General Information Accreditation Statements

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2 Welcome! AAPA and the American Academy of Orthopaedic Surgeons (AAOS) are pleased to welcome you to the Ninth Annual PA s Guide to the Musculoskeletal Galaxy in San Diego, Calif. We hope you enjoy this important educational program. Sincerely, Christopher V. Bensen, MD Tom Gocke, MS, ATC, PA-C, DFAAPA Travis Randolph, PA-C, ATC Course Directors CME Support Financial Support This activity has been supported, in part, by an educational grant from Ferring Pharmaceuticals, Inc. General Information Accreditation Statements The Galaxy 2017: Acute Care Splinting and Casting Workshop, offered June 1, 2017, has been reviewed and is approved for a maximum of 4.75 AAPA Category 1 CME credits by the AAPA Review Panel. PAs should claim only those hours actually spent participating in the CME activity. The Galaxy 2017: Injections of Joints and Soft Tissue of the Musculoskeletal System: Upper and Lower Extremities Workshop, offered June 1, 2017, has been reviewed and is approved for a maximum of 3.75 AAPA Category 1 CME credits by the AAPA Review Panel. PAs should claim only those hours actually spent participating in the CME activity. The Ninth Annual PA s Guide to the Musculoskeletal Galaxy General Course, offered June 2-4, 2017, has been reviewed and is approved for a maximum of AAPA Category 1 CME credits by the AAPA 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. This activity is supported by an educational grant from Zimmer Biomet. In-Kind Support Educational supplies for the Acute Care Splinting and Casting Workshop have been provided by an in-kind donation from CNF Medical. The Musculoskeletal Galaxy 2017 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 AAPA 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

3 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 cme@aapa.org. 2. Click the My Curriculum tab and select the Ninth Annual PA s Guide to the Musculoskeletal Galaxy General Course, Galaxy 2017: Acute Care Splinting and Casting Workshop, or Galaxy 2017: Injections of Joints and Soft Tissue of the Musculoskeletal System: Upper and Lower Extremities Workshop. 3. Click on the orange 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. Accessing the Online Self-Assessment CME Activity Please use the following steps to complete the Musculoskeletal Galaxy 2017 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 cme@aapa.org. 2. Click the My Curriculum tab and select the Musculoskeletal Galaxy 2017 Self-Assessment activity. 3. Click on the orange Select or Resume button on the top right of the page. 5. After the conference, complete the post-assessment. You will have until Friday, June 30, 2017, 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 to earn AAPA Category 1 Self- Assessment CME credit. 4. Navigate to the Activity Material section to complete the pre-assessment. This pre-assessment must be completed prior to midnight on Friday, June 2, 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 4, You will have until Friday, June 30, 2017 to complete the evaluation. Please use the following steps to complete the course evaluation and receive your CME 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 cme@aapa.org. 2. Click the My Curriculum tab and select the Ninth Annual PA s Guide to the Musculoskeletal Galaxy General Course, Galaxy 2017: Acute Care Splinting and Casting Workshop, or Galaxy 2017: Injections of Joints and Soft Tissue of the Musculoskeletal System: Upper and Lower Extremities Workshop. 3. Click on the orange Select or Resume button on the top right of the page. 4. Navigate to the Evaluation section and click on the Launch button to open and complete the survey. 5. View your certificate under My Transcript. 3 Note: This agenda may be updated or modified without notification.

4 Pre-Courses: Thursday, June 1 6 a.m. 6 p.m. Registration 7 a.m. 12 p.m. Acute Care Splinting and Casting Workshop - Morning Session DEF Tom Gocke, MS, ATC, PA-C, DFAAPA Travis Randolph, PA-C, ATC Daniel Acevedo, PA-C Mike Harvey, PA-C, MBA Keith A. Robertson, MD 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 8 a.m. 12 p.m. Injections of Joints and Soft Tissue of the Musculoskeletal System: Upper ABC and Lower Extremities Workshop - Morning Session Mike Rudzinski, PA-C, RPh Eric Glassman, MHS, PA-C Bobby Charlu, MD Ray Contino, MPA, PA-C John Larinto, PA-C Identify indications, contraindications, risks, benefits, materials, and proper technique of injection therapy Identify common conditions of the upper and lower extremity that may benefit from injection therapy Describe how to obtain and document informed consent Demonstrate beginning competencies regarding the location and identification of important functional anatomical landmarks and correct needle placement for injection therapy 1 6 p.m. Acute Care Splinting and Casting Workshop - Afternoon Session DEF Tom Gocke, MS, ATC, PA-C, DFAAPA Travis Randolph, PA-C, ATC Daniel Acevedo, PA-C Mike Harvey, PA-C, MBA Keith A. Robertson, MD Appropriately apply splint-padding materials for swelling reduction and skin protection Appropriately apply fiberglass splinting material to upper and lower extremity injuries The PA s Guide to the Musculoskeletal Galaxy 4

5 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 1 5 p.m. Injections of Joints and Soft Tissue of the Musculoskeletal System: Upper ABC and Lower Extremities Workshop - Afternoon Session Mike Rudzinski, PA-C, RPh Eric Glassman, MHS, PA-C Bobby Charlu, MD Ray Contino, MPA, PA-C John Larinto, PA-C Identify indications, contraindications, risks, benefits, materials, and proper technique of injection therapy Identify common conditions of the upper and lower extremity that may benefit from injection therapy Describe how to obtain and document informed consent Demonstrate beginning competencies regarding the location and identification of important functional anatomical landmarks and correct needle placement for injection therapy General Course: Friday, June 2 6:30 a.m. 5:30 p.m. Registration 6:30 7:30 a.m. Continental Breakfast (provided) 7:30 7:45 a.m. Welcome Remarks 7:45 9 a.m. Basics of Musculoskeletal Imaging Michael Friedman, MD Discuss the basics of radiographic joint evaluation Discuss preferred ordering algorithms of radiologic exams 5 Note: This agenda may be updated or modified without notification. Describe the imaging options available for evaluating bone and joint pathology

6 9 10 a.m. Handy Knowledge: Common Hand and Wrist Issues Grant Seiden, MD Discuss the anatomy of the hand and wrist Evaluate common hand and wrist conditions Discuss treatment options for common hand and wrist conditions 10 10:15 a.m. Break 10:15 11:15 a.m. Handy Elbow Knowledge: Common Elbow Issues Grant Seiden, MD Discuss the anatomy of the elbow Evaluate common elbow conditions Discuss treatment options for common elbow conditions 11:15 a.m. 12:15 p.m. Common Orthopaedic Conditions of the Shoulder Christopher V. Bensen, MD Recognize common acute and chronic injuries and degenerative conditions of the shoulder Recommend treatment plans for commonly encountered conditions of the shoulder Formulate differential diagnosis for patients with shoulder symptoms 12:15 1:15 p.m. Lunch (provided) Promenade Level, Promenade Plaza 1:15 3:15 p.m. Breakout Sessions 1 Knee and Shoulder MRI Case Study Reviews Michael Friedman, MD Lily Bogunovic, MD Identify when to order an MRI or a CT scan Appropriately order MRIs with contrast or MR arthrograms common knee pathologies Describe how to review CTs/MRIs for common shoulder pathologies Describe how to review CTs/MRIs for The PA s Guide to the Musculoskeletal Galaxy 6

7 Level 2, Indigo 204 Lower Extremity and L-spine Physical Exam Techniques Eric Glassman, MHS, PA-C John Larinto, PA-C Bobby Charlu, MD Perform a thorough lumbar spine and lower extremity joint examination Describe the importance of a good history and physical exam Narrow a differential diagnosis based on exam findings Level 3, Aqua 300 On Call: The Good, the Bad, and the Ugly Daniel Acevedo, PA-C Develop a more refined clinical suspicion of emergent or urgent diagnoses while on call Appropriately identify the causes of postoperative fever Assess the signs and symptoms of compartment syndrome Discuss the approach to the patient with back pain Differentiate sources of wrist pain from trauma Evaluate the patient with shoulder dislocation Level 5, Cobalt 501 Upper Extremity and C-spine Physical Exam Techniques Travis Randolph, PA-C, ATC Kevin Robertson, MHS, PA-C Ray Contino, MPA, PA-C Perform a focused physical exam based on patient s history and mechanism of injury Develop a differential diagnosis after physical examination of hand, wrist, and elbow injuries Develop a differential diagnosis after physical examination of C-spine injuries Develop a differential diagnosis after physical examination of shoulder injuries Determine the need for advanced diagnostic imaging based on physical exam findings 3:15 3:30 p.m. Break 3:30 5:30 p.m. Breakout Sessions 2 Level 2, Indigo 204 Level 3, Aqua 300 Level 5, Cobalt 501 Knee and Shoulder MRI Case Study Reviews Lower Extremity and L-spine Physical Exam Techniques On Call: The Good, the Bad, and the Ugly Upper Extremity and C-spine Physical Exam Techniques 7 Note: This agenda may be updated or modified without notification.

8 5:30 6:30 p.m. Welcome Reception Promenade Level, Promenade Plaza General Course: Saturday, June 3 7 a.m. 6 p.m. Registration 7 8 a.m. Continental Breakfast (provided) 8 10 a.m. Breakout Sessions 3 Level 2, Indigo 204 Level 3, Aqua 300 Level 5, Cobalt 501 Knee and Shoulder MRI Case Study Reviews Lower Extremity and L-spine Physical Exam Techniques On Call: The Good, the Bad, and the Ugly Upper Extremity and C-spine Physical Exam Techniques 10 10:15 a.m. Break 10:15 11:15 a.m. Cracking the Foot and Ankle Code Sonya Ahmed, MD Describe the basic anatomy and mechanics of the foot and ankle Accurately interpret common radiographic findings associated with the common conditions of the foot and ankle Treat and manage these conditions with the understanding of the surgical indications when appropriate 11:15 a.m. 12:15 p.m. Common Orthopaedic Conditions of the Knee Lily Bogunovic, MD Describe the presentation of common injuries of the knee Explain the treatment of common injuries of the knee Evaluate and diagnose common injuries of the knee 12:15 1:30 p.m. Lunch (on your own) Please visit the registration desk for a list of nearby restaurants. The PA s Guide to the Musculoskeletal Galaxy 8

9 1:30 2:30 p.m. The Language of Fractures Christopher V. Bensen, MD Discuss basic fracture terminology and nomenclature Describe appropriate treatment plans for common fractures Recognize common fracture patterns, morphology, and classification 2:30 3:30 p.m. Emergency Room Treatment of Common Upper Extremity Fractures Mike Harvey, PA-C, MBA Identify common orthopaedic upper extremity fractures Discuss appropriate splinting of common orthopaedic upper extremity fractures Describe appropriate triage and follow-up of common orthopaedic upper extremity fractures 3:30 3:45 p.m. Break 3:45 4:45 p.m. Emergency Room Treatment of Common Lower Extremity Fractures Mike Harvey, PA-C, MBA Identify common orthopaedic lower extremity fractures Discuss appropriate splinting of common orthopaedic lower extremity fractures Describe appropriate triage and follow-up of common orthopaedic lower extremity fractures 4:45 5:45 p.m. Cervical and Lumbar Spinal Conditions: More than Just a Pain in the Neck/Back? Vinko Zlomislic, MD Describe the basic anatomy of the cervical and lumbar spine Discuss common lumbar spine pathology and treatment options Discuss common cervical spine pathology and treatment options Differentiate cervical and lumbar conditions from symptoms related to the upper or lower extremities 6:30 8:30 p.m. Product Theater: Procedure and Practice Injection Workshop This is a promotional workshop that is not eligible for CME credit. Separate registration is required. 9 Note: This agenda may be updated or modified without notification.

10 General Course: Sunday, June 4 7 a.m. 12 p.m. Registration 7 8 a.m. Continental Breakfast (provided) 8 9 a.m. Overview of Hip and Knee Arthroplasty Anna A. Kulidjian, MD Assess and treat osteoarthritis, avascular necrosis, and septic arthritis Review post-op protocols, including pain management and physical therapy Discuss considerations in surgical planning Appropriately manage post-op joint infections Describe appropriate perioperative care in patients undergoing THA/TKA 9 10 a.m. Overview of Musculoskeletal Tumors Anna A. Kulidjian, MD Provide an overview of bone cysts/tumors with discussion of associated radiographic findings, labs/tumor markers, common presentations and treatment options Describe the staging of tumors Discuss appropriate advanced imaging for tumors Identify when to biopsy/when to refer 10 11:30 a.m. Pediatric Orthopaedic Review Andrew Pennock, MD Describe the assessment and treatment of common orthopaedic conditions in the pediatric patient, including osteomyelitis, septic arthritis, SCFE, non-accidental trauma, and osteogenesis imperfecta Describe proper evaluation of a swollen knee in a pediatric patient Describe how to evaluate and treat common pediatric fractures, including physeal fractures, clavicle fractures, supracondylar fractures, and femur fractures 11:30 11:45 a.m. Wrap-Up The PA s Guide to the Musculoskeletal Galaxy 10

11 The Ninth Annual PA s Guide to the Musculoskeletal Galaxy Faculty Daniel Acevedo, PA-C OrthoVirginia Lynchburg, Virginia Anna A. Kulidjian, MD UC San Diego Health San Diego, California Sonya Ahmed, MD UC San Diego Health San Diego, California Disclosures: Speaker s Bureau - Tornier; Speaker s Bureau - Zimmer; Stockholder - Amgen Pharmaceuticals Christopher V. Bensen, MD Keys Medical Group, Lower Keys Medical Center Key West, Florida Lily Bogunovic, MD Washington University in St. Louis St. Louis, Missouri Bobby Charlu, MD Newport Orthopedic Institute, Hoag Orthopedic Institute, Hoag Hospital Newport Beach, California Ray Contino, MPA, PA-C Kaiser Permanente Irvine, California Michael Friedman, MD Washington University in St. Louis St. Louis, Missouri Eric Glassman, MHS, PA-C Kaiser Permanente Irvine, California Tom Gocke, MS, ATC, PA-C, DFAAPA Orthopaedic Educational Services, Inc. Boone, North Carolina Disclosures: President, Founder, Royalties, Stock, and Intellectual Property - Orthopaedic Educational Services, Inc.; Consultant - Ferring Pharmaceuticals John Larinto, PA-C Kaiser Permanente Irvine, California Andrew Pennock, MD Rady Children s Hospital San Diego, California Travis Randolph, PA-C, ATC West Virginia University Morgantown, West Virginia Disclosures: Speaker s Bureau - Ferring Pharmaceuticals Keith A. Robertson, MD Keith A. Robertson, MD, APC Westlake Village, California Kevin Robertson, MHS, PA-C Cedars-Sinai Medical Center Los Angeles, California Mike Rudzinski, PA-C, RPh Buffalo VA Medical Center Buffalo, New York Grant Seiden, MD Orthopaedic Specialists of North County Oceanside, California Vinko Zlomislic, MD UC San Diego Health San Diego, California Mike Harvey, PA-C, MBA OrthoIndy Indianapolis, Indiana 11 Note: This agenda may be updated or modified without notification.

12 501C 502B SAPPHIRE PATIO SAPPHIRE PATIO FOYER SAPPHIRE NORTH WEST FOYER SAPPHIRE WEST FOYER 501B 501A 502A SAPPHIRE BOARD ROOM 402 NORTH SAPPHIRE TERRACE SOUTH Hilton San 500 Diego Bayfront Floor Plan COBALT LEVEL FIFTH FLOOR 400B 400A SAPPHIRE LEVEL FOURTH FLOOR ce scalators 313 TO PARKING GARAGE GREEN ROOM EXIT EXIT 310B A AQUA TERRACE COBALT FOYER 501C Executive Offices 311B 311A HIGH-RISE High-Rise LOW-RISE Low-Rise AQUA TERRACE FOYER 502B 314 Administrative Offices AQUA WEST FOYER A B C D E F AQUA SALON 410B 411B LOBBY 411A SAPPHIRE NORTH FOYER PORTE COCHERE E 410A SAPPHIRE PATIO HOTEL ENTRANCE FRONT DESK CONCIERGE BELL DESK HIGH-RISE HIGH-RISE LOW-RISE LOW-RISE SAPPHIRE SAPPHIRE NORTH PATIO FOYER WEST FOYER INDIGO NORTH FOYER INDIGO LIGHT WALL M I A E N F O G P H J K ASAPPHIRE BBALLROOMC F B INDIGO BALLROOM G INDIGO WEST FOYER C INDIGO TERRACE 204 FOYER A B SAPPHIRE WEST FOYER A L D H D 204 B B AQUA BOARD ROOM 501A 502A AQUA PATIO SAPPHIRE BOARD ROOM TERRACE 402 TERRACE NORTH NORTH INDIGO TERRACE SAPPHIRE TERRACE SOUTH SOUTH 300 B 300A 500 AQUA LEVEL COBALT THIRD FLOOR LEVEL FIFTH FLOOR = Function Space = Elevators & Escalators = Restrooms = Stairs 400B 400A TERRACE INDIGO LEVEL SAPPHIRE SECOND LEVEL FLOOR FOURTH FLOOR 313 Park Blvd TO PARKING GARAGE PARKING GARAGE HOTEL ENTRANCE GULL STREET EXIT EXIT 311B 311A 310B 310A AQUA TERRACE HIGH-RISE LOW-RISE AQUA TERRACE FOYER 314 = Function Space = Elevators & Escalators = Restrooms = Stairs AQUA WEST FOYER A B C D E F AQUA SALON SAN DIEGO CONVENTION CENTER PORTE COCHERE BAYFRONT PARK HOTEL ENTRANCE FRONT DESK LOBBY CONCIERGE BELL DESK HIGH-RISE LOW-RISE PLAZA INDIGO NORTH FOYER INDIGO LIGHT WALL PRIVATE DINING E F G H A VELA RESTAURANT HIGH-RISE LOW-RISE 202 A INDIGO BALLROOM B INDIGO WEST FOYER WEST FOYER FITNESS CENTER 202 B EAST FOYER GIFT SHOP INDIGO TERRACE FOYER C 204 A 204 B POOL D 206 AQUA BOARD ROOM AQUA PATIO TERRACE TERRACE NORTH INDIGO TERRACE KIDS SPLASH SOUTH ZONE 300 B 300A AQUA LEVEL THIRD FLOOR = Function Space = Function = Space Elevators & Escalators = Elevators = Restrooms & Escalators TERRACE = Restrooms = Stairs = Stairs Registration Continental Breakfasts Breaks INDIGO LEVEL LEVEL FIRST FLOOR SECOND FLOOR Park Blvd PARKING GARAGE HOTEL ENTRANCE GULL STREET EXIT = Event Space = Function Space = Elevators & Escalators = Restrooms = Stairs SAN DIEGO CONVENTION CENTER BAYFRONT PARK PRIVATE DINING HIGH-RISE LOW-RISE WEST FOYER EAST FOYER GIFT SHOP FITNESS CENTER PLAZA VELA RESTAURANT POOL KIDS SPLASH ZONE = Function Space = Elevators & Escalators = Restrooms = Stairs The PA s Guide to the Musculoskeletal Galaxy LEVEL FIRST FLOOR 12

13 SAVE THE DATE JUNE 27 JULY 1, 2018 NEW ORLEANS, LA REGISTRATION OPENS IN Note: aapa.org/galaxy This agenda may be updated or modified without notification.

14 Notes The PA s Guide to the Musculoskeletal Galaxy 14

15 Notes 15 Note: aapa.org/galaxy This agenda may be updated or modified without notification.

16 Special Thanks AAPA and AAOS would like to thank Ferring Pharmaceuticals for sponsoring the Ninth Annual PA s Guide to the Musculoskeletal Galaxy! Ferring Pharmaceuticals Inc. is a subsidiary of Ferring Pharmaceuticals, a privately owned, international pharmaceutical company. Ferring Pharmaceuticals specializes in the research, development and commercialization of compounds in orthopaedics, general and pediatric endocrinology, gastroenterology, infertility, obstetrics/gynecology, and urology. For more information, call FERRING ( ) or visit