401 West Michigan Street Indianapolis, IN 46202-3233 Phone: (317) 637-9200 Fax: (317) 634-7817 www.acsm.org February 8-12, 2012 Grand Hyatt San Antonio San Antonio, Texas Essentials of Sports Medicine: From Sideline to the Clinic Get the complete spectrum of sports medicine/athlete care education in one place!
The ACSM Team Physician SM Course is the only conference to bring you the full range of athlete care and sports medicine, giving you a conference experience that extends beyond any one speciality. Our experienced faculty will help you brush up on new patient techniques, treat and prevent athletic injuries on and off the field, and fill in any gaps in your course work. AGENDA Wednesday, February 8, 2012 Pre-Conference Gait Analysis and Orthotic Preparation (separate registration fee of $100/limited to the first 20 registrants) (No AMA PRA Category I credits will be offered for the pre-conference). 6:00-7:00PM Gait Analysis Lecture Break-Out Sessions 7:15-7:30PM Orthotic Preparation Basics and Demonstrations 7:30-9:00PM Individual Orthotic Preparation for Participants Pre-Conference Objectives: Review Gait videos and recognize common gait abnormalities Learn basics of orthotic preparation for use in patients with gait abnormality or anatomical problems with lower extremities. Prepare an orthotic and gain experience with hands on skill of customizing these Thursday, February 9, 2012 7:00-7:45AM 7:45-8:00AM Registration/Continental Breakfast Welcome, Introductory Remarks Head and Neck Problems in Athletes Moderator: 8:00-8:30AM Closed Head Injury and Concussion Margot Putukian, M.D., 8:30-8:50AM Cervical Spine: Developmental to Degenerative 8:50-9:10AM Catastrophic C-Spine Injury and Transient Quadriparesis 9:10-9:45AM Break-out Sessions Examination of the C-Spine 9:45-10:15AM Break Upper Extremity Injuries in Athletes: Shoulder and Elbow I Moderator: 10:15-10:35AM Functional Anatomy of the Shoulder 10:35-10:55AM Examination and Imaging of the Shoulder Mark Hutchinson, M.D., 10:55-11:15AM Acute Injuries about the Adult Shoulder: Fractures, Dislocations, and Separations 11:15-11:35AM Chronic Injuries about the Adult Shoulder: Impingement, Rotator Cuff and Instability 11:35AM-12:05PM Break-out Sessions Examination of the Shoulder 12:05-12:15PM Questions and Answers 12:15-1:30PM Lunch (on your own) Upper Extremity Injuries in Athletes: Shoulder and Elbow II Moderator: Mark R. Hutchinson, M.D., 1:30-1:50PM Functional Anatomy of the Elbow Mark Hutchinson, M.D., 1:50-2:10PM Examination and Imaging of the Elbow Mark Hutchinson, M.D., 2:10-2:30PM Adult Elbow Injures - Acute and Chronic 2:30-2:50PM Pediatric Elbow and Shoulder Injuries Mark Hutchinson, M.D., 2:50-3:20PM Break-out Sessions Examination of the Elbow 3:20-3:50PM Upper Extremity Neurologic Injury 3:50-4:20PM Break Return to Play Moderator: 4:20-4:45PM Rehab/Return to Play and Subspecialty Issues 4:45-5:10PM Psychology of the Injured Athlete 5:10-5:20PM Questions and Answers
Participate in hands-on clinical workshops and gain new perspectives in the orthopedic, primary care and emergency medicine aspects of sports medicine and athlete care. Friday, February 10, 2012 7:45AM Continental breakfast The Female Athlete Moderator: Margot Putukian, M.D., 8:00-8:20AM Gender Differences and Special Concerns in the Female Athlete Margot Putukian, M.D., 8:20-8:40AM Eating Disorders Andrew Gregory, M.D., 8:40-9:00AM Exercise and Pregnancy 9:00-9:20AM Questions and Answers 9:20-9:50AM Break Cardiovascular/Pulmonary Issues in Sports Moderator: Andrew Gregory, M.D., 1:00-1:20PM Sports Related Death 1:20-1:45PM Hypertension in Athletes 1:45-2:10PM Cardiac Murmurs: Evaluation and Participation Andrew Gregory, M.D., 2:10-2:30PM Break 2:30-2:55PM Collapse in the Athlete 2:55-3:20PM Exercise Induced Bronchospasm and Vocal Cord Dysfunction Steve Blivin, M.D., 3:20-3:45PM Exercise Prescription 3:45-4:00PM Questions and Answers The Hand and Wrist in Athletes Moderator: Jeff Konin, Ph.D., ATC, PT, 9:50-10:10AM Functional Anatomy of the Hand and Wrist Jeff Konin, Ph.D., ATC, PT, 10:10-10:30AM Hand and Wrist Diagnosis and Imaging 10:30-10:50AM Hand and Wrist Injuries 10:50-11:20AM Break-out Sessions Examination of the Hand and Wrist 11:20-11:40AM Questions and Answers 11:40AM-1:00PM Lunch on your own
Travel to Sunny San Antonio San Antonio s mix of old world charm and new world sparkle provides the backdrop for the 2012 ACSM Team Physician SM Course. The Grand Hyatt San Antonio is located on San Antonio s famous River Walk, offering great restaurants, exciting night life, unique shopping, and river boat tours. Cultural sites like the Alamo are near the host hotel. You ll enjoy comfortable guest rooms, a variety of restaurants, fitness center and lap pool. All TPC educational sessions will take place in the Grand Hyatt San Antonio. Participants and their guests are eligible for discounted hotel rooms in the host hotel, the Grand Hyatt San Antonio. Make reservations at www.acsm.org/tpc or call (888) 421-1442 or (402) 592-6464. Mention the ACSM Team Physician SM Course to receive the discounted rate. Reservations must be made by January 6, 2012 and are available on a first-come first-serve basis. The TPC Discounted Guest Room Rate is $190 (Single/Double). ACSM s preferred travel agency, ALTOUR, can assist you with flights. Call (800) 428-6186 to speak with a travel agent. Saturday, February 11, 2012 7:45AM Continental breakfast Rehabilitation of Upper Extremity Injuries Moderator: 8:00-8:20AM Writing an Effective Physical Therapy Prescription 8:20-8:40AM Physical Therapy Modalities for the Office Jeff Konin, Ph.D., ATC, PT, 8:40-9:00AM Core Strengthening: Importance to Upper Extremity Rehabilitation Jeff Konin, Ph.D., ATC, PT, 9:00-9:20AM Home Exercise Program for the Shoulder Jeff Konin, Ph.D., ATC, PT, 9:20-9:50AM Questions and Answers 9:50-10:00AM Break Performance Enhancement Moderator: 10:00-10:25AM Ergogenic Aids Steve Blivin, M.D., 10:25-10:50AM Medicolegal Issues Facing the Team Physician 10:50-11:15AM Drug Testing 11:15-11:30AM Questions and Answers 11:30AM-1:00PM Lunch (on your own) Subspecialty Issues in Sports Medicine I Moderator: 1:00-1:20PM Facial Injuries in the Athlete 1:20-1:45PM Opthalmology: Eye Injuries and Prevention 1:45-2:10PM Exercise Related Headaches Margot Putukian, M.D., 2:10-2:30PM Break 2:30-2:55PM Infectious Disease Francis O Connor, M.D., M.P.H., 2:55-3:20PM 3:20-3:50PM 3:50-4:10PM Allergic Conditions in Sports Andrew Gregory, M.D., Panel Discussion on Ethical Challenges: Return to Play Margot Putukian, M.D., Questions and Answers Sunday, February 12, 2011 7:15AM Continental breakfast Subspecialty Issues in Sports Medicine II Moderator: Francis O Connor, M.D., M.P.H., 7:30-7:55AM Abdominal Trauma in Sports Steve Blivin, M.D., 7:55-8:20AM GI Problems in the Athlete Francis O Connor, M.D., M.P.H., 8:20-8:45AM GU Tract Illness and Injury in the Athlete 8:45-9:05AM Questions and Answers 9:05AM Adjourn Faculty, lecture titles subject to change.
Commercial Support The American College of Sports Medicine gratefully acknowledges the following company for the educational grant to help support the 2012 ACSM Team Physician SM Course: Course Chairs Needs Statement This course is designed to meet the educational needs of clinical practitioners from all types of medical practices who care for and manage athletes or athletic teams as a part of their total practice. With the completion of the two parts of the ACSM Team Physician SM Course, a clinician will have been presented the information needed to perform the duties of a team physician. These include: 1. Organization of medical care for the team. 2. Delivery of medical care for athletes: a. Pre-participation evaluation. b. Treatment of illnesses and injuries with return to activity recommendations. c. Identification and proper management of nutritional, psychological and drug problems. 3. Assisting in the development of conditioning and training programs. 4. Providing coverage for games and other athletic events including mass participation events. 5. Developing injury prevention strategies. This course has been designed to change both competence and performance in practice. Course Objectives 1. Evaluate neck, shoulder, elbow, hand and wrist injuries in order to expedite treatment and recovery. 2. Evaluate and treat various medical conditions in athletes in order to improve performance and facilitate return to play. 3. Develop a treatment plan for upper extremity injuries that includes physical therapy, exercises and core strengthening to effectively manage rehabilitation. 4. Evaluate health risks of the female athlete and intervene with treatments to minimize health risks, both current and future. 5. Develop a screening protocol to diagnose and treat common cardiac conditions in athletes in order to prevent sudden death or disabilities. 6. Develop an understanding of the risks and benefits of popular nutritional supplements and ergogenic aids to accurately counsel athletes about use of these substances. Accreditation The American College of Sports Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. AMA/PRA Credits The American College of Sports Medicine designates this live activity for a maximum of 20.75 AMA PRA Category 1 Credits TM. Physicians should claim only credit commensurate with the extent of their participation in the activity. AAFP Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. NATA - CEUs The National Athletic Trainer s Association (NATA) has approved the course for 20.75 CEU credits. Target Audience Clinicians and other healthcare professionals interested in learning the basic information needed to provide sideline coverage and evaluation of athletic injuries. (Includes: physicians, physician assistants, nurse practitioners, athletic trainers, school nurses, physical therapists, and other health care professionals). Course Outline (Participants are not required to complete courses in sequential order) Part I - Musculoskeletal, Shoulder, Upper Arm, Elbow - Forearm, Rehabilitation, Cervical Spine, Upper Extremity, Head/Neurology, Cardiovascular/Cardiopulmonary, Infectious Disease, Immunology, Female Athlete, Psychology, Eye, ENT, Dental, GI, GU. Part II - Musculoskeletal, Overuse, Knee, Hip, Foot and Ankle, Rehabilitation, Pharmacology, Child, Environmental, Conditioning and Training, Nutrition, Dermatology, Organization and Administration, Lumbar Spine, Thoracic Spine. Speakers Steve Blivin, M.D., Cedar Point, North Carolina Greensboro, North Carolina Rutland,Vermont Andrew Gregory, M.D., Nashville, Tennessee Portland, Maine Mark Hutchinson, M.D., Chicago, Illinois Jeff Konin, Ph.D., ATC, PT, Tampa, Florida Francis O Connor, M.D., M.P.H., Fairfax Station, Virginia Minneapolis,MN Susan M. Ott, D.O., Harlingen, TX Margot Putukian, M.D., Princeton, NJ Madison, Wisconsin St. Louis, Missouri Disclosures The ACSM Policy on the Standards for Commercial Support require all faculty, planners and others involved in the development and execution of a CME activity to disclose any relevant financial relationships with commercial interests they or their spouse/partner have with either the supporters of this activity or commercial entities related to their financial relationships. All conflicts of interest will be resolved prior to the activity and full disclosure will be provided to the learners in the Final Program book. Anyone who refuses to provide disclosure information will be disqualified from participating. Questions and Information? Contact: American College of Sports Medicine 401 W. Michigan Street Indianapolis, IN 46202 Phone: (317) 637-9200 x141 Fax: (317) 634-7817 E-Mail: dhamilton@acsm.org
February 8-12, 2012 Grand Hyatt San Antonio San Antonio, Texas Please print. Limit to 30 characters per line (register online at www.acsm.org for best service). See below for registration instructions and policies. Mail completed form and payment to: ACSM, Department 6022, Carol Stream, IL 60122-6022, Tel.: (317) 637-9200, Fax: (317) 634-7817, www.acsm.org ACSM Member? Yes No ACSM Fellow? Yes No Gender: M F Would you like a roommate? Yes No If yes, we will forward a list of potential roommates to contact. Membership ID# Name on Badge Degree Birthdate First Name Last Name Institution Member, is this a change of address? Yes No Address ( Home Work) City State Zip Code - Country (if not United States) Tel./Business Tel./Home Fax E-mail SPECIALTY (check one) 1. Family Practice 4. Emergency Medicine 7. Other (please list) 2. Internal Medicine 5. Pediatrics 3. Orthopaedic Surgery 6. Athletic Trainer Are you a physician (M.D. or D.O.)? Yes No (for ACCME tracking purposes) FEE SCHEDULE Check appropriate fee (payment must be in U.S. dollars). PRE-REGISTRATION ENDS JANUARY 25, 2012 EARLY BIRD LATE REGISTRATION BY 12/14/11 AFTER 12/14/11 Preconference Workshop 2/8/12 Gait Analysis and Orthotic Preparation Limited to 20 people $100 $100 ACSM Team PhysicianSM Course ACSM Members (Membership dues must be current at time of the meeting) Professional ACSM Member $505 $565 Resident/Professional-in-Training Member $405 $455 Physician Assistant, Nurse Practitioner, Athletic Trainer, and $405 $455 Other Allied Health Professionals New ACSM Members Fee includes ACSM Team PhysicianSM Course fee and ACSM membership NON-MEMBER? SAVE BY JOINING ACSM NOW! Professional ACSM Member $735 $795 Resident/Professional-in-Training New Member $560 $610 Physician Assistant, Nurse Practitioner, Athletic Trainer, and $635 $685 Other Allied Health Professionals Non-Members Professional Non-Member $740 $800 Resident/Professional-in-Training Non-Member $565 $615 Physician Assistant, Nurse Practitioner, Athletic Trainer, and $565 $615 Other Allied Health Professionals PAYMENT WORKSHEET (from above fee schedule) Preconference Workshop Fee ACSM Team Physician SM Course Fee Membership renewal (if applicable) SEE ACSM RENEWAL CATEGORIES/FEES AT THE BOTTOM OF THE RIGHT COLUMN Regional Chapter Dues (Professional $35; Student $15)* Optional Donation to ACSM Foundation**: TOTAL DUE Register online www.acsm.org/tpc FULL PAYMENT MUST ACCOMPANY THIS FORM PAYMENT MUST BE IN U.S. DOLLARS. MAKE CHECK PAYABLE TO ACSM. $25 FEE FOR RETURNED CHECKS FEDERAL ID NUMBER 23-6390952 PAY BY: MasterCard VISA Discover American Express Enclosed Check Credit Card Number: Expiration Date MONTH/YEAR / Security Code Authorized Signature REGISTRATION INSTRUCTIONS AND POLICIES For immediate registration, register online at www.acsm.org. An online receipt and confirmation will be generated upon your completion of your online registration. Mailed registrations may be sent to ACSM, Department 6022, Carol Stream, IL 60122-6022. Mailed registrations may take up to four weeks for processing and confirmations will be mailed to registrants. Pre-registration ends Wednesday, January 25, 2012.Thereafter, registration will be accepted/processed on site. The Final Program will be available on site. Please notify ACSM by December 29, 2011 if you need any special accommodations as a result of disability. The planners and sponsors of this event claim no liability for the acts of any suppliers to this meeting, nor for the safety of any attendee at or while in transit to this event. The planners and sponsors reserve the right to cancel this event without penalty. Attendees who purchase non-refundable airline tickets, do so at their own risk. The total amount of any liability of the planners and sponsors will be limited to a refund of the registration fee. Your submission of this form acknowledges acceptance of these terms. Accepted membership applications are not refundable. The planners and sponsors of this event claim no liability for the acts of any suppliers to this meeting, nor for the safety of any attendee at or while in transit to this event. The planners and sponsors reserve the right to cancel this event without penalty. Attendees who purchase non-refundable airline tickets, do so at their own risk. The total amount of any liability of the planners and sponsors will be limited to a refund of the registration fee. Your submission of this form acknowledges acceptance of these terms. Accepted membership applications are not refundable. IMAGE/LIKENESS/VOICE RELEASE: I understand and agree that, as a result of participating in the ACSM Team Physician SM Course, my image, likeness or voice may be recorded by photography, video or other medium. I hereby grant irrevocable and unrestricted permission to ACSM and its representatives or assignees to use my image, likeness or performance in any medium and for any purpose. I hereby waive any right to inspect or approve such use or materials. Your submission of this form acknowledges acceptance of these terms. CANCELLATION POLICY: Cancellations will be accepted if sent in writing to the ACSM National Center and postmarked by January 11, 2012 or e-mailed to meetings@acsm.org by January 11, 2012. A service charge of $50 will be applied to all cancellations. Refunds will not be issued for cancellations made after the course begins or for no-shows. Member dues are not refundable. *You must be a current National Member to pay Chapter dues. **Optional Donation to ACSM Foundation. This denotes an unrestricted contribution. ACSM did not provide goods or services (in whole or in part) in consideration for the above gift. NON-MEMBERS: Take advantage of the discounted New ACSM Member rate by registering as a new member.this fee includes conference fees and membership dues. ACSM membership is on an anniversary term. Accepted membership applications are not refundable. BECOMING A NEW ACSM MEMBER? THIS SECTION MUST BE COMPLETED. THIS FORM SERVES AS YOUR MEMBERSHIP APPLICATION, PLEASE DO NOT SUBMIT A MEMBERSHIP APPLICATION APART FROM THIS FORM. Have you been a member of ACSM previously? Yes (If yes, please list your previous ID# ) No Membership Category (SEE ACSM RENEWAL CATEGORIES/FEES BELOW) Professional Professional-in-Training I affirm the statements made by me on this application are correct and that I meet the requirements for the membership category I have requested. I understand that ACSM membership is on an anniversary term and that applications are not refundable. I understand that $29 of my membership dues is dedicated to a year s subscription to Medicine & Science in Sports & Exercise. I have read and agree to abide by the code of ethics and professional conduct of the American College of Sports Medicine. Signature: Date: ACSM RENEWAL CATEGORIES/FEES Professional/$230 Resident/Professional-in-Training/$155 AP