Symposium on Sports Medicine

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1 13th Annual Mayo Clinic Symposium on Sports Medicine November 14-15, 2003 Course Co-Directors Edward R. Laskowski, M.D. Michael J. Stuart, M.D. Course Coordinator Jay Smith, M.D. Mayo Civic Center Exhibit Hall 30 Civic Center Drive Rochester, Minnesota

2 General Information COURSE DESCRIPTION The Mayo Clinic Symposium on Sports Medicine has been developed for healthcare professionals with an interest in sports medicine or sports-related conditions and injuries. The format of this program is case oriented and provides an integrated approach to the injured athlete. Case presentations, lectures, and video demonstrations make this course attractive to all sports medicine practitioners. COURSE LEARNING OBJECTIVES Upon completion of the symposium, participants should be able to: Recognize, evaluate, and appropriately triage osteochondral injuries of the knee Discuss options for viscosupplementation, chondroitin sulfate use, and glucosamine sulfate use with patients and colleagues Evaluate and treat spondylolysis and related injuries Discuss the role of manipulation in low back pain Identify the challenges of the disabled athlete from both the physician s and athlete s perspectives Appropriately prescribe elastic resistance training for rehabilitation Identify major anatomical structures about the shoulder Discuss the evaluation and treatment of SLAP lesions Identify major orthopedic landmarks on MRIs and radiographs of common joints Provide counseling to patients and health care practitioners regarding ephedra, creatine, steroids, HGH, and DHEA Discuss transitioning sport-specific training from the gym to the playing field Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures that may be discussed or taught in this course. INTENDED AUDIENCE This course is designed for primary care physicians including family medicine, internal medicine, and pediatrics; physical medicine and rehabilitation physicians; and orthopedic surgeons involved with sports as well as residents in training, athletic trainers, physical therapists, nurses, and others working with active populations. CREDIT Mayo Foundation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Mayo Foundation designates this educational activity for a maximum of 11 category 1 credits towards the AMA Physician s Recognition Award. Each physician should claim only those credits that he/she actually spent in the educational activity. The NATA Board of Certification (P-476) has approved Mayo Foundation as a continuing medical education provider for Certified Athletic Trainers. This activity is approved for 11 contact hours. Other health care professionals will be provided a certificate of attendance for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

3 DATE AND LOCATION The 13th Annual Mayo Clinic Sports Medicine Symposium will be held November 14-15, The course will be held at the Exhibit Hall, Mayo Civic Center, 30 Civic Center Drive SE, Rochester, Minnesota. REGISTRATION To register, complete the attached registration form and return by mail or fax. The registration fee includes tuition, comprehensive course syllabus, continental breakfasts, luncheon, and break refreshments. A letter of confirmation will be sent upon receipt of payment and the completed registration form. Please present this letter when checking in at the meeting registration desk. CANCELLATION POLICY Your registration fee, less a $50 administrative fee, will be refunded when written notification is received by the Mayo School of Continuing Medical Education prior to October 31, No refunds will be made after October 31, TRAVEL Rochester, Minnesota, is a friendly city that greets thousands of visitors from around the world each year. The city is serviced by a modern international airport with multiple flights daily from Chicago and Minneapolis via American or Northwest Airlines. Access to and from the airport is provided by taxi cab and shuttle service. The airport is located approximately 10 driving miles from the Mayo Clinic complex. LODGING ACCOMMODATIONS Blocks of guestrooms have been reserved with special course rates at each of the following downtown Rochester hotels. To ensure accommodations and the discounted rate, please make your reservations by October 13, 2003, and identify yourself as a participant of the Mayo Clinic Sports Medicine Symposium. Hilton Garden Inn Holiday Inn Downtown 225 South Broadway 220 South Broadway or or $85 single/double $79 single/double Radisson Plaza Hotel Rochester Marriott Hotel 150 South Broadway 101 First Avenue SW or or $95 single/double $99 single/double Skyway and pedestrian subway to conference facilities, downtown shops, and restaurants connect the hotels listed above. You may also wish to visit the Rochester Convention and Visitors Bureau website ( for additional accommodation options. PARKING Parking is available in hotel, city, and Mayo patient/visitor ramps. The cost for parking is not included in the registration fee. A map indicating the location of downtown parking facilities will be mailed with the registrant confirmation letter.

4 FACULTY Course Directors Edward R. Laskowski, M.D. Department of Physical Medicine and Rehabilitation Sports Medicine Center Course Coordinator Jay Smith, M.D. Department of Physical Medicine and Rehabilitation Sports Medicine Center Michael J. Stuart, M.D. Department of Orthopedics Sports Medicine Center Visiting Faculty Thomas C. Purvis, R.P.T. Focus On Fitness LLC, Oklahoma City, OK Tom is a licensed physical therapist specializing in orthopedic rehabilitation for over 12 years. He is a Certified Personal Fitness Trainer through both the NASM and ACE, and holds his Certified Strength and Conditioning Specialist certification through the NSCA. Tom currently owns Focus On Fitness LLC, through which he provides educational videos, lectures, and workshops on the biomechanics and teaching of resistance exercise. In 1997, he founded the Resistance Training Specialist Program. This program is widely considered to be the most in-depth certification program in the nation on the biomechanics of resistance exercise and the first in the fitness industry to utilize cadaver anatomy labs as part of the curriculum. Tom also serves as a biomechanical consultant for resistance equipment companies, and a contributing writer for multiple fitness magazines and journals. He is an internationally recognized speaker on the topics of resistance training, exercise equipment, and fitness. Robert D. Bart Bardwell Founder and Director, Ironwood Springs Christian Ranch Bart is a wheelchair athlete and has just completed his 100th marathon. He is a national motivational speaker, founder and director of a youth ranch in Minnesota, counselor, and coach. He started the National Wheelchair Sports Camp where over 1000 kids and adults have attended from across the country. Mayo Faculty Jeffrey S. Brault, D.O., Department of Physical Medicine and Rehabilitation Paul C. Carpenter, M.D., Department of Endocrinology Mark S. Collins, M.D., Department of Radiology Diane L. Dahm, M.D., Department of Orthopedics Joseph J. Eischen, P.T., A.T.C., Department of Physical Medicine and Rehabilitation Ralph E. Gay, M.D., Department of Physical Medicine and Rehabilitation David A. Krause, P.T., M.B.A., O.C.S., Department of Physical Therapy Karen L. Newcomer-Aney, M.D., Department of Physical Medicine and Rehabilitation Mark W. Pagnano, M.D., Department of Orthopedics Wojciech Pawlina, M.D., Department of Anatomy Michael P. Schaefer, M.D., Department of Physical Medicine and Rehabilitation Jeffrey M. Thompson, M.D., Department of Physical Medicine and Rehabilitation Doris E. Wenger, M.D., Department of Radiology FACULTY DISCLOSURE As a provider accredited by ACCME, Mayo Foundation must ensure balance, independence, objectivity, and scientific rigor in its educational activities. All faculty participating in a Mayo Foundation activity are required to disclose commitments to and/or relationships with pharmaceutical companies, biomedical device manufacturers or distributors, or others whose products or services may be considered to be related to the subject matter of the educational activity. Faculty will also disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of these commitments and/or relationships will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

5 Program Schedule FRIDAY, NOVEMBER 14, :30 8:00 a.m. Registration and Breakfast 8:00 8:05 a.m. Introduction Michael J. Stuart, M.D.; Edward R. Laskowski, M.D. 8:05 8:10 a.m. Case #1 My Knee is Swelling and Catching 8:10 8:30 a.m. Osteochondritis Dissecans of the Knee Michael J. Stuart, M.D. 8:30 8:50 a.m. Update on Viscosupplementation, Glucosamine, and Chondroitin Mark W. Pagnano, M.D. 8:50 9:05 a.m. Outcome and Discussion 9:05 9:10 a.m. Case #2 I Hurt My Back Doing a Back Flip, and Now I Can t Dive 9:10 9:30 a.m. Evaluation and Treatment of Spondylolysis Jeffrey S. Brault, D.O. 9:30 9:50 a.m. The McKenzie Approach to Evaluation and Treatment of Acute Low Back Pain David A. Krause, P.T., M.B.A., O.C.S. 9:50 10:10 a.m. Role of Manipulation in Acute Low Back Pain Ralph E. Gay, M.D. 10:10 10:30 a.m. Outcome and Discussion 10:30 11:00 a.m. Break 11:00 11:05 a.m. Case #3 I Hurt My Knee Snowboarding 11:05 11:25 a.m. The Disabled Athlete The Physician s Perspective Edward R. Laskowski, M.D. 11:25 11:45 a.m. Invited Guest Speaker The Disabled Athlete The Athlete s Perspective Robert D. Bardwell 11:45 12:00 p.m. Outcome and Discussion 12:00 1:00 p.m. Lunch 1:00 1:05 p.m. Announcements Michael J. Stuart, M.D.; Edward R. Laskowski, M.D. 1:05 2:00 p.m. Keynote Speaker Why the Weight Is NOT the Resistance: Principles of Elastic Resistance Training Thomas C. Purvis, R.P.T. 2:00 2:05 p.m. Case #4 My Shoulder Hurts and I Have No Heat on My Slap Shot 2:05 2:25 p.m. Role of MRI in Imaging the Labrum Doris E. Wenger, M.D.

6 2:25 2:45 p.m. Evaluation and Treatment of SLAP Lesions Diane L. Dahm, M.D. 2:45 3:00 p.m. Outcome and Discussion 3:00 3:30 p.m. Shoulder Dissection Demonstration (Live) Jay Smith, M.D.; Diane L. Dahm, M.D.; Wojciech Pawlina, M.D. 3:30 4:00 p.m. Break 4:00 4:30 p.m. Shoulder Arthroscopy Demonstration (Live) Diane L. Dahm, M.D.; Jay Smith, M.D. 4:30 5:15 p.m. Interactive Radiology Case Demonstrations Mark S. Collins, M.D. 5:15 p.m. Announcements and Adjourn SATURDAY, NOVEMBER 15, :30 7:55 a.m. Breakfast 7:55 8:00 a.m. Announcements Michael J. Stuart, M.D.; Edward R. Laskowski, M.D. 8:00 8:05 a.m. Case #5 Doc, this Player is Feeling Sick He Says He Took Some of Those Herbal Pills Before the Game 8:05 8:25 a.m. Update on Ephedra and Creatine Michael P. Schaefer, M.D. 8:25 8:55 a.m. Use of Steroids, Human Growth Hormone, and Erythropoietin in Sports Paul C. Carpenter, M.D. 8:55 9:10 a.m. Outcome and Discussion 9:10 9:15 a.m. Case #6 I ve Been Playing Tennis My Whole Life and Haven t Had Elbow Pain Until Now 9:15 9:35 a.m. Current Concepts in Lateral Epicondylitis Jeffrey M. Thompson, M.D. 9:35 9:55 a.m. Sport Specific Treatment of Lateral Epicondylitis Karen L. Newcomer-Aney, M.D. 9:55-10:10 a.m. Outcome and Discussion 10:10 10:40 a.m. Break 10:40 11:10 a.m. Principles and Strategies for Core Conditioning Joseph J. Eischen, P.T., A.T.C.; Jay Smith, M.D. 11:10 12:10 p.m. Keynote Speaker Sport-specific Training: Myths and Realities of Transitioning from the Gym to the Playing Field Thomas C. Purvis, R.P.T. 12:10 p.m. Adjourn

7 Registration Form 2003M213 13th Annual Symposium on Sports Medicine November 14-15, 2003 Mail form and payment to: Telephone: Mayo School of Continuing Medical Education First St SW FAX: Rochester, MN Web Site: (Please print or type all information. You may duplicate this form for multiple registrations.) Name Degree First Name Middle Name or Initial Last Name MD DO PT AT NP PA Other Institution Medical Specialty Address Which do you prefer to be your mailing address: Work/Business Home Work Address City State/PV ZIP/Postal Code Country Home address City State/PV ZIP/Postal Code Country Home Telephone ( ) Business Telephone ( ) Int'l Telephone (Country code) (City code) Phone FAX Type of credit that you are interested in receiving: AMA/Category 1 NATABOC Please check if you have any special assistance needs or dietary restrictions. Please indicate your needs here: P A Y M E N T Registration Fee: Physicians $ 360 $ Residents, Athletic Trainers, Physical Therapists, Nurses, Others $180 $ Total Payment Enclosed: $ Check (payable to Mayo Foundation) Visa MasterCard Discover Card Number Expiration date MO/YR Signature Date

8 Mayo School of Continuing Medical Education 200 First St. S.W. Rochester, MN th Annual Mayo Clinic Symposium on Sports Medicine 2003, Mayo Press Printed in U.S.A. MC Non-Profit Organization U.S. POSTAGE PAID Minneapolis, MN Permit No Mayo Civic Center November 14-15, Civic Center Drive Rochester, Minnesota

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