ALPMA Annual Scientific Conference 2008



Wednesday, August 26, 2020 Session 1 (3 cme contact hours)

4:55 PM – 5:00 PM Welcome

5:00 PM – 6:30 PM Mental Health Basics and the Healthcare Provider

Julie Fillinger, MSN, RN

• Physician should be able to articulate the impact mental health has on them personally and society as a whole

• Physician will understand why it is important to consider mental health in the assessment of their podiatric patient

• Physician will be able to differentiate with greater confidence mental health diagnoses including Schizophrenia, Bipolar, Depression, Anxiety, PTSD and Dementia

• Physician should be able to recognize mental health related medications that encourage further inquiry

• Physician will learn how to keep the podiatric patient with a dual mental health diagnosis comfortable after a procedure or surgery

6:30 PM – 7:00 PM Diabetic Neuroarthropathy

David Campbell, DPM

• Lecture will focus on early diagnosis including signs, symptoms and patient demographics

• Physician will learn the importance of prompt treatment as it relates to limb salvage

7:00 PM – 8:00 PM 2021 Evaluation & Management Code Changes: Podiatry’s Gift

R. Alex Dellinger, DPM

• Physician will learn of changes coming in 2021 for Evaluation and Management codes

• Physician will learn the potential implant on the average podiatry practice

• Physician will learn potential changes to increase practice revenue

Thursday, August 27, 2020 AM Session 2 (4 cme contact hours)

7:00 AM – 7:40 AM Register

7:40 AM – 7:45 AM Welcome

Geoffrey Dye, DPM-Director, Eric Fillinger, DPM,

David Campbell, DPM, Johnnie Alston, DPM

7:45 AM – 8:15 AM Revisional Forefoot Surgery

James Morgan, DPM

• Physician will learn the need for revision of failed forefoot surgery

• Physician will learn the additional factors and considerations unique to revision surgery

• Physician will learn to set reasonable expectations for successful outcomes

8:15 AM – 8:45 AM  Morton’s Neuroma: Current Literature Review

Patrick DeHeer, DPM

After attending this lecture, attendee should be able to:

• Understand the diagnosis of Morton’s neuroma

• Understand the biomechanics of Morton’s neuroma

• Describe the non-surgical therapies for Morton’s neuroma

• Describe the various surgical approaches for Morton’s neuroma

• Understand the findings from current literature on Morton’s neuroma and be able to apply these findings to current practice

8:45 AM – 9:45 AM  Hallux Abducto Valgus: Emerging Concepts 

Patrick DeHeer, DPM

After attending this lecture, attendee should be able to:

• Understand the pathogenesis of hallux abducto valgus

• Understand and describe the mechanical axis of the 1st ray

• Describe deformity correction principles

• Understand long term follow-up per literature for the Austin bunionectomy and recurrence rates of the Austin bunionectomy

• Understand and describe the triplane components of hallux abducto valgus

• Understand the triplanar options to correct HAV

 Describe the surgical outcomes for HAV

9:45 AM – 10:15 AM Break

10:15 AM – 10:40 AM  Placental Mesenchymal Cells Applications in Orthopedic & Sports Medicine

Patrick DeHeer, DPM

After attending this lecture, attendee should be able to:

• Understand the different types of Mesenchymal Stem Cells (MSC) and their components

• Understand the different uses MSCs based on evidence-based research

• Understand the rationale for specific orthopedic and sports medicine uses in foot and ankle surgery

10:40 AM – 11:15 AM Diabetic Neuropathic Foot Ulcers:  An Evidence Based Approach

Patrick DeHeer, DPM

After attending this lecture, attendee should be able to:

• Describe the risk factors for diabetic foot ulcers

• Understand the components of proper history for diabetic foot ulcers

• Describe the components of physical examination including vascular, neurological, dermatological, musculoskeletal, footwear

• Describe the risk categories for the diabetic foot and diabetic ulcer classifications

• Describe the six steps of amputation prevention

• Understand the different dressings available for diabetic foot ulcers

• Describe the preventative and therapeutic treatment options for diabetic foot ulcers based on the literature

11:15 AM – 12:15 PM Local Antibiotic Delivery Systems, “A Different Approach”

Javan Bass, DPM

• Physician will understand the evolution of local antibiotic delivery systems

• Physician will understand the proper application of various local delivery systems

• Physician will understand the do’s and don’ts relative to treatment of SSTI’s (skin and soft tissue infections)

12:15 PM – 1:15 PM Lunch Break (on your own) OR

NON-CECH Lunch Program: Hosted by Organogenesis

Thursday, August 27, 2020 PM Session 3 (4.25 cme contact hours)

1:15 PM – 1:55 PM Football: It’s Always the Season to Provide Excellent Wound Care

Andrew Rader, DPM

• Physician will learn the urgency of chronic wound closure

• Physician will learn what a wound needs to begin healing

• Physician will understand the evidence-based fundamentals of wound care

• Physician will understand the principles and application of the Football dressing

• Lecture will address long term management of the underlying disease

1:55 PM – 2:35 PM Nerve Procedure Options: An Overview

Andrew Rader, DPM

• Physician will understand risk factors for failed nerve surgery

• Physician will understand how to implement evidence-based peri operative pain management techniques

• Physician will understand the approaches and pitfalls in primary versus secondary decompression procedures

• Present decompression techniques

• Present denervation techniques

2:35 PM – 3:15 PM Diagnosis of Web Space Infections and Onychodystrophy

Javan Bass, DPM

• Physician will attain competence in diagnosing web space infections and onychodystrophy

• Patient will see improved patient outcomes with proper skin and nail specimen collection technique

• Physician will understand laboratory testing options for web space infections and onychodystrophy

• Reducing errors for identifying and treating web space infection and onychodystrophy

3:15 PM – 3:45 PM “Check in So You Don’t Check Out”

Robson Araujo, DPM

• Physicians will learn how maintaining health status will allow them to maintain practice performance

• Physicians will learn how maintaining their health will allow them to advocate good health habits to their patients

3:45 PM – 4:15 PM Break

4:15 PM – 5:00 PM Update on First Metatarsal Phalangeal Joint Resurfacing Implants

James Morgan, DPM

• Physician will learn appropriate patient selection for implant arthroplasty for hallux rigidus

• Physician will learn options for implant arthroplasty

• Physician will learn treatment options for failed synthetic cartilage implants

5:00 PM – 6:00 PM Safe and Effective Opioid Management: Alabama Edition

Susan Boisvert BSN, MHSA, CPPS, CPHRM, DFASHRM

• Physician will be able to implement opioid safe prescribing practices including use of the PDMP; patient education regarding risks, benefits and alternatives; informed consent and development of a patient specific treatment plan with measurable outcomes

• Physician will be able to evaluate their practice for and address root causes associated with opioid malpractice claims

• Physician will be able to identify and address signs of opioid abuse and misuse

Friday, August 28, 2020 Session 4 (5 cme contact hours)

6:30 AM – 7:00 AM Check In/Breakfast with Exhibitors

7:00 AM – 7:45 AM Selected Cases of Critical Limb Ischemia Revascularization: Why and How We Do It?

Jan Skowronski, MD

• Physician will be able to learn what are the indications for CLI and BTK revascularizations

• Physician will be able to learn what are the techniques used for CLI treatment

• Physician will learn the limits and pitfalls of CLI endovascular cases

7:45 AM – 8:30 AM “Rheumatoid Arthritis for the Podiatrist”

Matthew Carroll, MD

• Physician will be able to identify patients who present to a Podiatry clinic who may have Rheumatoid Arthritis

• Physician will be able to understand basic pathophysiology of Rheumatoid Arthritis

• Physician will be able to identify patients with risk factors for Rheumatoid Arthritis and counsel them about the illness

8:30 AM – 9:15 AM PVV 101

Cindy Pezza, PMAC

• Physician will learn how patient compliance and outcome are directly affected by physician and staff’s ability to effectively communicate and follow structured care plans

9:15 AM – 9:30 AM Visit with Exhibitors

9:30 AM – 10:15 AM “Why Referral for Intervention Should Be the Last Thing You Do for Your Patient with PAD”

Jacob Townsend, MD

• Physicians will understand the importance of medical therapy for PAD

• Lecture will highlight and physician will learn of nonpharmacologic therapy for PAD

10:15 AM – 11:15 AM You Are Not Alone

Cindy Pezza, PMAC

• Physician will dissect and discuss commonly experienced practice issues

• Physician will recognize the need for change and improvement, understanding the efforts involved and refocusing their expertise to meet the needs of their patients

11:15 AM – 11:30 AM Visit with Exhibitors

11:30 AM – 12:30 PM Training and Education Structure Increases Efficiency and Positive Clinical Outcome

Cindy Pezza, PAC

• Interactive session in which physician will learn the importance of developing a training ad education structure within their practice

• Physician will learn how to dramatically increase efficiency and positive patient flow and satisfaction

12:30 PM – 1:30 PM Lunch Break (on your own) OR

NON-CECH Lunch Program: Hosted by

Advanced Pathology Solutions (APS)

Saturday, August 29, 2020 Session 5 (4.75 cme contact hours)

6:30 AM – 7:00 AM Check In/Breakfast with Exhibitors

7:00 AM – 8:00 AM Improving Physician Well-being and the Quality of Patient Care

Cindy Pezza, PAC

• Physician will discuss the importance of realistic goal setting, managing stressors and avoiding burnout all while improving the quality of care provided to patients

8:00 AM – 9:00 AM DVT: Little Things Matter!

Roya Mirmiran, DPM

• Physician will learn the importance of following up on diagnostic test reports and reports

• Physician will learn to identify patient risk factors for the development of DVT/PE

• Physician will learn the necessity for pre-operative medical clearance, having up to date lab work, and post-operative management of anticoagulation therapy

9:00 AM – 9:30 AM Visit with Exhibitors

9:30 AM – 10:15 AM Lowering the Needles

Thao Tran, MD

• Physician will learn the History of Gout

• Physician will learn the Epidemiology and Pathogenesis of gout

• Physician will learn to diagnose and manage gout

10:15 AM – 11:15 AM Creating Value, Trust and Quality Through Structured Treatment Protocols

Cindy Pezza, PAC

• Physician will learn how to achieve a level of care through the development and implementation of structured evidence-based treatment protocols.

11:15 AM – 11:30 AM Visit with Exhibitors

11:30 AM – 12:30 PM CAC Update – Physicians and Assistants

Brent Harwood, DPM

• Attendees will be updated on Medicare coding and billing

12:30 PM – 2:00 PM ALPMA Annual Business Meeting Lunch

Hosted by MTF Biologics

(ALPMA Members Only)

Sunday, August 30, 2020 Session 6 (4 cme contact hours)

The Mildred Dixon, DPM Resident Lecture Series

in view of her contribution and pioneering spirit to podiatry

6:45 AM – 7:00 AM Check In

7:00 AM – 7:30 AM Managing 1st ray Deficits

Lance Johnson, DPM

• Physician will be able to identify causes of bone loss of the 1st ray

• Physician will be able to identify treatment plans for bone deficits of the 1st ray

• Physician will learn how to eradicate infection of the 1st ray

• Physician will learn how to appropriately use grafting material in 1st ray revision surgery

7:30 AM – 8:00 AM Necrotizing Fasciitis and Various Case Presentations

Lance Johnson, DPM

• Physician will learn how to diagnose necrotizing fasciitis in a clinical setting

• Physician will learn the laboratory and imaging findings of necrotizing fasciitis

• Physician will learn how necrotizing fasciitis differs in the diabetic population

8:00 AM – 8:30 AM Wound Cultures: When, Why and How

Seth Rogers, DPM

• Define clinical signs of infection

• Identify risk factors for infection

• Review common soft tissue and osseous infections

• Consider points in clinical history taking and exam

• Explore different methods of culturing wounds

• Determine how to respond to cultures

8:30 AM – 9:00 AM 2020 IDSA Guidelines review

Mark Jackman, DPM

• Review updated statistics and epidemiology of diabetes and foot infections.

• Review standard of care guidelines for managing Diabetic foot ulcers based on IDSA guidelines

• Review new literature on DFU’s since the 2012 publication.

9:00 AM – 9:15 AM Break

9:15 AM – 9:45 AM Diabetic Amputations: Quality of Life and Prevention

Luke Sicilia, DPM

o Review diabetic amputation facts

o Quality of life definition and how is it measured

o Quality of life in diabetic with amputations

o Improvements in the quality of life for diabetic

o Prevention of diabetic amputations

9:45 AM – 10:15 AM Diabetic Skin Conditions: Etiology and Treatment

Roger Hunt, DPM

• Review the pathologic effects diabetes has on the skin

• Review common skin manifestations seen in the diabetic population

• Review current treatment options available

10:15 AM – 11:15 AM Advancements in Limb Salvage

Benjamin Makamson, MD

• Physician will understand angiosomes of the foot

• Physician will have increased awareness of the latest advances in limb salvage

• Physician will understand “hybrid” procedures

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