CME INFORMATION – ACCREDITATION STATEMENT

This activity has been planned and implemented in accordance with the standards and requirements for approval of providers of continuing education in podiatric medicine through A joint provider agreement between Kent State University and Interventional Academy. Kent State University College of Podiatric Medicine is Approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. Kent State University College of Podiatric Medicine has approved this activity for a maximum of 27 continuing education contact hours.

Kent State University College of Podiatric Medicine is a Sponsor of this Activity

 

 

 

 

CME INFORMATION – GOALS AND OBJECTIVES

After completing these modules, the participant will be able to:
  • Limb Salvage 2018: Introduction – Goals
    • Appreciate the necessity for approaching limb salvage from a multidisciplinary approach and understand the efficacy of this model
    • Comprehend the intricacies of the decision-making process between amputation versus reconstruction in the limb salvage patient
  • Limb Salvage: Infectious Disease
    • Describe the basic objective and subjective tools and advanced techniques in the diagnosis of infection
    • Discuss the prevalence and effect of resistant organisms on the treatment and outcomes of infections
    • Offer effective strategies for the empiric treatment of infections
    • Enumerate the potential complications with the antibiotic component for the treatment of osteomyelitis
    • Elucidate the different modalities for the radiographic evaluation of the infected extremity
    • Understand current trends and recommendations for the treatment of hard to treat organisms
    • Advance strategies for the use of oral vs. intravenous antibiotics in diabetic foot bone infection
    • Debate the different approaches to take in the management of osteomyelitis
    • Be aware of novel, cutting edge techniques for the treatment of osteomyelitis
    • Present an organized approach to evaluation and management principles of diabetic foot infection
  • Limb Salvage: Wound Care / Ulcer Care
    • Describe basic evaluation guidelines and treatment strategies for wounds/ulcers
    • Be aware of evidence-based treatment recommendations for venous and diabetic ulcers
    • Promote the argument for the use of advances techniques for the evaluation of wound healing
    • Discuss adjunctive treatment modalities for the augmentation of healing
    • Understand factors which impede wound healing
    • Enumerate etiologies for the recidivism of wounds/ulcers
    • Describe the indications and utility of advance wound care products
    • Enumerate simple and novel surgical approaches to address the persistence or recurrence of wounds/ulcers
  • HIV/AIDS/Hepatitis (Florida Licensure Requirement) – The physician will be thoroughly familiar with:
    • The epidemiology of AIDS and related infections including TB Modes of transmission
    • Infection control procedures (including universal precautions)
    • Clinical management
    • Prevention
    • Current therapies, and associated MSK radiographic features.
    • Typical State and/or Federal regulations regarding AIDS testing and the confidentiality of test results will also be reviewed
  • Legal Proceedings (Florida Licensure Requirement) – The physician will be thoroughly familiar with:
    • The registrant will know about new state legislation, new rules, and existing legal requirements relating to the practice of podiatric medicine in the State of Florida including the specific continuing education
      courses required for license renewal
  • Limb Salvage: Vascular – Arterial
    • Outline the steps in the basic assessment of the high risk peripheral vascular disease patient
    • Advance current principles for the preservation of the limb in peripheral arterial disease
    • Recognize the importance of timing in the treatment of peripheral arterial disease and concomitant infection
    • Discuss the process of perioperative and periprocedural anticoagulation in the vascular patient 
    • Understand the need for optimization of revascularization and potential ramifications of substandard revascularization, importance of pedal arch reconstruction and two vessel infrageniculate revascularization
    • Recount lower extremity arterial interventional strategies for the dysvascular limb: Bypass? Endo vs Open vascular surgical techniques?
    • Discuss the perfusion assessment in lower extremity limb salvage utilizing the Indocyanine green (ICG) labeled blood with the SPY near-infrared system and other modalities
  • Limb Salvage: Vascular – Venous
    • Understand the prevalence and impact of venous disease
    • Outline basic differential diagnoses associated with the edematous extremity
    • List the basic venoablation techniques in the management of venous disease
    • Recount the clinical presentation of and recommended treatment for venous reflux
    • Elucidate the differentiating features and treatment of mixed arterial venous ulcers
    • Illuminate the scientific basis for compression therapy in both venous and arterial ulcerations
    • Describe the proper approach to compression therapy in the treatment of venous ulcers
  • Limb Salvage: Charcot Neuroarthropathy
    • Discuss the history and evolution of evaluation and treatment of Charcot neuroarthropathy
    • Denumerate different modalities utilized for the diagnosis, differentiation and classification of Charcot neuroarthropathy
    • Describe neuropathy and its cause and effect relationship to Charcot neuroarthropathy and limb salvage
    • Recognize the important role of glucose control and the effects of uncontrolled hyperglycemia on limb salvage
    • Understand the psychological ramifications of the diabetic/Charcot process and the effect on decision making process in regard to treatment
    • Differentiate between normal and diabetic bone healing and the effects on treatment protocols
    • Appreciate the necessity to recognize and treatment intractable pain in the neuropathic/Charcot patient
    • Defend proponents of elective amputation in the specific Charcot patients
    • Delucidate surgical treatment protocols for the reconstruction of deformities related to Charcot neuroarthropathy
    • Defend a variety of different fixation techniques implemented for Charcot reconstruction
  • Limb Salvage: Orthoplastics
    • Outline the basic principles of orthoplastics and the specific steps along the reconstructive ladder
    • Describe the spectrum of soft tissue coverage options for lower extremity reconstructive orthopedic cases with soft tissue deficits
    • Understand the specific indications for different types of soft tissue coverage options
    • Discuss the necessity of external fixation in cases of simultaneous deformity correction/osseous reconstruction and soft tissue deficit repair
    • Apply orthoplastic approach to common disorders such as calcaneal ulcers
    • Elucidate the need for engineered wound care products in order to enhance orthoplastic reconstruction
    • Via a series of case presentations and abstracts involving complex soft tissue coverage cases, discuss and defend manage
  • Limb Salvage: Miscellaneous
    • Understand the complexity of fractures in the neuropathic patient and how this complexity alters treatment approach to a common, but difficult problem of diabetic ankle fractures
    • Appreciate the need and indications for ancillary modalities for assistance in bone healing with neuropathic patient
    • Defend elective surgery in the diabetic patient
    • Discuss the utility of and indications for minimal incision surgery of the forefoot in the diabetic patient
    • Describe tendon balancing concepts as it applies to the limb salvage patient
    • Elucidate soft tissue coverage when performing foot amputations
    • Compare and contrast different anatomic levels of amputation of the foot and ankle in limb salvage
    • Via a series of case presentations and abstracts involving complex soft tissue coverage cases, discuss and defend management strategies for the treatment thereof