and social networking opportunities created specifically for them (see page 48). The AAPM&R Annual Assembly is the largest annual gathering of PM&R residents. Look for the R next to sessions and workshops. Don t miss the unique features of this year s meeting: Take a look through the pages that follow to see all that More spaces are available in ticketed workshops this year s Annual Assembly has to offer. Registration throughout the day. Purchase your ticket early to experience a small-group learning environment. Limited attendance information begins on page 78 or register online now at See you in Atlanta! allows participants to learn procedures and skills pertinent to the physiatrist such as physical examinations, manual medicine, electromyography, and ultrasound. Many workshops also include hands-on instruction. Join your ISPRM colleagues for a day-long International Symposium on Friday, November 16 to explore multi-national issues in PM&R. (See page 8). Day-long focus on managing opioids and limiting risk on Friday, November 16. The focused day will take learners on a practical journey through opioid management and will be immediately relevant to practice and patient care. Hear from public and professional keynote speakers about the risks and benefits of using opioids. (See page 9). Who Wants to Be a Millionaire Electromyographer? Grab your favorite cocktail and find out! This unique event showcases experts in the field of EMG who are challenged in a format similar to the popular game show. (See page 52). Get n Board: Night View, Downtown Meeting Highlights 3 REGISTER NOW:

6 AAPM&R Helps You Navigate MOC Recognizing that members need an uncomplicated way to navigate and meet the ABPMR Maintenance of Certification (MOC) requirements, your Academy (AAPM&R) has developed a series of resources that meet the different requirements of MOC: Part I: Part II: Pass Board Exams and Maintain State Licensure Lifelong Learning & Self-Assessment Part III: Re-Certification Exam Part IV: Practice Improvement Projects NEW! Unsure about what the MOC requirements are and what you need to meet when? Access the Personalized MOC Plan on the Academy Web site for an overview of the MOC requirements, and to gauge your progress and see suggestions for where you should be in meeting MOC requirements. Visit today and enter MOC in the search bar. All Academy tools available to help you meet MOC requirements can be found on the Academy s online education platform academe (www.me.aapmr.org).

7 Meeting Highlights Atlanta Offers Something for Everyone Whether you re a history buff, nature enthusiast, or a foodie looking for a great restaurant, Atlanta, GA, site of the American Academy of Physical Medicine and Rehabilitation (AAPM&R) 2012 Annual Assembly, November 15-18, offers something for everyone. Atlanta boasts mild temperatures in November. The Atlanta Botanical Gardens encompasses 15 The Assembly takes place in downtown Atlanta at the Georgia World Congress Center. Nearby sites include Centennial Olympic Park where you can view the interactive Fountain of Rings and the Georgia Aquarium, the world s largest aquarium. Venture beyond downtown for unique historical and cultural destinations. Tour the civil rights museum at the Martin Luther King, Jr., National Historic Site, see Dr. King s childhood home, visit his memorial, and survey the Ebenezer Baptist Church where he was a pastor. The Jimmy Carter Presidential Library & Museum highlights his presidential years and his peace efforts around the world. Get n Board: 5 REGISTER NOW: acres of natural beauty, including walking trails and a conservatory. Zoo Atlanta, minutes from downtown, features giant pandas and elephants, as well as giraffes that visitors can feed. This year marks the 75th anniversary of the writing of Gone with the Wind. The home where Pulitzer Prize-winning author Margaret Mitchell wrote this famed novel is listed on the National Register of Historic Places and offers tours and programming. Martin Luther King, Jr., Arcade Facade Meeting Highlights

8

9 Plenary Sessions Plenary sessions at the Annual Assembly bring all meeting registrants together to focus on common threads that connect all physiatrists before breaking out for more tailored learning throughout the day. 600 Presidential Address Challenges and Health Care an Alternative Perspective KEYNOTE SPEAKER: CHARLES KRAUTHAMMER, MD Thursday, November 15: 9:30 am 11 am This session will bring all members together for the official Opening, featuring a lecture by Pulitzer Prize winner Charles Krauthammer, MD. Considered by the Financial Times to be the most influential commentator in America, Charles Krauthammer is well recognized for his bold, original writing on politics. Dr. Krauthammer is an active and respected contributor to today s political thought through a syndicated column he has for the Washington Post and a monthly essay for TIME magazine. Dr. Krauthammer will provide us with his perspective on the efforts to redesign the health care system, and he will share with us his personal story. 601 Perspectives of Pain KEYNOTE SPEAKER: SCOTT FISHMAN, MD Friday, November 16: 9:30 am 10:30 am The Perspectives of Pain Plenary Session will take learners on a journey through the human side of pain management. Learners will explore the impact of pain management on patients and families. The audience will be exposed to the challenges and opportunities of prescribing opioids and will walk away understanding how they can treat pain and bend the abuse curve. 602 Forty-Fourth Walter J. Zeiter Lecture and Awards Ceremony KEYNOTE SPEAKER: TO BE ANNOUNCED THIS SUMMER ON Saturday, November 17: 9:30 am 11 am Half of this session is set aside for the Walter J. Zeiter Lecture. Walter J. Zeiter served as executive director of AAPM&R for 20 years. The lectureship is awarded annually in his honor to a physiatrist who shares Dr. Zeiter s qualities of statesmanship, scholarship, executive leadership, and warm friendship. In this session, AAPM&R, the Foundation for PM&R and the American Board of PM&R also honor distinguished achievements in physiatry. The Academy s award recipients, including the 2012 Zeiter lecturer, will be announced this summer on Get n Board: 7 REGISTER NOW: Olympia, at the Promenade II Courtyard Midtown Meeting Highlights

10 International Symposium Friday, November 16 AAPM&R welcomes the members of the International Society for Physical and Rehabilitation Medicine (ISPRM) to our 2012 Annual Assembly. With the ISPRM presence at this year s meeting, AAPM&R will be offering an International Symposium chaired by William Micheo, MD. International Symposium 7:30 am 9 am 322 International Developments in PM&R Research M. Franceschini, MD (ITALY); W. Frontera, MD, PhD (USA); F. Gimigliano, MD (ITALY); M. Imamura, MD, PhD (BRAZIL) This session will present recent advances in PM&R research from an international perspective. The experience of distance courses on clinical research using the Harvard Medical School and School of Public Health curriculum will be presented. Also, research trends in European rehabilitation centers, with particular emphasis on robotics, will be discussed. 11 am 12:30 pm 323 Implementation of International Classification of Functioning, Disability and Health (ICF) in PMR Practice C. Gutenbrunner, MD, PhD (GERMANY); F. Kohler, MD (AUSTRALIA); J. Melvin, MD (USA); M. Riberto, MD (BRAZIL); G. Stucki, MD, MS (GERMANY) This course presents information on the ICF as an international standard, its international implementation, and explores the status of its implementation in US PM&R practices. 1:30 pm 3 pm 324 Strengthening Medical Rehabilitation Across the Continuum: Difference Around the World? A. Esquenazi, MD (USA); A. Giustini, MD (ITALY); J. Guzman Gonzalez, MD (MEXICO); M. Imamura, MD, PhD (BRAZIL); A. Ward, MD, FRCP (UNITED KINGDOM) The session will explore the difference and similarities in the physical and rehabilitation medicine clinical practice paradigm across the world. Presentations will review the models currently in use in Great Britain, Brazil, Mexico, and the United States as well as the proposed work currently in development across the European Union. The session will be followed by a panel interaction with the audience. 3:30 pm 5 pm 325 Disaster Relief D. Kaelin, MD (chair) (USA); J. Li, MD (co-chair) (CHINA); C. O Connell, MD, FRCPC (CANADA); J. Randle, MD (USA); Y. Tuakli-Wosornu, MD, MPH (USA) This 90 minute course will educate the participant on rehabilitation topics as they relate to disaster relief efforts internationally. It will include disaster rehabilitation preparedness, acute phase rehab strategies and long term rehab follow up. Examples of recent natural disaster rehab responses will be given. Get n Board: 8 REGISTER NOW:

11 The Use, Misuse, and Abuse of Prescription Opioids A Day-Long Focus on Managing Opioids and Limiting Risk Friday, November 16 As part of the pain and spine medicine track, several sessions will address managing long-acting and extended release opioids; improving patient care and safety while minimizing risk PM&R physicians take the lead per capita for opioid prescribing. This fact highlights the tremendous pressure on PM&R physicians to ensure safe and effective prescribing patterns. Further, it highlights the need for the specialty of PM&R to minimize risks to patients and practices. Hear from keynote speakers about how to effectively manage clinical and practice issues around pain management, specifically long-acting and extended-release opioids. Speakers include pain experts, law enforcement officials, and attorneys who manage risk. 7:30 am 9 am 506 The Use, Misuse, and Abuse of Prescription Opioids: Pain Medicine and the Law Richard Bonfiglio, MD; John Lichtenstein, JD; Scott Fishman, MD; Scott Huckabee Physiatrists are increasingly involved in the management of individuals with acute and chronic pain including the use of controlled substances like opioids. The risks of prescribing these medications include patients taking the medications inappropriately, becoming addicted, or diverting or selling the prescribed medicines. Prudent physicians routinely prescribing controlled substances for pain patients must be concerned with the potential of being investigated by police, the medical board, the DEA and local prosecutors. This course will present strategies for developing safe practices and maintaining compliance with regulations. 9:30 am 10:30 am 601 Plenary Session: Perspectives of Pain Scott Fishman, MD This session will take learners on a journey through the human side of pain management. Learners will explore the impact of pain management on patients and families. Learners will be exposed to the challenge and opportunities of prescribing opioids and will walk away understanding how they can treat pain and bend the abuse curve. 11 am 12:30 pm 508 The Use, Abuse, and Misuse of Prescription Opioids: Practical Solutions James W. Atchison, DO; Richard Bonfiglio, MD; Mark Rubenstein, MD; Matthew Smuck, MD This session focuses on office and patient management. Speakers will describe methods to reduce opiate misuse by outlining the characteristics of both good and bad clinical practices. 1:30 pm 3 pm 509 The Use, Misuse, and Abuse of Prescription Opioids: Safe Use of Extended-Release/Long-Acting Opioids James W. Atchison, DO; Brian Bruel, MD, MBA This course will discuss the clinical activity behind responsible opioid prescribing in a physiatry practice. A detailed discussion on the pharmacology of opiate medications will include side effects, drug interactions, mechanism of action and tolerance. Concepts of dose titration, incomplete-cross tolerance, and opioid rotation will be reviewed. 3:30 pm 5 pm 510 The Use, Misuse, and Abuse of Prescription Opioids: Determining Who is a Candidate for Extended-Release/ Long-Acting Opioid Therapy and Managing Risk Michael J. Brennan, MD; Steven Stanos, DO The Use, Misuse, and Abuse of Prescription Opioids This course will discuss the clinical activity behind responsible opioid prescribing in a physiatry practice. The basic tenants of rationale opioid prescribing will be reviewed: effective patient evaluations, developing a sound treatment plan, utilizing appropriate screening tools, and risk management. The benefits vs. risks of prescribing ER/LA opioids will be reviewed.

12 Find Your Clinical Home Impact the specialty and network alongside other physiatrists who do what you do. Join a Council Now! Visit < Councils & Member Services < Your Member Profile to update your member profile and enroll today for free! Member Councils are a benefit of AAPM&R membership. Questions? Call the Academy at (877) AAPM&R Member Councils provide members: Community: Find patient referrals, get advice, share your knowledge, and interact with Academy members who share your clinical interests. Council members interact in person and online on left, Flat-iron Building Downtown, ATLANTA PhyzForum (www.phyzforum.org). Influence: Voice your opinion on everything from Annual Assembly courses to legislation. Council members have a unique opportunity to comment on Academy priorities and share their ideas. Tailored Resources: Access information relevant to your practice. Council members receive a quarterly information letter as well as resources and information tailored to their area of expertise. Impact: Volunteer for activities related to your clinical area and work with other physiatrists to advance the specialty. Joining a Council also helps the Academy find you when we seek a content expert.

13 Member Councils YOU ARE CORDIALLY INVITED What: Each Member Council holds a business meeting at the Annual Assembly. It s a great opportunity to connect face-to-face with peers who share similar interests to network, influence, and learn. The business meetings are in-person opportunities to network with your peers, speak directly with your Council leaders, discuss the current activities of the Council, and vote in the Council Executive Committee elections. Why: The PM&R specialty is broad. Finding focus and an avenue to discuss topics that matter the most to you is simplified when you are a part of a Member Council. Plus, your involvement helps provide direction regarding the goals and focus of the Academy. Member Councils offer a unique mix of professional development and specialty advancement opportunities. Who: You! All current and prospective Council members are encouraged and welcomed to attend. When: Central Nervous System Rehabilitation Council Friday, November 16, 5 pm 6 pm Medical Rehabilitation Council Friday, November 16, 5 pm 6 pm Musculoskeletal Medicine Council Friday, November 16, 12:30 pm 1:30 pm Pain Medicine/Neuromuscular Medicine Council Friday, November 16, 12:30 pm 1:30 pm Pediatric Rehabilitation/Developmental Disabilities Council Friday, November 16, 5 pm 6 pm Meeting Highlights Where: The Council business meetings will be held in the Georgia World Congress Center. Get n Board: 11 REGISTER NOW: Phoenix Rising, Woodruff Park

14 PHYSICAL MEDICINE & REHABILITATION Inpatient and Outpatient Rehabilitation Care for the Medically Complex Patient Team approach patient care with other Mayo Clinic specialists More than 50 physiatrists and 400 therapists, nurses, psychologists 38,000 PM&R patients in 2011 Newly renovated 38 bed inpatient rehabilitation unit National Institute on Disability and Rehabilitation Research Traumatic Brain Injury Model System Center Ten CARF programs left, Flat-iron Building Downtown, ATLANTA SATELLITE SYMPOSIA Post Acute Care Policy and Reimbursement Check program for details Visit us at Booth 629 MAYOCLINIC.ORG

15 Preconference Courses AAPM&R 2012 ANNUAL ASSEMBLY Preconference Courses Get n Board: 13 REGISTER NOW:

16 Preconference Courses CODING & BILLING Coding & Billing Workshop TUESDAY, NOVEMBER 13 WEDNESDAY, NOVEMBER 14 Hilton Atlanta This is a PM&R-specific, day and a half workshop designed to educate physiatrists, physicians office managers, and procedural coders about the latest coding and billing issues that have an effect on PM&R practices. The sessions will focus on correct coding of services and procedures to assist practices in securing appropriate reimbursement for physician and practice services from third-party payers and others. This will be achieved through the use of lectures, clinical vignettes, attendee participation, and question and answer sessions. Learning Objectives Upon completion of this course, participants will be able to: Utilize and appropriately apply recent changes to CPT codes in that relate to physiatric practice Recognize issues related to Medicare payments for physicians at teaching hospitals and for residents Properly utilize the Evaluation and Management (E/M) codes and documentation guidelines Preconference Courses Distinguish and apply new codes for electromyography and nerve conduction studies done on the same day, autonomic nerve function testing, evoked potentials, facet injections, and transforaminal and SI injections Apply techniques for accurately coding interventional procedures Appropriately utilize and apply ICD-9-CM and learn about the new changes that will take place when ICD-10 replaces ICD-9 codes Integrate into practice upcoming changes and transition from ICD-9 to ICD-10 Effectively appeal denied insurance claims PM&R-Specific Coding Manual Now Available From AAPM&R Your Academy is happy to offer the new AAPM&R 2012 Coding Manual. This is an educational practice management tool designed to help physiatrists receive correct reimbursement through proper coding. The 2012 Coding Manual has the most up-to-date coding changes related to PM&R and features insightful notes that will help ensure proper coding. What you will find in the AAPM&R 2012 Coding Manual: Complete section on appropriate coding for EMG and NCS done on the same day Comprehensive section on Evaluation and Management Codes New section on Physician Quality Report Systems Expanded procedure definitions and descriptions New this year, the AAPM&R 2012 Coding Manual is available in two formats: printed copy or an electronic PDF file. Download an order form at CODING MANUAL Price: $120 for AAPM&R members (non-member price is $150). PM&R SPECIFIC Members Save 20% To order download an order form at

17 Preconference Courses CODING & BILLING LIMITED ATTENDANCE Registration for the course is limited and available on a first-come, first-served basis. The registration fee includes a course book, breaks, continental breakfast, lunch, refreshment breaks, and CME credit processing. ACCREDITATION The American Academy of Physical Medicine and Rehabilitation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. DESIGNATION OF CREDIT The American Academy of Physical Medicine and Rehabilitation designates this live activity for a maximum of 11.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. COURSE DIRECTOR Scott Horn, DO FACULTY Scott Horn, DO Sandra Soerries, CPC, CPC-H Barry Smith, MD Agenda TUESDAY, NOVEMBER 13: 1 PM 5:30 PM Registration (Noon 1 pm) Lecture topics include: Understanding the CPT and RUC process ICD-9 and Intro to ICD-10 Coding in Teaching Hospitals Coding and Electrodiagnostic Testing and In-office Procedures WEDNESDAY, NOVEMBER 14: 8 AM 5:15 PM Continental Breakfast (7:30 8 am) Lecture topics include: E/M Coding: Office Visits, Consults, Inpatient, Other Settings Coding and Billing for Interventional Procedures Surviving the Audit Incident-To Billing for Physician Services and Therapies Hands-On Coding Scenarios Faculty and topics subject to change. To view a complete agenda, visit Preconference Courses Get n Board: 15 REGISTER NOW:

18 Preconference Courses MSK ULTRASOUND Hands-On Diagnostic Musculoskeletal Ultrasound: In-Depth Introduction to Uses and Techniques TUESDAY, NOVEMBER 13 WEDNESDAY, NOVEMBER 14 Atlanta Marriott Marquis New in 2012, this course will examine the hip, foot, and ankle in addition to the shoulder! This introductory course is designed for the clinician who wishes to become more familiar with the function of diagnostic musculoskeletal ultrasound, its limitations, and its capabilities. Through didactic, interactive, and over six (6) hours of hands-on portions, clinicians will learn the basics of performing a diagnostic musculoskeletal ultrasound of various body parts in both upper and lower limbs. Participants will be exposed to both normal- and abnormal-appearing structures, the principles of interventional ultrasound, and ways to integrate this modality into practice. Additional topics include purchasing an ultrasound machine and coding and billing. Upon completion of this course, attendees will have a solid skill set to readily implement into their practices. Learning Objectives Upon completion of this course, participants will be able to: Explain the physics and basic workings of an ultrasound machine Preconference Courses Develop the ability to identify and discriminate basic structures of an ultrasound examination Define the indications, advantages, and disadvantages of ultrasound imaging Develop a methodical approach when examining body regions using diagnostic musculoskeletal ultrasound Recognize how current research in diagnostic and interventional applications is improving physiatric practice and patient care COURSE DIRECTOR John Cianca, MD FACULTY Luis Baerga-Varela, MD Amit Bhargava, MD Joanne Borg Stein, MD Gary Chimes, MD, PhD Jerod Cotrill, DO Jon Finnoff, DO Brad Fullerton, MD Alfred Gellhorn, MD Bradly Goodman, MD Nelson Hager, MD, MS Keith Hardy, MD Troy Henning, DO Mark Hurdle, MD John Lesher, MD, MPH Srinivas Mallempati, MD Ken Mautner, MD Jeff Payne, MD Evan Peck, MD Scott Primack, DO Jeff Strakowski, MD Christopher Visco, MD In kind support for this course has been provided by Esaote, GE Healthcare, Terason, and Sonosite.

19 Preconference Courses MSK ULTRASOUND Agenda LIMITED ATTENDANCE Registration for the course is limited and available on a first-come, first-served basis. The registration fee includes a course book, continental breakfast, lunch, refreshment breaks, and CME credit processing. WHO SHOULD ATTEND? Physicians who have an interest in learning and incorporating musculoskeletal ultrasound into their practices. Physicians who have attended this course previously may also benefit from the additional anatomical areas that have been added this year: hip, foot, and ankle. TUESDAY, NOVEMBER 13: 1 PM 6:30 PM Registration (Noon 1 pm) Lecture topics include: MSK Ultrasound Basic Physics, Knobology, and Ergonomics Imaging Conventions, Tissue Differentiation, and Artifacts The Shoulder: Normal Anatomy as Seen With Ultrasound The Shoulder: Sonographic Examination Demonstration The Shoulder Scanning Lab: Normal Anatomy and Artifacts Understand the Technique for Holding and Manipulating the Transducer to Achieve Optimal Images Shoulder Pathology Billing, Coding, and Documentation ACCREDITATION The American Academy of Physical Medicine and Rehabilitation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. DESIGNATION OF CREDIT The American Academy of Physical Medicine and Rehabilitation designates this live activity for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. DRESS CODE Participants should wear clothing that allows them to serve as subjects. Sweat suits, shorts, T-shirts, and tank tops would be appropriate for the hands-on portion of this course. The anterior and lateral hip will be scanned, please be prepared with clothes that will comfortably expose this area during the course. Participants may also want to bring a light jacket or sweater as the meeting rooms can get cool. Get WEDNESDAY, NOVEMBER 14: 8 AM 5 PM Breakfast (7:30 8 am) Lecture topics include: The Hip: Normal Anatomy As Seen With Ultrasound The Hip: Sonographic Examination Demonstration Hip Scanning Lab: Normal Anatomy and Artifacts Hip Pathology The Ankle and Foot: Normal Anatomy As Seen With Ultrasound Ankle and Foot Sonographic Examination Demonstration Ankle and Foot Scanning Lab: Normal Anatomy and Artifacts Ankle and Foot Pathology Tap Into Experience: Purchasing an Ultrasound Machine and Other Quandaries Faculty and topics subject to change. To view a complete agenda, visit n Board: Preconference Courses 17 REGISTER NOW:

20 Preconference Courses SPASTICITY Optimizing Outcomes for Patients With Spasticity: Improving Assessment And Maximizing Intervention Options TUESDAY, NOVEMBER 13 WEDNESDAY, NOVEMBER 14 Atlanta Marriott Marquis This day and a half course geared toward a basic to intermediate level audience will highlight the practical assessment and comprehensive treatment of spasticity and related disorders. A faculty of expert clinicians will lead discussions and interactive sessions focused on teaching and updating skills for assessment and management of spasticity. This year s course will include new formats to address patient assessment. It will involve more hands-on sessions and techniques for ultrasound-guided injection of botulinum toxins and neurolytic agents, such as anesthetics and phenol, and intrathecal baclofen management. Learning Objectives Upon completion of this course, participants will be able to: Define the role of non-pharmacologic physical modalities and surgery in optimizing outcome for patients with the upper motor neuron syndrome Preconference Courses Describe the role of oral medications in spasticity management Compare and contrast various botulinum toxin stereotypes Demonstrate ability to inject various limb and cervical muscles using a stimulation model Describe techniques to evaluate upper limb function when assessing patients for the need for chemodenervation Apply the steps in performing neurolysis (using anesthetics, phenol, and alcohol) Differentiate between the clinical factors that determine the need for phenol/alcohol vs. botulinum toxin therapy Identify and locate anatomic landmarks for neurolysis of musculocutaneous, obturator, sciatic, and tibial nerves Demonstrate the use of ultrasound to improve targeting of muscles for focal chemodenervation Describe ways to evaluate the lower limb to improve gait in patients with an upper motor neuron syndrome Formulate a plan to evaluate patients for the appropriateness of an intrathecal baclofen pump COURSE DIRECTOR Thomas Watanabe, MD FACULTY Katharine Alter, MD Alan Freeman, MD Elie Elovic, MD Alberto Esquenazi, MD John Harrell, MD Darryl Kaelin, MD Mary Anne Keenan, MD John Lin, MD Nathaniel Mayer, MD John McGuire, MD Michael Munin, MD Patricia Nance, MD Michael Saulino, MD

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