Diabetic Surgery Symposium

February 12, 2021 to February 14, 2021

Registration


Cost

  • Physicians (DO, MD, DPM) - $175
  • Allied Healthcare Professionals (e.g.: NP, PA, RN) - $100
  • Residents - $50
  • Students - $20

Single day registrations are not permitted for this online conference. If you're unable to attend each session, the recording and supplemental resources will be made available within one (1) week of the conference. Continuing education credit is not available for watching the recordings.

You must login or create an account before enrolling in this online educational activity. 

Once you're logged in, please select the "REGISTER" tab to process your payment and complete your registration.
 

Target Audience

Podiatrists, orthopedic foot and ankle surgeons (DO/MD), physicians, physician assistants, nurse practitioners, nurses and other foot and ankle providers.

Purpose

The diabetic foot and ankle is an extremely complex condition not only from a structural standpoint, but also from the diabetic disease process. Individuals with diabetes are prone to developing foot and ankle problems. If not treated correctly, these problems can result in painful complications and even amputation, as diabetes is responsible for over 50% of all foot amputations in the United States. Furthermore, surgical treatment of the diabetic foot and ankle is made difficult by tissue degradation and faulty wound healing. This course will focus on dealing with the diabetic with foot and ankle issues from understanding the underlying etiology to developing and implementing a treatment plan to maximize outcomes.

Curbside Consult with FASST

Are you looking for another opinion on a challenging case? Submit your case for discussion during the “Curbside Consult” session on the final day of the conference. Our expert panelists will discuss your case while you get their opinions. You will not be required to present the case and you can remain anonymous!

Email Dr. Sean Grambart to submit a case. 

Cases will be accepted through Thursday, February 11 at midnight. Please ensure that HIPAA laws are followed and patient information is de-identified prior to submitting your case.

Objectives

  • Recognize the methods to aid in diagnosing diabetic infections and ulcerations.
  • Discuss the surgical management of diabetic foot infections.
  • Describe the surgical treatment ladder in diabetic limb salvage.
  • Recognize the role of vascular studies and intervention in the management of the diabetic foot.
  • Discuss the different methods of Charcot reconstruction constructs.
  • Describe the importance of medical management of diabetic foot and ankle.

Professional Practice Gap

The prevalence of type 2 diabetes mellitus (T2DM) has reached epidemic proportions in the United States, the impact of which is seen in all medical practices. According to the CDC's (Centers for Disease Control) National Diabetes Statistics Report, in 2019, 37.3 million Americans, or 11.3% of the population, had diabetes. Diagnosed and undiagnosed.

The tenets of osteopathic medicine are readily applicable to a proactive approach to patients with T2DM and are (1) the body is a unit; the person is a unit of body, mind, and spirit; (2) the body is capable of self-regulation, self-healing, and health maintenance; (3) structure and function are reciprocally interrelated; and (4) rational treatment is based upon an understanding of these basic principles.

Individuals with diabetes are prone to developing foot and ankle problems. If not treated correctly, these problems can result in painful complications and even amputation, as diabetes is responsible for over 50% of all foot amputations in the United States. Following amputation, these patients have a high five-year mortality risk of up to 80%. Furthermore, surgical treatment of the diabetic foot and ankle is made difficult by tissue degradation and faulty wound healing. Recognizing the disease progression, developing a treatment plan, and executing the plan are the cornerstones for maximizing the outcomes of a diabetic foot and ankle procedure

Proper diabetic foot care is an essential part of limb preservation. Patients with T2DM are at increased risk for foot ulceration secondary to neuropathy, microvascular disease, and biomechanical/anatomical changes. The diabetic foot and ankle is an extremely complex condition not only from a structural standpoint, but also from the diabetic disease process. This course will focus on dealing with the diabetic with foot and ankle issues from understanding the underlying etiology to developing and implementing a treatment plan to maximize outcomes.

Course summary
Course opens: 
12/14/2020
Course expires: 
02/14/2021
Event starts: 
02/12/2021 - 7:00pm CST
Event ends: 
02/14/2021 - 10:15am CST
Cost:
$175.00

This is an online conference and all times are in Central Time. 

Friday, February 12
7:00 pmFriday Night Lights! Diabetic Disasters
Panelists: John S. Steinberg, DPM, FACFAS, Donald Bohay, MD, FACS, and Wesley Stotler, DO
9:00 pmAdjourn
Saturday, February 13
8:00 am 

Osteomyelitis “Gold” Standards

Do We Have a Gold Standard for the Diagnosis of Osteomyelitis?
John S. Steinberg, DPM, FACFAS

How Long Do I Have to be on Antibiotics?
Sean Grambart, DPM, FACFAS

Surgical Pearls
Panelists: John S. Steinberg, DPM, FACFAS and Sean Grambart, DPM, FACFAS

9:00 am

Surgical Salvage

Antibiotic Spacers for Diabetic Foot Surgery
John S. Steinberg, DPM, FACFAS

Avoiding the BKA: Partial Calcaneal Resection
Sean Grambart, DPM, FACFAS

Surgical Pearls
Panelists: John S. Steinberg, DPM, FACFAS and Sean Grambart, DPM, FACFAS

10:00 am

Avoiding the Elective Complication

What is a “Safe” HgbA1c in the Elective Case?
John Anderson, MD

Achilles Tendon Lengthening: Over or Under Utilized?
Donald Bohay, MD, FACS

Surgical Pearls
Panelists: John Anderson, MD and Donald Bohay, MD, FACS

10:45 amBreak
11:00 am

Ankle Issues

Options for the Diabetic Ankle Fracture
Wesley Stotler, DO

Is TAR an Option for the Diabetic?
Michael Brage, MD

Surgical Pearls
Panelists: Wesley Stotler, DO and Michael Brage, MD

12:00 pm

Charcot Conundrums

Charcot Reconstruction: Heel with Steel!
John Early, MD

When is an Exostectomy Enough?
John Anderson, MD

Surgical Pearls
Panelists: John Early, MD and John Anderson, MD

1:00 pm

Amputation Expectations

Maximizing Results of a Transmetatarsal Amputation
Sean Grambart, DPM, FACFAS

BKA Expectations
Wesley Stotler, DO

Surgical Pearls
Panelists: Sean Grambart, DPM, FACFAS and Wesley Stotler, DO

2:00 pmAdjourn
Sunday, February 14
8:00 amCurbside Consult and Diabetic Disasters
Panelists: John Anderson, MD, Michael Brage, MD, and John Early, MD
10:15 amAdjourn

Keynote Speaker

JOHN S. STEINBERG, DPM, FACFAS

Dr. Steinberg is the co-director of the Center for Wound Healing at MedStar Georgetown University Hospital and is the residency director for the podiatric surgical training program at MedStar Washington Hospital Center. He is board-certified in both foot surgery and reconstructive rearfoot and ankle surgery by the American Board of Foot and Ankle Surgery. Dr. Steinberg is also a professor at Georgetown University School of Medicine, Department of Plastic Surgery in Washington, DC. He is a Past-President of the American College of Foot and Ankle Surgeons. Dr. Steinberg has earned numerous honors and awards, including the Teaching Faculty of the Year at MedStar Washington in 2012 and the Lifetime Achievement Award from Podiatry Management magazine in 2013. He has lectured extensively on diabetic limb salvage and is involved in clinical research and publication.

In addition to general foot and ankle care, a large portion of Dr. Steinberg's practice is devoted to non-healing wounds and surgical care of the patient with diabetic foot complications. His wound care team takes a progressive, often surgically based approach that helps to speed healing and avoid amputation. Dr. Steinberg will be sharing his expert knowledge and experience in dealing with these complex diabetic patients. Full biography.

Faculty and Moderators

JOHN ANDERSON, MD

Dr. Anderson specializes in comprehensive treatment of foot and ankle disorders, including conservative and surgical care. He strives to go above and beyond the call of duty to gain more information about foot and ankle treatments and surgical procedures. As a national and international expert in his field, he frequently presents at conferences and events, and he publishes extensively to expand his own knowledge base and that of his peers. He is actively involved in research as well as medical student, resident and orthopaedic foot and ankle fellowship education.  Full biography.

DONALD BOHAY, MD, FACS

Dr. Bohay specializes in foot and ankle reconstruction, trauma and deformity, including bunions, hammertoes, painful flat feet, arthritis, diabetic foot, sports injuries and complex deformity. Passionate about helping the next generation of orthopaedists, Dr. Bohay instructs at two local institutions as well as reviews and edits two publications. He is also the director of the Grand Rapids Orthopaedic Foot and Ankle Fellowship Program in Michigan and has published hundreds of articles, authored book chapters and participated in numerous research projects. He has also been involved in humanitarian relief efforts, including volunteering with Partners in Health after the Haiti earthquake. Full biography.

MICHAEL BRAGE, MD

Dr. Brage is an orthopedic foot and ankle surgeon who sees patients at the Sigvard T. Hansen Foot and Ankle Institute at Harborview Medical Center in Seattle, WA. He treats all disorders of the foot and ankle including arthritis, tendon ruptures, foot and ankle deformities, acute trauma and fractures, repair of nonunions, total ankle replacements and repair of cartilage lesions. Dr. Brage enjoys the challenge of helping patients with severe foot and ankle deformities, injuries or disease, which limit their ability to lead an active lifestyle. It is rewarding for him to hear from patients following reconstructive or ankle replacement surgery, saying they have been able to resume activities. Dr. Brage is an avid softball player and enjoys contemporary rock music. Full biography.

JOHN EARLY, MD

Dr. Early is a board-certified orthopaedic surgeon on the team at Texas Orthopaedic Associates, LLP. He sees patients at the locations in Plano, Texas, and on Walnut Hill Lane in Dallas. Dr. Early specializes in the care of foot and ankle abnormalities, with a specialty in managing severe fractures of the foot and ankle and correcting neuromuscular imbalance caused by disease or injury. His interests range from the management of toe deformities to restoring weight-bearing function with complex reconstructions, and he is well-versed in the use of both internal fixation and complex external frames for limb reconstruction. Dr. Early graduated from Princeton University in Princeton, New Jersey, with a Bachelor of Science in chemical engineering. He earned his medical degree from the University of Texas Southwestern Medical School in Dallas, where he also completed a residency in orthopaedic surgery prior to finishing an internship in general surgery at the University of Pennsylvania’s Pennsylvania Hospital in Philadelphia. He finished up his medical training with a fellowship in foot and ankle surgery at the University of Washington’s Harborview Medical Center in Seattle. After completing his education, Dr. Early gave back to the medical community by serving for 10 years as a full-time orthopaedic faculty member and the head of the foot and ankle division at the University of Texas Southwestern Medical Center in Dallas, where he is currently still a clinical professor of orthopaedic surgery. Dr. Early is recognized as a leading member of his field. He was named a top doctor by TXTopDocs in 2018 and 2019. He is internationally renowned for his expertise in foot and ankle reconstruction, having published numerous articles and book chapters on the subject, as well as co-directing a well-regarded foot and ankle fellowship. Full biography.

SEAN GRAMBART, DPM, FACFAS

Dr. Grambart is an Assistant Professor in the College of Podiatric Medicine and Surgery at Des Moines University in Iowa. He joined the University in the Fall of 2019 after practicing with the Urbana, IL-based Carle Physician Group and Carle Foundation Hospital’s surgery department since 2004. He is a Diplomat and board-certified physician in foot surgery and ankle/rearfoot surgery by the American Board of Foot and Ankle Surgery. He also is a past president and current Fellow of the American College of Foot and Ankle Surgeons. A frequent presenter at podiatric medical conferences with numerous published articles and textbook chapters, Dr. Grambart completed a surgical residency with the Northwest Podiatric Surgical Program at the Swedish Medical Center-Providence campus in Seattle and a trauma and reconstruction fellowship in Dresden, Germany. Full biography.

WESLEY STOTLER, DO

Dr. Stotler is an orthopedic surgeon at Tulsa Bone & Joint Associates in Oklahoma. He received his medical degree from Oklahoma State University College of Osteopathic Medicine in Tulsa, OK. His residency in orthopedic surgery was also completed at Oklahoma State University College of Osteopathic Medicine. Full biography.

ACCREDITATION STATEMENTS

  • DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 10.0 AOA Category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
  • MD:  This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS) through the joint providership of Des Moines University (DMU) and BESPA Global, LLC. DMU is accredited by IMS to provide continuing medical education for physicians. DMU designates this live, online activity for a maximum of 10.0 AMA PRA Category 1 Credit(s)™.  Physicians should only claim credit commensurate with the extent of their participation in the activity.
  • DPM: Des Moines University (DMU) is approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. DMU has approved this activity for a maximum of 10.0 continuing education contact hours.
  • Nurse: Des Moines University is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 10.0 continuing education contact hour(s). Nurses must attend the entire session within each day to receive credit. Partial session credit is prohibited and will be forfeited. 
  • Other healthcare providers: This live activity is designated for 10.0 AMA PRA Category 1 Credit(s)™.

Educational Grants

No commercial interest provided financial support for this continuing education activity. 

DISCLOSURE

The speaker(s) will disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). Determination of educational content and the selection of speakers is the responsibility of the activity director. 

Relevant to the content of this educational activity, the following individual(s) have no conflict(s) with commercial interest companies to disclose.

  • Christina Billings, MPH, CHCP, planning committee member
  • Donald Bohay, MD, FACS, speaker
  • Vanessa Gray, MHA, CMP, CHCP, planning committee member
  • Chris Newell, MBA, planning committee member
  • Lisa Viele, MBA, planning committee member

Relevant to the content of this educational activity, the following individual(s) have a conflict(s) with commercial interest companies to disclose.

  • John Anderson, MD, speaker - Consultant for Paragon, Wright, and Stryker
  • Michael Brage, MD, speaker - Has no financial relationships to disclose, but does intend to discuss off-label use of a commercial product
  • John Early, MD, speaker, is a consultant for Stryker, and Osteomed - Sspeaker's bureau for Exactech, Crossroads Medical, Extremity Medical, and Conmed
  • Sean Grambart, DPM, FACFAS, co-director, moderator, speaker, and planning committee member - Consultant for Depuy Synthes, and a member of the design team for Orthosolutions
  • John S. Steinberg, DPM, FACFAS, speaker, receives honorarium from Medline
  • Wesley Stotler, DO, co-director, speaker, and planning committee member - Consultant for Extremity Medical and Nextremity

Disclaimer

The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.

Price

Cost:
$175.00
Please login or Create an Account to take this course.

Single day registrations are not permitted for this online conference. If you're unable to attend each session, the recording and supplemental resources will be made available within one (1) week of the conference. Continuing education credit is not available for watching the recordings.

CANCELLATION POLICY

  • All cancellations must be received in writing at cme@dmu.edu.
  • A nonrefundable administrative fee of $20 will be charged for all cancellations.
  • No refunds will be given three (3) business days prior to the activity start date.
  • Cancelled registrations can be transferred to another individual for the same activity.
  • Individuals who fail to attend the activity (no-shows) will not receive any refund. Forfeited fees may not be applied to any other activity.