Georgetown University Hospital
DLS 2011 Agenda

The Nuts and Bolts Approach to Evidence
Based Medicine in Diabetic Limb Salvage

Download 2011 Final Brochure

Download DLS 2011 Notebook

Download DLS 2011 Pocket Program

Thursday, September 22
8.5 CMEs

8:30 - 10:30 AM

Georgetown University Hospital Center for Wound Healing Tour
Bus departs at 8:30AM from JW Marriott and returns at 10:30.

Tour is not a CME event.

Administrative Symposium The Business of Limb Salvage: Where Are We Going and Who is Making the Decisions? Moderators: William J. Ennis, DO, MBA; Gary W. Gibbons, MD
8:00 – 8:05 AM	Introduction	CME Credits 1.75
8:05 – 8:20 AM	The Real Costs of Limb Salvage: Following the Dollars from Outpatient to Inpatient to Surgery and Discharge TBA
8:20 - 8:25 AM	Discussion
8:25 – 8:40 AM	Creating a System of Transparency to Improve Physician Buy-In and Control Hospital Costs Gary W. Gibbons, MD
8:40 - 8:45 AM	Discussion
8:45 – 9:00 AM	Compliance Issues on Interaction Between Industry and Physicians James R. Ravitz, JD
9:00 - 9:05 AM	Discussion
9:05 – 9:20 AM	Can Your Wound-Based EMR Talk to Other EMRs and Track Outcomes to Meet the Expanding Compliance Requirements? Lee C. Rogers, DPM
9:20 – 9:25 AM	Discussion
9:25 – 9:40 AM	New Health Care Regulations and Requirements: Will Improved Care Restrict Innovation? Sean R. Tunis, MD
9:40 – 9:45 AM	Discussion
9:45 – 10:00 AM	Break
10:00 – 10:15 AM	Does Increased Spending Improve Limb Salvage Outcomes? What the Medicare Data Tells Us David J. Margolis, MD, PhD	CME Credits 1.3
10:15 - 10:20 AM	Discussion
10:20 – 10:35 AM	The Post Hospitalization Process: Understanding the Financial Implications of Patient Discharge Sub Acute Care and Home Care Dennis B. McIntyre, MD
10:35 – 10:40 AM	Discussion
10:40 – 10:55 AM	Strategies for Developing a Multidisciplinary Wound Center in Today's Health Care Climate Lawrence A. Lavery, DPM, MPH
10:55 – 11:00 AM	Discussion
11:00 – 11:15 AM	The Role of Industry in Future Health Care: Mercenary vs. Missionary David G. Armstrong, DPM, MD, PhD
11:15 – 11:20 AM	Discussion

8:00 – 10:00 HANDS-ON WORKSHOP

Role of Innovative Products in Continuum of Wound Care

Caroline Currie, MBA, RN, CWS; Terry Coggins, MSN, RN, WOCN, CWCN;
Dave Brett, BS, BS, MS

This non-CME accredited activity is supported by Smith & Nephew.

10:00 – 11:15 HANDS-ON WORKSHOP

Practical Demonstration:
Achieving Stability and Fixation in the Diabetic Ankle

Paul S. Cooper, MD

This non-CME accredited activity is supported by Integra LifeSciences.

11:25 – 12:05 LUNCH SYMPOSIUM

Healing the Diabetic Foot Wound with Regenerative Tissue

Christopher E. Attinger, MD; William J. Ennis, DO, MBA; Jeffrey E. Janis, MD;
Lawrence A. Lavery, DPM, MPH; John S. Steinberg, DPM

This non-CME accredited activity is supported by Integra LifeSciences.

A Patient-Centric Approach to Specific Wound Types: Can this be Algorithm-Based? Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM
12:15 - 12:20	Opening Remarks Christopher E. Attinger, MD; Richard F. Neville, MD; John S. Steinberg, DPM	CME Credits 2.25
12:20 – 12:40 PM	Evidence-Based Medicine and the New Health Care Environment: Where Does the Patient Fit In? Stephen R.T. Evans, MD
12:40 – 12:45 PM	Discussion
12:45 – 1:05 PM	A Primer on Diabetes for You and Your Patient: What We Need to Know to Optimize Their Ability to Heal Charles A. Reasner II, MD
1:05 – 1:10 PM	Discussion
1:10 – 1:35 PM	The Curse of Neuropathy: How Can the Patient Adjust to Control Pain and Diminish Risk for Ulceration Frances Game, MD
1:35 – 1:40 PM	Discussion
1:40 - 2:00 PM	New Guidelines for Infection and Osteomyelitis: How to Kill the Bacteria but Not Harm the Patient Benjamin A. Lipsky, MD
2:00 – 2:05 PM	Discussion
2:05 – 2:25 PM	Addressing the Biomechanical Concerns of a Diabetic Foot Ulcer: Selecting a Patient-Appropriate Offloading Device Peter R. Cavanagh, PhD, DSc
2:25 – 2:30 PM	Discussion
2:30 – 2:50 PM	Break

Pathways and Algorithms for Specific Ulcer Types and Locations: Case Presentations and Panel Discussions
	FOREFOOT ULCERS	CME Credits 3.2
2:50 – 3:05 PM	What the Current Published Evidence Tells Us Lawrence B. Harkless, DPM
3:05 – 3:35 PM	Case Presentations and Discussion Peter R. Cavanagh, PhD, DSc; Lawrence B. Harkless, DPM; Paul J. Kim, DPM; Benjamin A. Lipsky, MD; Richard F. Neville, MD
	MIDFOOT ULCERS
3:35 – 3:50 PM	What the Current Published Evidence Tells Us Dane K. Wukich, MD
3:50 – 4:20 PM	Case Presentations and Discussion Mark R. Abbruzzese, MD; Peter A. Blume, DPM; Paul S. Cooper, MD; Lawrence B. Colen, MD; Paul J. Kim, DPM; Dane K. Wukich, MD
	HEEL ULCERS
4:20 – 4:35 PM	What the Current Published Evidence Tells Us Christopher E. Attinger, MD
4:35 – 5:05 PM	Case Presentations and Discussion Peter R. Cavanagh, PhD, DSc; Lawrence B. Colen, MD; Paul J. Kim, DPM; Benjamin A. Lipsky, MD; Richard F. Neville, MD; Dane K. Wukich, MD
5:05 – 6:00 PM	Patient's Perspective Panel: The Real Life Impact of Lower Extremity Ulceration Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM

6:00 - 8:00
RECEPTION WITH EXHIBITORS
Food • Music • Open Bar

8:00 - 9:00
Comedy performance of political satire by The Capitol Steps
This event is supported by a grant from Advanced BioHealing.

Friday, September 23
8.25 CMEs

7:00 - 8:00 BREAKFAST SYMPOSIUM

Regenerative Tissue Matrices:
Changing the Rules in Wound Coverage

John S. Steinberg, DPM; Christopher E. Attinger, MD;
Paul J. Kim, DPM; Lee C. Rogers, DPM;
David G. Armstrong, DPM, MD, PhD

Managing the Wound Bioburden
Continuum in Clinical Practice
Andrew Applewhite, MD; Matthew Pompeo, MD

This non-CME accredited activity is supported by Hollister Wound Care.

Salon I

6:30 – 8:00 Breakfast

8:30 - 10:30 AM

Georgetown University Hospital Center for Wound Healing Tour
Bus departs at 8:30 AM from JW Marriott and returns at 10:30 AM.

Tour is not a CME event.

Diabetic Vascular Disease vs PAD in the General Population: Differentiating, Diagnosing and Treating for Optimal Outcomes Moderators: Gary W. Gibbons, MD; Michael R. Jaff, DO; Richard F. Neville, MD
8:00 – 8:20 AM	Diabetic Vascular Disease: What is Unique Regarding Presentation and Diagnosis? Michael R. Jaff, DO	CME Credits 2.3
8:20 – 8:25 AM	Discussion
8:25 – 8:45 AM	Treatment of Diabetic Vascular Disease: What Unique Perspective Does the Vascular Surgeon Bring to the Table? Peter A. Schneider, MD
8:45 – 8:50 AM	Discussion
8:50 – 9:10 AM	Treatment of Diabetic Vascular Disease: What Unique Perspective Does the Interventional Cardiologist Bring to the Table? Mohamed H. Khan, MD
9:10 – 9:15 AM	Discussion
9:15 – 9:35 AM	LIVE CASE Session I: Endovascular Revascularization from the Cath Lab Surgeon: David H. Deaton, MD Moderator: Richard F. Neville, MD Panel: Michael R. Jaff, DO; Mohamed H. Khan, MD; Peter A. Schneider, MD
9:35 – 10:05 AM	Break/Exhibits
10:05 – 10:30 AM	LIVE CASE Session II: Wound Care and Limb Salvage Surgery via satellite from Georgetown OR Surgeon: John S. Steinberg, DPM Moderator: Christopher E. Attinger, MD Panel: Karen F. Kim Evans, MD; Lawrence B. Harkless, DPM; Gary W. Gibbons, MD; Lee C. Rogers, DPM	CME Credits 1.2
10:30 – 10:40 AM	LIVE CASE Recaps Surgeons: David H. Deaton, MD; John S. Steinberg, DPM
10:40 – 11:00 AM	Revascularization with Bypass vs Angioplasty? Does Diabetes Change the Rule Book Frank B. Pomposelli Jr., MD
11:00 – 11:05 AM	Discussion
11:05 – 11:25 AM	An Evidence-Based Approach to the Patient with a Complex Mixed Arterial/Venous Wound Richard F. Neville, MD
11:25 – 11:30 AM	Discussion
11:30 – 12:00 PM	LIVE CASE Session III: Wound Care and Limb Salvage Surgery via satellite from Georgetown OR Surgeon: John S. Steinberg, DPM Moderator: Christopher E. Attinger, MD Panel: Peter A. Blume, DPM; Lawrence B. Harkless, DPM; Jeffrey E. Janis, MD; Lee C. Rogers, DPM
12:00 – 12:15 PM	Georgetown Distinguished Achievement Award in Diabetic Limb Salvage Honoree – William J. Ennis, DO, MBA Presented by Dr. Richard Goldberg, President, Georgetown University Hospital
12:15 – 1:45 PM	Lunch/Exhibits

12:30 - 1:30 LUNCH SYMPOSIUM

Peripheral Autonomic Neuropathy
as a Risk for Diabetic Limb Loss

Allen M. Jacobs, DPM

This non-CME accredited activity is supported by Pamlab.

Salon 1

12:30 - 1:30 LUNCH SYMPOSIUM

The Unmet Medical Need for Diabetic
Foot Ulcer Patients with Concomitant
Peripheral Vascular Disease

Moderator: David G. Armstrong, DPM, MD, PhD
Faculty: Desmond P. Bell, Jr., DPM, CWS; Vickie R. Driver, MS, DPM; William Marston, MD

This non-CME accredited activity is supported by HEALIANCE Pharmaceuticals

Pull Up a Chair in the OR and Let's Discuss…
1:45 – 3:00 PM	LIVE CASE Session IV: Wound Care and Limb Salvage Surgery via satellite from Georgetown OR Surgeon: Christopher E. Attinger, MD Moderator: John S. Steinberg, DPM Panel: Peter A. Blume, DPM; Lawrence B. Colen, MD; Gary W. Gibbons, MD; Jeffrey E. Janis, MD	CME Credits 1.6
	LIVE CASE Session V: Open Lower Extremity Bypass via satellite from Georgetown OR Surgeon: Richard F. Neville, MD Moderator: Gary W. Gibbons, MD Panel: Peter A. Blume, DPM; John S. Steinberg, DPM; Lawrence B. Colen, MD; George Andros, MD
	LIVE CASE Session VI: Wound Care and Limb Salvage Surgery via satellite from Georgetown OR Surgeon: Christopher E. Attinger, MD Moderator: John S. Steinberg, DPM Panel: Peter A. Blume, DPM; Lawrence B. Colen, MD; Gary W. Gibbons, MD; Jeffrey E. Janis, MD
3:00 - 3:20 PM	LIVE CASE Recaps Surgeons: Christopher E. Attinger, MD; Karen F. Kim Evans, MD
3:20 – 3:50 PM	Break
3:50 – 4:00 PM	LIVE CASE Recap Surgeon: Richard F. Neville, MD	CME Credits .15

Limb Salvage: Defining When to Fish or Cut Bait Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM
4:00 – 4:15 PM	Defining the Dysfunctional Limb: Can and Should One Live with It? Frances Game, MD	CME Credits 2
4:15 – 4:30 PM	Why a Below the Knee Amputation is Not Necessarily a Failure Dane K. Wukich, MD
4:30 – 4:45 PM	The Limb of a Diabetic with Renal Failure Isn't Worth Salvaging: Fact or Fiction Peter Sheehan, MD
4:45 – 5:00 PM	Living With a Chronic Wound: The Pros and Cons of Providing Palliation William J. Ennis, DO, MBA
5:00 – 5:15 PM	Treating the Whole PATIENT Instead of Just the Hole in Their Foot Mark F. Peyrot, PhD
5:15 – 5:30 PM	Panel Discussion / Q&A Frances Game, MD; Dane K. Wukich, MD, Peter Sheehan, MD; William J. Ennis, DO, MBA; Mark F. Peyrot, PhD
5:30 – 6:00 PM	Patient's Perspective Panel II: Living with Limb Loss Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM
6:15 – 7:15 PM	Poster Abstract Review with Authors

Saturday, September 24
8.5 CMEs

6:30 - 8:00 AM - Breakfast

6:30 - 7:15 BREAKFAST SYMPOSIUM

Maximizing the Benefits of Dermagraft
for the Treatment of Diabetic Foot Ulcers

Allen Jacobs, DPM

This non-CME accredited activity is supported by Advanced BioHealing.

Grand Ballroom

Hands-On Workshops 7:30 - 9:30 AM The following workshops are non-CME accredited activities.
7:30 - 9:30 AM	Concurrent workshops one hour in duration, repeating two times. Dressings Can Make a Difference Kara S. Couch, MS, CRNP; Dorothy P. Goodman, RN, CWOCN Bioengineered Alternative Tissues Are You State of the Art in Your Practice? Katherine Hubley; John S. Steinberg, DPM; Brian K. Phillips, CST Debridement Options for Your Patient Christopher E. Attinger, MD; Alison Chappell Offloading The Plantar Foot Wound Peter R. Cavanagh, PhD, DSc; Paul J. Kim, DPM
7:30 – 8:30 AM Only	Vascular Diagnostics: Tools to Know When to Say 'When' James Laredo, MD, PhD; Joseph Babrowicz, MD
7:30 – 8:30 AM Only	Managing Blood Glucose Ask the Expert Stephen C. Clement, MD
8:30 – 9:30 AM Only	Infectious Disease Ask the Expert Mark R. Abbruzzese, MD
8:30 – 9:30 AM Only	Comprehensive Diabetic Foot Exam Lawrence B. Harkless, DPM
9:30 – 10:00 AM	Break/Exhibits

Below the Knee Vascular Symposium Perspectives from Either Side of "The Pond" Moderators: Gary W. Gibbons, MD; Richard F. Neville, MD; George Andros, MD
8:00 – 8:40 AM	USA: Pushing the Limits of Endovascular Therapy for Lower Extremity Arterial Disease Peter A. Schneider, MD	CME Credits 2.25
8:20 – 8:40 AM	Europe: The Recent and Successful Experience of Prosthetic Bypass vs Endovascular Therapy for Distal Revascularization Walter Dorigo, MD
8:40 – 9:00 AM	USA: Pedal Bypass Results in Durable Limb Salvage for Foot Ischemia in Patients with Diabetes Mellitus Frank B. Pomposelli Jr., MD
9:00 – 9:20 AM	Europe: How Do You Choose if You Can Perform Both Endovascular and Open Procedures? Jorge Fernandez Noya, MD
9:20 – 9:40 AM	Europe: We Finally Have Prospective, Randomized Data for Heparin-Bonded Prosthetic Grafts Nils Johannesen, MD
9:40 - 10:15 AM	Panel Discussion
10:15 - 10:45 AM	Break/Exhibits
10:45 – 11:05 AM	An Integrated Lower Extremity Wound Program: Results from the Italian Experience Alberto Piaggesi, MD	CME Credits 1.75
11:05 – 11:25 AM	An Integrated Lower Extremity Wound Program in a Challenging Environment: Results From the South African Experience Lynne Tudhope, MD
11:25 – 11:45 AM	An Integrated Lower Extremity Wound Program: Experiences from the Experienced in Los Angeles, California George Andros, MD
11:45 – 12:05 PM	The Prospective Impact of Coming Vascular Technologies on Below the Knee Revascularization David H. Deaton, MD
12:05 – 12:15 PM	Panel Discussion

Optimizing Diabetic Limb Salvage: The Little Things That Make All the Difference Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM
10:00 – 10:15 AM	Does Nutrition Really Matter in Diabetic Wound Healing? Adrian Barbul, MD	CME Credits 2.5
10:15 – 10:30 PM	The Variable of Pain in Wound Healing: What Can We Do About It? Joyce M. Black, PhD, RN
10:30 – 10:45 AM	How to Avoid OR Case Cancellation and Anesthetic Complications Joseph Myers, MD
10:45 - 11:00 AM	Hyperbaric Oxygen Therapy and Diabetic Ulcers: Myth or Fact? Magnus Löndahl, MD, PhD
11:00 – 11:15 AM	Do Biologics Require a Dosing Schedule for Optimized Outcomes in Wound Healing? Robert S. Kirsner, MD, PhD
11:15 – 11:30 PM	Dressings: What's New and What Works? Diane L. Krasner, RN, PhD
11:30 – 11:45 PM	Nerve Release Surgery for the Diabetic Foot: Hype or the Real Deal? Ivica Ducic, MD, PhD
11:45 – 12:00 PM	Thirty Years of DFU Clinical Trials and What Do We Have to Show for It? Peter Blume, DPM
12:00 – 12:30 PM	Panel Discussion / Q&A Adrian Barbul, MD; Joyce M. Black, PhD, MD; Joseph Myers, MD; Magnus Londahl, MD, PhD; Robert D. Kirsner, MD, PhD; Diane L. Krasner, RN, PhD; Ivica Ducic, MD, PhD; Peter Blume, DPM
12:25 – 1:40 PM	Lunch/Exhibits
1:40 – 1:50 PM	Recap of Last Year's Live Cases Christopher E. Attinger, MD; Richard F. Neville, MD; John S. Steinberg, DPM
1:50 – 2:00 PM	Hobson Poster Abstract Awards

12:35 - 1:35 PM – LUNCH SYMPOSIUM

Advancing Your Practice to the Science
and Evidence-Based Wound Healing
Christopher E. Attinger, MD; Gary W. Gibbons, MD;
Robert S. Kirsner, MD, PhD

Guidelines in the Treatment of DFU: Help or Hindrance? Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM
2:00 – 2:10 PM	The UK NHS Guidelines: Naughty or N.I.C.E.? Gerry Rayman, MD	CME Credits .75
2:10 – 2:20 PM	The International Working Group for the Diabetic Foot Guidelines Michael Edmonds, MD
2:20 – 2:30 PM	Role of Consensus Statements in Guiding Appropriate Therapies? Lawrence A. Lavery, DPM, MPH
2:30 – 2:45 PM	Panel Discussion Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM Panel: Michael Edmonds, MD; Lawrence A. Lavery, DPM, MPH; Gerry Rayman, MD

Infection & Biofilm: Can We Defeat the Enemy? Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM
2:45 – 3:00 PM	Diagnosing Osteomyelitis: Probe vs. Radiology vs. Biopsy vs. Culture - What Works? Benjamin A. Lipsky, MD	CME Credits 2.25
3:00 – 3:15 PM	Are Antibiotics Enough to Cure Osteomyelitis? Michael Edmonds, MD
3:15 – 3:30 PM	Biofilm and Diabetic Ulcers: How Do We Get Rid of It and Keep it Away? Randall D. Wolcott, MD
3:30 – 3:45 PM	The Expanding Role of a Physical Therapist in Wound Healing and Limb Salvage: Wound Bed Preparation, Edema Control, and Beyond Joseph McCulloch, PhD
3:45 – 4:00	Panel Discussion Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM Panel: Michael Edmonds, MD; Joseph McCulloch, PhD; Randall D. Wolcott, MD
4:00 – 5:00 PM	Worst Case Scenarios and Complications from the Clinic and OR: How We Learn from Them Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM Panel: Lawrence B. Colen, MD; William J. Ennis, DO, MBA; Karen F. Kim Evans, MD; Richard F. Neville, MD

Information on this page is subject to change. A final agenda will be provided at the conference.

Georgetown University Hospital
DLS 2011 Agenda

The Nuts and Bolts Approach to Evidence
Based Medicine in Diabetic Limb Salvage

Administrative Symposium
The Business of Limb Salvage:
Where Are We Going and Who is Making the Decisions?

Role of Innovative Products in Continuum of Wound Care

Practical Demonstration:
Achieving Stability and Fixation in the Diabetic Ankle

Healing the Diabetic Foot Wound with Regenerative Tissue

A Patient-Centric Approach to Specific Wound Types:
Can this be Algorithm-Based?

Pathways and Algorithms for Specific Ulcer Types and Locations:
Case Presentations and Panel Discussions

FOREFOOT ULCERS

MIDFOOT ULCERS

HEEL ULCERS

Diabetic Vascular Disease vs PAD in the General Population: Differentiating, Diagnosing and Treating for Optimal Outcomes

Limb Salvage: Defining When to Fish or Cut Bait

Below the Knee Vascular Symposium
Perspectives from Either Side of "The Pond"

Optimizing Diabetic Limb Salvage:
The Little Things That Make All the Difference

Guidelines in the Treatment of DFU: Help or Hindrance?

Infection & Biofilm: Can We Defeat the Enemy?

Georgetown University Hospital DLS 2011 Agenda

The Nuts and Bolts Approach to Evidence Based Medicine in Diabetic Limb Salvage

Administrative Symposium The Business of Limb Salvage: Where Are We Going and Who is Making the Decisions?

Role of Innovative Products in Continuum of Wound Care

Practical Demonstration: Achieving Stability and Fixation in the Diabetic Ankle

Healing the Diabetic Foot Wound with Regenerative Tissue

A Patient-Centric Approach to Specific Wound Types: Can this be Algorithm-Based?

Pathways and Algorithms for Specific Ulcer Types and Locations: Case Presentations and Panel Discussions

FOREFOOT ULCERS

MIDFOOT ULCERS

HEEL ULCERS

Diabetic Vascular Disease vs PAD in the General Population: Differentiating, Diagnosing and Treating for Optimal Outcomes

Limb Salvage: Defining When to Fish or Cut Bait

Below the Knee Vascular Symposium Perspectives from Either Side of "The Pond"

Optimizing Diabetic Limb Salvage: The Little Things That Make All the Difference

Guidelines in the Treatment of DFU: Help or Hindrance?

Infection & Biofilm: Can We Defeat the Enemy?

Georgetown University Hospital
DLS 2011 Agenda

The Nuts and Bolts Approach to Evidence
Based Medicine in Diabetic Limb Salvage

Administrative Symposium
The Business of Limb Salvage:
Where Are We Going and Who is Making the Decisions?

Practical Demonstration:
Achieving Stability and Fixation in the Diabetic Ankle

A Patient-Centric Approach to Specific Wound Types:
Can this be Algorithm-Based?

Pathways and Algorithms for Specific Ulcer Types and Locations:
Case Presentations and Panel Discussions

Below the Knee Vascular Symposium
Perspectives from Either Side of "The Pond"

Optimizing Diabetic Limb Salvage:
The Little Things That Make All the Difference