taking a scalpel to the SEMINAR



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taking a scalpel to the SEMINAR November 6 and 7, 2015 Renaissance Atlanta Midtown Hotel Atlanta, ga

taking a scalpel to the SEMINAR EVIDENCE was a word primarily used in law cases, broadly construed as anything presented in support of an assertion, whether it be strong or weak. Today it s used as a description for just about any field education, marketing, and medicine. Evidence Based Medicine (EBM) shapes and influences clinical practice in order to ensure high quality patient care. And we re here to help, by hosting a seminar that focuses on the application of evidence to foot and ankle surgery. This advanced seminar takes a bottoms-up approach to EBM. Lectures, case-based presentations, and debate from experienced clinical and research faculty will illustrate the decision dilemmas in common and complex surgery of the foot and ankle. Expect thoughtful discussion by faculty from across the country who will face the challenging questions of how to incorporate the triad of clinical expertise, available evidence, and patient perspective into your practice.

learning objectives Recognize the limitations of EBM in the surgical arena and balance the evidence with the value of expert experience. Identify the surgical uncertainties in common forefoot surgeries and analyze the functional results and complications associated with these procedures. Conceptualize the surgical decisionmaking process for trauma of the foot and ankle and evaluate results of the newer minimally invasive techniques. Understand how EBM influences clinical practice guidelines. Scrutinize current medical management of surgical patients and establish best practices for perioperative care of the patient undergoing foot and ankle surgery. seminar co-chairs Paul D. Dayton, DPM, FACFAS UnityPoint Clinic Foot & Ankle Center Fort Dodge, IA Thanh L. Dinh, DPM, FACFAS Beth Israel Deaconess Medical Center Boston, MA faculty Michael D. Dujela, DPM, FACFAS Washington Orthopaedic Center Centralia, WA Sean T. Grambart, DPM, FACFAS Carle Physician Group Champaign, IL Jordan P. Grossman, DPM, FACFAS Northeast Ohio Orthopaedic Associates Akron, OH Daniel J. Hatch, DPM, FACFAS Foot & Ankle Center of Northern Colorado Greeley, CO Naohiro Shibuya, DPM, FACFAS Texas A&M University Health & Science Center Temple, TX Michael H. Theodoulou, DPM, FACFAS Cambridge Health Alliance Cambridge, MA There is nothing more deceptive than an obvious fact. Arthur Conan Doyle

Friday, November 6 7:30 7:55 am check-in/breakfast Evidence Based Medicine Basics 7:55 8:00 am introductions 8:00 8:20 am Practicing EBM in real-time to patient care can be complex and filled with grey areas complicated by situations where the clinical evidence is insufficient or when patient preferences conflict. Registration Fee ACFAS member = $695 non-member = $850 Fee Includes 14 continuing education contact hours Understanding the Evidence Based Medicine Triad patient expectations, medical evidence, and clinical experience 8:20 8:40 am Healthcare Reform and Value Based Care what are the surgeon s responsibilities? 8:40 9:00 am Understanding the Limitations of EBM and Balancing with Experience when EBM fails 9:00 9:20 am panel discussion Q&A Forefoot Cases 9:20 9:50 am The Complex Hammer Toe Arthrodesis/Arthroplasty/Implants balancing benefit and cost Metatarsal Osteotomies and Plantar Plate Repair do we need the fancy systems? 9:50 10:20 am Hallux Limitus/Rigidus Implants/Arthroplasty/Osteotomies why I do/don t do this Arthrodesis the gold standard? 10:20 10:35 am break 10:35 11:35 am Hallux Valgus Soft Tissue Balancing what matters Head Osteotomies do they address the underlying pathology? Lapidus Bunionectomy success and failure 11:35 am 12:05 pm panel discussion Q&A

12:05 12:50 pm lunch Trauma Cases 12:50 1:10 pm Ankle Sprains do the Ottawa Rules Work in the US? MRI/Bone Scan/CT when advanced imaging is necessary 1:10 1:30 pm The Open Fracture Timing of Surgery and Antibiosis updated guidelines Hardware Selection and Soft Tissue Coverage Decisions are there guidelines? 1:30 2:00 pm Metatarsal Fracture Cases To Fix or Not to Fix and How surgical decision making Nonunion now what? Jones Fractures should they all be fixed? 2:00 2:30 pm Lisfranc Fracture Dislocation ORIF or Arthrodesis compelling evidence for primary arthrodesis? 2:30 3:00 pm Calcaneal Fractures Sanders Classification does this influence treatment and predict outcomes? Minimally Invasive worth the learning curve? 3:00 3:15 pm break 3:15 4:00 pm Trauma is Unpredictable Unique Cases Infected Hardware Wound Issues 4:00 4:15 pm panel discussion Q&A 4:15 5:30 pm audience case presentations 5:30 pm adjourn Saturday, november 7 8:00 8:30 am check-in/breakfast Surgical Medicine 8:30 9:00 am What is the Current Risk of VTE in Foot and Ankle Surgery who and when to prophylax 9:00 9:30 am Prevention of Surgical Site Infection Surgical Antibiotic Prophylaxis when, what, and for how long SSI Prevention According to the Evidence 9:30 10:00 am The Medically Complex Patient is this a surgical candidate? 10:00 10:15 am break 10:15 10:45 am panel discussion Q&A The Diabetic Foot 10:45 11:45 am Surgery in the Diabetic Foot Elective Surgery when and how to proceed Non-elective Surgery elements essential for a success 11:45 am 12:05 pm TAL or Gastroc does it matter? 12:05 12:35 pm Wound Debridement: essential or evil? techniques to master 12:35 1:05 pm lunch 1:05 1:45 pm Technology Choices in Diabetic Foot Ulcers understanding the cost to benefit ratio in wound care 1:45 2:30 pm Charcot Reconstruction where are we in 2015? Challenging Existing Treatment Paradigms cases 2:30 3:15 pm panel discussion Q&A 3:15 pm adjourn

space is limited, sign up today Accreditation The American College of Foot and Ankle Surgeons (ACFAS) is approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. ACFAS has approved this activity for a maximum of 14 continuing education contact hours. Photographs/Videos Audio/video taping or recording or photographing of sessions is prohibited. ACFAS routinely takes photos or video of participants in meetings and other program venues for news and other purposes. By registering for the program, you grant ACFAS permission to utilize photos of you taken at the workshop for ACFAS purposes. California Radiology Credit Every hour of lecture in scientific sessions can confer up to 0.6 hour of radiology credit. Disclaimer ACFAS surgical skills courses are made available as an educational service to its members and other members of the podiatric profession. ACFAS has not independently evaluated the content or techniques discussed or demonstrated by any faculty member. ACFAS does not warrant or endorse any content or technique discussed by any faculty member. Statements about commercial products are solely the opinion(s) of the presenter(s) and do not represent a College endorsement or evaluation of these products. Additionally, any instrumentation shown/demonstrated during this program may or may not have received FDA approval. Tax Deduction for Education Purposes In the United States, an income tax deduction may be allowed for education expenses undertaken to maintain or improve professional skills. This includes registration, travel, meals and lodging, subject to applicable limitations (see Treas. Reg. 1.162-5: Coughlin v Commissioner, 203 F.2d 307 (2d Cir.1953)). Attire Business casual attire. Attendees with Special Needs If you have special needs addressed by the Americans with Disabilities Act, or if you require kosher meals, email hjelm@acfas.org or call us. Kosher meals can only be provided if requested at least one (1) week prior to the start of the program. Program content and faculty are subject to change. Cancellation Policy Requests must be in writing and received by October 16, 2015 to receive a full refund minus a $50 administrative fee. No refunds will be given for cancellations after that date. ACFAS is unable to assume risk or responsibility for the registrant s time or expenses should an act of God, government action, aviation disruption, disaster, weather, or other force beyond the control of ACFAS make it inadvisable or impossible to conduct this event. The registrant may wish to consider purchasing personal travel insurance to insure his/her expenses.

Register online: acfas.org taking a scalpel to the evidence seminar November 6 and 7, 2015 Renaissance Atlanta Midtown Hotel 866 West Peachtree Street, NW Atlanta, GA Or mail / fax this form to: American College of Foot and Ankle Surgeons attn: Education Department 8725 West Higgins Road, Suite 555 Chicago, IL 60631-2724 800-421-2237 800-382-8270 fax Hotel Accommodations For reservations, visit acfas.org/education or call Marriott reservations at 800-468-3571. Book no later than October 15 for $179 room rate, reference the American College of Foot and Ankle Surgeons (ACFAS). Name DPM MD OTHER address city state & zip tel fax email ACFAS member = $695 non-member = $850 total $ Seminar Registration Fee Includes 14 continuing education contact hours, continental breakfast, lunch, and break refreshments each day. Note: If you have special needs addressed by the Americans with Disabilities Act, or if you require kosher meals, email hjelm@acfas.org or call us. Kosher meals can only be provided if requested at least one (1) week prior to the start of the program. My check payable to American College of Foot and Ankle Surgeons is enclosed. Visa MasterCard AmEx account no. exp date security no. Visa/MC: last 3 digits on back AmEx: 4 digits on front signature office use only: batch no. Check No. Approval No. Amount $