U P D A T E D P R O G R A M O CTOBER 9-11, 2014 JW MARRIOTT A WASHINGTON,DC T E A M A P P R O A C H Diabetic Limb Salvage M E D S TA R G E O R G E T O W N U N I V E R S I T Y H O S P I TA L FEATURING Conference Co-Chairmen: Christopher E. Attinger, MD ❖ Cameron M. Akbari, MD, MBA John S. Steinberg, DPM ❖ Nelson Lim Bernardo, MD GLOVES-ON CADAVER WORKSHOPS AND LIVE SURGICAL CASES! CALL FOR POSTER ABSTRACTS Submission Deadline: September 9, 2014 www.DLSconference.com/abstracts POSITIVELY INFLUENCING COST AND OUTCOMES IN LIMB SALVAGE TREATMENT A MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL 21.5 CME CREDIT EVENT ❖ One of the world’s leading diabetic limb salvage events ❖ Live surgical cases from Georgetown’s ORs & Cath Lab ❖ Concurrent specialty tracks with the latest updates: Vascular/Cardio Track - LEAVES, Administrative Track, Wound Care and Biomechanical Surgery ❖ Tour of MedStar Georgetown’s Center for Wound Healing and Hyperbaric Medicine ❖ More than 60 faculty will present the latest technologies and advancements in therapies ❖ Within walking distance of the White House, Washington Monument, Smithsonian Museums and the National Mall ❖ Registration fee includes tuition, all conference meals, online course webcast, Welcome Reception, CMEs and tour of MedStar Georgetown University Hospital Center for Wound Healing ❖ Gloves-On Cadaver Workshops* *Workshops are a non-CME accredited activity. ◆ ◆ ◆ ◆ Limited class size Expert surgical instructors Innovative product instruction Real world skills for limb salvage * Choose from: Local and Regional Flaps for Foot and Ankle Wound Closure; Skin Grafts, Tendon Transfers, and Tendon Lengthening; Wound Care, Compression, and Casting; and Vascular Workshop: Chronic Total Occlusion, Atherectomy, and Pedal Access www.DLSconference.com M ED S TAR G EORGETOWN U NIVERSITY H OSPITAL DLS 2014 FA C U LT Y C ONFERENCE C O -C HAIRMEN Christopher E. Attinger, MD Professor Division Chief Center for Wound Healing MedStar Georgetown University Hospital John S. Steinberg, DPM Cameron M. Akbari, MD, MBA Nelson Lim Bernardo, MD Associate Professor Co-Director Center for Wound Healing MedStar Georgetown University Hospital Senior Attending, Vascular Surgery Director, Vascular Diagnostic Laboratory Washington Hospital Center Co-Chair, Cardiac and Peripheral Vascular Disease MedStar Heart Institute at Washington Hospital Center MedStar Georgetown University Hospital Faculty Paul S. Cooper, MD Stephen R.T. Evans, MD Katherine J.S. Hubley, RN, CWCN Paul J. Kim, DPM, MS Karen F. Kim Evans, MD M. Jeffrey Novorr, MHA Brinder Singh, MHA Helen Turner, RN, CPHQ Edward Y. Woo, MD DLS 2014 FACULTY George Andros, MD Los Angeles Vascular Specialists Valley Presbyterian Hospital Los Angeles, CA Kara S. Couch, MS, CRNP, CWS Walter Reed National Military Medical Center Bethesda, MD Javier Aragón-Sánchez, MD, PhD La Paloma Hospital Las Palmas de Gran Canaria Las Palmas, Spain D. Scott Covington, MD, FACS, CHWS Healogics Jacksonville, FL Mark S. Granick, MD, FACS Rutgers New Jersey Medical School Newark, NJ Richard Derner, DPM Inova Fairfax Hospital Lake Ridge, VA Elliott Gruskin, PhD DePuy Synthes Biomaterials West Chester, PA David G. Armstrong, DPM, MD, PhD University of Arizona Tucson, AZ Robert S. Dieter, MD Loyola University Hospital Maywood, IL Andrew J.M. Boulton, MD, DSc Univs. of Manchester and Miami Manchester, UK and Miami, FL Michael Edmonds, MD Kings College Hospital London, UK David R. Campbell, MD Harvard Medical School Beth Israel Deaconess Hospital Boston, MA William J. Ennis, DO, MBA University of Illinois Chicago, IL Emil I. Cohen, MD MedStar Washington Hospital Center Washington, DC Frances Game, MD Derby Hospitals NHS FT Derby, UK Lawrence B. Colen, MD Eastern Virginia Medical School Norfolk, VA Gary W. Gibbons, MD South Shore Hospital Boston U. School of Medicine Harvard Medical School Boston, MA David L. Gillespie, MD Southcoast Healthcare Systems Fall River and New Bedford, MA Lawrence B. Harkless, DPM Western University of the Health Sciences College of Podiatric Medicine Pomona, CA J.P. Hong, MD, PhD, MBA Asan Medical Center Seoul, South Korea Bonnie Hurwitz, PhD University of Arizona Tucson, AZ William J. Jeffcoate, MB, MRCP Nottingham University Hospitals Trust Nottingham, UK DLS 2014 FACULTY continued Robert S. Kirsner, MD, PhD University of Miami Miller School of Medicine Miami, FL Joseph A. Molnar, MD, PhD, FACS Wake Forest University School of Medicine Winston-Salem, NC John R. Laird, MD UC Davis Vascular Center Sacramento, CA J.A. Mustapha, MD Metro Health Hospital Wyoming, MI Bradley Lamm, DPM, FACFAS Sinai Hospital Baltimore, MD Aravinda Nanjundappa, MD West Virginia University Charleston, WV Kathleen D. Schaum, MS Kathleen D. Schaum & Associates, Inc. Lake Worth, FL Lawrence A. Lavery, DPM, MPH University of Texas Southwestern Medical Center Dallas, TX Sean D. O’Donnell, MD Memorial Regional Hospital Hollywood, FL Niten Singh, MD University of Washington Seattle, WA Frank B. Pomposelli Jr., MD St. Elizabeth’s Medical Center Tuft's University School of Medicine Brighton, MA Grant H. Skrepnek, PhD The University of Oklahoma Health Sciences Center Oklahoma City, OK Benjamin A. Lipsky, MD University of Oxford; University of Geneva (Visiting); University of Washington (Emeritus) Oxford, UK David J. Margolis, MD, PhD University of Pennsylvania Philadelphia, PA Joseph L. Mills Sr., MD University of Arizona Vascular Surgery Tucson, AZ Seshadri Raju, MD The Rane Center Jackson, MS Gerry Rayman, MD, MRCP The Diabetes and Endocrine Centre Ipswich Hospital Ipswich, UK Pamela Scarborough, DPT, CDE, CWS American Medical Technologies Irvine, CA N.C. Schaper, MD Maastricht University Hospital Maastricht, The Netherlands Lynne Tudhope, MD Montana and Wilgers Hospitals Pretoria, South Africa Dane K. Wukich, MD University of Pittsburgh Medical Center Pittsburgh, PA Thomas Roukis, DPM, PhD, FACFAS Gundersen Health System La Crosse, WI DR. WILLIAM JEFFCOATE TO RECEIVE 2014 MEDSTAR GEORGETOWN DISTINGUISHED ACHIEVEMENT AWARD Dr. William Jeffcoate, the MedStar Georgetown 2014 Distinguished Achievement Award recipient, received his medical training at Cambridge University. He started out in endocrinology and over the last two decades has narrowed the scope of his work to the field of diabetes and diabetic foot disease, centering on the principle of the ever-increasing need for evidence to reinforce routine clinical practice. “Throughout the duration of his career, Dr. Jeffcoate has repeatedly provided valuable insight into the field of diabetic foot disease,” said DLS Conference Co-Chairman Dr. Christopher Attinger. “He and his research team are relentless in their evidence-based pursuit to further understand this complex realm of medicine.” In 2002, Dr. Jeffcoate partnered with Dr. Fran Game to establish the Nottingham Foot Ulcer Trials Unit, which has since gone on to publish over 100 articles. By 2005, members of the group, alongside Professor Peter Cavanagh, proposed the widely-accepted hypothesis on the causes of the acute Charcot foot. His current research focuses on the microbiome of foot ulcers and the use of hyperspectral imaging to predict ulcer healing. DLS Conference Co-Chairman Dr. John Steinberg added, “We, in the medical community, are anxiously awaiting the results of Dr. Jeffcoate’s groundbreaking research. The insights gained will undoubtedly prove to be revolutionary in the treatment of diabetic ulcers.” Dr. Jeffcoate also functions as Clinical Lead of the newly-launched Foot Care Audit of England and Wales, seeking to not only establish an ongoing nationwide database of all newly presenting diabetic foot ulcers, but to also identify a link between outcome and the adoption of recommended guidelines of care. Previous honorees for the award include: George Andros, MD, 2013; Andrew J.M. Boulton, MD, DSc, 2012; William J. Ennis, DO, MBA, 2011; Gary W. Gibbons, MD, 2010; Peter Sheehan, MD, 2009; Lawrence B. Harkless, DPM, 2008; and David G. Armstrong, DPM, MD, PhD, 2007. Thursday October 9 8:30 – 10:30 MedStar Georgetown University Hospital Center for Wound Healing Tour Bus departs at 8:30 AM from JW Marriott and returns at 10:30 AM. Tour is not a CME event. 7:30 – 8:00 Breakfast DLS: Defining the Scope of the Problem Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM 8:00 – 8:05 Introduction Christopher E. Attinger, MD; John S. Steinberg, DPM; Cameron M. Akbari, MD, MBA 8:05 – 8:25 Simple Science: Diabetic Ulcers and Sensory Neuropathy Andrew J.M. Boulton, MD, DSc 8:25 – 8:45 Simple Science: Diabetic Ulcers and Critical Limb Ischemia Cameron M. Akbari, MD, MBA 8:45 – 9:05 Simple Science: Diabetic Ulcers and Biomechanics Lawrence A. Lavery, DPM, MPH 9:05 – 9:25 The Team Concept: Essential Components to Success Frances Game, MD 9:25 – 9:45 Limb Salvage Lessons Learned from ‘Eurodiale’: European Study Group on Diabetes and the Lower Extremity N.C. Schaper, MD 9:45 – 10:00 Panel Discussion 10:00 – 10:15 Break Managing the Cost of Diabetic Limb Salvage Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM 10:15 – 10:35 Lawrence B. Kirstein Memorial HBO Lectureship: Role of HBO Therapy for the Diabetic Foot: Yes or No? David J. Margolis, MD, PhD 10:35 – 11:00 NICE and NHS: What Can the British Teach Us about Fiscal Management in Diabetic Limb Salvage? William J. Jeffcoate, MB, MRCP 11:00 – 11:20 Not All Diabetic Foot Care Is Created Equal: Learning from the Regional Disparity in Care Gerry Rayman, MD, MRCP 11:20 – 11:40 Cost Containment in a Comprehensive Hospital Based Wound Program William J. Ennis, DO, MBA 11:40 – 12:00 Recidivism: Fancy Word for a Really Big Problem. Can It Be Avoided? Michael Edmonds, MD 12:00 – 12:15 Panel Discussion 12:15 – 12:30 MedStar Georgetown Distinguished Achievement Award in Diabetic Limb Salvage Honoree – William J. Jeffcoate, MB, MRCP Presented by Dr. Richard Goldberg, President, MedStar Georgetown University Hospital 12:15 – 1:30 Lunch 12:30 – 1:15 Lunch Symposium Clinical Experience with Biologics for Atypical and Inflammatory Wounds Attinger; Kim; Shanmugam; Steinberg This non-CME accredited activity is supported by Integra. First Impressions: Making a Proper Initial Assessment Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM 1:30 – 1:50 The Patient Interview: Can We Actually Apply the Socratic Method to Educate the Patient? Gerry Rayman, MD, MRCP 1:50 – 2:05 Physical Examination of the Diabetic Foot Ulcer: What Not to Leave Out Michael Edmonds, MD 2:05 – 2:20 Biofilm and Implants: Why the Connection? Elliott Gruskin, PhD 2:20 – 2:35 Assessing the Ulcer: Etiology Determines Treatment Javier Aragón-Sánchez, MD, PhD 2:35 – 2:55 So Much Attention to Cultures...: Evidence for What, When, and How? Benjamin A. Lipsky, MD 2:55 – 3:15 Lower Extremity Imaging Options from Bones to Vessels: What Do We Really Need? Emil I. Cohen, MD 3:15 – 3:35 Wound Bed Preparation: What Works Best and When? Robert S. Kirsner, MD, PhD 3:35 – 3:45 Panel Discussion 3:45 – 4:05 Break The Battle of Infection Moderators: Christopher E. Attinger, MD; Benjamin A. Lipsky, MD 4:05 – 4:25 Implant Related Biofilm: Can We Define It, Treat It, and Prevent It? Bonnie Hurwitz, PhD 4:25 – 4:45 Evidence-Based Antibiotic Therapy Recommendations in DLS 4:45 – 5:05 The Architecture of Reimbursement for Limb Salvage in the US: What Does the Future Hold? Stephen R.T. Evans, MD 5:05 – 5:25 Osteomyelitis in the Diabetic Limb: Surgical Management Javier Aragón-Sánchez, MD, PhD 5:25 – 5:40 Osteomyelitis in the Diabetic Limb: Medical Management Frances Game, MD 5:40 – 6:00 Infection Imposters!: Charcot, PVD, Lymphedema Venous Stasis Michael Edmonds, MD 6:00 – 7:30 Opening Reception with Exhibitors Benjamin A. Lipsky, MD Friday 7:00 – 8:00 October 10 Breakfast Symposium: Meet the Masters Andros; Gibbons; Harkless 7:00 – 8:00 Breakfast It’s All about Blood Flow? Moderators: George Andros, MD; Gary W. Gibbons, MD 8:00 – 8:20 PVD and Diabetes: The Implications of Trifurcation Disease Frank B. Pomposelli Jr., MD 8:20 – 8:40 LIVE CASE Session I Cameron M. Akbari, MD, MBA 8:40 – 9:00 The Benefits and Shortcomings of the Endovascular Approach 9:00 – 9:10 LIVE CASE Recap Session I Cameron M. Akbari, MD, MBA 9:10 – 9:30 Is There Still a Role for Bypass Surgery? Where and When David R. Campbell, MD 9:30 – 10:15 Break / Exhibits 10:15 – 10:35 LIVE CASE Session II John R. Laird, MD Christopher E. Attinger, MD; Karen F. Kim Evans, MD 10:35 – 10:55 Vascular Imaging: So Many Choices, How Do I Choose? Angiogram, CT Angiogram, MRA, Ultrasound, or SPY Joseph L. Mills Sr., MD 10:55 – 11:00 LIVE CASE Recap Session II Christopher E. Attinger, MD; Karen F. Kim Evans, MD 11:00 – 11:20 Lymphedema: In Search of a Protocol for Effective Diagnosis and Treatment Lynne Tudhope, MD 11:20 – 11:40 LIVE CASE Session III Christopher E. Attinger, MD; Karen F. Kim Evans, MD 11:40 – 12:00 What You Need to Know about Venous Disease When Managing Patient with Diabetes Lynne Tudhope, MD 12:00– 12:10 LIVE CASE Recap Session III Christopher E. Attinger, MD; Karen F. Kim Evans, MD 12:10 – 1:30 Lunch / Exhibits 12:15 – 1:15 Lunch Symposium What Is the Solution for NPWT with Instillation: Saline vs. Prontosan Attinger; Kim; Lavery; Lipsky Assessing What We Do Not Know Moderator: Christopher E. Attinger, MD 1:30 – 1:50 Questions to Ask and Research to Do: What Do We NOT Know about Diabetic Foot Ulcers? Lawrence A. Lavery, DPM, MPH 1:50 – 2:10 LIVE CASE Session IV 2:10 – 2:30 LIVE CASE Session V Paul J. Kim, DPM, MS; John S. Steinberg, DPM 2:30 – 2:50 Putting Published Literature to the Test: How to Evaluate Wound Literature Critically to Assess What Is Claimed William J. Jeffcoate, MB, MRCP 2:50 – 3:00 LIVE CASE Recap Session V Paul J. Kim, DPM, MS; John S. Steinberg, DPM 3:00 – 3:30 Break / Exhibits 3:30 – 3:40 LIVE CASE Recap Session IV Cameron M. Akbari, MD, MBA Cameron M. Akbari, MD, MBA A Chance to Cut Is a Chance to Cure? Moderators: Christopher E. Attinger, MD; Dane K. Wukich, MD 3:40 – 4:00 LIVE CASE Session VI Paul J. Kim, DPM, MS; John S. Steinberg, DPM 4:00 – 4:20 Forefoot: Biomechanical Approach to Prophylactic Surgery and Partial Amputations Lawrence A. Lavery, DPM, MPH 4:20 – 4:30 LIVE CASE Recap Session VI Paul J. Kim, DPM, MS; John S. Steinberg, DPM 4:30 – 4:50 Midfoot and Rearfoot: Biomechanical Approach to Prophylactic Surgery and Amputations TBA 4:50 – 5:10 Charcot Surgery: Evidence-Based Approach to a Complex Deformity Dane K. Wukich, MD 5:10 – 5:30 Algorithm for Diabetic Foot Reconstruction vs. Major Amputation J.P. Hong, MD, PhD, MBA 5:30 – 5:50 Why Major Amputations, When Properly Done on the Right Patient, Is Not a Failure but a New Life Dane K. Wukich, MD 5:50 – 6:00 Panel Discussion 6:00 – 7:00 Poster Abstract Review with Authors Saturday 6:30 – 8:00 Breakfast 7:00 – 8:00 Breakfast Symposium October 11 12 October TBA 8:00 - 12:45 THREE CONCURRENT SPECIALTY TRACKS WITH THE LATEST UPDATES ON THE NEXT 3 PAGES. SEE PAGE 4 OF SATURDAY SPREADS FOR SYMPOSIA AND CADAVER WORKSHOPS TRACK I TRACK I: VASCULAR/CARDIO TRACK – LEAVES Diabetic Foot Ulceration and Venous Disease: No Healing Despite Normal Arterial Flow Moderator: Cameron M. Akbari, MD, MBA 8:00 – 8:15 The Pathophysiology of Venous Reflux, Venous Obstruction, and Ulceration Seshadri Raju, MD 8:15 – 8:30 Techniques for Endovascular Treatment of Chronic Venous Occlusion David L. Gillespie, MD 8:30 – 8:45 Catheter-Based Ablation of the Saphenous Vein Sean D. O’Donnell, MD 8:45 – 9:00 Complications in Endovenous Ablation: Avoidance, Recognition, and Treatment TBA 9:00 – 9:15 Panel Discussion 9:15 – 9:45 Break / Exhibits Arterial Disease I: Open Bypass Moderator: Cameron M. Akbari, MD, MBA 9:45 – 10:00 Autogenous Vein Bypass: Technical Tips for Success Frank B. Pomposelli Jr., MD 10:00 – 10:15 Prosthetic Bypasses: Do They Really Work? 10:15 – 10:30 Paramalleolar and Inframalleolar Bypass David R. Campbell, MD 10:30 – 10:45 Panel Discussion 10:45 – 11:00 Break / Exhibits TBA Arterial Disease II: Endovascular Moderator: Edward Y. Woo, MD 11:00 – 11:15 Traversing the Lesion: Update on Wires and CTO Devices Aravinda Nanjundappa, MD 11:15 – 11:30 Subintimal Angioplasty: Technique and Re-Entry John R. Laird, MD 11:30 – 11:45 Aortoiliac Occlusions: Endovascular Options and Techniques Niten Singh, MD 11:45 – 12:00 When and How to Use Stent Grafts in the SFA 12:00 – 12:15 Endovascular Approaches to Long Tibial Occlusions Aravinda Nanjundappa, MD 12:15 – 12:30 Atherectomy: When, Which, Why, and How J.A. Mustapha, MD 12:30 – 12:45 Pedal Access: Techniques and Tips Nelson L. Bernardo, MD Robert S. Dieter, MD TRACK II TRACK II: ADMINISTRATIVE TRACK Moderators: William J. Ennis, DO, MBA; Gary W. Gibbons, MD; Niten Singh, MD The Business of Running a Wound Center 8:00 – 8:05 Introduction Gary W. Gibbons, MD 8:05 – 8:20 The Cost of Leaving Podiatry Out of Diabetic Foot Care: The Case for Comprehensive Coverage Grant H. Skrepnek, PhD 8:20 – 8:35 The Good, the Bad, and the Ugly of the New Reality in Medicine: Consumerism and Public Ratings Are Here to Stay M. Jeffrey Novorr, MHA 8:35 – 8:50 What Does a Wound Center Bring to the Hospital’s Margin? Brinder Singh, MHA 8:50 – 9:05 Choosing Between Private vs. Hospital-Based Wound Centers: The Advantages and Disadvantages of Both William J. Ennis, DO, MBA 9:05 – 9:20 Panel Discussion 9:20 – 10:00 Break / Exhibits 10:00 – 10:15 Telemedicine in Wound Care: The Next Horizon or Regulatory Nightmare Mark S. Granick, MD, FACS 10:15 – 10:30 Common Coding Errors in Wound Care: How to Bill Visits and Procedures Correctly Kathleen D. Schaum, MS 10:30 – 10:45 Clinical Practice Guidelines: Opportunities and Challenges D. Scott Covington, MD, FACS, CHWS 10:45 – 11:00 Current Innovations That May Make Limb Salvage Obsolete if Insurance Will Pay for Them David G. Armstrong, DPM, MD, PhD 11:00 – 11:15 Using Advanced Technology to Maximize Efficiency in the Hospital Environment J.P. Hong, MD, PhD, MBA 11:15 – 11:30 Auditing: Nightmare or Chance to Excel Helen Turner, RN, CPHQ 11:30 – 11:45 Hyperbaric: The Pluses and Minuses of Including It within a Wound Center Joseph A. Molnar, MD, PhD, FACS 11:45 – 12:00 Panel Discussion Saturday October 11 TRACK III TRACK III: WOUND CARE AND BIOMECHANICAL SURGERY Moderator: John S. Steinberg, DPM 8:00 – 8:05 Introduction John S. Steinberg, DPM 8:05 – 8:20 Stop Blaming the Achilles for Everything: Maybe You Should Be Messing with Some OTHER Tendons… Paul J. Kim, DPM, MS 8:20 – 8:35 New Wound Care Technologies That Are Worth Your Time and Your Money Kara S. Couch, MS, CRNP, CWS 8:35 – 8:50 Nutritional Therapy for Wound Healing: Real or Imagined? Joseph A. Molnar, MD, PhD, FACS 8:50 – 9:05 Just Put the Cast Back On and Heal the Wound Lawrence A. Lavery, DPM, MPH 9:05 – 9:20 Panel Discussion 9:20 – 10:00 Break / Exhibits 10:00 – 10:15 Cellular and Tissue-Based Products for Wounds: A Method or a Madness? John S. Steinberg, DPM 10:15 – 10:30 Saving the Unsavable: Case Reports Bradley Lamm, DPM, FACFAS 10:30 – 10:45 Engaging the Team to Include Physical Therapy Modalities for Wound Healing Pamela Scarborough, DPT, CDE, CWS 10:45 – 11:00 Amputation and Reamputation: Let the Data Speak Thomas Roukis, DPM, PhD, FACFAS 11:00 – 11:15 I Wish I Had Never Done This Case: Diabetic Foot Reconstruction Richard Derner, DPM 11:15 – 11:30 You Only See What You Look for and You Only Recognize What You Know Lawrence B. Harkless, DPM 11:30 – 11:45 Internal Fixation vs. External Fixation for Charcot Reconstruction Paul S. Cooper, MD 11:45 – 12:00 You Have It All Wrong…Caring for the Patient AND the Wound from the RN Perspective Katherine J.S. Hubley, RN, CWCN 12:00 – 12:15 Panel Discussion 12:00 – 1:30 Lunch / Exhibits 12:15 – 1:30 Poster Session Awards 12:30 – 1:15 Lunch Symposium – TBA 1:30 - 3:30 GLOVES-ON CADAVER WORKSHOPS Gloves-On Cadaver Workshops are non-CME accredited activities. WORKSHOP I Local and Regional Flaps for Foot and Ankle Wound Closure Christopher E. Attinger, MD; Lawrence B. Colen, MD; Karen F. Kim Evans, MD WORKSHOP II Skin Grafts, Tendon Transfers, and Tendon Lengthening Paul J. Kim, DPM, MS; John S. Steinberg, DPM WORKSHOP III Wound Care, Compression, and Casting Kara S. Couch, MS, CRNP, CWS; Katherine J.S. Hubley, RN, CWCN WORKSHOP IV Vascular Workshop: Chronic Total Occlusion, Atherectomy, and Pedal Access Cameron M. Akbari, MD, MBA FOR EVERY MEMBER OF THE TEAM ◆ Diabetes & Wound Healing Specialists ◆ Vascular Surgeons ◆ Orthopaedic Surgeons ◆ Podiatric Surgeons ◆ Plastic Surgeons ◆ Endocrinologists ◆ FPs ◆ Infectious Disease Specialists ◆ Cardiovascular & Endovascular Specialists ◆ NPs ◆ PTs ◆ RNs ◆ CDEs ◆ Peripheral Nerve Specialists… the entire team that works on the diabetic foot and on limb salvage A C C R E D I TAT I O N S TAT E M E N T MedStar Georgetown University Hospital is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. MedStar Georgetown University Hospital designates this educational activity for a maximum of 21.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. International Conference Management is approved by the Council on Podiatric Medical Education as a sponsor of continuing medical education in podiatric medicine. International Conference Management has approved this conference for a maximum of 21.5 continuing medical education contact hours of CPME credit. MedStar Georgetown University Hospital Department of Nursing Education is an approved provider of continuing nursing education by the Maryland Nurses Association, an accredited provider by the American Nurses Credentialing Center's Commission on accreditation. Nurses will be awarded a maximum of 21.5 contact hours for successfully completing the program. Disclosure of Financial Relationships with Any Commercial Interest: As sponsors accredited by the ACCME and CPME, it is the policy of MedStar Georgetown University Hospital and International Conference Management to require that everyone who is in the position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest prior to the educational activity. The ACCME and CPME consider relationships of the person involved in the CME activity to include financial relationships of a spouse or partner. Faculty and planners who refuse to disclose relevant financial relationships will be disqualified from participating in the CME activity. For an individual with no relevant financial relationship(s), the participant must be informed that no conflicts of interest or financial relationship(s) exist. Conference Objectives: This course will enhance the background, knowledge and skills of attendees in the science of diabetic limb salvage. At the conclusion of this CME activity, participants should be able to: discuss the public health crisis of diabetic limb loss • discuss the pain of sensory loss and non-compliance • discuss the options in vascular interventional technology and techniques, both surgical and endovascular • discuss the complexities of biomechanics, limb salvage, the problem wound, wound based infection, preserving limb length • cite the financial and social impact of diabetic limb salvage and amputation • integrate into their practices the knowledge obtained through the didactic lectures, workshops and live surgical cases. Target Audience: This program has been planned, designed, and is intended for Diabetes & Wound Healing Specialists • Vascular Surgeons • Orthopaedic Surgeons • Podiatric Surgeons • Plastic Surgeons • Endocrinologists • FPs • Infectious Disease Specialists • Cardiovascular & Endovascular Specialists • NPs • PTs • RNs • CDEs • Peripheral Nerve Specialists • the entire team who work on the diabetic foot and limb salvage Course Description: The MedStar Georgetown University Hospital's A Team Approach to Diabetic Limb Salvage conference is intended to better equip each member of the health care team with the education and resources needed to heal wounds and prevent amputations. It features a prominent multidisciplinary faculty that promotes the importance of every member of the team. The course is designed for health care practitioners of all specialties and promotes an evidence-based approach. The meeting format will include didactic lectures, hands-on workshops, specialty symposia, and live surgical case demonstrations for the purpose of providing a live interactive learning experience. Acknowledgment: This continuing medical education activity is supported by unrestricted educational grants from contributing organizations. A complete list is published in the program notebook. Advisory: Certificates of Attendance for CMEs and Contact hours are available for you to print online during and after this conference. Attendees can update or edit their Attendance Checklist or CME Certificates through November 3, 2014. After that time, no further changes can be made on the forms. Certificates can be printed for a period of two years. Conference Hotel: Stay at the original JW Marriott, in the heart of Washington, minutes from the White House, the Washington Monument and the Smithsonian museums, only one block from the Metro (subway) and 15 minutes from Reagan National Airport. ❖ $40 million renovation has transformed the lobby and upgraded the guestrooms of this deluxe four-star hotel. Most rooms feature “monumental views” of the historic Washington skyline! ❖ Our block of rooms at a special low conference rate does sell out, so book early! JW Marriott Washington DC 1331 Pennsylvania Avenue NW • Washington, DC 20004 800-393-2503 • 202-393-2000 • DLS Hotel Rate - $314 single or double For alternative hotel options, check our website, www.DLSconference.com/hotel MENTION DIABETIC LIMB SALVAGE TO RECEIVE THE GROUP RATE OF $314 by calling 800-393-2503 or 202-393-2000 (intl) or visiting www.DLSconference.com Administrative Headquarters: 2701 Johnston Street | Suite 201 ❖ Lafayette, LA 70503 Tel: 337.235.6606 ❖ Fax: 337.235.7300 ❖ info@DLSconference.com A T E A M CONFERENCE REGISTRATION A P P R O A C H Diabetic Limb Salvage O C T O B E R 9 - 11, 2014 M E D S TA R G E O R G E T O W N U N I V E R S I T Y H O S P I TA L NAME JW M ARRIOTT WASHINGTON , DC PLEASE PRINT TITLE / DEGREE SPECIALTY: POSITION General Surgery Podiatric Surgery Internal Medicine Vascular Surgery Orthopaedic Surgery Wound Care Plastic Surgery Other ______________________ A F F I L I AT I O N / I N S T I T U T I O N STREET ADDRESS ADDRESS LINE 2 CITY ZIP CODE STATE/PROV COUNTRY PHONE EMAIL (required for confirmation) REGISTRATION FEES 7/1/14 THRU 10/8/14 ONSITE MDs/DOs/DPMs $700 $800 $450 $550 RNs/NPs/Allied Health Professionals Thur. MDs/DOs/DPMs– One Day $375 Check One: Thur. Check One: RNs/Allied Health Professionals – One Day $325 Residents (Proof Required) $100 / Students (Proof Required) FREE $900 Industry GLOVES-ON CADAVER WORKSHOPS • SATURDAY 1:30 - 3:30 PM • Workshop I: Local and Regional Flaps for Foot and Ankle Wound Closure Workshop II: Skin Grafts, Tendon Transfers, and Tendon Lengthening Workshop III: Wound Care, Compression, and Casting Fri. Fri. Sat. Sat. FEE: $90 Workshop IV: Vascular Workshop: Chronic Total Occlusion, Atherectomy, and Pedal Access GUEST FEES Companion $100 Includes Welcome Reception, All Conference Meals, and Access to Exhibits Reception $50 Includes Welcome Reception Guest Name_______________________ ◆ Tuition ◆ Online Course Webcast (post con) ◆ CMEs/Contact Hours Welcome Reception ◆ Conference Breakfasts, Lunches and Breaks ◆ Tour of MedStar Georgetown University Hospital Center for Wound Healing, Including Roundtrip Bus to/from Hotel REGISTRATION INCLUDES ◆ CANCELLATION POLICY If your registration must be cancelled, the course fee less $150 administrative costs will be refunded if we are notified in writing by September 1, 2014. After September 1, 2014, no refunds will be given. PAYMENT METHOD Enclosed is a check in the amount of $________________ (Please make checks payable to MedStar Georgetown University Hospital) Charge my credit card the amount of $________________ Visa MasterCard American Express Discover Card#_________________________________________________ Exp. Date _____/______ Security Code #________ Cardholder ’s Name (please print)____________________________________________________________ Signature_______________________________________________________________________________ Register online at www.DLSconference.com or fax to 337.235.7300 Y O U W I L L R E C E I V E A N E M A I L C O N F I R M AT I O N O F Y O U R R E G I S T R AT I O N MAIL TO: DLS ADMINISTRATIVE HEADQUARTERS ◆ 2701 JOHNSTON STREET ◆ SUITE 201 ◆ LAFAYETTE, LA 70503 FAX: 337.235.7300 TEL: 337.235.6606 ◆ registration@dlsconference.com ◆ www.dlsconference.com CONFERENCE HOTEL • JW MARRIOTT WASHINGTON, DC 1331 Pennsylvania Avenue NW ◆ Washington, DC 20004 ◆ Reservations 800-393-2503 or 202-393-2000 DLS Conference Rate $314 ◆ Mention “Diabetic Limb Salvage” or “DLS” to secure discounted conference rate See www.dlsconference.com for other hotel options. 21.5 CMEs Thursday — Saturday 2014 MedStar Georgetown University Hospital 3800 Reservoir Rd. NW Washington, DC 20007 WA S H I N G T O N , D C 11 www.DLSconference.com JW MARRIOTT O CTOBER 9 Nashville, TN Permit NO. 4398 PAID U.S. Postage NON PROFIT ORG.