current trends in orthopaedics: how to adjust in a ... current spring...• expand and improve...

SPRING 2017 SCIENTIFIC MEETING

May 11-12, 2017Bayfront Convention Center • Erie, PA

How to Adjust in a Changing Environment

Current Trends in Orthopaedics:

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Current Trends in Orothopaedics: How to Adjust in a Changing Environment

John Lubahn, MD; Craig Mauro, MD, Program ChairsPatrick Smith, MD, President

CME Mission StatementThis course is designed for practicing orthopedic surgeons, orthopedic residents and fellows, and medical students who plan to specialize in the practice of orthopedic surgery. The need for this program arose from the responses from previous course evaluations.

Educational ObjectivesUpon completion of this course, the participant should be able to:

• Discusscurrentresearchandoutcomesdatawhichsupportscontemporaryscientifictreatmentfor concussions and traumatic brain injuries.

• List state regulations which impact interscholastic athletics with respect to concussiondiagnoses.

• Describetheapplicationofbiologicsandstemcellsinorthopedicmedicine.

• Explainemergingusesforcannabis.

• Expandandimprovetechniquesforperformingtotaljointreplacementandhiparthroscopy.

• Recognizethehighpointsandpitfallsofcontractualandotherarrangementsaffectinghospitalsystem relations, physician employment, and patient access to care.

• Identifytrendingmodesofacademicpracticeincludingclinicalscienceandgraduatemedicaland business education.

• Discuss pending state legislation which may help or hurt the delivery of medical care toPennsylvania residents.

• Applynewtechniquesinspinal,hand,andfoot/anklesurgery.

Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education(ACCME) through the joint providership of the American Academy of Orthopaedic SurgeonsandthePennsylvaniaOrthopaedicSociety.TheAmericanAcademyofOrthopaedicSurgeonsisaccreditedbytheACCMEtoprovidecontinuingmedicaleducationforphysicians.

TheAmericanAcademyofOrthopaedicSurgeonsdesignatesthisliveactivityforamaximumof10.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate withtheextentoftheirparticipationintheactivity.

Faculty List & DisclosureAcompletelistingoffacultyisincludedinthisprogram.Anyandallfacultydisclosureswillbeprovidedinthefinalprogramwhichwillbeavailableatthecoursetoallmeetingattendees.

DisclaimerThe material presented in this continuing medical education program is being made available by theAmericanAcademyofOrthopaedicSurgeonsandthePennsylvaniaOrthopaedicSociety(POS)for educational purposes only. The material is not intended to represent the only, nor necessarily the best, methods or procedures appropriate for the medical situation discussed, but rather is intended to present an approach, view statement, or opinion of the authors or presenters, which may be helpful, or of interest, to other practitioners.

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PROGRAMThursday, May 11, 20176:30-7:15am Registration•ContinentalBreakfast

7:15-7:30am WELCOME Patrick Smith, MD

ANNOUNCEMENTS John Lubahn, MD, Craig Mauro, MD

Session I BUSINESS OF ORTHOPEDIC MEDICINE IModerator: Macalus Hogan, MD

7:30–7:45am NavigatingPhysicianIndustryRelationships.StayinginBounds Barrett Woods, MD

7:45–8:00am ImplementationofMACRAintheOrthopedicPractice Greg Gallant, MD

8:00–8:15am AccesstoOrthopedicCarefortheAdultPatientunderthePatientProtectionAffordableCareAct:aRegionalSurveyStudy Taylor Paziuk, BS

8:15–8:25 am DISCUSSION 8:25–8:40am EngineeringYourHospitalJointProgramtoAchieveShorterStays Andrew Star, MD

8:40–8:55am TotalJointReplacementintheAmbulatorySurgerysetting—theInitialExperienceattheAdvancedCenterforSurgery. Josh Port, MD

8:55–9:10am HospitalServiceLineModel Vincent Silvaggio, MD

9:10–9:20 am DISCUSSION

9:20–9:50 am BREAK/ Visit Exhibits

Session II CONCUSSION UPDATEModerator: Joseph Maroon, MD

9:50–10:05am BiomechanicalConsiderationsofSportRelatedConcussion Wayne Sebastianelli, MD

10:05–10-20am SportsRelatedConcussion:EvidenceBasedAssessmentand Management Jonathan French, MD

10:20–10:30am Pennsylvania’s“Sit-Out”&“ReturntoPlay”RegulationsandOtherConcussionPolicies Brian Simmons, Esq.


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Session III BIOLOGICS PLUSModerator: Craig Mauro, MD

10:40–10:50am OrthoBiologics:TheBasics2017 James Bradley, MD

10:50–11:00am StemCellApplicationinOrthopedics James Voos, MD

11:00–11:10am AntibioticPrimerforOrthopedicSurgeons:MechanismsofAction Guy Lee, MD


11:20–11:30am CurrentStatusofCannabidiol(CBD)asanAnti-inflammatory, AnalgesicandAnxiolytic Joseph Maroon, MD

11:30–11:40am MedicalMarijuana:theState’sPerspective Lawrence Clark, JD, John Collins, MBA

11:40–11:50am OpioidPrescribingStudy:theProceduralImpactonanOrthopedicSpecialtySystem Meghan McNelly, PharmD, MHA


12:00–1:30 pm LUNCH

Session IV BUSINESS OF ORTHOPEDIC MEDICINE IIModerator: Vincent Silvaggio, MD

1:30–1:40pm MalpracticeUpdatefor2017:HasAnythingChanged? Guy Lee, MD

1:40–1:50pm Contracts:theBusinessofBeinganEmployedPhysician Michael Wiethorn, Esq.

1:50–2:00pm TrendsandPredictionsinHealthCarefortheYearAhead Jonathan Garino, MD

2:00–2:10 pm DISCUSSION

2:10–2:20pm EarlyCareerDevelopment:ChallengeandOpportunityinAcademicPractice Eric Kropf, MD

2:20–2:30pm TheClinicianScientistinModernOrthopaedicSurgery Kurt Weiss, MD

2:30–2:40pm GraduateMedicalEducationinCurrentTimes Macalus Hogan, MD


2:50–3:20 pm BREAK/ Visit Exhibits

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Session V FELLOW / RESIDENT PRESENTATIONSModerator: Macalus Hogan, MD

3:20–3:30pm SurgicalEfficiencyofAnteriorCruciateLigamentReconstructioninHospitalOperatingRoom Nathan Patrick, MD

3:30–3:40pm SingleSportSpecializationinYouthSports:ASurveyof3,090HighSchool,Collegiate,andProfessionalAthletes Patrick Buckley, MD

3:40–3:50pm DoesPatientEducationPriortoArthroscopicRotatorCuffRepairDecreaseNarcoticConsumption?ARandomizedProspectiveStudyDanielle Weekes, MD

3:50–4:00pm PatientComprehensionandCompliancetoPost-OperativePainRegimensinOrthopaedicTrauma Anup Gangavalli, MD


4:10–4:20pm TheRelativeEffectofExposureControlonRadiationDosetoVitalOrgansinPatientsUndergoingTotalHipArthroplasty Katharine Harper, MD

4:20–4:30pm MedializationofLagScrewinCephalomedullaryNailingofHipFractures:AnUncommonMechanismforFailure Ryan Vellinga, MD

4:30–4:40pm RetrogradeHindfootFusionNailwithoutJointPreparationSuccessfullySalvagestheLimbsofMinimallyMobileGeriatricsafterMajorAnkleTrauma Mitchell Fourman, MD

4:40–4:50 pm Ultrasound measurement of the cross-sectional area of the median nerve:theeffectofteachingonmeasurementaccuracy Mitchell Fourman, MD


FRIDAY, May 12, 20176:45–7:25am Registration/ContinentalBreakfast

7:25-7:30 am ANNOUNCEMENTS John Lubahn, MD, Craig Mauro, MD

Session VI SPINE / EXTREMITY / TIME INNOVATIONSModerator: Edward McClain, MD

7:30–7:40am AdvancesinNeuromodulationfortheTreatmentofSpinePainandComplexRegionalPainSyndrome David Provenzano, MD

7:40–7:50am RobotsinLumbarSpine Michael Gratch, MD


8:00–8:10am TDABC:TimeDerivedAverageBasedCost Mark Knaub, MD

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8:10–8:20am TechnologyUpdate:FootandAnkleSurgery Alex Kline, MD


8:30–8:40am ManagementofUlnarSidedWristPain Robert Goitz, MD

8:40–8:50am AtypicalPeripheralNeuropathies John Lubahn, MD

8:50–9:00am PediatricMotocrossFractures Scott Sorenson, MD


9:10–9:45 am BREAK/ Visit Exhibits

SESSION VII ADVOCACY AND OTHER UPDATESModerator: Meredith Osterman, MD

9:45–9:55am ChallengesFacedbytheFemaleOrthopedicSurgeon Meredith Osterman, MD

9:55–10:05am ScaphoidFractures Patrick Williams, DO


10:15–10:35am LegislativeandPoliticalAdvocacyUpdate Patrick Smith, MD

10:35–10:45am SocietyBusinessMeeting Patrick Smith, MD

SESSION VIII TOTAL JOINTSModerator: Brian Klatt, MD

10:45–10:55am TotalJoints:MyExperience Gary Cortina, MD

10:55–11:05am AdvancesinJointReplacement—AretheyreallyAdvancesandistheBangWorththeBuck? Brian Klatt, MD

11:05–11:15am HipArthroscopy—HowmuchArthritisisTooMuch Craig Mauro, MD


11:25–11:35am AdvantagesandDisadvantagesofModularityinTotalHipArthroplasty Edward McClain, MD

11:35–11:45am ImprovingQualityinJointReplacementbyOptimizingPatientHealthBrian Klatt, MD


Meeting Adjourned

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Guest FacultyJoseph MaroonClinicalProfessorandViceChairman,DepartmentofNeurosurgery,HeindlScholarinNeuroscience,UniversityofPittsburghMedicalCenter,Pittsburgh,PA

David Provenzano, MDPresident,PainDiagnosticsandInterventionalCare,Pittsburgh,PA

Robert SmithCaptain,USNavy,SpecialAssistanttoChiefofNavalPersonnel

James Voos, MDHeadTeamPhysician,ClevelandBrowns,UHClevelandMedicalCenter,DivisionChief,SportsMedicine,UHClevelandMedicalCenter,AssociateProfessor,Orthopaedics,CWRUSchoolofMedicine,MedicalDirector,SportsMedicineInstitute,UniversityHospitals,Cleveland,OH

Invited FacultyJames Bradley, MDClinicalProfessor,DepartmentofOrthopaedicSurgery,UniversityofPittsburghSchoolofMedicine,Pittsburgh,PA

Lawrence M. Clark, JD, LL.M, MPHDeputyDirector,PolicyandFieldOperations,PADepartmentofHealth,OfficeofMedicalMarijuana,Harrisburg,PA

John J. Collins, MBA, R.T.(R)(N), CNMTDirector,PADepartmentofHealth,OfficeofMedicalMarijuana,Harrisburg,PA

Gary Cortina, MDHamotOrthopedics-UniversityofPittsburghMedicalCenter,Erie,PA

Jonathan French, PsyDNeuropsychologist,AssistantProfessorofOrthopaedicSurgery,UPMCSportsMedicineConcussionProgram,Pittsburgh,PA

Gregory Gallant, MD, MBARothmanInstitute,Philadelphia,PA

Jonathan Garino, MD, MBAPremierOrthopedics,Malvern,PA

Robert Goitz, MDProfessor,OrthopaedicSurgery;PlasticSurgeryandBioengineering;Chief,Hand&UpperExtremitySurgery;DepartmentofOrthopaedicSurgery,UniversityofPittsburghMedicalCenter

Michael Gratch, MDRothmanInstitute,Philadelphia,PA

Macalus Hogan, MDAssistantProfessorofOrthopaedicSurgeryDivisionofFootandAnkleSurgery,DepartmentofOrthopaedicSurgery,UniversityofPittsburghSchoolofMedicine,PittsburghPA

Brian A. Klatt, MDAssistantProfessor,JointReconstruction,DepartmentofOrthopaedicSurgery,UniversityofPittsburghSchoolofMedicine

Alex Kline, MDClinicalAssistantProfessor,UniversityofPittsburghSchoolofMedicine,Pittsburgh,PA

Mark Knaub, MDAssistantProfessor,Director,OrthopaedicSpineSurgery,AssociateDirector,SpineCenter,PennStateHealthSystem,MiltonS.HersheyMedicalCenter,Hershey,PA

Eric Kropf, MDAssociateProfessorandChair,OrthopedicSurgeryandSportsMedicine,Director,ResidentEducationandResearch,TempleUniversity,Philadelphia,PA

Guy LeeRothmanInstitute,AbingtonJeffersonHealthSeniorSurgeon,SpinalSurgery,ClinicalAssistantProfessor,TempleUniversitySchoolofMedicine,DepartmentofOrthopaedicSurgery,Philadelphia,PA

John Lubahn, MDProgramDirector,HamotOrthopaedicResidencyandHandFellowship,UniversityofPittsburghMedicalCenter,Erie,PA

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Craig Mauro, MDClinicalAssistantProfessor;AssociateProgramDirector,OrthopaedicSportsMedicineFellowship,UniversityofPittsburghMedicalCenter

Edward McClain, MDClinicalInstructor,DepartmentofOrthopaedicSurgery,UniversityofPittsburgh,SchoolofMedicinePittsburgh,PA

Meghan McNelly, Pharm.D., M.H.A.DirectorofPharmacy,OSSHealth,York,PA

Meredith Osterman, MDThePhiladelphiaHandCenter,Philadelphia,PA

Taylor Paziuk, BSResident,DepartmentofOrthopaedicSurgery,UniversityofPittsburghMedicalCenter,Pittsburgh,PA

Joshua Port, MDClinicalAssistantProfessorofOrthopedics,UniversityofPittsburghSchoolofMedicine;HeadTeamPhysicianfortheAltoonaCurve,AABaseballaffiliateofthePittsburghPirates;DirectorofSportsMedicineUniversityOrthopedicsCenter,Altoona,PA

Wayne Sebastianelli, MDAssociateDeanforClinicalAffairs,UniversityParkRegionalCampus;KalenakProfessorinOrthopaedics;MedicalDirector,PennStateSportsMedicine,StateCollege,PA

Vincent Silvaggio, MDClinicalAssistantProfessor,DepartmentofOrthopaedicSurgery,UniversityofPittsburghSchoolofMedicine,Pittsburgh,PA

Brian Simmons, Esq.Shareholder,BuchannonIngersollRooney,PC,Pittsburgh,PA

Patrick Smith, MDClinicalInstructor,DepartmentofOrthopaedicSurgery,UniversityofPittsburghSchoolofMedicine,Pittsburgh,PA

Scott Sorenson, MDAssistantProfessor,PediatricOrthopaedicSurgery,PennStateHealthSystem,MiltonS.HersheyMedicalCenter,Hershey,PA

Andrew Star, MDMedicalDirector,Orthopaedic&SpineInstitute,Chief,DivisionofOrthopaedicSurgery,AbingtonHospital,RothmanInstitute,Philadelphia,PA

Kurt Weiss, MDAssistantProfessor,DepartmentofOrthopaedicSurgery,UniversityofPittsburghSchoolofMedicine,Pittsburgh,PA

Michael Wiethorn, Esq.Partner,FoxRothchild,LLC,Pittsburgh,PA

Patrick Williams, DOOrthopedicandSportsMedicineofErie,Erie,PA

Barrett Woods, MDAssistantProfessorOrthopaedicandNeurologicalSpinalSurgery,RothmanInstitute,ThomasJeffersonUniversity,Philadelphia.PA

Resident SpeakersPatrick Buckley, MDResident,RothmanInsitute,ThomasJeffersonUniversityHospital,Philadelphia,PA

Mitchell Fourman, MDResident,DepartmentofOrthopaedicSurgery,UniversityofPittsburghMedicalCenter,Pittsburgh,PA

Anup Gangavalli, MDResident,DepartmentofOrthopaedicSurgery,St.Luke’sUniversityHealthNetwork,Bethlehem,PA

Katharine Harper, MDResident,DepartmentofOrthopaedicSurgery,TempleUniversityHospital,Philadelphia,PA

Nathan Patrick, MDResident,DepartmentofOrthopaedicSurgery,PennStateHersheyMedicalCenter,Hershey,PA

Ryan Vellinga, MDResident,DepartmentofOrthopaedicSurgery,Hamot,UniversityofPittsburghMedicalCenter,Erie,PA

Danielle Weekes, MDResident,RothmanInsitute,ThomasJeffersonUniversityHospital,Philadelphia,PA

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HOTEL INFORMATION

Sheraton Erie Bayfront HotelistheveryfirstwaterfronthotellocatedneartheheartofErie’sBayfrontMarinaDistrict.The Bayfront Convention CenterisnestledbetweentheSheratonandtheMarriotCourtyard,connectedbyaskybridgetotheSheratonandacoveredsidewalktotheCourtyard. RestinginLakeErie,TheSheraton,BayfrontConventionCenter,andCourtyardprovidesweepingviewsoftheLakeErie’sPresqueIsleBay.Onecannotbeclosertothewaterfrontthanhere.TheConventionCenterhasfloortoceilingwindowsforaclearviewofthebay.TheCourtyardincludesaninfinitypoolandfitnesscenterforyourenjoyment.

PleasemakeyourreservationsonlinethroughthePOSwebsite www.paorthosociety.org/event-2189290orbycallingtheThe Sheraton Erie Bayfront Hotelat888-627-8094.Whenmakingreservations,becertaintoidentifyyourselfaspartofthePennsylvaniaOrthopaedicSocietySpringMeetinggroup.ThedailyroomrateforPOSattendeesis$179.Parkingis$12/night.Checkinis3:00pm;checkoutisnoon.

AlimitednumberofroomsareavailableatthePOSgrouprate.To receive the POS rate, reservations must be made by April 14.

PLEASEMAKEYOURRESERVATIONSEARLY.

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EVENT INFORMATION

POS Welcome ReceptionWednesday, May 10, 6:00 –7:30 pmComeminglewithfamily,colleagues,andfriendsatthePOSWelcomeReception.Complimentarydrinksandhorsd’oeuvreswillbeserved.Opentoallattendeesandone guest.

Victorian Princess CruiseThursday, May 11, 6:30 pmEnjoyaneveningdinnercruiseinthebeautifulPresqueIsleBayaboard a three-level paddlewheeler, theVictorianPrincess.HearfirsthandaboutthebravemissionsofaNavySeal–CaptainRobertSmith,SpecialAssistanttoChiefofNaval Personnel – as you dine in this uniquesetting.$60perperson.

Whispering Woods Golf OutingFriday, May 12, 1:00 pmPlay your best golf while your senses experiencethewanderingstreams,talltrees, soothing waterfalls, and rolling terrain of northwestern Pennsylvania. WhisperingWoodsGolfClubisErie’sChoiceAwardWinneroftheErieTimes News for seven consecutive years through 2016.Cost:$50perplayer.

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PHYSICIAN REGISTRATIONPennsylvaniaOrthopaedicSociety2017SpringScientificMeeting

Current Trends in Orthopaedics: How to Adjust in a Changing EnvironmentMay11-12,2017

BayfrontConventionCenter,Erie,PA

Register before April 15 and save $75. You can also register online at www.paorthosociety.org

LastName: Title:

First Name:

OfficeAddress:

City: State: Zip:

Email:

OfficePhone:

OfficeContact:

Registration fee includesadmissiontoscientificsessions,continentalbreakfasts,lunch,refreshmentbreaks,exhibithall,andWednesdayWelcomeReception(attendeeandoneguest).

Before April 15 On or After April 15 AmountPaid

Member $450 $525 $

Non-Member $550 $625 $

Resident/Fellow $125 $200 $

AlliedHealthProfessional $175 $250 $

Wednesday Welcome Reception(attendee&oneguest)@nocharge (number)_____ $____0_____

Thursday Victorian Princess Cruise

$60perperson (number)_____ $__________

Friday Whispering Woods Golf Outing$50perperson (number)_____ $__________

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o CHECKenclosedmadepayableto POS

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Signature:

Please mail this form with payment to:MaherBigleyPennsylvaniaOrthopaedicSociety,510N.3rdSt.,3rdFl.,Harrisburg,PA17101Phone:717-909-8901–Fax:717-909-8906–[email protected]

Cancellation PolicyTherewillbea$100processingfeeforcancellationsreceivedbeforeApril14,2017.

Refunds will NOT be granted for cancellations received on or after April 14, 2017.

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current trends in orthopaedics: how to adjust in a ... current spring...• expand and improve...

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