2019 MARY FREE BED REHABILITATION HOSPITAL

LIMB LOSS CONFERENCEThursday, March 7, 2019

LOC ATIONMary Free Bed

Professional Building Meijer Conference Center

350 Lafayette Ave. SE, Grand Rapids, MI 49503

OVERVIE WPatients who have undergone amputation or were born with a limb deficiency experience a unique lifelong journey of managing mobility, prosthetics, skin issues, pain and adjustment. The inaugural Mary Free Bed Rehabilitation Hospital Limb Loss Conference will provide evidence-based knowledge and experience on these topics presented by Mary Free Bed Rehabilitation Hospital experts who represent the continuum of care, from outpatient to inpatient. Presentations will include in-depth information for inpatient care management, prosthetic care management across the continuum, gait deviations and how they relate to patient and prosthetic issues, management of both residual limb and phantom limb pain, balance training and medical management of skin issues.

TARGET AUDIENCE Physicians, residents/students, orthotists, prosthetists, nurses/nurse practitioners/students, physician assistants/students, occupational/physical/recreational therapists/students, psychologists, social workers, exercise physiologists, rehabilitation program administrators, rehabilitation specialists, case managers, claims specialists and other professionals involved in the care of a patient with limb loss.

OUTCOMESLearners who attend this conference will be able to identify and discuss management strategies for residual limb and phantom limb pain, and skin issues. They will gain a thorough understanding of inpatient care management and prosthetic care management across the continuum. Attendees will be able to identify prosthetic components for patients with lower-extremity amputation and prosthetic causes of pain. They will be able to explain gait deviations and how they relate to patient and prosthetic issues.

FACULT Y Sarah Ayotte, PT, DPT, Mary Free Bed Rehabilitation Hospital

Jason Bomia, MS, OTR/L, Inpatient Stroke/Orthopedic programs, Mary Free Bed Rehabilitation Hospital

Alex Brenner, prosthetic resident, Mary Free Bed Rehabilitation Hospital

Benjamin Bruinsma, MD, medical director, Amputee Program, Mary Free Bed Rehabilitation Hospital

Kirk Ferris, CPO, director of clinical operations, Orthotics & Prosthetics + Bionics, residency director for Orthotics and Prosthetics, Mary Free Bed Rehabilitation Hospital

Jennifer McWain PT, MHS, CHC, compliance officer and clinical excellence specialist, Mary Free Bed Rehabilitation Hospital

Stephanie Rose, MSOTR/L, amputee care liaison, certified mentor instructor for ACA, Mary Free Bed Rehabilitation Hospital

Tim Spaulding, PT, Inpatient Stroke/Orthopedic programs, Mary Free Bed Rehabilitation Hospital

Alisha Thompson CPO, Prosthetic team lead, Mary Free Bed Orthotics & Prosthetics + Bionics

MARY FREE BED LIMB LOSS CONFERENCE PLANNING COMMIT TEE Benjamin Bruinsma, MD, medical director, Amputee Program

Steve Brodnicki, PT, MS, director of rehabilitation

Deidre Butkus, BA, medical/allied health education coordinator

Leicel Edmondson, RN, BSN, registered nurse

Kirk Ferris, CPO, director of clinical operations, Orthotics and Prosthetics + Bionics, residency director for Orthotics and Prosthetics

Hope Kole, BA, medical/allied health education assistant

Jennifer McWain PT, MHS, CHC, compliance officer and clinical excellence specialist

Bonita M. Pawloski, M.Ed., R.T.(R)(T) (ARRT), director of education

Tim Spaulding, PT, Inpatient Stroke/Orthopedic programs

Rob Tuck, CPO, director of network development, Mary Free Bed Orthotics & Prosthetics + Bionics

DISCLOSURES Planning Committee The planning committee members do not have any relevant financial relationships or non-financial relationships to disclose.

SpeakersSarah Ayotte, PT, DPTFinancial – Employed as a physical therapist, Mary Free Bed Rehabilitation Hospital Nonfinancial – No relevant nonfinancial relationship exists.

Jason Bomia, MS, OTR/LFinancial – Employed as an occupational therapist, Mary Free Bed Rehabilitation Hospital Nonfinancial – No relevant nonfinancial relationship exists.

Alex BrennerFinancial – Employed as a prosthetic resident, Mary Free Bed Rehabilitation Hospital Nonfinancial – No relevant nonfinancial relationship exists.

Benjamin Bruinsma, MDFinancial – Employed as a physiatrist, Mary Free Bed Rehabilitation Hospital Nonfinancial – No relevant nonfinancial relationship exists.

Kirk Ferris, CPOFinancial – Employed as the director of clinical operations, Orthotics and Prosthetics + Bionics, Mary Free Bed Rehabilitation Hospital Nonfinancial – No relevant nonfinancial relationship exists.

Jennifer McWain PT, MHS, CHCFinancial – Employed as a compliance officer and clinical excellence specialist, Mary Free Bed Rehabilitation Hospital Nonfinancial – No relevant nonfinancial relationship exists.

Stephanie Rose, MSOTR/LFinancial – Employed as an amputee care liaison, Mary Free Bed Rehabilitation Hospital Nonfinancial – No relevant nonfinancial relationship exists.

Tim Spaulding, PTFinancial – Employed as a physical therapist, Mary Free Bed Rehabilitation Hospital Nonfinancial – No relevant nonfinancial relationship exists.

Alisha Thompson, CPOFinancial – Employed as a Prosthetic Team Lead, Mary Free Bed Rehabilitation Hospital Nonfinancial – No relevant nonfinancial relationship exists.

AGENDA

7:15-7:55 a.m. Registration/Continental Breakfast/Exhibits Open

7:55-8 a.m. Welcome: Benjamin Bruinsma, MD, medical director, Amputee Program, Mary Free Bed Rehabilitation Hospital

8-9 a.m. Tim Spaulding, PT, and Jason Bomia, MS, OTR/L

Topic: Physical Management of Inpatient Lower Limb Amputees

9-10 a.m. Benjamin Bruinsma, MD Topic: Medical Management of Pain and

Skin Issues

10-10:20 a.m. Refreshments/Networking Break/Exhibits

10:20-10:50 a.m. Stephanie Rose, MS, OTR/L Topic: Prosthetic Care Management

Across the Continuum

10:50-11:35 a.m. Sarah Ayotte, PT, DPT Topic: Graded Motor Imagery for

Phantom Pain

11:35 a.m.-12:20 p.m. Jennifer McWain, PT, MHS Topic: Balance and Gait Training

12:20-1:15 p.m. Lunch/Networking Break/Exhibitors

1:15-2 p.m. Alex Brenner Topic: Prosthetic Components for Lower

Extremity Amputees

2-2:45 p.m. Alex Brenner Topic: Prosthetic Causes of Pain

2:45-3 p.m. Refreshments/Networking Break/Exhibits

3-4 p.m. Kirk Ferris, CPO; Jennifer McWain PT, MHS, CHC; Alisha Thompson, CPO

Topic: Gait Deviations; Prosthetic versus Patient Cause

4-4:30 p.m. Case Study

4:30 p.m. Conclusion/Evaluation

CONTINUING PROFESSIONAL EDUC ATIONMary Free Bed Rehabilitation Hospital is accredited by Michigan State Medical Society to provide continuing medical education for physicians.

Mary Free Bed Rehabilitation Hospital designates this live educational activity for a maximum of 7.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Mary Free Bed Rehabilitation Hospital is an approved provider of continuing nursing education by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 7.0 contact hours will be awarded for successful completion.

This continuing education program has been submitted for 7.0 clock hours as recognized by the Michigan Social Work Continuing Education Collaborative.

This program has been submitted to The Commission for Case Manager Certification for approval to provide board certified case managers with 7.0 clock hour(s).

This program has been submitted to the Michigan Physical Therapy Association for 7.0 credit hours of physical therapy education in Michigan.

BOC credits will be available. Sign in and completion of an evaluation are required for credit to be awarded.

Certificates will be awarded and emailed to participants who attend the symposium, submit a completed evaluation form, and complete sign in form. The number of continuing education credits/units awarded will be based on the hours attended and the requirements of the specific accreditation body. Certificates will be emailed within three weeks of conference date.

If you require special arrangements to fully participate in this workshop, please call 616.840.8292

Conference Fees

MFB Professionals/Network q $150 Professional Staff (outside MFB) q $200

Participant Information (please print) You must complete the entire section to register!

Name:

Credentials (degrees/certifications):

Title:

Organization:

Address:

City/State/ZIP:

Phone: Fax:

Email:

Payment Information

q Check enclosed payable to: Mary Free Bed Fund/Limb Loss ‘19

Please select one: q Visa q Mastercard

Card number: Exp. date: /

Name as it appears on card:

Billing address for card:

Cardholder’s signature:

Cardholder’s phone:

Continuing Education Credits (CEUs)

q No Certificate of Attendance needed

q CCMC (Case Manager)

q CME (Continuing Medical Education for Physicians, Psychologists and Mid-Level Providers)

q General Certificate of Attendance (OT, OTA, CTRS, etc.)

q Continuing Nursing Education (LPNs, MSNs, RNs) State license number required at sign in.

q MPTA (PT, PTA)

q MSW/CEC (Social Workers) – State license number required at sign in.

q BOC (orthotist/prosthetist)

3 EASY WAYS TO REGISTER AND PAY

1.) Online registrationPlease copy and paste the URL below and use Google Chrome, Firefox or Safari (not Internet Explorer)

https://www.regonline.com/2018MFBLimbLossConference

Payment option: Visa or Mastercard

2.) Mail Complete the attached registration form and mail to: Attn: Medical Education/Limb Loss Registration Mary Free Bed Rehabilitation Hospital 235 Wealthy St SE, Grand Rapids, MI 49503-5247 Payment option: check, Visa, or Mastercard

3.) Fax Complete the attached registration form and fax to: 616.840.9626 / Attn: Medical Education/Limb Loss Registration Payment option: Visa or MastercardPlease make check payable to: Mary Free Bed Fund/Limb Loss ‘19

* A service fee of $35 will be assessed for all checks returned for insufficient funds or for charges made to closed accounts.

Registration ConfirmationRegistrations will be taken in the order in which payment is received. Payment must accompany the registration form to confirm a seat at this symposium. If registering online, you will receive immediate confirmation via email. If registering by mail or fax, you will receive confirmation of your registration within 10 business days. If you do not receive a confirmation, please call 616.840.8292

Refund PolicyRegistrants unable to attend may send an alternate with prior written notification. The alternate must complete a registration form. The registration fee, less a $75 service charge, is refundable if written notice of cancellation is received by Feb. 8, 2019. No refunds will be issued for cancellations received after this date or for non-attendance.

Cancellation or Replacement of SpeakerIn the event of an activity cancellation, the liability of Mary Free Bed Rehabilitation Hospital will be limited to a full or partial refund of registration fees. Mary Free Bed reserves the right to substitute an equally qualified speaker.

LocationMary Free Bed Rehabilitation HospitalProfessional BuildingMeijer Conference Center350 Lafayette Ave SEGrand Rapids, MI 49503

Dress CodeBusiness casual. The conference room temperature can fluctuate; it is recommended you bring a sweater or jacket.