Download Final Program

Welcome!
The American Academy of PAs (AAPA) and the American
Academy of Orthopaedic Surgeons (AAOS) are pleased
to welcome you to the Eighth Annual PA’s Guide to the
Musculoskeletal Galaxy in Minneapolis, Minn.
General Information
Accreditation Statement
The Galaxy 2016: Splinting and Casting Workshop, offered
June 23, 2016, has been reviewed and is approved for a
maximum of 4.75 hours of AAPA Category 1 CME credit by the
PA Review Panel. PAs should claim only those hours actually
spent participating in the CME activity.
We hope you enjoy this important educational program.
Sincerely,
Jeremy J. McCormick, MD,
Tom Gocke, MS, ATC, PA-C, DFAAPA
Course Directors
Stay Connected
Free Wi-Fi is offered in the meeting space at the
Minneapolis Marriott City Center. Follow the steps below
to connect:
1. Select the wireless network “Meeting Room”
2. Launch your internet browser
3. Enter “GALAXY16” as the passcode. Passcode is not
case sensitive.
CME Support
This activity is supported by an educational grant from
Zimmer Biomet.
Educational supplies for the Splinting and Casting
Workshop have been provided by an in-kind donation
from CNF Medical.
Educational supplies for the Splinting and Casting
Workshop have been provided by an in-kind donation
from Stryker.
The Galaxy 2016: Reimbursement Workshop for the PA
and NP in Orthopaedics, offered June 23, 2016, has been
reviewed and is approved for a maximum of 3.75 hours of
AAPA Category 1 CME credit by the PA Review Panel. PAs
should claim only those hours actually spent participating in
the CME activity.
The Eighth Annual PA’s Guide to the Musculoskeletal
Galaxy General Course, offered June 24-26, 2016, has been
reviewed and is approved for a maximum of 19.75 hours of
AAPA Category 1 CME credit by the PA Review Panel. PAs
should claim only those hours actually spent participating in
the CME activity.
These programs were planned in accordance with AAPA’s
CME Standards for Live Programs and for Commercial
Support of Live Programs.
The Musculoskeletal Galaxy 2016 Self-Assessment, the
optional online self-assessment CME program, has been
reviewed and is approved for a maximum of 3 AAPA Category
1 Self-Assessment CME credits by the PA Review Panel. PAs
should claim only the credit commensurate with the extent of
their participation in the activity. This program was planned in
accordance with AAPA’s CME Standards.
This educational activity may contain discussion of published
and/or investigational uses of agents that are not indicated
by the FDA. Therefore, before prescribing any medication,
please review the complete prescribing information including
indications, contraindications, warnings, precautions, and
adverse effects. The information presented is that of the
contributing faculty and does not necessarily represent the
views of AAPA, AAOS and/or any named commercial entity
providing financial support.
The PA’s Guide to the Musculoskeletal Galaxy
2
Accessing Electronic Handouts
Electronic handouts provided by conference faculty are available under “My Curriculum” on Learning Central.
To access the handouts:
1. Log in to Learning Central at cme.aapa.org using your
AAPA username and password. If you don’t know your
user credentials, or are unable to log in, please contact
Deb Bryant, Program Administrator, CME Services, at
[email protected].
3. Click on the yellow Select or Resume button on the top
right of the page.
4. Navigate to the Activity Material section and click on the
PDFs to open the session handouts.
2. Click the My Curriculum tab and select the Eighth Annual
PA’s Guide to the Musculoskeletal Galaxy General Course,
Galaxy 2016: Splinting and Casting Workshop, or Galaxy
2016: Reimbursement Workshop for the PA and NP in
Orthopaedics.
Accessing the Online Self-Assessment CME Activity
Please use the following steps to complete the Musculoskeletal Galaxy 2016 Self-Assessment activity:
1. Log in to Learning Central at cme.aapa.org using your
AAPA username and password. If you don’t know your
user credentials, or are unable to log in, please contact
Deb Bryant, Program Administrator, CME Services, at
[email protected].
2. Click the My Curriculum tab and select the
Musculoskeletal Galaxy 2016 Self-Assessment activity.
5. After the conference, complete the post-assessment. You
will have until Sunday, July 31, 2016, to complete the postassessment.
6. Upon successful completion, your CME certificate is
generated. You must complete both the pre-assessment
and the post-assessment, and score at least 70 percent
on the post-assessment in order to earn AAPA Category 1
Self-Assessment CME credit.
3. Click on the yellow Select or Resume button on the top
right of the page.
4. Navigate to the Pre-Assessment section. This preassessment must be completed prior to midnight on
Friday, June 24, 2016.
Completing Evaluations and Obtaining a CME Certificate
Your feedback helps us plan future conferences; therefore, your completion of a course evaluation is a prerequisite for a CME
certificate. The course evaluation/CME certificate will be available on AAPA’s Learning Central starting on Sunday, June 26,
2016. You will have until Sunday, July 31, 2016 to complete the evaluation.
Please use the following steps to complete the course evaluation and receive your certificate:
1. Log in to Learning Central at cme.aapa.org using your
AAPA username and password. If you don’t know your
user credentials, or are unable to log in, please contact
Deb Bryant, Program Administrator, CME Services, at
[email protected].
3. Click on the yellow Select or Resume button on the top
right of the page.
2. Click the My Curriculum tab and select the Eighth Annual
PA’s Guide to the Musculoskeletal Galaxy General Course,
Galaxy 2016: Splinting and Casting Workshop, or Galaxy
2016: Reimbursement Workshop for the PA and NP in
Orthopaedics.
5. View your certificate under My Transcript.
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4. Navigate to the Evaluation section and click on the Launch
button to open and complete the survey.
The PA’s
Note:
This
Guide
agenda
to the
may
Musculoskeletal
be updated or modified
Galaxy without notification.
Pre-Courses: Thursday, June 23
6 a.m. - 6 p.m. Registration
Fourth Floor, Atrium
7 a.m. - 12 p.m.
Splinting and Casting Workshop - Morning Session
Fourth Floor, Ballroom 3-4
Tom Gocke, MS, ATC, PA-C, DFAAPA
Jillian C. Cunningham, PA-C, MPAS
Michael Harvey, PA-C, MBA
At the conclusion of this session, participants should be able to:
• Appropriately apply splint-padding
materials for swelling reduction and skin
protection
• Appropriately apply fiberglass splinting
material to upper and lower extremity
injuries
• Select the appropriate acute care splint
for immobilization
• Apply the following basic acute care
splints for common upper extremity
injuries: thumb spica splint, volar wrist
splint, sugar tong splint, long arm splint,
and ulnar gutter splint
Rachel Liebenow, PA-C
Megan B. Naas, PA-C
• Apply the following basic acute care
splints for common lower extremity
injuries: low leg posterior splint and low
leg stirrup (sugar tong) splint
• Appropriately apply cast-padding
materials for swelling reduction and skin
protection
• Appropriately apply fiberglass cast
material to upper and lower extremity
injuries
• Apply the following basic casts for
common upper and lower extremity
injuries: short arm cast and short leg cast
1 - 6 p.m.
Splinting and Casting Workshop – Afternoon Session
Fourth Floor, Ballroom 3-4
Tom Gocke, MS, ATC, PA-C, DFAAPA
Jillian C. Cunningham, PA-C, MPAS
Michael Harvey, PA-C, MBA
Rachel Liebenow, PA-C
Megan B. Naas, PA-C
At the conclusion of this session, participants should be able to:
• Appropriately apply splint-padding
materials for swelling reduction and skin
protection
• Appropriately apply fiberglass splinting
material to upper and lower extremity
injuries
• Select the appropriate acute care splint
for immobilization
• Apply the following basic acute care
splints for common upper extremity
injuries: thumb spica splint, volar wrist
splint, sugar tong splint, long arm splint,
and ulnar gutter splint
• Apply the following basic acute care
splints for common lower extremity
injuries: low leg posterior splint and low
leg stirrup (sugar tong) splint
• Appropriately apply cast-padding
materials for swelling reduction and skin
protection
• Appropriately apply fiberglass cast
material to upper and lower extremity
injuries
• Apply the following basic casts for
common upper and lower extremity
injuries: short arm cast and short leg cast
The PA’s Guide to the Musculoskeletal Galaxy
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1 - 5 p.m. Fourth Floor, Ballroom 1-2
Reimbursement Workshop for the PA and NP in
Orthopaedics
Tricia Marriott, PA-C, MPAS, MJ Health Law, CHC
At the conclusion of this session, participants should be able to:
• Explain coverage policies that regulate
and affect a PA’s/NP’s ability to deliver
professional services
• Access and reference relevant Medicare
rules, regulations and resources to help
ensure compliance at their practice sites
• Understand the implications surrounding
allegations of fraud and abuse
General Course: Friday, June 24
6:30 a.m. - 5:30 p.m.
Registration
Fourth Floor, Atrium
6:30 - 7:30 a.m.
Continental Breakfast (provided)
Fourth Floor, Ballroom 3-4
7:30 - 7:45 a.m.
Welcome Remarks
Fourth Floor, Ballroom 1-2
7:45 - 8:45 a.m. Fourth Floor, Ballroom 1-2
Perioperative Strategies for Successful Surgical Outcomes
in Joint Arthroplasty Tricia Marriott, PA-C, MPAS, MJ Health Law, CHC
At the conclusion of this session, participants should be able to:
• Discuss medical comorbidities that
must be addressed and managed in the
perioperative period
• List medications that should be
discontinued, suspended or adjusted in
the perioperative period
• Implement strategies to prevent surgical
site infections
• Consider preemptive strategies for postoperative pain management
• Discuss considerations for the prevention
of venous thromboembolism in the
perioperative period
8:45 - 10 a.m.
Basics of Musculoskeletal Imaging
Fourth Floor, Ballroom 1-2
Michael V. Friedman, MD
At the conclusion of this session, participants should be able to:
• Discuss the basics of radiographic joint
evaluation
• Describe the imaging options available for
evaluating bone and joint pathology
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The PA’s Guide to the Musculoskeletal Galaxy
• Discuss preferred ordering algorithms of
radiologic exams
10 - 10:15 a.m.
Break
Fourth Floor, Atrium
10:15 - 11:15 a.m.
Common Orthopaedic Conditions of the Shoulder
Fourth Floor, Ballroom 1-2
Christopher V. Bensen, MD
At the conclusion of this session, participants should be able to:
• Describe basic shoulder anatomy
• Formulate an appropriate treatment plan
for common shoulder conditions
• Recognize and diagnose common
shoulder conditions
11:15 a.m. - 12:15 p.m.
Common Orthopaedic Conditions of the Wrist and Hand
Fourth Floor, Ballroom 1-2
Christina M. Ward, MD
At the conclusion of this session, participants should be able to:
• Recognize and provide initial care for
tendon and nerve injuries in the hand
• Recognize common soft tissue injuries
around the hand and wrist
• Perform a focused examination of the
injured hand
12:15 - 1:15 p.m.
Lunch (provided)
Fourth Floor, Ballroom 3-4
1:15 - 3:15 p.m.
Breakout Sessions 1
Fourth Floor, Ballroom 1-2
Knee and Shoulder MRI Case Study Reviews
Michael V. Friedman, MD
At the conclusion of this session, participants should be able to:
• Identify when to order an MRI or a CT scan
• Appropriately order MRIs with contrast or
MR arthrograms
Fourth Floor, Deer Lake/Elk Lake Matthew V. Smith, MD, MSc
• Describe how to review CT/MRIs for
common knee pathologies
• Describe how to review CT/MRIs for
common shoulder pathologies
Emergency Room Management of Common Upper and Lower
Extremity Fractures
Michael Harvey, PA-C, MBA
At the conclusion of this session, participants should be able to:
• Discuss fracture description
• Discuss some fracture reduction
techniques
• Review common lower extremity fractures
• Review common upper extremity fractures
• Discuss appropriate immobilization of
fractures
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Sixth Floor, Minnesota Room
Lower Extremity and L-spine Physical Exam Techniques
Chuck Dowell, PA-C, ATC
Daniel Acevedo, PA-C
Ryan D. Clement, PA-C
At the conclusion of this session, participants should be able to:
• Demonstrate core knowledge and
competence with the lumbar spine exam,
hip exam, knee exam, ankle exam and foot
exam to include the following: inspection,
palpation, range of motion, strength,
neuro/vascular (reflexes/sensory/
pulses), and ortho tests.
Sixth Floor, St. Croix I
Upper Extremity and C-spine Physical Exam Techniques
Travis L. Randolph, PA-C, ATC
Jillian C. Cunningham, PA-C, MPAS
Andrew Whittaker, PA-C
At the conclusion of this session, participants should be able to:
3:15 - 3:30 p.m.
• Evaluate range of motion and strength of
the upper extremity and C-spine
• Identify important anatomical landmarks
associated with the upper extremity and
C-spine
• Develop a differential diagnosis based
on physical exam findings of the upper
extremity and C-spine
Break
Fourth Floor, Atrium
3:30 - 5:30 p.m.
Breakout Sessions 2
Fourth Floor, Ballroom 1-2
Knee and Shoulder MRI Case Study Reviews
Fourth Floor, Deer Lake/Elk Lake Emergency Room Management of Common Upper and Lower
Extremity Fractures
Sixth Floor, Minnesota Room
Lower Extremity and L-spine Physical Exam Techniques
Sixth Floor, St. Croix I
Upper Extremity and C-spine Physical Exam Techniques
5:30 - 6:30 p.m. Fourth Floor, Atrium
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• Demonstrate appropriate physical exam
tests for the upper extremity and C-spine
Welcome Reception
The PA’s Guide to the Musculoskeletal Galaxy
General Course: Saturday, June 25
7 a.m. - 6 p.m. Registration
Fourth Floor, Atrium
7 - 8 a.m. Continental Breakfast (provided)
Fourth Floor, Ballroom 3-4
8 - 10 a.m. Breakout Sessions 3
Fourth Floor, Ballroom 1-2
Knee and Shoulder MRI Case Study Reviews
Fourth Floor, Deer Lake/Elk Lake Emergency Room Management of Common Upper and Lower
Extremity Fractures
Sixth Floor, Minnesota Room
Lower Extremity and L-spine Physical Exam Techniques
Sixth Floor, St. Croix I
Upper Extremity and C-spine Physical Exam Techniques
10 - 10:15 a.m. Break
Fourth Floor, Atrium
10:15 - 11:15 a.m. Common Orthopaedic Conditions of the Elbow
Fourth Floor, Ballroom 1-2
Christopher V. Bensen, MD
At the conclusion of this session, participants should be able to:
• Describe basic elbow anatomy
• Formulate an appropriate treatment plan
for common elbow conditions
• Recognize and diagnose common elbow
conditions
11:15 a.m. - 12:15 p.m. Assessment and Treatment of Common Foot and Ankle Disorders
Fourth Floor, Ballroom 1-2 Jeremy J. McCormick, MD
At the conclusion of this session, participants should be able to:
• Recognize the presentation and treatment
options for ankle arthritis
• Recognize the presentation and treatment
options for lisfranc injuries
• Recognize the presentation and treatment
options for posterior tibial tendon
dysfunction
• Recognize the presentation and treatment
options for 5th metatarsal fractures
• Recognize the presentation and treatment
options for achilles tendon rupture
12:15 - 1:30 p.m. • Recognize the presentation and treatment
options for plantar fasciitis
Lunch (on your own)
Please visit the registration desk for a list of nearby restaurants.
The PA’s Guide to the Musculoskeletal Galaxy
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1:30 - 2:30 p.m. Fourth Floor, Ballroom 1-2
Common Orthopaedic Conditions of the Knee
Matthew V. Smith, MD, MSc
At the conclusion of this session, participants should be able to:
• Describe clinically relevant knee anatomy
• Describe diagnosis and treatment for
common knee ligament injuries
• Describe treatment options for cartilage
injuries
2:30 - 3:30 p.m. Common Orthopaedic Conditions of the Hip
Fourth Floor, Ballroom 1-2
Scott B. Marston, MD
At the conclusion of this session, participants should be able to:
• Determine the most likely cause of the
patient’s hip pain based on knowledge of
anatomy, the history and physical exam
findings
• Determine the most appropriate treatment
options for the patient’s hip pain
• Determine the most appropriate imaging
studies or tests to order to help in
identifying the cause of the hip pain
3:30 - 3:45 p.m. Break
Fourth Floor, Atrium
3:45 - 4:45 p.m. Common Orthopaedic Conditions of the Spine
Fourth Floor, Ballroom 1-2
Rick A. Davis, MD
At the conclusion of this session, participants should be able to:
• Demonstrate an understanding of the
most common spinal problems and their
presentations
• Establish accurate diagnoses
• Interpret the patient’s history, physical
examination and radiographs
4:45 - 5:45 p.m. Post-operative Pain Management in Orthopaedic Surgery
Fourth Floor, Ballroom 1-2
Rebecca A. Sanders, MD
At the conclusion of this session, participants should be able to:
• Discuss general principles of postoperative pain management
• Review principles of local/regional blocks
in post-operative pain management
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The PA’s Guide to the Musculoskeletal Galaxy
• Review principles of oral medications in
post-operative pain management
General Course: Sunday, June 26
7 a.m. - 12 p.m. Registration
Fourth Floor, Atrium
7 - 8 a.m. Continental Breakfast (provided)
Fourth Floor, Ballroom 3-4
8 - 9 a.m. Diagnosis and Management of Fragility Fractures
Fourth Floor, Ballroom 1-2
Julie Switzer, MD
At the conclusion of this session, participants should be able to:
• Discuss the management, diagnosis
and treatment of patients with fragility
fractures
• Describe the considerations for fracture
treatment and the risks of secondary
fragility fractures
• Explain the necessity of treating the
underlying diagnosis of osteoporosis in
patients with fragility fractures
9 - 10 a.m. Rehabilitation of Common Orthopaedic Injuries
Fourth Floor, Ballroom 1-2
Tom Gocke, MS, ATC, PA-C, DFAAPA
At the conclusion of this session, participants should be able to:
10 - 10:15 a.m. • Identify functional capacity goals for
upper and lower extremity injuries
• Develop a home exercise program for
elbow, forearm and wrist injuries
• Develop a home exercise program for
shoulder girdle injuries
• Develop a home exercise program for
lower extremity injuries
Break
Fourth Floor, Atrium
10:15 - 11:45 a.m. Common Pediatric Orthopaedic Conditions
Fourth Floor, Ballroom 1-2 Elizabeth Weber, MD
At the conclusion of this session, participants should be able to:
• Distinguish acceptable alignment of
common pediatric fractures
• Explain crucial points in temporary
splinting of pediatric long bones
• Anticipate advanced imaging needed for
common pediatric fractures
• Recognize pediatric orthopaedic
emergencies
• Recognize the acuity of slipped capital
femoral epiphysis as well as its different
presentations
11:45 a.m. - 12 p.m. Wrap-Up
Fourth Floor, Ballroom 1-2
The PA’s Guide to the Musculoskeletal Galaxy
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The Eighth Annual PA’s Guide to the Musculoskeletal Galaxy Faculty
Daniel Acevedo, PA-C
OrthoVirginia
Lynchburg, Virginia
Disclosures: No relevant commercial relationships to disclose
Scott B. Marston, MD
University of Minnesota
St. Paul, Minnesota
Disclosures: No relevant commercial relationships to disclose
Christopher V. Bensen, MD
OrthoCarolina
Boone, North Carolina
Disclosures: No relevant commercial relationships to disclose
Jeremy J. McCormick, MD
Washington University in St. Louis School of Medicine
St. Louis, Missouri
Disclosures: Material Support – Wright Medical Technologies
and Arthrex
Research Support – Midwest Stone Institute
Ryan D. Clement, PA-C
Duke University
Durham, North Carolina
Disclosures: No relevant commercial relationships to disclose
Jillian C. Cunningham, PA-C, MPAS
Summit Orthopedics
St. Paul, Minnesota
Disclosures: No relevant commercial relationships to disclose
Rick A. Davis, MD
Regions Hospital and HealthPartners Medical Group
St. Paul, Minnesota
Disclosures: No relevant commercial relationships to disclose
Chuck Dowell, PA-C, ATC
Midwest Orthopedics at Rush
Chicago, Illinois
Disclosures: No relevant commercial relationships to disclose
Michael V. Friedman, MD
Washington University in St. Louis School of Medicine
Mallinckrodt Institute of Radiology
St. Louis, Missouri
Disclosures: No relevant commercial relationships to disclose
Tom Gocke, MS, ATC, PA-C, DFAAPA
Orthopaedic Educational Services, Inc.
Blowing Rock, North Carolina
Disclosures: President, Founder, Royalties, Stock, and Intellectual
Property - Orthopaedic Educational Services, Inc.
Michael Harvey, PA-C, MBA
OrthoIndy
Indianapolis, Indiana
Disclosures: No relevant commercial relationships to disclose
Rachel Liebenow, PA-C
Summit Orthopedics
Woodbury, Minnesota
Disclosures: No relevant commercial relationships to disclose
Tricia Marriott, PA-C, MPAS, MJ Health Law, CHC
AAPA Center for Healthcare Leadership and Management
Alexandria, Virginia
Disclosures: Salary - American Academy of PAs
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The PA’s Guide to the Musculoskeletal Galaxy
Megan B. Naas, PA-C
Summit Orthopedics
Woodbury, Minnesota
Disclosures: No relevant commercial relationships to disclose
Travis L. Randolph, PA-C, ATC
West Virginia University
Morgantown, West Virginia
Disclosures: No relevant commercial relationships to disclose
Rebecca A. Sanders, MD
Mayo Clinic
Rochester, Minnesota
Disclosures: No relevant commercial relationships to disclose
Matthew V. Smith, MD, MSc
Washington University in St. Louis School of Medicine
St. Louis, Missouri
Disclosures: Educational Consultant - Arthrex
Julie Switzer, MD
University of Minnesota
St. Paul, Minnesota
Disclosures: Research Support - Stryker
Board Member - International Geriatric Fracture Society
Christina M. Ward, MD
University of Minnesota
St. Paul, Minnesota
Disclosures: No relevant commercial relationships to disclose
Elizabeth Weber, MD
Gillette Children’s Specialty Healthcare
St. Paul, Minnesota
Disclosures: No relevant commercial relationships to disclose
Andrew Whittaker, PA-C
West Virginia University
Morgantown, West Virginia
Disclosures: No relevant commercial relationships to disclose
Minneapolis Marriott City Center Floor Plan
5/16/2016
The PA’s Guide to the Musculoskeletal Galaxy
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Notes
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The PA’s Guide to the Musculoskeletal Galaxy
Notes
The PA’s Guide to the Musculoskeletal Galaxy
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SAVE THE DATE
JUNE 1-4, 2017 | SAN DIEGO, C A
REGISTR ATION OPENS IN 2017
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The PA’s Guide to the Musculoskeletal Galaxy