Educational Goals and Objectives

The Geriatric Patient

After completing this module, the participant will be able to:

  • Outline the steps in the basic assessment and management of fractures in the geriatric patient
  • Present the basic approach to the geriatric patient with an HAV deformity
  • List surgical treatment options for common forefoot deformities in the geriatric patient
  • Enumerate nonsurgical and surgical management options for ankle arthritis and how these options are applied to the geriatric population
  • Be aware of commonly prescribed medications to the geriatric patient and the potential effects on bone healing
  • Discuss nonsurgical and surgical approaches with the geriatric patient and common hindfoot pathology
  • Understand unique perioperative concerns in the geriatric patient
  • Offer effective strategies for the treatment of chronic gout patient

Adult Acquired Flatfoot Deformity (AAFD)

After completing this module, the participant will be able to:

  • Describe the basic objective and subjective parameters to the clinical approach of adult acquired flatfoot deformity
  • Identify accepted indications for the utilization of subtalar arthroereisis
  • Discuss the options for surgical treatment of the tibialis posterior tendon within the confines of a particular clinical level of involvement
  • Define parameters and discuss utility of common calcaneal osteotomies for adult acquired flatfoot deformity
  • Become cognizant of effective conservative modalities employed for nonsurgical management of adult acquired flatfoot
  • Compare and contrast the utilization of isolated versus multiple hindfoot fusion techniques
  • Present an organized approach to ankle involvement in end stage adult acquired flatfoot deformities

The Lapidus Procedure

After completing this module, the participant will be able to:

  • Describe the basic elements of the Lapidus bunionectomy procedure
  • List the indication and contraindication of the Lapidus procedure
  • Discuss key elements of the HAV examination pertinent to consideration for the Lapidus procedure
  • Understand the concept of frontal plane component of an HAV deformity
  • Identify important steps for the successful completion of the Lapidus bunionectomy
  • Compare and contrast different fixations options and constructs
  • Present an organized approach to postoperative management
  • Advance strategies for the correction of complications associated with the Lapidus procedure

Florida Licensure Requirements & Regulations

HIV/AIDS: The physician will be thoroughly familiar and be able to recall:

  • 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.

Medical Errors: After attending the following lectures, which will be marked with an asterisk in the program, the attendee will be able to:

  • Understand unique geriatric patient demographic and the modifications necessary in preoperative workup
  • Recognize differences in treating the geriatric patient with an HAV deformity and how this will assist in limitation of medical errors
  • Identify medications commonly prescribed to geriatric patient population which may alter bone healing
  • Discuss the necessity of attempting conservative management in the patient with an adult acquired flatfoot deformity
  • Recite potential forefoot procedures which may be necessary to avoid failure of reconstructive surgery in the adult acquired flatfoot patient
  • List HAV parameters which dictate for and argue against the Lapidus procedure
  • Become aware the subtleties of the Lapidus procedures in order to avoid common technical short comings when performing this procedure
  • Appreciate early symptoms and signs consistent with a failed bunionectomy in order to prompt diagnosis modalities and implement an optimal treatment approach

The following medical errors lectures will be denoted by *

*Perioperative considerations in the geriatric patients*

*Geriatric HAV surgery*

*Drugs which interfere with bone healing*

*Conservative modalities for adult acquired flatfoot deformity*

*Realignment and stabilization of the forefoot*

*When and when not to do a Lapidus bunionectomy*

*Surgical tips and pearls, not including fixation*

*Dealing with complications after failed bunionectomy*

Risk Management: After attending this lecture, the participant will be able to minimize and/or obviate his/her risk in real-life, everyday practice scenarios regarding diabetic patients and will be able to:

  • Discuss basic imaging of the Charcot neuroarthropathy, compare and contrasting plain radiographic, CT, and MRI findings
  • Review current recommendations in the management of Charcot foot
  • Via a series of case examples, using IDSA criteria, identify the proper approach to the diabetic patient with an infected foot
  • Review the rationale for ordering serum procalcitonin levels as an aid to diagnosing osteomyelitis
  • Incorporate current IDSA criteria in the management of the diabetic patient with MSK infection

Florida Licensure Requirements & Regulations (cont.)

  • Identify newer antibiotic agents, and through familiarity with their indications, apply them to a given patient care scenario
  • Recount principles of the surgical management of osteomyelitis

Florida Regulations: 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.

Infectious Disease

After completing this module, the participant will be able to:

  • Present an organized approach to evaluation and management principles of diabetic foot infections
  • 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
  • List the different antibiotic regimens to treat MRSA infections
  • Understand current trends and recommendations for the management of hard to treat organisms
  • Advance strategies for the use of oral vs. intravenous antibiotics in diabetic foot bone infection
  • Debate different diagnostic testing methods for osteomyelitis
  • Be aware of the effects of penicillin allergies on the treatment of diabetic foot infections

Limb Salvage

After completing this module, the participant will be able to:

  • Elucidate the different modalities for the radiographic evaluation of osteomyelitis in the infected extremity
  • List the surgical complications encountered in the limb salvage patient
  • Discuss the philosophy of and necessity for performing elective surgery in the high-risk patient
  • Enumerate the essential elements of surgical removal of osteomyelitis
  • Be aware of the importance and evolution of the limb salvage concept
  • Recognize the importance of timing in the treatment of fulminant infection in the limb salvage patient
  • Outline the steps in the basic assessment of the high risk peripheral vascular disease patient
  • Describe the indications for and utility of new diagnostic techniques for the assessment of vascular insufficiency and tissue perfusion
  • Debate the pros and cons of amputation versus salvage
  • 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
  • Advance current principles and new techniques of revascularization for the preservation of the limb in peripheral arterial disease
  • Via a series of case presentations and abstracts involving limb salvage patients, discuss and defend management strategies for the treatment thereof

Wound Care / Ulcer Care

After completing this module, the participant will be able to:

  • Describe basic evaluation guidelines and treatment strategies for wounds/ulcers
  • Be aware of evidence-based treatment recommendations for the edematous extremity
  • Promote the argument for the use of advanced techniques for the evaluation of wound healing
  • Discuss adjunctive treatment modalities for the augmentation of healing
  • Understand factors which impede wound healing
  • List etiologies for the recidivism of wounds and ulcers
  • Become more familiar with the economic realities of the wound care patient and practice
  • Explain the essential nature of a multidisciplinary approach to the wound care and limb salvage patients
  • Summarize the utility and application of HBOT in the wound care patient
  • 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
  • Outline the mechanism and treatment ramifications associated with pain in the wound care patient
  • Gain awareness of neoplastic transformation which can ensue in the chronic wound care patient
  • Formulate basic differential diagnoses associated with the edematous extremity
  • Illuminate the scientific basis for compression therapy in venous ulcerations
  • Discuss the history and evolution of evaluation and treatment of Charcot neuroarthropathy
  • Develop a clinical, diagnostic process for the early detection of Charcot neuroarthropathy
  • Prescribe off-loading treatment for the Charcot neuroarthropathy/wound care patient

Orthoplastics and Amputations

After completing this module, the participant will be able to:

  • Outline the basic principles of orthoplastics and the specific steps along the reconstructive ladder
  • Chronicle 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
  • 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

Residency Case Competition

After completing this module, the participant will be able to:

  • Via a series of case presentations and abstracts involving diabetic foot infections, ulcers, chronic wounds, gangrenous extremities, Charcot deformities and other limb salvage patients discuss and defend management strategies for the treatment thereof