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APMA Region One/PodiatryInstitute2009 ConferenceFirst ClassU.S. PostagePAIDReading, MAPermitOctober 23- 25Sheraton Ferncroft ResortDanvers, MANo. 64Featuring PICA 10% Discount RiskManagement ProgramMaximum 22 Continuing EducationContact Hours (CECH)APMA Region One/Podiatry Institute2009 ConferenceImages courtesy of Greater Boston Convention & Visitors Bureau & Sheraton Ferncroft ResortOctober 23- 25Sheraton Ferncroft ResortDanvers, MAFeaturing PICA 10% DiscountRisk Management ProgramMaximum 22 Continuing EducationContact Hours (CECH)Danvers/Boston

Conference OverviewConference OverviewDoctors’ Program (Featuring thePICA 10-% Discount Program)We invite you to join us for thisyear’s APMA Region One / PodiatryInstitute Doctors’ Scientific Program.We believe that you will be impressed with the variety of topicsand caliber of our speakers. Scientific Program co-chairs, John Ruch,DPM and JT Marcoux, DPM, havebrought back some highly ratedspeakers from previous conferencesand added many new speakers fromthe Podiatry Institute. Last year’sRegion One Conference was ratedas excellent or good by 95% of the195 DPMs attending and we areanticipating another outstandingconference as we partner with thePodiatry Institute for the first time.General session lectures beginFriday morning and continuethrough Saturday and Sundaymorning. Both medically andsurgically oriented physicians will findtopics of interest for their practicesincluding: Hallux Valgus and Related1st Ray Disorder surgical procedures,the role of biopsy, treating patientswith diabetes, in-office dispensing,wound care, rearfoot and anklesurgical procedures, forefoot reconstructive surgical techniques, managing noncompliant patients - riskmanagement, and new diagnostic andsurgical techniques and technologies.Please see the complete doctors'schedule and faculty section in thisbrochure for a complete listing of all ofthe general session topics and speakers.Optional Hands-on Workshopsare offered on Friday during theday and Sunday morning.2Free Friday Morning Wound Care/Dermagraft Workshops: Dr. BarryRosenblum will be conducting alecture and hands-on workshopfocusing on current concepts andrecommendations for using advanced therapy for diabetic footulcers focusing on a comprehensiveapproach utilizing Dermagraft fordifficult to heal wounds. The firstsession of this workshop will runfrom 8 a.m. to 9 a.m. and thesession will be repeated from 9:15a.m. to 10:15 a.m.Free Friday Morning BiopsyWorkshop: Dr. Bryan Markinson willbe conducting a hands-on workshopon Cutaneous Biopsy Techniquesfrom 11:20 a.m. to 1:00 p.m. that willrun concurrently with the generalsession lectures.Friday Evening CPR Re-certification Course ( 60 includes dinner):From 6:30 to 8:30 p.m. on Friday,we will once again be offering anAmerican Heart Association approved CPR refresher course fordoctors and assistants. The registration fee will be 60 and will include alight supper. CPR certification andre-certification is mandated by theRules and Regulations of the Boardof Registration in Podiatric Medicineof the Commonwealth of MA. Thisyear’s course will also includeinstructions on using a defibrillator.Free Sunday Morning FixationWorkshops: Attendees will be ableto either attend the general sessionlectures or register to attend anoptional hands-on workshop oninternal and external fixation workshop with sawbones. The firstsession of this workshop will runfrom 9 a.m. to 10:30 a.m. and thesession will be repeated from 11 a.m.to 12:30 p.m.There is no charge to attend theseworkshops but space is limited so weencourage you to sign up and get yourregistration in early to ensure your spot.Friday’s Assistants' Program( 60 for APMA members assistantsincludes lunch)On Friday morning assistants will getupdates about Medicare and Medicaidbilling and coding; and learn new officeproductivity strategies and tools, howto deal with office emergencies andovercome their fears to take effectiveaction. The afternoon will feature aworkshop on improving communicationand people skills by understandingpersonality types and will concludewith a free-wheeling open forumdiscussion for assistants only.Dress CodeWe suggest that you dress comfortablyand casually.Up to 22 Continuing EducationContact HoursThe Basic Doctors’ Scientific Programwill deliver 20.5 Continuing EducationContact Hours (CECH) to DPMs whoattend the Friday, Saturday and halfday Sunday program. CPR attendeeswill receive an additional 1.5 CECH.APMA Region One/Podiatry Institute 2009 Conference

Conference OverviewCPME CertificationThe APMA Region One Conference isan approved sponsor of continuingeducation in podiatric medicinecourses as designated by the Councilon Podiatric Medical Education. Thecontact person for APMA Region OneConference is Gary Adams, Director ofContinuing Education.Doctors will be awarded ContinuingEducation Contact credit hoursonly for those days for which theyhave signed-in. There will be dailysign-in and sign-out sheets for thegeneral session and workshops onall three days to verify attendancefor CPME.Continuing Education Contact Hourcertificates will be mailed to attendeesonce the number of credit hours hasbeen determined upon review of thedaily sign-in and sign-out rosters.Scientific ProgramObjectivesFriday Morning WorkshopsFriday Morning LecturesSunday Lectures To provide the podiatric physician To provide the podiatric physicianwith an increased understandingwith a review of current surgicalof new podiatric related medicaltreatment options in the managementand surgical treatment modalities,of Halux Valgus and related firsttechnologies and techniques.ray pathology.Friday Afternoon Lectures To provide the podiatric physicianwith a discussion of currentmedical and diagnostic treatmentsrelated to wounds caused byMRSA infections, the clinical roleof biopsy, the use of ultrasound inat risk fractures. To provide the podiatric physicianwith new understanding of howincorporating in office dispensinginto a practice can improve patientcompliance and outcomes. To provide the podiatric physiciannew understanding of medical andsurgical treatment modalitiesrelated to patients suffering fromtrauma of the foot and ankle.Sunday Workshops To provide the podiatric physicianhands-on exposure in theutilization of fixation in bunionand flatfoot reconstruction. To provide the podiatric physicianwith current diagnostic, medicaland surgical treatments availablein managing diabetic patients withneuropathy, skin ulceration andleg ischemia. To provide the podiatric physicianwith the proper knowledge and skills Saturday Lecturesneeded to effectively utilize cutaneous To provide the podiatric physicianwith current didactic and technicalbiopsy techniques when diagnosinginformation on rearfoot and ankleand treating skin lesions.and forefoot reconstructive To provide the podiatric physiciantechniques and surgical topicswith increased understanding ofand improve understanding onwound healing treatment modalitieswhen and how to utilize variousand hands-on experience withsurgical modalities to helpapplication of interactive woundimprove patient outcomes.care dressings. To provide the podiatric physicianwith effective strategies for identifyingand dealing with noncompliantpatients to improve patient outcomesand risk management.October 23 – 25, 20093

Conference Overview 265 for Retired or MilitaryThe Sheraton Ferncroft Resort is anupscale hotel conveniently locatedjust 19 miles north of downtownBoston on the historic North Shore ofBoston. All of our general sessionsand the exhibit hall will be on the firstfloor and are handicapped accessible.Amenities include an indoor watertheme park – the COCO KEY,concierge level, business center,health club, indoor pool, spa, saunaand whirlpool and Internet access.The hotel also has complimentaryon-site parking. Check-in is at 3:00p.m. and check-out is at 11 a.m. 60 for Friday evening’s CPRWorkshop (includes dinner)Nearby Attractionsand Activities Friday and Sunday’s workshopsare free.Boston, with its beautiful Commonand Public Gardens, historic FreedomTrail, Faneuil Hall Market Place, greatseafood restaurants and shoppingand museums is just 30 minutes tothe south via Interstate 95.Registration FeesDoctors’ Scientific Program andOptional Workshops(includes lunch Friday and Saturday) 395 for APMA members fromNew England registering beforeSeptember 30 - 450 after 495 for APMA Members fromoutside New England registeringbefore September 30 - 550 after 995 for non-APMA Members 95 for ResidentsAssistants' Program(includes lunch Friday) 60 per person for APMA memberstaff 260 per person for non-APMAmember staff 60 for Friday evening’s CPRWorkshop (includes dinner)Special Rate of 129 at theSheraton Ferncroft Resort forthe ConferenceThe Sheraton Ferncroft Resort isoffering a special group room rate of 129 single or double occupancy. Tomake reservations, call toll free888-627-7203 and ask for the specialAPMA Region One Conference rate of 129. This rate is valid untilThursday, October 1.4For the history buffs, there’s theHouse of the Seven Gables just 5miles away in Salem, made famousby hometown author NathanielHawthorne. On the same site arethree other historic homes includingthe Hooper-Hathaway House,Hawthorne’s birthplace, built in 1750,and a sea captain’s house from the1830s. A trip to Salem would not becomplete without a visit to the SalemWitch Museum to view the 13 setpresentation on the Salem WitchTrials of 1692. Just a short walkfrom the Witch Museum is thePeabody Essex Museum, begun in1799 by seafaring entrepreneurs todisplay what they had collected ontheir voyages. It is the country’soldest continuously operatingmuseum and boasts unique earlyAmerican decorative arts holdingsand architecture and the world’slargest and most important collectionsof Asian decorative arts.Drive north to Massachusetts’ othercape, Cape Ann, to visit the historicfishing seaport of Gloucester - thesecond permanent settlement in theNew World after Plymouth. You canstay on shore and walk the GloucesterMaritime Trail through the city to seeall of the sights including its fishermanat work in the harbor or you canventure on the seas to voyage aboardone of the many whale watch vessels.Gloucester is the whale watchingcapital of the east coast. Or you maywant to step back in time and sailaboard Adventure, an actual historicfishing schooner.Wherever you go in these cities or theother historic seaside communities ofMarblehead, Essex, Rockport, andNewburyport in Massachusetts orPortsmouth, New Hampshire, you’llfind scores of antique and gift storesand restaurants and spectacularocean and harbor views.APMA Region One/Podiatry Institute 2009 Conference

Conference OverviewAPMA Region Oneand Podiatry InstituteConference Staff/OfficeDoctors’ Program Co-chairsAllied OSI LabsAmerx Health CareArthroCare Sports MedicineAssociated X-Ray ImagingJohn Ruch, DPM and JT Marcoux, DPMAtlantic MedicalAssistants' Program CoordinatorBioMetKathleen AdamsBako Podiatric PathologyBioProConference ManagersBMEGary Adams and Dan Vickers, CAEBradford Medical Assoc.Conference CoordinatorCorflex, Inc.Suzanne AdamsCrocs RxConference RegistrarsCryosurgical ConceptsJeanette Murray and Ruth Ann Donahue10 Maple Street, Suite 301Middleton, MA 01949978-646-9970 phone978-646-9673 faxoffice@massDPMs.orgwww.massDPMs.orgNew England’s LargestPodiatric MedicalExhibitor DisplayThis year over 50 exhibitors will bedisplaying their products and servicesin a section of the ballroom next to thegeneral session ballroom. We haveexcellent representation from manydifferent companies who supplyproducts or services to the podiatriccommunity. Please refer to the followinglist of exhibitors for the names of thecompanies who will be exhibiting.This is an important part of theeducational opportunity provided bythis conference and we urge you tovisit exhibitors who are supportingand subsidizing the conference.Crocs Rx - 2nd boothCustom Medicine PharmacenterDarwintech, Inc.Dr. ComfortInstitute for Podiatric Pathology,a division of Dermpath DiagnosticsGoldAmerx Healthcare CorporationArthrexArthroCare Corp.BioMedixBME (Biomedical Enterprises)Integra LifeSciencesMetaSurgMMIOrthoHelix Surgical DesignsOsteoMed, LPPegasus BiologicsPICA GroupSmith & Nephew CTStrata DiagnosticsMerz Pharmaceuticals, LLCVilexMMISilverMRI Centers of NE, Inc.Natural StepNew England AccountsReceivable Management, Inc.Atlantic Medical, LLCSynthes, USABronzeOfficite LLCAllied OSI LabsOrthoHelix Surgical DesignsBiometOsteoMedBioProPamlab, LLCPedinol PharmacalCordis EndovascularPegasus BiologicsDr. ComfortPerformance HealthPICA GroupSmith & NephewSoluble SystemsSTJ Orthotic Services, Inc.Strata DiagnosticsStrykerSureFitDelta Surgical Instruments, Inc.APMA Region One 2009Conference SponsorsSpecial thanks to our 2009conference sponsors.Advanced BioHealingBako Pathology LabsPICA GroupSynthesTekscan, Inc.Advanced BiohealingThe Tetra Corporation - formula 3Aetrex WorldwideTransworld SystemsOctober 23 – 25, 2009Special thanks to the 2009 PodiatryInstitute Corporate Sponsors.Integra LifeSciencesPartial List of ExhibitingCompaniesAliMedCorporate PodiatryInstitute SponsorsWachoviaWright Medical5

Doctors’ ProgramDoctors’ ProgramAt-A-Glance3:15 p.m. – 4 p.m.Break and Visit ExhibitorsFriday5 p.m. – 6:30 p.m.PICA Risk-Management LectureWorkshops8 a.m. – 9 a.m.Session 1: Wound Healing/DermagraftHands-On Workshop9:15 a.m. – 10:15 a.m.Session 2: Wound Healing/DermagraftHands-On Workshop11:20 a.m. – 1 p.m.Cutaneous BiopsyHands-On Workshop9:15 a.m. – 10:15 a.m.Session 2 - Advancing the Standard of Care for Diabetic FootUlcers – When to Use AdvancedTherapy.Barry Rosenblum, DPM(1 CECH)SundayWorkshops9 a.m. – 10:30 a.m.Session 1: Complex Bunion and FlatFoot Reconstruction with SawbonesOptional Hands-On Workshop.This lecture and workshop focuseson current concepts andrecommendations for when to useadvanced therapy for difficult to healdiabetic foot ulcers. Following thelecture, there will be an opportunity topractice preparation and applicationof the Dermagraft wound dressing.General Session11 a.m. – 12:30 p.m.Session 2: Complex Bunion and FlatFoot Reconstruction with SawbonesOptional Hands-On Workshop.8 a.m. – 1:15 p.m.General Session Lectures10:15 a.m. – 10:30 a.m.Break11:20 a.m. – 1 p.m.Hands-on CutaneousBiopsy Workshop.10:15 a.m. – 11 a.m.Break and Visit ExhibitorsGeneral SessionBryan Markinson, DPM(1.5 CECH)1:15 p.m. – 2:15 p.m.Lunch and Visit Exhibitors2:15 p.m. – 6:45 p.m.General Session Lectures4:05 p.m. – 4:50 p.m.Break and Visit Exhibitors6:30 p.m. – 8:30 p.m.CPR Refresher CourseSaturdayGeneral Session8 a.m. – 1:15 p.m.General Session Lectures10:15 a.m. – 11 a.m.Break and Visit Exhibitors1:15 p.m. – 2:15 p.m.Lunch and Visit Exhibitors2:15 p.m. – 5:00 p.m.General Session Lectures68 a.m. – 12:30 p.m.General Session LecturesDoctors’ ScientificProgramFriday, October 23Workshops8 a.m. – 9 a.m.Session 1 - Advancing the Standardof Care for Diabetic Foot Ulcers –When to Use Advanced Therapy.This course is designed to sharpenclinicians’ skills in performing a varietyof cutaneous biopsy techniquesincluding shaves, saucerizations,and punches. Emphasis will beplaced on the techniques themselves,when each technique is indicated, andthe most appropriate site for tissuesampling in various clinical scenarios.Barry Rosenblum, DPM(1 CECH)This lecture and workshop focuses oncurrent concepts and recommendationsfor when to use advanced therapyfor difficult to heal diabetic footulcers. Following the lecture, therewill be an opportunity to practicepreparation and application of theDermagraft wound dressing.APMA Region One/Podiatry Institute 2009 Conference

Doctors’ ProgramGeneral Session Lectures3:25 p.m. – 3:45 p.m.Ultrasound Assistance forthe At-Risk FractureFriday Morning (4.5 CECH)7:30 a.m. – 8:00 a.m.Continental Breakfastand Registration3:45 p.m. – 4:05 p.m.Significant Diseases and Tumors ofthe Feet: The Role of Biopsy7:50 a.m. – 8:00 a.m.WelcomeJames Ioli, DPM, John Ruch, DPM andJT Marcoux, DPMHallux Valgus and Related 1stRay DisordersModerator: J.T. Marcoux, DPM8:00 a.m. – 8:20 a.m.First MPJ Arthrodesis withLocking Plates8:20 a.m. – 8:40 a.m.Surgical Options for 1stMTPJ Arthrodesis8:40 a.m. – 9:00 a.m.Locking Plate Fixation for Lapidus9:00 a.m. – 9:20 a.m.Lapidus Arthrodesis with ExternalFixation9:20 a.m. – 9:40 a.m.1st MPJ Arthrodesis & VariousPlating Options9:40 a.m. – 10:00 a.m.Immediate Weight Bearing Following1st MPJ Fusion10:00 a.m. –10:15 a.m.Questions and Answers Panel10:15 a.m. – 11:00 a.m.Refreshment Break –Visit Exhibitors11:00 a.m. – 11:20 a.m.Complications of theAustin Bunionectomy11:20 a.m. – 11:40 a.m.Complications of HalluxValgus Surgery11:40 a.m – 12:00 p.m.Surgical Repair of Hallux Limitus12:00 p.m. – 12:20 p.m.Failed 1st MPJ Arthrodesis12:20 p.m. – 12:40 p.m.Opening Wedge Osteotomies12:40 p.m. – 1:00 p.m.Opening Base Wedge Bunionectomy1:00 p.m. – 1:15 p.m.Questions and Answers Panel1:15 p.m. – 2:15 p.m.Lunch and Visit ExhibitorsFriday Afternoon (3.75 CECH)Podiatric Topics of InterestModerator: James Ioli, DPM2:15 p.m. – 2:35 p.m.Treating Wounds Caused by MRSAInfections4:05 p.m. – 4:50 p.m.Refreshment Break –Visit ExhibitorsDiabetic FootModerator: John Ruch, DPM4:50 p.m. – 5:10 p.m.Simple Solutions for Common Problems: Healing the Diabetic Ulcer5:10 p.m. – 5:30 p.m.Gastroc Recession vs. TALfor Off-Loading5:30 p.m. – 5:50 p.m.General Assessment and VascularEvaluation of the Diabetic Foot5:50 p.m. – 6:10 p.m.The Management of SymptomaticPeripheral Neuropathy6:10 p.m. – 6:30 p.m.Current Concepts and Techniques ofWound Care6:30 p.m. – 6:45 p.m.Questions and Answers Panel6:45 p.m. – 8:30 p.m.CPR Refresher Course(optional – includes dinner)(1.5 CECH)Sandra Lewis2:35 p.m. – 2:55 p.m.Interventional Approach to CriticalLimb Ischemia2:55 p.m. – 3:25 p.m.Improving Patient Outcomes andCompliance Through In-OfficeDispensingOctober 23 – 25, 20097

Doctors’ ProgramSaturday, October 24Saturday Morning (4.5 CECH)12:40 p.m. – 1:00 p.m.FDL Transfer in Stage 2 TibialisPosterior Dysfunction7:30 a.m. – 8:00 a.m.Continental Breakfast andVisit Exhibitors1:00 p.m. – 1:15 p.m.Questions and Answers PanelRearfoot and AnkleModerator: John Ruch, DPM1:15 p.m. – 2:15 p.m.Lunch and Visit Exhibitors8:00 a.m. – 8:20 a.m.Surgical Options for CavusReconstructionSaturday Afternoon (3.5 CECH)8:20 a.m. – 8:40 a.m.Insertional Achilles tendonopathy8:40 a.m. – 9:00 a.m.Peroneal Tendonopathy9:00 a.m. – 9:20 a.m.Medial Column Fusions9:20 a.m. – 9:40 a.m.Arthoscopic Ankle Fusions9:40 a.m. – 10:00 a.m.Peroneal Tendon Subluxation orPeroneal Tendon Pathology10:00 a.m. – 10:15 a.m.Questions and Answers Panel10:15 a.m. – 11:00 a.m.Refreshment Break –Visit Exhibitors11:00 a.m. – 11:20 a.m.Instep Plantar Fasciotomy11:20 a.m. – 11:40 a.m.Lateral Ankle Insatbility11:40 a.m. – 12:00 p.m.Surgical Treatments for Talar OCD’s12:00 p.m. – 12:20 p.m.Triple Arthrodesis in thePes Planus Patient12:20 p.m. – 12:40 p.m.Gastrocnemius Recession & Excisionof Posterior Calcaneal Spur8Forefoot – ReconstructiveTechniquesModerator: J.T. Marcoux2:15 p.m. – 2:35 p.m.Intramedulary K-wire Fixation forDigital Arthrodesis2:35 p.m. – 2:55 p.m.Simple Technique forFlexor TenotomySunday, October 25Sunday Morning (4.25 CECH)Workshops9 a.m. – 10:30 a.m.Session 1: Complex Bunion and FlatFoot Reconstruction with SawbonesOptional Hands-On Workshop. (1.5CECH)11 a.m. to 12:30 p.m.Session 2: Complex Bunion and FlatFoot Reconstruction with SawbonesOptional Hands-On Workshop. (1.5CECH)General Session Lectures7:30 a.m. – 8:00 a.m.Continental Breakfast2:55 p.m. – 3:15 p.m.Revisional Forefoot Surgery:Challenging CasesGerard V. Yu – MemorialSection – New Techniquesand TechnologiesModerator: James Ioli, DPM3:15 p.m. – 4:00 p.m.Refreshment Break –Visit Exhibitors8:00 a.m. – 8:20 a.m.Diagnostic Ultrasound for SoftTissue Masses & Foreign Bodies4:00 p.m. – 4:20 p.m.Brachymetatarsia Correction8:20 a.m. – 8:40 a.m.Microfasciotom

Bako Podiatric Pathology BioMet BioPro BME Bradford Medical Assoc. Corflex, Inc. Crocs Rx Crocs Rx - 2nd booth Cryosurgical Concepts Custom Medicine Pharmacenter Dr. Comfort Institute for Podiatric Pathology, a division of Dermpath Diagn