The Diabetic Foot Update 2004:A MultidisciplinaryApproach

December 2–5, 2004 Marriott Rivercenter Hotel

San Antonio, Texas

Sponsored by

The University of Texas Health ScienceCenter at San Antonio Medical SchoolDepartment of Orthopaedics, Podiatry Division

In Cooperation with

Texas Diabetes InstituteandTexas Diabetes CouncilTexas Department of State Health Services

TEXAS DIABETES INSTITUTE______________________A member of the University Health System

Diabetic Foot Update

TEXAS DI A B E TESC O U N C I L

AccreditationThe University of Texas Health Science Center at San Antonio Medical School is accredited by the Council onPodiatric Medical Education as a sponsor of continuing education in podiatric medicine. This conference has beenapproved for a maximum of 21.5 hours.

The University of Texas Health Science Center at San Antonio Medical School is accredited by the Accredita-tion Council for Continuing Medical Education to providecontinuing medical education for physicians.

The University of Texas Health Science Center at San Antonio Medical School designates this educational activity for a maximum of 21.5 Category 1 creditstoward the AMA Physician’s Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.

The AMA Category 1 credit may be used by PhysicianAssistants and Nurse Practitioners.

The University of Texas Health Science Center at SanAntonio School of Nursing is an approved provider of continuing nursing education by the Texas NursesAssociation, an accredited approver by the American NursesCredentialing Center’s Commission on Accreditation. Thisactivity meets Type I criteria for mandatory continuing education requirements toward relicensure as established bythe Board of Nurse Examiners for the State of Texas. Nursesmay earn up to 26 continuing education contact hours.

Display of commercial products in conjunction with NursingContinuing Education activities does not imply American NursesCredentialing Center (ANCC) Commission on Accreditation orTexas Nurses Association (TNA) or The University of TexasHealth Science Center at San Antonio School of Nursing, NursingContinuing Education approval or endorsement of these products.

Application has been made with the Texas Physical TherapyAssociation for CEUs for Physical Therapists and PhysicalTherapy Assistants.

Application has been made with the Board of Certificationfor Pedorthists for CEUs for Pedorthists.

For information about other specialty credit which may beavailable, contact the CME Registrar at (210) 567-4446.

ObjectivesAt the end of the conference, the participant should be able to:1. Explore the etiology and pathogenesis of diabetic

foot lesions.2. Define the role of patient education in a team approach to

prevention of diabetic foot lesions.3. Explain the causes of diabetic ulcers and significant

advances in treatment.4. Discuss the pathophysiology and treatment of

Type 2 diabetes.5. Explore the mechanics of footwear and the role of proper

shoe gear in preventing diabetic foot lesions.6. Analyze the role of nutrition and non-invasive vascular

testing in predicting healing of diabetic lesions.7. Explain the dynamics of wound healing and why each

is different.8. Determine the appropriate medical & surgical treatment of

various infected wounds based on the latest clinical trials data.

9. Identify the biochemical and microcellular aspects of the problem wound.

10. Demonstrate knowledge and understanding of the microbiology of the diabetic foot.

11. Explain antibiotic resistance in Gram Positive infections.12. Discuss strategies/interventions to prevent

diabetic complications.

Target Audience This conference is designed for physicians (DPM, MD, DO)treating patients with diabetes, as well as for diabetic educators,nurses, pedorthists, physical therapists, and all other healthcareprofessionals who have a role in the management of diabeticfoot pathology.

LocationThe Diabetic Foot Update 2004: A MultidisciplinaryApproach will be held at the Marriott Rivercenter Hotel,located at 101 Bowie Street in San Antonio, Texas. Situated onthe scenic banks of the San Antonio River, the MarriottRivercenter is in the heart of downtown San Antonio, and isconnected to the fabulous Rivercenter Shopping Complex.From the hotel, guests may walk to the Alamo, San AntonioConvention Center, Alamodome, La Villita Market Square, anda host of other world-renowned attractions. The MarriottRivercenter is a short drive away from championship golf,theme parks, the San Antonio Zoo, El Mercado MexicanMarket, Hemisfair Park, the Sunken Gardens, and the SanAntonio International Airport.

December in San AntonioDecember is truly a spectacular time to visit San Antonio andthe Riverwalk. Thousands of holiday lights sparkle in thelarge cypress trees, while carolers aboard river barges singholiday favorites. All the history, culture, excitement of SanAntonio are waiting. Throughout the city, visitors will findmusic ranging from symphony to mariachi, country westernto Dixieland jazz. Charming horsedrawn carriages and opentrolley cars carry guests through the streets of this colorful city.

AccommodationsA block of guest rooms has been reserved for attendees ofThe Diabetic Foot Update 2004: A MultidisciplinaryApproach at the conference site, the Marriott RivercenterHotel. A special conference rate of $165.00 for single accommodations, $165.00 for double accommodations, plustax, has been arranged with the Marriott Rivercenter whenyou identify yourself as an attendee of The UTHSCDiabetic Foot Conference.

Please make your own reservations directly with the hotelas soon as possible by calling 800-228-9290 (MarriottCentral Reservations), or (210) 223-1000 (MarriottRivercenter San Antonio local number). The block of roomswill be protected only until November 10, 2004 or until the block is filled. After that date, any remainingrooms will be released for general sale and reservations willbe subject to room and rate availability. Should the block fillprior to November 10, additional room availability will be atthe discretion of the hotel. The Marriott Rivercenter is located at 101 Bowie Street in San Antonio.

We urge you to make your reservations as soon as possible. The Marriott Rivercenter Hotel’s setting along the Riverwalkmakes it a popular destination for holiday light-viewing.Come join the fun!!

RegistrationThe Registration fee for The Diabetic Foot Update 2004:A Multidisciplinary Approach for physicians is $500 (ifpostmarked by November 22, 2004) and $550 (afterNovember 22, 2004). Special fees have been establishedfor military physicians, physical therapists, and internationalguests at $350/$400; for nurses, pedorthists, and other healthprofessionals at $300/$350 and $35 for Residents andStudents with letter of verification from program director.

Workshops are free this year unless they involve special materials or are extremely hands-on. Those workshops will bemarked by double asterisk (**) on the registration form.

The conference registration fee includes tuition, course syllabus, entrance to Exhibit Hall, continental breakfasts,refreshment breaks, Thursday Welcome Reception, FridayLunch, and Friday Reception. To enroll, please send theattached registration form with credit card information or acheck payable to “UTHSCSA-CME”.

If you must cancel your registration, tuition will be refundedless a $45 administrative fee, provided notice is received byNovember 22, 2004.

UTHSCSA Continuing Medical Education reserves the rightto limit enrollment or cancel any course no less than one weekprior to the course. Should circumstances make this necessary,tuition will be refunded in full.

AcknowledgmentsA number of fine companies will give educational supportgrants for the conference. Acknowledgment of these organizations as well as our many other exhibitors will bemade at the conference.

Check out our website: www.diabeticfoot.org

The Diabetic Foot Update 2004: A Multidisciplinary ApproachDecember 2-5, 2004

Thursday, December 2, 2004

11:00am-1:00pm Registration, Light Lunch Reception,Visit Exhibits

1:00-1:20 Welcome and Program OverviewRichard C. Adam, DPMJohn S. Steinberg, DPMLawrence B. Harkless, DPM

SESSION: GENERAL DIABETES: EPIDEMIOLOGY,PATHOPHYSIOLOGY, TREATMENT AND PREVENTION

Moderator - Lawrence B. Harkless, DPM

1:20-2:05 Pathobiology of Diabetic Complications Paresh Dandona, MD, PhD, FRCP, FACP, FACC

2:05-2:30 Prevention of Macrovascular and Microvascular Complications in DiabetesLance A. Sloan, MD, PA

2:30-3:00 Biology of PADRobert J. Chilton, DO

3:00-3:30 Break and Visit Exhibits

3:30-4:00 Update on New Drugs For Treatment of DiabetesJanet L. Blodgett, MD

4:00-4:30 Diabesity: Treatment Virginia Zamudio, RN, MSN, CDE

4:30-5:00 Pathways to Improved Public Action in Diabetes Jan M. Ozias, PhD, RN

5:00-5:30 Diabetes and the Future: Combating the Inevitable Robert Treviño, MD

5:30-7:00 Cocktail Welcome Reception

Friday December 3, 20047:00-7:55 am Continental Breakfast and Exhibits

7:55-8:00 AnnouncementsRichard C. Adam, DPM

SESSION: INFECTION AND THE DIABETIC FOOTModerator: David G. Armstrong, DPM, MSc

8:00-8:15 Is the Wound Infected? Inflammation versus Infection Lawrence B. Harkless, DPM

8:15-8:45 Microbiology of the Diabetic FootJan E. Patterson, MD

8:45-9:15 Classification and Antibiotics of Diabetic Foot InfectionsWarren S. Joseph, DPM, FIDSA

9:15-9:45 MRSA: It’s Not Just Nosocomial Any LongerBenjamin A. Lipsky, MD, FACP

9:45-10:00 MRSA: The UT ExperienceV. Kathleen Satterfield, DPM

10:00-10:30 Break and Visit Exhibits

10:30-11:00 Imaging of Diabetic Foot InfectionPeter Sheehan, MD

11:00-11:30 Effect of Contamination and Biofilms in the Chronic WoundVickie R. Driver, DPM, MS

11:30-12:30 pm Clinical Case Presentation/Discussion PanelLawrence B. Harkless, DPM V. Kathy Satterfield, DPMJan E. Patterson, MD Peter Sheehan, MDWarren S. Joseph, DPM, FIDSA Vicki R. Driver, DPM, MSBenjamin A. Lipsky, MD, FACP

12:30-2:00 Lunch in Exhibit Hall

Moderator: Peter Sheehan, MD

2:00-2:30 Surgical Approach to the Deep Plantar Space Infection in the Diabetic Foot Javier La Fontaine, DPM

2:30-3:00 Surgical Management of the Infected FootJohn S. Steinberg, DPM

3:00-3:30 Assessment of Risk FactorsRosemay Michel, DPM

3:30-4:00 How May Recurrence Be Prevented:Activity MonitoringDavid G. Armstrong, DPM, MSc

4:00-4:30 Break and Visit Exhibits

4:30-4:50 Does Weight Bearing Activity Really Increase Foot Ulceration?Joseph W. LeMaster, MD, MPH

4:50-5:15 Lifestyle Factors: PsychosocialLoretta Vileikyte, MS, MD

5:15-6:00 KEYNOTE ADDRESS:Paul Brand MD Memorial Lecture The Art of Clinical Observation:The Legacy of Paul BrandAndrew J. M. Boulton, MD, DSc(Hon), FRCP

6:00-7:30 Reception

Saturday December 4, 20047:00-7:55 am Continental Breakfast and Exhibits

7:55-8:00 AnnouncementsRichard C. Adam, DPM

SESSION: NEUROPATHY AND VASCULAR DISEASEModerator: Aristidis Veves, MD, DSc

8:00-8:30 New Potential Treatments For Diabetic NeuropathyAndrew J. M. Boulton, MD, DSc(Hon), FRCP

8:30-9:00 The Role of Inflammation and Coagulation in the Diabetic FootPaula Shireman, MD

9:00-9:30 Vascular Abnormalities in the Diabetic FootAristidis Veves, MD, DSc

9:30-10:00 New Science and Techniques in Revascularization of the Lower Extremity David E. Allie, MD, FACS, FACC, FACA, FCCP

10:00-10:30 Break and Visit Exhibits

10:30-11:00 Results of Surgical Revascularization of the Diabetic FootBoulos Toursarkissian, MD

11:00-11:30 Consensus Development in PADPeter Sheehan, MD

11:30- 12:00 Decision Making in Partial Foot Amputations and Symes Ronald A. Sage, DPM

12:00-1:30 pm LUNCH ON YOUR OWN-TO ENJOY THE RIVERWALK

10:00-10:30 The Value of a Patient Support Group:Professional and Patient PerspectivesSabrina Kallies, BSN, RNWilliam McFarland, PatientTexas Diabetes Institute

10:30-12:00 noon Panel Discussion and ComplicatedCase PresentationsModerator V. Kathleen Satterfield, DPM

David E. Allie, MD, FACS, FACC, FACA, FCCPDavid G. Armstrong, DPM, MScLawrence B. Harkless, DPMLawrence A. Lavery, DPM, MPHRonald A. Sage, DPMPeter Sheehan, MDAdrianne P. Smith, MD

12:00-12:30 p.m. Tying it all togetherLawrence B. Harkless, DPM

12:30 ADJOURN

1:30pm

2:45pm

4:00pm

1:30–2:30 pm

2:45–3:45 pm

4:00–5:00 pm

Workshop Schedule: Saturday Afternoon, December 4, 2004

DiabeticShoes and

Orthoses: APatientService

John Moore,DPM

Real LifeReimbursementIssues: GettingPaid For What

We Do

Harry Goldsmith,DPM

What Do IPut On the

Wound?Topical

Products andDressingsAdrianne P.Smith, MD

RadiologyRefresher:MRIs and

CTs

Crystal Holmes, DPM

ClinicalEvaluation ofthe Diabetic

Foot

JosephCaporusso, DPM

TotalContactCasting

1:30-3:00p.m.

Javier La Fontaine,

DPM

Francis Derk,DPMFrom Shoes

to AFO’s-Diabetic Foot

Care

Gordon Bosker,CP, Cped, LCPO

Thomas Darm,LCPO, Cped

Real LifeReimbursementIssues: GettingPaid For What

We Do

Harry Goldsmith,DPM

CompressionTherapies:

Who, What,Where, When,Why and How

Barbara Aung,DPM

Interpretingthe Language

of VascularStudies:

Non-InvasiveVascular Labs

Rosemay Michel,DPM

WoundDebridementTechniques:Hands-On

2:45-4:45p.m

Jean Tesmer,DPM

Jimmy Trang,DPM

TotalContactCasting

3:15-4:45p.m

Javier La Fontaine,

DPM

Francis Derk,DPM

Off-LoadingDilemmas:Real LifeCases andSolutions

Penny Phillips-Deines, DPM

Setting Up aWound Care

Clinic:Lessons

Learned andPitfalls to Be

Avoided

John S.Steinberg, DPM

What Do IPut On the

Wound?Topical

Products andDressings

Adrianne P.Smith, MD

NeuropathyTesting

LawrenceLavery,

DPM, MPH

ExternalFixation

3:15-4:45p.m

CharlesZelen, DPM

Wound V.A.C.

3:15-4:45p.m

Thi Pham,DPM

RobertDoyle, DPM

ExternalFixation

1:30-3:00p.m.

CharlesZelen, DPM

WoundV.A.C.

1:30-3:00p.m.

Thi Pham,DPM

RobertDoyle, DPM

Time Shoes and Devices Business Issues Wound Care Clinical Skills

Sunday December 5, 2004

7:00-7:55am Continental Breakfast

7:55-8:00 AnnouncementsJohn S. Steinberg, DPM

SESSION: DIABETIC FOOT COMPLICATIONSModerator: Rosemay Michel, DPM

8:00-8:30 Predicting the Future:Where Will the Next 10 Years Take Us?David G. Armstrong, DPM, MSc

8:30-9:00 Outpatient Care and Morbidity Reduction in Diabetic Foot UlcerationRonald A. Sage, DPM

9:00-9:30 Charcot Arthropathy, Evaluation and Management - The Basics:Home Temperature Monitoring to Prevent Foot UlcerationsLawrence Lavery, DPM, MPH

9:30-10:00 BREAK

1. 2. 3. 4. 5. 6. 7. 8.

9. 10. 11. 12. 13.

14. 15. 16.

17. 18. 19. 20.

Hands-On Skills

1:30-5:00 Afternoon Workshops

2:00-5:00 Public Health Diabetic Foot Screening (No CME Credit) Contact UTHSCSA Orthopaedics (210) 567-6503 for more information

Course DirectorsRichard C. Adam, DPMClinical ProfessorDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San AntonioPrivate Practice/San Antonio

Lawrence B. Harkless, DPMProfessor, Department of Orthopaedics and Louis T. Bogy Professor of Podiatric Medicine and SurgeryThe University of Texas Health Science Center at San Antonio

V. Kathleen Satterfield, DPMAssociate ProfessorDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San Antonio

John S. Steinberg, DPMAssociate ProfessorDepartment of SurgeryGeorgetown University HospitalWashington, DC

Course CommitteeRosemay Michel, DPMAssistant Professor Director, Resident & Student EducationDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San Antonio

Javier La Fontaine, DPM Assistant ProfessorDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San Antonio

Rosalie Tierney-Gumaer, MSN, MPH, BSNDirector, Continuing Nursing EducationThe University of Texas Health Science Center at San Antonio

Course FacultyDavid E. Allie, MD, FACS, FACC, FACA, FCCPDirectorDepartment of Cardiothoracic and Endovascular SurgeryDirector of Peripheral Vascular StudiesCardiovascular Institute of the South/LafayetteLafayette, Louisiana

David G. Armstrong, DPM, MScProfessor of SurgeryChair of Research & Assistant DeanDr. William M. Scholl College of Podiatric Medicine Rosalind Franklin University of Medicine and Science Director, Center for Lower Extremity Ambulatory Research Rosalind Franklin University of Medicine and ScienceChicago, Illinois

Barbara J. Aung, DPMMedical Director, Podiatric Physician-Clinic(s) Aung FootHealth ClinicsTucson, Arizona

Janet L. Blodgett, MDDirector of Diabetes ClinicsSouth Texas Veterans Healthcare SystemsClinical Assistant ProfessorDepartment of Medicine, Division of DiabetesSan Antonio, Texas

Gordon W. Bosker, CP, Cped, LCPOInstructor of Rehabilitation MedicineClinical Instructor of Physical TherapyThe University of Texas Health Science Center at San Antonio

Andrew J. M. Boulton, MD, DSc(Hon) FRCPProfessor of Medicine, University of Manchester, UKConsultant PhysicianManchester Royal Infirmary Manchester, UKProfessor of MedicineUniversity of Miami School of MedicineMiami, Florida

Joseph M. Caporusso, DPMClinical Associate ProfessorDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San Antonio

Robert J. Chilton, DOAssociate ProfessorDepartment of Medicine, Division of CardiologyThe University of Texas Health Science Center at San Antonio

Thomas R. Darm, CPO, Cped, LPOInstructor of Rehabilitation MedicineClinical Instructor of Physical TherapyThe University of Texas Health Science Center at San Antonio

Paresh Dandona, MD, PhD, FRCP, FACP, FACCFounder and DirectorHead, Division of EndocrinologyDiabetes-Endocrinology Center of Western New YorkKaleida HealthBuffalo, New York

Francis Derk, DPMStaff PodiatristSouth Texas Veterans Health Care SystemAudie L. Murphy Veterans HospitalSan Antonio, Texas

Robert Doyle, DPMChief ResidentDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San Antonio

Vickie R. Driver, DPM, MSChair, Northwest Limb Preservation ConferenceChief, Limb Preservation ServiceDepartment of OrthopaedicsMadigan Army Medical CenterTacoma, Washington

Harry Goldsmith, DPMCEOCodinglineCerritos, California

Lawrence B. Harkless, DPMProfessor, Department of Orthopaedics and Louis T. Bogy Professor of Podiatric Medicine and SurgeryThe University of Texas Health Science Center at San Antonio

Crystal Holmes, DPMChief Podiatry ResidentDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San Antonio

Warren S. Joseph, DPM, FIDSAVeterans Affairs Medical CenterEditor, Journal of the American Podiatric Medical AssociationCoatesville, Pennsylvania

Sabrina Kallies, BSN, RNOrthopaedic/Podiatry Nurse Case/Clinical ManagerDiabetic Amputee Support Group FacilitatorThe University Center for Community HealthTexas Diabetes Institute San Antonio, Texas

Javier La Fontaine, DPMAssistant ProfessorDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San Antonio

Lawrence A. Lavery, DPM, MPHAssociate ProfessorDepartment of SurgeryTexas A&M Health Science Center College of MedicineTemple, Texas

Joseph W. LeMaster, MD, MPHAssistant ProfessorDepartment of Family & Community MedicineUniversity of Missouri-ColumbiaSchool of MedicineColumbia, Missouri

Benjamin A. Lipsky, MD, FACPProfessor of MedicineUniversity of WashingtonHospital Epidemiologist Chair of Infection ControlDirector, General Internal Medicine ClinicAssociate ChiefDivision of General Internal MedicineVA Puget Sound Health Care SystemSeattle, Washington

Mr. William McFarlandPatient, Texas Diabetes InstituteSan Antonio, Texas

Rosemay Michel, DPMAssistant ProfessorDirector, Resident & Student EducationDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San Antonio

Jonathan Moore, DPMCumberland Foot & Ankle CenterSomerset, Kentucky

Jan M. Ozias, PhD, RNDirector of Texas Diabetes ProgramTexas Department of State Health ServicesAustin, Texas

Jan E. Patterson, MDProfessorDepartments of Medicine (Infectious Diseases) and PathologyThe University of Texas Health Science Center at San AntonioChief of MedicineAudie L. Murphy Veterans HospitalSan Antonio, Texas

Thi Pham, DPMChief ResidentDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San Antonio

Penny Phillips-Deines, DPMDiabetic Foot FellowDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San Antonio

Ronald A. Sage, DPMProfessor and ChiefSection of PodiatryDepartment of Orthopaedic Surgery and RehabilitationLoyola University Stritch School of MedicineMaywood, Illinois

V. Kathleen Satterfield, DPMAssociate ProfessorDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San Antonio

Peter Sheehan, MDClinical Associate ProfessorDirector, Foot and Ankle CenterNew York Medical CenterHospital for Joint DiseasesOrthopaedic InstituteNew York, New York

Paula Shireman, MDAssistant ProfessorDepartments of Medicine and SurgeryDivision of Vascular Surgery The University of Texas Health Science Center at San AntonioSouth Texas Veterans Health Care SystemSan Antonio, Texas

Lance A. Sloan, MD, PAMedical DirectorH.C. Polk Jr. Regional Diabetes CenterLufkin, Texas

Adrianne P. Smith, MDMedical DirectorHyperbaric Wound Care CenterTexas Diabetes InstituteAssistant ProfessorDepartment of Rehabilitation MedicineThe University of Texas Health Science Center at San Antonio

John S. Steinberg, DPMAssociate ProfessorDepartment of SurgeryGeorgetown University HospitalWashington, DC

Jean Tesmer, DPMChief ResidentDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San Antonio

Jimmy Trang, DPMAdministrative Chief ResidentDepartment of Orthopaedics, Podiatry DivisionThe University of Texas Health Science Center at San Antonio

Robert Trevino, MDDirector, Social Health and Research CenterBienstar ProgramSan Antonio, Texas

Boulos Toursarkissian, MDAssociate Professor and Chief of Vascular SurgeryDepartment of SurgeryThe University of Texas Health Science Center at San Antonio

Aristidis Veves, MD, DScResearch DirectorMicrocirculation Lab and Joslin-Beth Israel Deaconess Foot CenterAssociate ProfessorHarvard Medical SchoolBoston, Massachusetts

Loretta Vileikyte, MS, MDSenior Clinical Research FellowDepartments of Medicine and Behavioral MedicineUniversity of Manchester, UKAssistant Professor of Medicine and PsychologyUniversity of Miami School of MedicineMiami, Florida

Virginia Zamudio, RN, MSN, CDEPartner, Alamo Diabetes Team, LLPSan Antonio, Texas

Charles M. Zelen, DPMAssistant Clinical Professor of MedicineUniversity of VirginiaLewis Gale PodiatryRoanoke, Virginia

The Diabetic Foot Update 2004: A Multidisciplinary ApproachDecember 2–5, 2004 • The Marriott Rivercenter Hotel, San Antonio, Texas

Registration Form (118839) Early Fee Regular Fee Registration Fees: By Nov. 22, 2004 After Nov. 22, 2004

• DPM, MD, and DO ____$500 ____$550• Military Physicians, Physical Therapists,

& International Guests ____$350 ____$400• Nurses, Pedorthists,

other Health Professionals ____$300 ____$350

• Residents and Students ____$ 35 (with letter of verification from program director)• Workshops with Fees

(Hands-on workshops 6, 13, 14) ____$ 35

Name _________________________________________________________________________________________________

ME or License Number ___________________________________________________________________________________

Daytime Phone __________________________________________ FAX __________________________________________

� DPM � MD � DO � PT � RN � CPed � OT � Other _____________________________

Specialty_______________________________________________________________________________________________

Address ____________________________________________ City, State, Zip ______________________________________

E-Mail ________________________________________________________________________________________________

Please indicate workshops you will be attending for each session in the section below. An additional fee** is required for workshops 6, 13, and 14.Workshops and Symposia (Choose one activity for each of the three afternoon sessions. You will NOT be assigned to any workshops if you do not indicate your preference on the registration form. Workshops are limited and may close out quickly). If you chooseWorkshop numbers 6, 7, 8, 13, 14, 15, or 16 please note that the workshop will last 1.5-2 hours and you will only be able to attend oneother workshop. Enrollment is limited for each workshop and symposium.

_______Check enclosed (Please make payable to “UTHSCSA-CME”)_______ Please charge my � Visa � Mastercard � Discover � American Express

Card Number ______________________________________________________ Exp. Date ____________________________

Signature ______________________________________________________________________________________________

Do you have special requirements? � Yes � NoIf yes, you will be contacted by our CME staff to see how we can assist.

Mail (or fax with credit card payments) this registration form and payment to:

The University of Texas Health Science Center at San AntonioContinuing Medical Education, MSC 79807703 Floyd Curl DriveSan Antonio, TX 78229-3900Call: (210) 567-4446 or FAX: (210) 567-6964

�

Diabetic Foot Update

Saturday 1:30-2:30 pm: Choose One� 1. Diabetic Shoes and Orthoses: A Patient Service� 2. Real Life Reimbursement Issues: Getting Paid For What We Do � 3. What Do I Put On the Wound? Topical Products and Dressings� 4. Radiology Refresher: MRIs and CTs� 5. Clinical Evaluation of the Diabetic Foot Saturday 2:45-3:45 pm: Choose One� 9. From Shoes to AFO’s-Diabetic Foot Care � 10. Real Life Reimbursement Issues: Getting Paid For What We Do � 11. Compression Therapies: Who, What, Where, When, Why and How� 12. Interpreting the Language of Vascular Studies: Non-Invasive

Vascular LabsSaturday 4:00-5:00 pm: Choose One� 17. Off-Loading Dilemmas: Real Life Cases and Solutions� 18. Setting Up a Wound Care Clinic: Lessons Learned and Pitfalls to

Be Avoided� 19. What Do I Put On the Wound? Topical Products and Dressings� 20. Neuropathy Testing

See our Website:www.diabeticfoot.org

ONE and HALF-HOUR WORKSHOPSSaturday 1:30-3:00 pm: Choose One� 6. Total Contact Casting� 7. External Fixation� 8. Wound V.A.C.Saturday 3:15-4:45 pm: Choose One� 14. Total Contact Casting� 15. External Fixation� 16. Wound V.A.C.TWO HOUR WORKSHOPSaturday 2:45-4:45 pm:� 13. Wound Debridement Techniques: Hands-On

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The Diabetic Foot Update 2004

A Multidisciplinary ApproachDecember 2–5, 2004Marriott Rivercenter Hotel San Antonio, Texas

The University of Texas Health Science Center at San AntonioContinuing Medical Education, MSC 79807703 Floyd Curl DriveSan Antonio, TX 78229-3900

The Diabetic Foot Update 2004A Multidisciplinary ApproachDecember 2-5, 2004

Make your Hotel Reservations at Once!Mark your Calendar and Make Plans to Attend NOW!This Will Be Your Only Announcement!

Nonprofit OrganizationU.S. Postage

PAIDPermit No. 1941

San Antonio, Texas

TEXAS DIABETES INSTITUTE______________________A member of the University Health System

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TEXAS DIABETESC O U N C I L