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FRIDAY, MAY 11, 2018 ANNUAL SYMPOSIUM ON ADVANCING THE STANDARDS IN WOUND CARE and HYPERBARIC MEDICINE Registration and Continental Breakfast: 7 a.m. Conference: 8 a.m. – 4:40 p.m. Hilton Garden Inn Conference Center Perrysburg, Ohio OVERVIEW In the United States, acute and chronic wounds affect around 6.5 million patients. The need for treatment of wounds is growing rapidly due to an aging population and a sharp rise in the incidence of diabetes and obesity. This symposium will provide current treatment modalities and evidence-based solutions for general wound care, vascular care, diabetic foot care including podiatry, foot and ankle care and advanced therapies and reconstruction. AUDIENCE This activity is designed to meet the educational needs of physicians, residents, advanced practice providers, nurses, and allied healthcare professionals who are involved in the care of patients with acute and chronic wounds. LOCATION Hilton Garden Inn is located at 6165 Levis Commons Blvd., Perrysburg, Ohio in the Levis Commons shopping district, with convenient access from I-475/US 23. ACCOMMODATIONS If overnight accommodations are required, contact Hilton Garden Inn, 419-873-0700, toll-free 1-877-STAY-HGI or online at StayHGI.com. Other hotels in the area include: Holiday Inn French Quarter, 419-874-3111 or toll-free 1-888-874-2592; Holiday Inn Express, 419-874-3101; and Courtyard by Marriott, 419- 872-5636. FACULTY JIHAD T. ABBAS, MD, FACS, FACCWS, RPVI Vascular Surgery, Wound Care Associate Professor, Department of Surgery Associate Director, Wound Care and Hyperbaric Center The University of Toledo Medical Center Co-Medical Director, Jobst Vascular Institute, Wound Care Division Co-Director, Jobst Vascular Institute, Aortic Division ProMedica Physicians Jobst Vascular Toledo, Ohio SAMIH BITTAR, MD, FACP, FSVM Vascular Medicine, Wound Care Jobst Vascular Institute, Section of Vascular Medicine ProMedica Physicians Jobst Vascular Toledo, Ohio JOAN DUGGAN, MD, FACP, FIDSA, AAHIVMS Chief, Division of Infectious Diseases Professor, Internal Medicine, Physiology & Pharmacology, Metabolism, Cardiovascular Science, Microbiology & Immunology Director, Infectious Diseases Fellowship Director, Ryan White Clinics The University of Toledo Toledo, Ohio JOHN FISH III, MD, FACP, FSVM, RPVI Vascular Medicine Director, Jobst Vascular Institute, Section of Vascular Medicine ProMedica Physicians Jobst Vascular Toledo, Ohio THOMAS L. FLANIGAN, MD, FACS Plastic and Reconstructive Surgery ProMedica Physicians Plastic Surgery Sylvania, Ohio STEVEN S. GALE, MD, FACS, CWS Vascular Surgery, Wound Care ProMedica Physicians Jobst Vascular Toledo, Ohio MARVIN HEYBOER III, MD, FACEP, FACCWS, FUHMS Division Chief, Hyperbaric Medicine and Wound Care Department of Emergency Medicine SUNY Upstate Medical University Medical Director, Hyperbaric Medicine and Wound Care Center Upstate University Hospital Syracuse, New York RYAN C. KISH, DPM Podiatrist Podiatric Associates of Northwest Ohio Toledo, Ohio JOHN C. LANTIS, MD, FACS Vice Chairman, Department of Surgery Chief, Vascular and Endovascular Surgery Director, Surgical Clinical Research Mount Sinai Hospital New York, New York FEDOR LURIE, MD, PHD Vascular Surgery Associate Director, Research, Education and Vascular Laboratory Jobst Vascular Institute Toledo, Ohio RYAN MAJCHER, MS, RD, LD, CDE Clinical Dietitian II The University of Toledo Medical Center Toledo, Ohio DONALD E. MRDJENOVICH, DPM, CWS Wound Specialist and Podiatry Practitioner/Surgeon Central PA Physicians Group Altoona, Pennsylvania AARON MUNGER, RHIT, SSGB Manager, Clinical Documentation Improvement System Health Information Management ProMedica Toledo, Ohio THOMAS PADANILAM, MD Orthopaedic Surgeon Toledo Orthopaedic Surgeons Toledo, Ohio MATTHEW M. REINER, DPM, AACFAS Podiatrist ProMedica Physicians Podiatry Toledo, Ohio ANDREW SEIWERT, MD, FACS Vascular Surgery ProMedica Physicians Jobst Vascular Toledo, Ohio RICHARD SIMMAN, MD, FACS, FACCWS Plastic and Reconstructive Surgery, Wound Care ProMedica Physicians Jobst Vascular Toledo, Ohio CHRISTOPHER WINTERS, DPM, CWSP, FACCWS Podiatry, Foot and Ankle Care American Health Network Carmel, Indiana Continuing Medical Education Department 3949 Sunforest Ct., Suite 203 Toledo, Ohio 43623 Hilton Garden Inn Conference Center 6165 Levis Commons Blvd. Perrysburg, Ohio 43551 Friday, May 11, 2018 Registration and Continental Breakfast: 7 a.m. Conference: 8 a.m. – 4:40 p.m. © 2018 ProMedica 1.10172-A.R040318.DS Sponsored by ProMedica’s Continuing Medical Education Department Presented by Jobst Vascular Institute and The American College of Clinical Wound Specialists ANNUAL SYMPOSIUM ON ADVANCING THE STANDARDS IN WOUND CARE and HYPERBARIC MEDICINE

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Page 1: OVERVIEW AUDIENCE LOCATION ProMedica’s Continuing …...Vascular Medicine, Wound Care Jobst Vascular Institute, Section of Vascular Medicine ProMedica Physicians Jobst Vascular Toledo,

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OVERVIEW

In the United States, acute and chronic wounds affect around 6.5 million patients. The need for treatment of wounds is growing rapidly due to an aging population and a sharp rise in the incidence of diabetes and obesity. This symposium will provide current treatment modalities and evidence-based solutions for general wound care, vascular care, diabetic foot care including podiatry, foot and ankle care and advanced therapies and reconstruction.

AUDIENCE

This activity is designed to meet the educational needs of physicians, residents, advanced practice providers, nurses, and allied healthcare professionals who are involved in the care of patients with acute and chronic wounds.

LOCATION

Hilton Garden Inn is located at 6165 Levis Commons Blvd., Perrysburg, Ohio in the Levis Commons shopping district, with convenient access from I-475/US 23.

ACCOMMODATIONS

If overnight accommodations are required, contact Hilton Garden Inn, 419-873-0700, toll-free 1-877-STAY-HGI or online at StayHGI.com.

Other hotels in the area include: Holiday Inn French Quarter, 419-874-3111 or toll-free 1-888-874-2592; Holiday Inn Express, 419-874-3101; and Courtyard by Marriott, 419- 872-5636.

FACULTY

JIHAD T. ABBAS, MD, FACS, FACCWS, RPVIVascular Surgery, Wound Care Associate Professor, Department of Surgery Associate Director, Wound Care and Hyperbaric Center The University of Toledo Medical CenterCo-Medical Director, Jobst Vascular Institute, Wound Care Division Co-Director, Jobst Vascular Institute, Aortic Division ProMedica Physicians Jobst Vascular Toledo, Ohio

SAMIH BITTAR, MD, FACP, FSVMVascular Medicine, Wound Care Jobst Vascular Institute, Section of Vascular Medicine ProMedica Physicians Jobst Vascular Toledo, Ohio

JOAN DUGGAN, MD, FACP, FIDSA, AAHIVMSChief, Division of Infectious Diseases Professor, Internal Medicine, Physiology & Pharmacology, Metabolism, Cardiovascular Science, Microbiology & Immunology Director, Infectious Diseases Fellowship Director, Ryan White Clinics The University of Toledo Toledo, Ohio

JOHN FISH III, MD, FACP, FSVM, RPVIVascular Medicine Director, Jobst Vascular Institute, Section of Vascular Medicine ProMedica Physicians Jobst Vascular Toledo, Ohio

THOMAS L. FLANIGAN, MD, FACSPlastic and Reconstructive Surgery ProMedica Physicians Plastic Surgery Sylvania, Ohio

STEVEN S. GALE, MD, FACS, CWSVascular Surgery, Wound Care ProMedica Physicians Jobst Vascular Toledo, Ohio

MARVIN HEYBOER III, MD, FACEP, FACCWS, FUHMSDivision Chief, Hyperbaric Medicine and Wound Care Department of Emergency Medicine SUNY Upstate Medical UniversityMedical Director, Hyperbaric Medicine and Wound Care Center Upstate University Hospital Syracuse, New York

RYAN C. KISH, DPMPodiatrist Podiatric Associates of Northwest Ohio Toledo, Ohio

JOHN C. LANTIS, MD, FACSVice Chairman, Department of Surgery Chief, Vascular and Endovascular Surgery Director, Surgical Clinical Research Mount Sinai Hospital New York, New York

FEDOR LURIE, MD, PHDVascular Surgery Associate Director, Research, Education and Vascular Laboratory Jobst Vascular Institute Toledo, Ohio

RYAN MAJCHER, MS, RD, LD, CDEClinical Dietitian II The University of Toledo Medical Center Toledo, Ohio

DONALD E. MRDJENOVICH, DPM, CWSWound Specialist and Podiatry Practitioner/Surgeon Central PA Physicians Group Altoona, Pennsylvania

AARON MUNGER, RHIT, SSGBManager, Clinical Documentation Improvement System Health Information Management ProMedica Toledo, Ohio

THOMAS PADANILAM, MDOrthopaedic Surgeon Toledo Orthopaedic Surgeons Toledo, Ohio

MATTHEW M. REINER, DPM, AACFASPodiatrist ProMedica Physicians Podiatry Toledo, Ohio

ANDREW SEIWERT, MD, FACSVascular Surgery ProMedica Physicians Jobst Vascular Toledo, Ohio

RICHARD SIMMAN, MD, FACS, FACCWSPlastic and Reconstructive Surgery, Wound Care ProMedica Physicians Jobst Vascular Toledo, Ohio

CHRISTOPHER WINTERS, DPM, CWSP, FACCWS Podiatry, Foot and Ankle Care American Health Network Carmel, Indiana C

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Hilton Garden Inn Conference Center6165 Levis Commons Blvd.

Perrysburg, Ohio 43551

Friday, May 11, 2018Registration and Continental Breakfast: 7 a.m.

Conference: 8 a.m. – 4:40 p.m.

© 2018 ProMedica 1.10172-A.R040318.DS

Sponsored by ProMedica’s Continuing Medical Education Department

Presented by Jobst Vascular Institute and

The American College of Clinical Wound Specialists

ANNUAL SYMPOSIUM ON ADVANCING THE STANDARDS IN

WOUND CARE and HYPERBARIC MEDICINE

Page 2: OVERVIEW AUDIENCE LOCATION ProMedica’s Continuing …...Vascular Medicine, Wound Care Jobst Vascular Institute, Section of Vascular Medicine ProMedica Physicians Jobst Vascular Toledo,

AGENDA AND OBJECTIVES For your comfort, please bring a sweater or jacket to the conference.REGISTRATION FORM

Annual Symposium on Advancing the Standards in Wound Care and Hyperbaric MedicineFriday, May 11, 2018 Registration and Continental Breakfast: 7 a.m. • Conference: 8 a.m. – 4:40 p.m.

Due by: Monday, May 7, 2018 or until maximum capacity is reached.Fee: $85Fee includes continental breakfast, lunch, snacks and conference materials.

Name ________________________________________ Credentials ________________

Home Address _______________________________________________________________

City ________________________________ State __________ Zip __________________

Home Phone ____________________________ Cell Phone __________________________

Office Phone _____________________________

Email Address (required) ________________________________________________________

Employer ___________________________________________________________________

Please check your primary discipline: £ MD/DO £ Resident £ PA £ CNP/NP £ Nurse £ Other _______________________

£ Please check if you prefer a vegetarian meal. £ Please check if you require assistance with hearing, vision or mobility.

REGISTRATION FOR SATURDAY, MAY 12, 2018:Back to Basics Course on Wound Care

(Please check one) £ Physicians $150 £ Nurses and Therapists $100 £ Residents and Students $25 £ Fellows of ACCWS $75

METHOD OF PAYMENT: Payment is required to process registration.

£ Personal check £ Employer check (payable to ProMedica CME)£ Visa £ MasterCard £ Discover £ American Express

Card Number ________________________________________________________________

Expiration Date ___________________________ Amount $ __________________________

Signature of credit card holder ____________________________________________________

Billing address of credit card holder _________________________________________________

OPTIONS TO REGISTER:

Phone registrations will not be accepted.

ONLINE promedica.cloud-cme.com (Chrome internet browser required) Credit cards only.MAIL ProMedica Continuing Medical Education Department

3949 Sunforest Ct., Suite 203 Toledo, Ohio 43623

FAX 419-479-6003 Credit card number required to process registration. EMAIL [email protected]

7 a.m. Registration and Breakfast8 a.m. Welcome Michelle Holtfreter, RN, BSN8 a.m. Conference Review Richard Simman, MD, FACS, FACCWSGENERAL WOUND CARE8 a.m. DOMINATE Steven Gale, MD, FACS, CWS

• Develop appreciation for measures to help wounds heal using DOMINATE approach.• Cite importance of multidisciplinary team approach.• Identify confidence in being able to deal with complex wounds so staff truly are “Wound Warriors.”• Inspire staff to go on to gain official “certified wound specialist” credential.

8:20 a.m. Wound Infection Workup Joan Duggan, MD, FACP, FIDSA, AAHIVMS• Describe when specimens for culture should be obtained from a patient with a diabetic foot wound.• Discuss how specimens for culture should be obtained from a patient with a diabetic foot wound.

8:40 a.m. Supplements and Their Impact on Wound Healing Ryan Majcher, MS, RD, LD, CDE• Review key micronutrients in wound healing.• Cite guidelines for supplementation in regards to wound care.• Identify barriers to providing supplements for wound care patients.

9 a.m. Wound Care Billing and Documentation Aaron Munger, RHIT, SSGB• Identify methods to increase accuracy of billing by choosing appropriate level of service.• Define documentation required to support accurate assessment.• Summarize the importance of correct billing and coding.

9:20 a.m. Panel Discussion Moderator: Fedor Lurie, MD, PhD• Discuss general wound care management strategies.

9:40 a.m. BreakVASCULAR CARE10 a.m. Arterial Work-Up and Angiosomes in Wound Healing Jihad Abbas, MD, FACS, FACCWS, RPVI

• Recognize an ischemic ulcer.• Discuss work-up of an ischemic ulcer, including understanding the angiosomes concept.• Identify different modes of treatment for an ischemic ulcer.

10:20 a.m. Work-up for Venous Ulcers John Fish III, MD, FSVM, RPVI• Identify importance of ruling out arterial occlusive disease prior to starting compression therapy in patients

with venous leg ulcers (VLU).• Cite four-week prognostic indicators for healing in a VLU.• Describe venous imaging options for a VLU and understand basic application of these modalities.• Recognize indications and options for both surgical and non-surgical advanced VLU therapy.

10:40 a.m. Non-Healing Wounds in the Setting of Lymphedema Samih Bittar, MD, FACP, FSVM• Discuss pathophysiology of swelling in the setting of lymphedema.• Recognize lipedema.• List compression therapy and lymphedema physiotherapy to improve wound healing. 

11 a.m. Management Mixed Disease in Lower Extremities Andrew Seiwert, MD, FACS• Define characteristics of a patient with mixed arterial and venous disease.• Identify medical management of a patient with “mixed disease”.

11:20 a.m. Panel Discussion Moderator: Jihad T. Abbas, MD, FACS, FACCWS, RPVI• Review vascular care work-up and management.

11:40 a.m. Lunch

DIABETIC FOOT CARE: PODIATRY, FOOT AND ANKLE12:40 p.m. Offloading of Diabetic Foot Wounds Donald E. Mrdjenovich, DPM, CWS

• Identify offloading devices.• Identify different biomechanical forces involved in causing diabetic foot wounds.• Explain best practice strategies for offloading diabetic foot wounds.

1 p.m. Pathophysiology and Staging of Charcot Ryan C. Kish, DPM• Describe pathophysiology of inflammation and osseous destruction in Charcot neuroarthropathy.• Describe clinical and radiographic findings based on staging of Charcot arthopathy.

1:20 p.m. Diagnostic Dilemma Between Osteomyelitis and Charcot

Matthew M. Reiner, DPM, AACFAS

• Outline when to order imaging for osteomyelitis/Charcot.• Cite which imaging to order for osteomyelitis/Charcot.• Discuss correlating imaging clinically for osteomyelitis/Charcot.

1:40 p.m. Reconstruction of Charcot Deformity Thomas G. Padanilam, MD• Identify the characteristics of Charcot arthropathy and implications for management of foot and ankle deformities• Develop an understanding of surgical options for reconstruction of Charcot foot and ankle deformities

2 p.m. Panel Discussion Moderator: Christopher Winters, DPM , CWSP, FACCWS

• Discuss diabetic foot care including podiatry, foot and ankle wound treatment strategies.2:20 p.m. BreakADVANCED THERAPIES AND RECONSTRUCTION2:40 p.m. Cell and Tissue Products John C. Lantis, MD, FACS

• List categories of cellular and tissue based products.• Cite relative merits of different technology platforms.• Develop an algorithm where each category of cellular and tissue based product may be best used.

3 p.m. Approved Indications for Hyperbaric Oxygen Therapy (HBO) Marvin Heyboer III, MD, FACEP, FACCWS, FUHMS• Recognize current indications for HBO other than diabetic foot ulcer.• Cite current literature related to lower extremity reperfusion and HBO.

3:20 p.m. When to Consult a Plastic Surgeon Richard Simman, MD, FACS, FACCWS• Review indications for split thickness skin graft and full thickness skin grafts.• Cite indications for flaps.• Identify difference between grafts and flaps.

3:40 p.m. Role of Free Flaps in the Coverage of Complex Wounds

Thomas L. Flanigan, MD

• Define what a free flap is.• Describe circumstances warranting a free flap reconstruction.• Cite different options for free flap reconstruction.

4 p.m. Panel Discussion Moderator: Richard Simman, MD, FACS, FACCWS• Review advanced therapies and reconstruction options for chronic wounds.

4:20 p.m. Closing Jihad T. Abbas, MD, FACS, FACCWS, RPVI4:40 p.m. Evaluation 4:50 p.m. Adjournment

EDUCATIONAL CREDITS

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Ohio State Medical Association through joint providership of ProMedica and The American College of Clinical Wound specialists. ProMedica is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

ProMedica designates this live educational activity for a maximum of 6.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 6.75 hours of AMA PRA Category 1 Credit™ for completing this program.

ProMedica is an approved provider of continuing nursing education by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91) (OH-069/4-1-2021)

REFUND/CANCELLATION POLICY

The registration fee, minus a $25 administrative fee, will be refunded if a cancellation is received (in writing or by phone) no later than Monday, May 7, 2018. Refunds will not be given for failure to attend. Substitutions may be made at any time (in writing or by phone) without an additional charge. If this meeting is cancelled for any reason, including labor strikes or acts of nature, liability is limited to a full refund of registration fees.

For more information, please call the ProMedica Continuing Medical Education Department at 419-291-4650.

We ask you to help support ProMedica’s fight against hunger by donating a non-perishable food item to this conference which will be donated to a local food bank. Thank you!