The Thirty-Seventh Annual No-Nonsense Seminar XXXVII
USD $375Event Date:
Mar 3-5, 2023
Approved For Up To 25 CMEs
Since 1985, the No-Nonsense seminar has provided a world-class program with scientific presentations and workshops presented by leading clinicians and experts in podiatric medicine and related disciplines. This event has been accredited by the Ohio Foot and Ankle Medical Foundation as an approved sponsor by the Council on Podiatric Medical Education. CME has been approved for up to 25 contact hours.
Thank You to Our Sponsors
The Swift System is a surface-based device intended for the coagulation of soft tissue during non-invasive procedures.
The premier provider of diagnostic services focusing on the skin, soft tissue, and bone of the lower extremity
The standard for accurate sensors and image quality in software to capture, visualize, and analyze pressure data.
Orthotica is the custom orthotic lab so smart and efficient, it’s the one you’d have designed yourself.
Speakers
David Mandel, MD
Owner David R. Mandel, MD
Jun Li, MD, FAAC
Clinical Assistant Professor CWRU School of Medicine
Mehdi H. Shishehbor, MD
President, Harrington Heart & Vascular Institute, UH
Patrick DeHeer, DPM
Hoosier Foot & Ankle
William Scherer, DPM
Adjunct Professor Barry University
Amanda Meszaros, DPM, FACFAS
Owner Oberlin Foot & Ankle
James McGuire DPM PT LPed, FAPWHc
Wound Center Director of the Temple University School of Podiatric Medicine
Windy Cole, DPM, CWSP, FAPWH
Director, Wound Care Research Kent State University College of Podiatric Medicine
Matthew Regulski, DPM, FFPM RCPS (Glasg)
Director Wound Care Institute
Mark Solomon, DPM
Pediatric Orthopedic Center
Ian Griffiths
Director – Sports Podiatry Info Ltd
Benjamin Colvard, MD
Assistant Professor Of Surgery at Case Western Reserve University
Tracey Vlahovic, DPM, FFPM, FCPS (Glasg)
Clinical Professor and Podiatric Physician at Temple University
Alton R. Johnson Jr., DPM, FACPM, FASPS
Clinical Assistant Professor & Attending Physician at The University of Michigan
Mark J. Medeszoon, DPM
Vice President Precision Orthopaedic Specialities
Krupa Patel, DPM, FACFAS
Partner Foot & Ankle Specialists of NJ
Jeffrey Lehrman DPM, FASPS, MAPWCA, CPC
Podiatric Consultant
Asim Raja, DPM
Residency Program Director
Jay Waysky, MD
Albany Med
Suhail Masadeh
Chief Surgical Podiatrist at University of Cincinnati and Cincinnati VA
Duane J. Ehredt Jr., DPM, FACFAS
Associate Professor in the Division of Foot & Ankle Surgery and Biomechanics at the Kent State University College of Podiatric Medicine (KSUCPM)
Mark Hardy, DPM, FACFAS
Partner at Balance Foot & Ankle Wellness Center
Sara Clark, MD
Endocrinologist at Albany Medical Center
Brian Loder, DPM, CWS, FACFAS
Owner Detroit Foot & Ankle
Jessie Block-Galarza, MD
Endocrinologist St. Peters Diabetes and Endocrine Care
Paul Graham, B. App. Sc. (Pod.), FAAPSM
CEO Step Force Training
Daniel L. Waldman, D.P.M. F.A.C.F.A.S.
Medical Director and Owner, Blue Ridge Foot Centers
Jason Kraus
Co-Founder, Orthotica Labs
Randy Rosler
National Director of Podiatry Content Connection
Jengyu Lai, DPM, DipABLM
Founder of Rochester Clinic
Yulanka Castro-Dominguez, MD
Clinical Assistant Professor, CWRU School of Medicine
Pete Turnbull
Founder Swift
Rich Dubin
Publisher LER Magazine
Chris McNamara
Founder Swift
Agenda
SURGERY: Medial Column Biomechanics and Surgical Implications
March 03, 2023, 08:30 AM – 09:30 AM EST(-05:00)
Patrick DeHeer, DPM
After attending this lecture, the attendee should be able to:
- Understand the terminology for forefoot varus and forefoot supinatus
- Describe the biomechanics of the medial column
- Understand the surgical basis and optimal position for forefoot alignment and the implications of how each procedure affects the surrounding components of the medial column
- Understand the role of equinus on the medial column
- Describe the effect of the medial column on hindfoot deformity correction
Huge E&M Changes Are Here! Now!
March 03, 2023, 09:30 AM – 10:30 AM EST(-05:00)
Jeffrey Lehrman DPM, FASPS, MAPWCA, CPC
Objectives:
- Differentiate between the two methods used to choose an office evaluation and management service level
- List three E&M types whose level selection methodology changed effective January 1, 2023
- List the three elements of medical decision-making considered when choosing a nursing facility evaluation and management level
SURGERY: Treatment of Navicular Fractures in Athletes
March 03, 2023, 10:30 AM – 11:30 AM EST(-05:00)
Mark J. Medeszoon, DPM
Learning Objectives:
- Understand the Osseous and vascular anatomy of the navicular bone and their impact on fractures.
- Appreciate lower extremity biomechanics and predilection for navicular fractures.
- Comprehend the long-term impact of navicular fractures on athletes and their athletic careers.
- Differentiate conservative and surgical treatment protocols for navicular fractures in athletes.
LUNCH and LEARN: What’s new in Podiatric Dermatology? 2023 Update
March 03, 2023, 11:30 AM – 12:00 PM EST(-05:00)
Daniel L. Waldman, D.P.M. F.A.C.F.A.S.
Objective: This presentation will provide an update on various conditions that are largely limited to the lower extremity. Attendees will gain perspective on evidence-based diagnosis and innovative testing options that will help to improve patient outcomes with early diagnosis and treatment. Examples of dermatology protocols and the value of office-dispensed products unique to podiatric medicine will be reviewed.
WOUND CARE: Management of soft tissue defects of the heel
March 03, 2023, 12:00 PM – 01:00 PM EST(-05:00)
Suhail Masadeh
Objectives:
- Understand the morbidity associated with wounds of the plantar heel
- Understand the physiology of the plantar fat pad
- Understand the plastic reconstructive ladder approach to wound management
- Understand the local and regional flap options for the management of complex wounds of the heel
WOUND CARE: The Role of Artificial Intelligence in Wound Management
March 03, 2023, 01:00 PM – 02:00 PM EST(-05:00)
Windy Cole, DPM, CWSP, FAPWH
- Understand the concepts of Artificial Intelligence, Machine Learning, and Deep Learning
- Discuss how aspects of Artificial Intelligence can impact wound care delivery
- Provide use cases to illustrate utility of new technologies
SURGERY: Midfoot Arthrodesis- Clinical Pearls and Cases
March 03, 2023, 02:00 PM – 03:00 PM EST(-05:00)
Krupa Patel, DPM, FACFAS
Objectives:
- Discuss the indications of midfoot arthrodesis procedures
- Review traumatic and nontraumatic causes of midfoot arthritis
- Discuss case examples with surgical technique pearls
- Case presentations and complications
BREAK: Podiatry’s Unique Opportunity to Play a Leadership Role in Preventing Falls in the Elderly Population
March 03, 2023, 03:00 PM – 03:15 PM EST(-05:00)
Jason Kraus
ORTHOBIOLOGICS: Fundamental Concepts and Terms
March 03, 2023, 03:15 PM – 04:15 PM EST(-05:00)
Asim Raja, DPM
Learning Objectives: (Q) 1. List the 3 General Ortho-biologic Categories (A) 1. Cell 2. Scaffold 3. Signal (Q) 2. What types of cells exist under the General Catagory of ‘Cell’ (A) 1. ‘Mesenchymal Stem Cells’ (MSC) / Pre-cursor Cells 2. Mature (Adult) Cells (Q) 3. What are so sources for acquiring ‘Undifferentiated Pre-cursor Cells’ (A) 1. Bone Marrow 2. Adipose Tissue 3. The Cambian Layer of the Periosteum (Q) 4. Name three types of ‘Signaling’ Substrates (A) 1. Cytokines 2. Growth Factors 3. Proteins
SURGERY: Complications in First Ray Surgery
March 03, 2023, 04:15 PM – 05:15 PM EST(-05:00)
Amanda Meszaros, DPM, FACFAS
Objectives: Postoperative complications of first ray surgery such as non-unions, malunions, avascular necrosis and infection are inevitable due to the volume of procedures performed by foot and ankle surgeons. Pre-operative, intra-operative and post-operative considerations are equally important in achieving optimal correction, positive patient outcomes and reducing complication rates. We will explore the importance of precise clinical evaluations, thorough diagnostic imaging and procedural algorithms to guide the implementation of effective treatments for each specific issue.
LUNCH N LEARN: New Frontiers in Dermatology
March 03, 2023, 05:15 PM – 05:45 PM EST(-05:00)
Tracey Vlahovic, DPM, FFPM, FCPS (Glasg), Pete Turnbull, Chris McNamara
A deep dive into the wonderful world of warts and how microwaves are changing the landscape. Dr. Tracey Vlahovic will join us to explain why warts are such a challenging condition to treat effectively and how microwave energy is delivering both consistency and elevated outcomes. Chris McNamara and Pete Turnbull (Swift USA co-founders) will also join to talk about how Swift can impact your practice from a differentiation and financial perspective.
POD MED: Podiatric Dermatology Pearls you can use on Monday
March 03, 2023, 05:45 PM – 06:45 PM EST(-05:00)
Tracey Vlahovic, DPM, FFPM, FCPS (Glasg)
Objectives:
- Review the latest topical products relevant to podiatric skin disease
- Discuss the latest in nail dystrophy
- Understand the latest developments in wart therapy
ENDOCRINOLOGY EXPERT PANEL DISCUSSION
March 04, 2023, 08:30 AM – 10:30 AM EST(-05:00)
Jay Watsky, MD, Sara Clark, MD, Jessie Block-Galarza, MD
Type 2 DM: It’s not just Sugar lowering anymore The Perioperative Management of Patients with Diabetes Learning objectives:
- Explain the role of A1c in the perioperative evaluation
- Review the role of diabetes medications in the perioperative period
- Describe the glycemic goals in the perioperative period
Update on Diabetes Technology: Insulin pumps and glucose sensors.
- Identify different devices used for continuous insulin delivery and glucose sensors.
- Explain basic concepts of manual pump therapy.
- Understand the basic functioning of a closed-loop system.
POD MED: Gout Arthritis – “A Systemic Disease” IT IS MORE THAN A PAINFUL FOOT!!
March 04, 2023, 10:30 AM – 11:30 AM EST(-05:00)
David Mandel, MD
OBJECTIVES:
- Discuss the acute Gout attack and its associated inflammatory response.
- Review clinical risk factors and the systemic complications associated with Gout.
- Examine the use of Musculoskeletal Imaging and DECT scanning in establishing a diagnosis of Gout.
- Review the current ACR guidelines for a Treat-To-Target approach to the management of Gout.
LUNCH AND LEARN: Changing the course of Uncontrolled Gout
March 04, 2023, 11:30 AM – 12:15 PM EST(-05:00)
David Mandel, MD
SURGERY: Minimally Invasive Surgical Techniques of the First Ray
March 04, 2023, 12:15 PM – 01:15 PM EST(-05:00)
Brian Loder, DPM, CWS, FACFAS
Objectives:
- Introduce the basic tenets of minimally invasive foot surgery
- Discuss the techniques available to treat pathology of the first ray
- Discuss the risk and benefits of minimally invasive foot surgery
- Demonstrate the PECAPLASTY technique for hallux abductovalgus
- Demonstrate the minimally invasive cheilectomy for hallux limitus
- Demonstrate the minimally invasive technique for hallux rigidus
- Discuss the post operative course for common minimally invasive techniques
SURGERY: Principles & Practice of Pediatric Flatfoot
March 04, 2023, 01:15 PM – 02:15 PM EST(-05:00)
Mark Solomon, DPM
The learner will understand the natural history of flatfoot and be able to discern normal physiologic variants from abnormal types. Essential principles involved in surgical correction will be reviewed with correlation to modern techniques.
WOUND CARE: Periwound Health: The Missing Piece of the Wound Healing Puzzle
March 04, 2023, 02:15 PM – 03:15 PM EST(-05:00)
James McGuire DPM PT LPed, FAPWHc
Learning Objectives
- Understand the importance of periwound health to the healing of the wound.
- Know the various therapies directed at improving periwound health.
- Understand the concept of local immunopathy and how it relates to periwound healing.
BREAK: How to Attract more New Patients and Grow your Practice with Online Marketing
March 04, 2023, 03:15 PM – 03:30 PM EST(-05:00)
Randy Rosler
POD MED: Onychomycosis and Emerging Antifungal (Terbinafine) Resistance
March 04, 2023, 03:30 PM – 04:30 PM EST(-05:00)
William Scherer, DPM
Overview of onychomycosis and the increasing incidence of terbinafine resistance fungal infections, case review, onychodystrophy vs onychomycosis, treatment challenges, history and fungicidal effect of terbinafine, literature review of antifungal resistance in nails, DNA sequencing of terbinafine resistance strains, advantages of early identification, molecular PCR assay testing for onychomycosis and terbinafine resistance, recent terbinafine resistance studies and data results, case review, oral and topical treatment options
Learning Objectives
- Understand how and why onychomycosis treatments may fail
- Identify the role terbinafine plays in treating onychomycosis
- Clarify the mechanism of action of terbinafine and antifungal resistance
- Analyze laboratory testing for onychomycosis, PCR clinical utility, and predicting antifungal resistance
- Review metadata literature for oral and topical medications for onychomycosis and terbinafine resistance
WOUND CARE: Modern Surgical and Procedural Wound Care
March 04, 2023, 04:30 PM – 05:30 PM EST(-05:00)
Alton R. Johnson Jr., DPM, FACPM, FASPS
This session will delve into decision-making on when surgical intervention for the diabetic foot should be considered and operative techniques for offloading ulcers.
SURGERY: Jones Fractures
March 04, 2023, 05:30 PM – 06:30 PM EST(-05:00)
Mark Hardy, DPM, FACFAS
The attendee will become familiar with the clinical criteria used to evaluate and treat foot and ankle pathologies. Conservative and surgical treatments will be based on evidence-based literature and clinical knowledge.
Utilize evidence-based guidelines on reducing operative complications.
The attendee will recognize the various traumatic injuries and fractures that occur in the foot and ankle. This will include a review of triage, diagnostic studies, surgical planning, surgical technique, and rehabilitation practices to manage these injuries.
Based on the clinical experiences of the speaker and the conclusions of the medical literature, the attendee will become familiar with optimal management strategies for foot and ankle conditions.
The attendee will examine the available imaging studies to effectively evaluate foot and ankle abnormalities and treatment planning.
LIMB SALVAGE EXPERT PANEL DISCUSSION
March 05, 2023, 08:30 AM – 10:30 AM EST(-05:00)
Jun Li, MD, FAAC, Benjamin Colvard, MD, Mehdi H. Shishehbor, MD, Yulanka Castro-Dominguez, MD
SURGERY: Endoscopic Calcaneoplasty (What? Why? How?)
March 05, 2023, 10:30 AM – 11:30 AM EST(-05:00)
Duane J. Ehredt Jr., DPM, FACFAS
Learning Objectives:
- Attendees will be able to define endoscopic surgical approaches for Haglund’s syndrome.
- Attendees will be able to properly identify patients who are candidates for ECP.
- Attendees will be able to describe the basic surgical technique for ECP.
LUNCH AND LEARN: How to Measure Dynamic Weight-Bearing Pronation with Plantar Pressure Mapping
March 05, 2023, 11:30 AM – 12:00 PM EST(-05:00)
Paul Graham, B. App. Sc. (Pod.), FAAPSM
The Centre of Pressure Excursion Index provides a dynamic weight-bearing measurement of pronation that is research validated and easily achieved. This objective measurement allows users to compare the efficacy of treatment with the patient’s response and should be used in everyday clinical practice.
Lifestyle Medicine in Lower Extremity Care
March 05, 2023, 12:00 PM – 01:00 PM EST(-05:00)
Jengyu Lai, DPM, DipABLM
Learning Objectives: To learn what lifestyle medicine is To learn the basic pillars of a healthy lifestyle To learn how lifestyle medicine relates to podiatric practice To learn how lifestyle medicine helps the physician burnout
WOUND CARE: Preventing Amputations in People with Diabetes
March 05, 2023, 01:00 PM – 02:00 PM EST(-05:00)
Matthew Regulski, DPM, FFPM RCPS (Glasg)
Learning Objectives:
- Understand the value of utilizing evidence obtained from both Randomized Controlled Trials (RCT) and Real-World Evidence (RWE) and its applicability in patient care
- Review the benefits of Cyclincal Pressurized Oxygen Therapy in reducing hospitalizations, amputations and the impact on morbidity, mortality, and patient’s quality of life
- Discuss how cost savings paired with superior outcomes can benefit the healthcare system as a whole
- Demonstrate where Cyclicnal Pressurized Oxygen Therapy can be applied to help reduce hospitalizations and amputations in a variety of pathologies.
BIOMECHANICS: Should we consider color when prescribing foot orthoses?
March 05, 2023, 02:00 PM – 03:00 PM EST(-05:00)
Ian Griffiths
By the end of this lecture you should be able to:
- Appreciate the way colours act as stimuli which induce physiological and psychological responses in humans
- Be familiar with some of the published research on colour as it applies to healthcare
- Discuss the potential value of the application of this science to foot orthoses
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