Dls Meeting 9.09

A T E A M A P P R O A C H

Diabetic Limb Salvage
G E O R G E T O W N U N I V E R S I T Y H O S P I TA L

24-26 SEPTEMBER 2009 WASHINGTON,DC

Conference Co-Chairmen:
Christopher E. Attinger, MD ▲ Richard F. Neville, MD ▲ John S. Steinberg, DPM

www.DLSconference.com

ThankYou
Photo by Christopher E. Attinger, MD

ALPHA
KCI ▲ Integra LifeSciences ▲ Georgetown University Hospital/MedStar Health

DIAMOND PLATINUM
Advanced BioHealing Smith & Nephew

GOLD SILVER
Merck & Company Gore & Associates ▲ Pamlab
Organogenesis Sechrist Industries

BRONZE
Abbott Vascular Diversified Clinical Lorenz NeuroVasc NormaTec
Celleration Services Medical Solutions Perry Baromedical
ConvaTec ev3 Medline Industries väsamed
Derma Sciences Hollister Wound Care Misonix Wright Medical Technology
Integra Foundation Mölnlycke Health Care



T h u r s d ay & F r i d ay
8:30 - 10:30 AM
Tours
Georgetown University
Hospital Center
for Wound Healing
Bus departs at 8:30 AM from JW Marriott Penn. Ave. Level
and returns at 10:30 AM

PENNSYLVANIA AVENUE -1

T h u r s d ay
6:00 - 7:45 PM

Cocktail Reception & Dinner
with Exhibitors
REGISTRATION/
BALLROOM LEVEL -3
INFORMATION
BALLROOM LEVEL -3

WEDNESDAY E XHIBIT H OURS
3:00 PM - 6:00 PM BALLROOM LEVEL -3

THURSDAY THURSDAY
6:00 PM - 7:45 PM
7:00 AM - 7:00 PM
FRIDAY
FRIDAY
9:30 AM - 4:30 PM
6:00 AM - 6:00 PM
SATURDAY
Saturday 10:00 AM - 2:00 PM
6:30 AM - 5:30 PM


Diabetic Limb Salvage CONFERENCE MANAGEMENT

Thursday 24 September
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. ◆ P ENNSYLVANIA AVENUE -1
This is a non-CME accredited activity.
A LL T HURSDAY SESSIONS ARE HELD IN THE G RAND B ALLROOM -3

ADMINISTRATIVE SYMPOSIUM
THE BUSINESS OF RUNNING A HOSPITAL-BASED WOUND AND LIMB SALVAGE CENTER:
Breaking Down the Barriers and Navigating the Challenges
Chair: Linda F. Winger, MSc; Associate Chair: Mark E. Pollard, MHSA

8:00 - 8:15 The National and Financial Impact of Problem Wounds on Our Health System
Linda F. Winger, MSc
8:15 - 8:35 Running a Hospital-Based Wound Center:
The Financial Tribulations of Dealing with Insurance Providers
William J. Ennis, DO, MBA
8:35 - 8:55 Getting the Institution to Buy in:
Running and Funding a Wound Care Center in Academic Health
David L. Steed, MD
8:55 - 9:15 The CEO’s Perspective: Is the Cost Warranted? Is There More to It?
Gary W. Gibbons, MD
9:15 - 9:35 Coding for Success: Correct Coding Leads to Adequate Payment in Wound Care
Kathleen D. Schaum, MS
9:35 - 9:55 Cost Effectiveness of Lower Extremity Revascularization:
The Impact of Treatment Failure and Reintervention
Michael C. Stoner, MD
9:55 - 10:10 Break
10:10 - 10:25 Adding Hyperbaric Oxygen to a Wound Center:
The Financial Pros and Cons of Single vs. Multi-Place Chambers
Michael Rowley
10:25 - 10:40 Turn-Key Operation Wound Center:
The Pluses and Minuses of Contracting with a National Network
Reese B. Walter, Jr.
10:40 - 10:55 The Hurdles of Getting a Hospital-Based Wound Care Center Started:
Space, Personnel, and Logistics
Mark E. Pollard, MHSA
10:55 - 11:10 Compliance, Compliance, Compliance!
Following the Rules When Running a Hospital-Based Wound Care Center
Helen Turner, RN, CPHQ
11:10 - 11:20 Panel Discussion

11:30 AM – 12:15 PM LUNCH SYMPOSIUM
The Role of NPWT in the Team Approach to Limb Salvage: Case Studies
Moderators: Christopher E. Attinger, MD; Bauer E. Sumpio, MD, PhD
Panel: Peter A. Blume, DPM; Vickie R. Driver, DPM, MS; Francis X. McGuigan, MD; John S. Steinberg, DPM

Thursday 24 September
ALL THURSDAY SESSIONS ARE HELD IN THE GRAND BALLROOM -3
THE GLOBAL EPIDEMIC OF DIABETES AND DIABESITY
Moderator: John S. Steinberg, DPM

12:30 - 1:00 The Patient’s Perspective of Working and Living with Complications of Diabetes
David S. Broder, The Washington Post Columnist
1:00 - 1:25 Public Health Crisis: Diabetes 2009
James R. Gavin, III, MD, PhD
1:25 - 1:50 Do All the National and International Committees, Coalitions, and Associations Really
Make a Difference in Limb Salvage Outcomes? Peter Sheehan, MD
1:50 - 2:10 The Sole of the Matter: In Offloading the Diabetic Foot, Is the Gold Standard So Golden?
David G. Armstrong, DPM, PhD
2:10 - 2:35 The Epidemiology of Diabetic Foot Ulceration in the United States
Gayle E. Reiber, MPH, PhD
2:35 - 3:00 Global Impact of Diabetic Foot Complications
Can the World Health Systems Tolerate the Challenge?
William Jeffcoate, MD, FRCP
3:00 - 3:45 The Georgetown Team Approach to Diabetic Limb Salvage
Christopher E. Attinger, MD; Richard F. Neville, MD; John S. Steinberg, DPM;
Mark R. Abbruzzese, MD; Angela M. Calvert, NP; Stephen C. Clement, MD; Paul S.Cooper, MD;
Kara S. Couch, NP; David H. Deaton, MD; Katherine J.S. Hubley, RN; Joseph Jones, C.Ped.;
Margaret Kugler, NP; Joseph Myers, MD; Amarin Sangkharat, MD
3:45 - 4:00 Refreshment Break

OSTEOMYELITIS: SYNONYM FOR AMPUTATION?
Moderator: Christopher E. Attinger, MD
4:00 - 4:20 Medical Treatment of Osteomyelitis
Can Antibiotics Cure This Diagnosis? William Jeffcoate, MD, FRCP
4:20 - 4:40 Surgical Treatment of Osteomyelitis: Is There More to Do
Than Just Cutting It Out? Michael S. Pinzur, MD
4:40 - 5:00 Amputations and Osteomyelitis: HOW to Amputate,
When You HAVE to Amputate Robert G. Frykberg, DPM, MPH
5:00 - 5:20 Biofilms, Bioburden, and Senesent Cells: Role of Biofilms in
Osteomyelitis and Wound Failure Robert S. Kirsner, MD, PhD
5:20 - 5:40 The Legal Pitfalls of Mismanaged Osteomyelitis
Using Evidence-Based Medicine to Protect Yourself and Your Patient
Allen M. Jacobs, DPM

6:00 - 7:45 COCKTAIL RECEPTION & DINNER WITH EXHIBITORS
CAPITOL BALLROOM & FOYER, GRAND FOYER ◆ BALLROOM LEVEL -3

Friday 25 September

6:30 – 7:30 BREAKFAST SYMPOSIA

DIABETIC PERIPHERAL NEUROPATHY: SYMPTOMATIC TREATMENT AND BEYOND
Allen M. Jacobs, DPM GRAND BALLROOM -3
◆
This non-CME accredited activity is supported by Pamlab.

OPTIMIZING THE STANDARD OF CARE FOR DIABETIC FOOT ULCERS
Robert S. Kirsner, MD, PhD ◆ GRAND BALLROOM, SALON I -3
This non-CME accredited activity is supported by Advanced BioHealing.

7:00 - 8:30 Breakfast ◆ GRAND & CAPITOL FOYERS -3
A LL F RIDAY SESSIONS ARE HELD IN THE G RAND B ALLROOM -3
VASCULAR DISEASE AND THERAPY: CURRENT STATE OF THE ART
Moderator: Richard F. Neville, MD
7:50 - 8:00 SVS – APMA Announces Groundbreaking National Collaboration
Between Vascular and Podiatric Surgeons Anton N. Sidawy, MD, MPH; Ronald D. Jensen, DPM;
George Andros, MD; David G. Armstrong, DPM, PhD; Richard F. Neville, MD
8:00 - 8:20 Diabetic Vascular Disease: What Are the Implications to Today’s Healthcare System
Anton N. Sidawy, MD, MPH
8:20 - 8:40 Evolution of Treatment Options for Critical Limb Ischemia Frank J. Veith, MD
8:40 - 9:00 What Have We Learned about Diabetic Vascular Disease? Fact vs. Fiction Gary W. Gibbons, MD
9:00 - 9:30 LIVE CASE Session I: Endovascular Therapy for Peripheral Occlusive Disease
Surgeon: David H. Deaton, MD
Moderator: Richard F. Neville, MD ◆ Panel: George Andros, MD; Gary W. Gibbons, MD;
Bruce H. Gray, DO; William A. Marston, MD; Anton N. Sidawy, MD, MPH

9:30 - 9:50 Challenging Endovascular Cases: What Are the Real Data? Bruce H. Gray, DO
9:50 - 10:05 Challenging Operative Cases: What Are the Real Data? Richard F. Neville, MD
10:05 - 10:35 Break/Exhibits

10:35 -11:00 LIVE CASE Session II: Diabetic Foot Surgery
Surgeon: John S. Steinberg, DPM
Panel: Vickie R. Driver, DPM, MS; Gary W. Gibbons, MD; Lawrence B. Harkless, DPM
11:00 -11:20 The Reconstructive Surgeon’s View of Endovascular Surgery Lawrence B. Colen, MD
11:20 -11:45 LIVE CASE Session III: Diabetic Foot Surgery
Surgeon: John S. Steinberg, DPM

12:00 - 1:30 Lunch/Exhibits
12:15 - 1:15 LUNCH SYMPOSIUM
Advanced Options for Internal Fixation of the Foot & Ankle
Paul S. Cooper, MD; Glenn M. Weinraub, DPM ◆ GRAND BALLROOM -3
This non-CME accredited activity is supported by Integra LifeSciences.

1:15 - 4:00 Internal Fixation Hands-On Workshop
Glenn M. Weinraub, DPM ◆ GRAND BALLROOM, SALON I -3
This non-CME accredited activity is supported by Integra LifeSciences.

Friday 25 September

11:45 AM - 12:00 PM
GEORGETOWN DISTINGUISHED ACHIEVEMENT AWARD IN DIABETIC LIMB SALVAGE
H ONOREE - PETER SHEEHAN, MD
Presented by Dr. Richard Goldberg, President, Georgetown University Hospital

LOWER EXTREMITY EDEMA:
UNDERAPPRECIATED ETIOLOGY FOR NON HEALING?
1:30 - 1:55 Edema, Lymphedema, and Problem Wounds: Why Do We Continue to Ignore the Obvious?
John M. Macdonald, MD
1:55 - 2:15 LIVE CASE Session IV: Diabetic Limb Salvage
Surgeon: Christopher E. Attinger, MD
2:15 - 2:35 Venous Disease: The Surgeon’s Perspective on Lymphedema, and What Role Do the Veins Play?
William A. Marston, MD

2:35 - 3:00 LIVE CASE Session V: External Fixation
Surgeon: Paul S. Cooper, MD
Panel: Michael S. Pinzur, MD; Glenn M. Weinraub, DPM; Dane K. Wukich, MD

3:00 - 3:30 LIVE CASE Session VI: Open Revascularization
Surgeon: Richard F. Neville, MD
Moderator: Gary W. Gibbons, MD ◆ Panel: George Andros, MD; David H. Deaton, MD; Bruce H. Gray, DO;
William A. Marston, MD; Anton N. Sidawy, MD, MPH


4:00 - 4:30 LIVE CASE Session VII: Diabetic Limb Salvage
Surgeon: Christopher E. Attinger, MD

NEUROPATHY: BEGINNING OR END POINT?
4:30 - 4:50 Is Offloading Really Enough?
Lawrence B. Harkless, DPM
4:50 - 5:10 Surgical Management of Neuropathy: Deciphering Fact from Emotion and Theory
Ivica Ducic, MD, PhD
5:10 - 5:30 Defining the Role of Endocrinology in Neuropathy Prevention and Treatment
Stephen C. Clement, MD
5:30 - 6:00 Neuropathic Bone Disease: The Effect on Reconstruction Options in the Diabetic Foot
Francis X. McGuigan, MD

Saturday 26 September

7:00 - 8:00 BREAKFAST SYMPOSIUM

THE ROLE OF DERMAL MATRICES IN LIMB SALVAGE: INTERACTIVE CASE PRESENTATIONS
Christopher E. Attinger, MD; William J. Ennis, DO, MBA;
Jeffrey E. Janis, MD; Peter Sheehan, MD; John S. Steinberg, DPM ◆ G RAND B ALLROOM -3

6:30 - 8:00 Breakfast ◆ GRAND & CAPITOL FOYERS -3

8:00 AM - 12:30 PM
BELOW THE KNEE VASCULAR SYMPOSIUM
CURRENT STATE OF THE ART
Moderators: Richard F. Neville, MD; Gary W. Gibbons, MD; George Andros, MD
GRAND BALLROOM, SALON I -3

8:00 - 8:30 The Future of Interventions: Drug Elution, Stent Design and Characteristics
David H. Deaton, MD

8:30 - 9:00 Subintimal Angioplasty: Accidental Success or Temporizing Procedure?
George H. Meier, III, MD

9:00 - 9:30 Tibial Artery Stent Angioplasty
An Effective Treatment for Critical Ischemia If You Know How to Do It
Bruce H. Gray, DO

9:30 - 10:00 Laser Atherectomy: Is It Making a Comeback?
Michael C. Stoner, MD

10:00 - 10:30 Revascularization of the Diabetic Foot: The German Experience
Prof. Heiner Wenk

10:30 - 11:00 Prosthetic Tibial Bypass: Can We Improve Results with
Heparin Bonded Grafts?
William D. Jordan, Jr., MD


11:30 - 12:00 Adjuvant Methods to Accelerate Healing after Revascularization
The Vascular Surgeon’s Point of View
William A. Marston, MD

12:00 - 12:30 Catheter-Based Atherectomy: Past Experience vs Future Enthusiasm
Richard F. Neville, MD


8:00 – 11:00 AM
Workshops begin at 8:00, 9:00 and 10:00.
HANDS - ON WORKSHOPS
Concurrent workshops one hour in duration, repeating three times beginning at 8, 9, and 10.
The following workshops are non-CME accredited activities.

Principles of Surgical Debridement Physical- and Energy-Based
Christopher E. Attinger, MD; Jeffrey E. Janis, MD Wound Healing Modalities
RUSSELL & HART ◆ MEETING ROOM LEVEL -2 William J. Ennis, DO, MBA
TREASURY ◆ MEETING ROOM LEVEL -2
Outpatient Debridement:
The Role of Ultrasound Technologies Compression Techniques
Vickie R. Driver, DPM, MS; Matteo Fabbi, MD Laura Jacobs, MD, PhD; Bernardo D. Martinez, MD;
RAYBURN ◆ MEETING ROOM LEVEL -2 Paul van Bemmelen, MD, PhD
Moderators: Katherine J.S. Hubley, RN;
Dressings:
Alison Chappell, CRNP
Finding Your Way Through the Masses CONGRESSIONAL ◆ LOBBY LEVEL
Kara S. Couch, CRNP; Dorothy P. Goodman, RN
GRAND BALLROOM, SALON IV ◆ BALLROOM LEVEL -3 Ask the Expert:
Complicated Case Review with
Offloading:
Infectious Disease Specialist
Shoes, Orthotics, and Bracing
Mark R. Abbruzzese, MD
Lawrence B. Harkless, DPM; Joseph Jones, C.Ped.
GARDEN TERRACE B ◆ LOBBY LEVEL JUSTICE ◆ MEETING ROOM LEVEL -2

The Basics of Vascular Diagnostics The Role of Prosthetics and
Joseph C. Babrowicz, Jr., MD; James Laredo, MD, PhD Amputee Support Groups
SENATE ◆ LOBBY LEVEL Charles G. Crone, BS, CP
GARDEN TERRACE A ◆ LOBBY LEVEL
VAC I: Instructional Course for New Users
Peter A. Blume, DPM; Margaret Kugler, NP Bioengineered Alternative Tissues
LONGWORTH ◆ MEETING ROOM LEVEL -2 John S. Steinberg, DPM; Marie L. Williams, DPM
STATE ◆ MEETING ROOM LEVEL -2
VAC II: Advanced Dressing Applications
Karen F. Kim Evans, MD; Nancy R. Megas, NP Bilayered Living Cell Therapy
DIRKSEN ◆ MEETING ROOM LEVEL -2 Joseph P. Cavorsi, MD; Brian K. Phillips, CST
CANNON ◆ MEETING ROOM LEVEL -2


S at u r d ay 8:00 - 11:00 AM
DLS WORKSHOPS
MEETING ROOM LEVEL -2
RUSSELL & HART CANNON RAYBURN JUSTICE DIRKSEN LONGWORTH

Surgical Debridement Bilayered Living OP Infectious VAC II VAC I
Cell Therapy Debridement Disease

TREASURY STATE

Wound Bioengineered
Healing Alternative
Modalities Tissues

LOBBY LEVEL
CONGRESSIONAL SENATE

Compression Vascular
Diagnostics
BELL STORAGE

D
R MAIN
14th I ENTRANCE
V
St. E
W
A
Y STARBUCKS

CONCIERGE
FRONT DESK GIFT SHOP

GARDEN GARDEN
TERRACE
B TERRACE GARDEN
TERRACE
Poster A
Offloading
Abstracts Prosthetics

BALLROOM LEVEL -3
GRAND BALLROOM, SALON IV – Dressings

T HE FOLLOWING S ATURDAY SESSIONS ARE HELD IN THE G RAND B ALLROOM -3

WOUNDS: INSIDE, OUTSIDE, AND HOW TO HEAL MORE OF THEM
11:30 - 11:50 What’s New in Wounds and What Should YOU Be Using Now?
Robert S. Kirsner, MD, PhD
11:50 - 12:10 Charcot Foot Wounds: When to Go to the OR vs When to
Keep Them in the Clinic Dane K. Wukich, MD
12:10 - 12:30 Anesthesia Risk in Diabetic Limb Salvage: Minimizing Pitfalls, Delays,
and Complications Joseph Myers, MD
12:30 - 1:45 Lunch/Exhibits
LUNCH SYMPOSIUM
12:30 - 1:30 The Impact of Practicing Evidence-Based Wound Care on Your Practice:
Improved Outcomes, Patient Satisfaction, and Business Success Joseph P. Cavorsi, MD
This non-CME accredited activity is supported by Organogenesis.

WOUNDS: INSIDE, OUTSIDE, AND HOW TO HEAL MORE OF THEM
1:45 - 2:15 Do You REALLY Know about Diabetes?
Standards in Saving Lives through Glucose Control Charles A. Reasner, II, MD
2:15 - 2:25 Poster Abstract Award Presentations
2:25 - 3:05 A Patient’s Perspective of the Emotional, Physical, and Compliance CHALLENGES
Steven A. Epstein, MD; Andrew Putnam, MD; Julie Andrews;
Angela M. Calvert, NP; Katherine J.S. Hubley, RN; Nancy R. Megas, NP;
and patient participants

3:05 - 3:25 Diabetic Limb Salvage in a SOCIALIZED Health System: Pros and Cons
William Jeffcoate, MD, FRCP
3:25 - 3:45 Hyperbaric Oxygen Therapy: Separating Fact from Fiction and Designing a
Protocol for Success Robert A. Warriner, III, MD
3:45 - 4:05 Innovative Biotechnology and Wound Healing: Can We Afford It?
William J. Ennis, DO, MBA
4:05 - 5:00 Problem Cases: Rapid Fire Presentations from the Experts
Vickie R. Driver, DPM, MS; William J. Ennis, DO, MBA;
Robert G. Frykberg, DPM, MPH; Lawrence B. Harkless, DPM;
Jeffrey E. Janis, MD; Michael S. Pinzur, MD; Dane K. Wukich, MD
Christopher E. Attinger, MD; Richard F. Neville, MD; John S. Steinberg, DPM

A C C R E D I TAT I O N
Accreditation Statement: The Georgetown University Hospital is accredited by the Accreditation Council for
Continuing Medical Education to provide continuing medical education for physicians.
Georgetown University Hospital designates this educational activity for a maximum of 25 AMA PRA Category
1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
International Conference Management, Inc., is approved by the Council on Podiatric Medical Education as a sponsor
of continuing medical education in podiatric medicine. International Conference Management, Inc. has approved
this conference for a maximum of 25 continuing medical education contact hours of CPME credit.
Georgetown University Hospital Department of Nursing Education is an approved provider of continuing nursing
education by the Maryland Nurses Association, an accredited provider by the American Nurses Credentialing Center's
Commission on accreditation. Nurses will be awarded a maximum of 25 contact hours for successfully completing the
program.

Disclosure of Financial Relationships with Any Commercial Interest As sponsors accredited by the ACCME and
CPME, it is the policy of Georgetown University Hospital and International Conference Management, Inc., to require that
everyone who is in the position to control the content of an educational activity disclose all relevant financial relationships
with any commercial interest prior to the educational activity. The ACCME and CPME consider relationships of the
person involved in the CME activity to include financial relationships of a spouse or partner. Faculty and planners who
refuse to disclose relevant financial relationships will be disqualified from participating in the CME activity. For an
individual with no relevant financial relationship(s), the participant must be informed that no conflicts of interest or
financial relationship(s) exist.

Conference Objectives: This course will enhance the background, knowledge and skills of attendees in the science
of diabetic limb salvage. At the conclusion of this CME activity, participants should be able to: discuss the public health
crisis of diabetic limb loss ▲ discuss the pain of sensory loss and non-compliance ▲ discuss the options in vascular
interventional technology and techniques, both surgical and endovascular ▲ discuss the complexities of biomechanics,
limb salvage, the problem wound, wound based infection, preserving limb length ▲ cite the financial and social impact
of diabetic limb salvage and amputation ▲ integrate into their practices the knowledge obtained through the didactic
lectures, workshops and live surgical cases.

Target Audience: This program has been planned, designed, and is intended for Diabetes & Wound Healing
Specialists ▲ Vascular Surgeons ▲ Orthopaedic Surgeons ▲ Podiatric Surgeons ▲ Plastic Surgeons ▲
Endocrinologists ▲ PCPs ▲ Infectious Disease Specialists ▲ Cardiovascular & Endovascular Specialists ▲ NPs ▲ PTs ▲
RNs ▲ CDEs ▲ Peripheral Nerve Specialists ▲ the entire team who work on the diabetic foot and limb salvage

Course Description: Georgetown University Hospital's Team Approach to Diabetic Limb Salvage conference is
intended to better equip each member of the health care team with the education and resources needed to heal wounds
and prevent amputations. It features a prominent multidisciplinary faculty that promotes the importance of every member
of the team. The course is designed for health care practitioners of all specialties and promotes an evidence-based
approach. The meeting format will include didactic lectures, hands-on workshops, specialty symposia, and live surgical
case demonstrations for the purpose of providing a live interactive learning experience.

Acknowledgment: This continuing medical education activity is supported by unrestricted educational grants from
contributing organizations. A complete list is published in this program notebook.

Advisory: Certificates of Attendance for CMEs and Contact hours are available for you to print online during and after
this conference. Attendees can update or edit their Attendance Checklist or CME Certificate through October 15, 2009.
After that time, no further changes can be made in the forms. Certificates can be printed for a period of two years.

HOW TO PRINT YOUR
CME CERTIFICATE

Please print your own Diabetic Limb Salvage CME certificate.
It’s easy! You can do it at the conference, or later at your home or office.
1. Logon to the DLS CME site.
AT THE DLS CONFERENCE: Go to the Information Desk on -3 Level. Using one of the
computers, enter your LAST NAME as your User Name. Then enter your Password, which is
the ID NUMBER printed on your conference name badge.
AT HOME/OFFICE: Immediately after the conference, you will receive an email with a
personalized link to the CME site. Click on the link or paste it into your browser.

2. Open the Attendance Checklist. Then click on the box beside each education session you
attended. The Attendance Checklist form will automatically total your CME/Contact hours,
up to a maximum of 25 hours. Click the submit button when done.
Note: You can update or edit your Attendance Checklist through October 15, 2009.
After that time, no further changes can be made in the form.

3. Open the CME Certificate and print it.
Note: You can print your certificate as many times as you like for a period of two years.

Faculty
C ONFERENCE C O -C HAIRMEN

Christopher E. Attinger, MD ▲ Richard F. Neville, MD ▲ John S. Steinberg, DPM

C ONFERENCE C OMMITTEE
Mark R. Abbruzzese, MD Charles G. Crone, BS, CP Anton N. Sidawy, MD, MPH
David G. Armstrong, DPM, PhD David H. Deaton, MD Gail E. Thurkauf, RN, MS
Stephen C. Clement, MD Ivica Ducic, MD, PhD Helen Turner, RN, CPHQ
Paul S. Cooper, MD William J. Ennis, DO, MBA Dennis A. Vitrella, MA
Kara S. Couch, CRNP Mark E. Pollard, MHSA Linda F. Winger, MSc

DLS 2009 FACULTY
George Andros, MD Karen F. Kim Evans, MD Joseph Jones, C.Ped.
Valley Presbyterian Hospital Veterans Affairs Medical Center Nascott Orthotics and Prosthetics
Los Angeles Vascular Specialists Washington, DC Fairfax, VA
Los Angeles, CA
Robert G. Frykberg, DPM, MPH William D. Jordan, Jr., MD
David G. Armstrong, DPM, PhD Carl T. Hayden VA Medical Center University of Alabama at Birmingham
University of Arizona College of Medicine Phoenix, AZ Birmingham, AL
Tucson, AZ
Robert S. Kirsner, MD, PhD
Peter A. Blume, DPM James R. Gavin, III, MD, PhD University of Miami
Yale University Emory University School of Medicine Miller School of Medicine
New Haven, CT Fairburn, GA Miami, FL

Gary W. Gibbons, MD John M. Macdonald, MD
David S. Broder
Boston University School of Medicine University of Miami
The Washington Post
Quincy Medical Center Miller School of Medicine
Washington, DC
Boston, MA Miami, FL
Lawrence B. Colen, MD William A. Marston, MD
Norfolk Plastic Surgery Bruce H. Gray, DO University of North Carolina
Norfolk, VA Institute of Vascular Health Chapel Hill, NC
Greenville, SC
Kara S. Couch, CRNP George H. Meier, III, MD
Walter Reed Army Medical Center Lawrence B. Harkless, DPM University of Cincinnati
Washington, DC Western University of Health Sciences Cincinnati, OH
Charles G. Crone, BS, CP Pomona, CA Michael S. Pinzur, MD
Nascott Rehabilitation Services Loyola University Medical Center
Fairfax, VA Allen M. Jacobs, DPM Chicago, IL
Dr. Allen M. Jacobs & Associates
Vickie R. Driver, DPM, MS St. Louis, MO Charles A. Reasner, II, MD
Boston University School of Medicine University of Texas Health Science Center
Boston Medical Center Jeffrey E. Janis, MD San Antonio, TX
Boston, MA University of Texas
Southwestern Medical Center Gayle E. Reiber, MPH, PhD
William J. Ennis, DO, MBA Dallas, TX University of Washington
University of Illinois at Chicago Seattle, WA
St. James Center for Comprehensive William Jeffcoate, MD, FRCP Michael Rowley
Wound & Disease Management Nottingham City Hospital Diversified Clinical Services
Chicago, IL Nottingham, UK Jacksonville, FL

Faculty continued
Kathleen D. Schaum, MS Michael C. Stoner, MD Robert A. Warriner, III, MD
Kathleen D. Schaum & Associates East Carolina University Diversified Clinical Services
Lake Worth, FL Greenville, NC The Woodlands, TX
Glenn M. Weinraub, DPM
Peter Sheehan, MD Bauer E. Sumpio, MD, PhD
Kaiser Permanente Medical Group
Sheehan Health Management Yale University School of Medicine
Fremont, CA
New York, NY New Haven, CT
Prof. Heiner Wenk
Anton N. Sidawy, MD, MPH Frank J. Veith, MD Klinikum Bremen Nord
Veterans Affairs Medical Center New York University Bremen, Germany
Washington, DC New York, NY
Dane K. Wukich, MD
David L. Steed, MD Reese B. Walter, Jr. University of Pittsburgh Medical Center
University of Pittsburgh Diversified Clinical Services Comprehensive Foot and Ankle Center
Pittsburgh, PA Raleigh, NC Pittsburgh, PA

G EORGETOWN U NIVERSITY H OSPITAL FACULTY
Mark R. Abbruzzese, MD Ivica Ducic, MD, PhD Richard F. Neville, MD
Julie Andrews Steven A. Epstein, MD Brian K. Phillips, CST
Christopher E. Attinger, MD Dorothy P. Goodman, RN Mark E. Pollard, MHSA
Joseph C. Babrowicz, Jr., MD Katherine J. S. Hubley, RN Andrew Putnam, MD
Angela M. Calvert, NP Margaret Kugler, NP Amarin Sangkharat, MD
Alison Chappell, CRNP James Laredo, MD, PhD John S. Steinberg, DPM
Stephen C. Clement, MD Francis X. McGuigan, MD Helen Turner, RN, CPHQ
Paul S. Cooper, MD Nancy R. Megas, NP Linda F. Winger, MSc
David H. Deaton, MD Joseph Myers, MD

PETER SHEEHAN, MD
2009 G EORGETOWN D ISTINGUISHED A CHIEVEMENT AWARD
IN D IABETIC L IMB S ALVAGE

D r. Peter Sheehan is an internationally known and respected diabetes researcher and
educator, unique in his ability to bring all disciplines to bear on diabetic limb
salvage and to raise awareness about the impact of diabetes on patients and on our
health systems. He has been called an ambassador to a world audience on diabetes and
peripheral vascular disease and a thought leader in multidisciplinary limb salvage. Formerly
director of the Diabetes Foot and Ankle Center at New York University Medical Center's
Hospital for Joint Diseases Orthopaedic Institute and a senior faculty member at the Mount
Sinai School of Medicine in New York City, Dr. Sheehan is president of Sheehan Health
Management, consulting with medical institutions and with technology and biotechnology companies. Dr. Sheehan has
been actively involved in numerous clinical trials dealing with wound healing, diabetic neuropathy and peripheral
arterial disease. He has worked on both the local and national level with the American Diabetes Association and
maintains an active role with the PAD Coalition. A member of multiple editorial boards, Dr. Sheehan also is the author
of many peer-reviewed articles and book chapters. He is program chair of the annual Wound Healing: Science and
Industry meeting, now in its 10th year. Dr. Sheehan is a graduate of the SUNY-Downstate School of Medicine, where
he also completed his residency in internal medicine. He continued his training at Yale University School of Medicine
in New Haven where he completed a fellowship in endocrinology and metabolism.

PAST AWARD RECIPIENTS:
Lawrence B. Harkless, DPM, 2008; David G. Armstrong, DPM, PhD, 2007.

Faculty Disclosures
It is the policy of Georgetown University Hospital and International Conference Management, Inc. (ICM) to insure balance, independence, objectivity, and
scientific rigor in all its individually sponsored or jointly sponsored educational programs. All faculty participating in any Georgetown University Hospital or
ICM sponsored programs are expected to disclose to the program audience any real or apparent conflict(s) of interest that may have a direct bearing on the
subject matter of the continuing education program. This pertains to relationships with pharmaceutical companies, biomedical device manufacturers, or other
corporations whose products or services are related to the subject matter of the presentation topic. The intent of this policy is not to prevent a speaker with a
potential conflict of interest from making a presentation. It is merely intended that any potential conflict should be identified openly so that the listeners may
form their own judgments about the presentation with the full disclosure of the facts. It remains for the audience to determine whether the speaker’s outside
interests may reflect a possible bias in either the exposition or the conclusions presented.
A complete updated list is available at the faculty counter next to registration.

Name Commercial Interest Nature of Financial Relationship

Mark R. Abbruzzese, MD Cubicin Research
Schering-Plough Speaking and Teaching
Julie Andrews No relevant financial relationships with any commercial interests to disclose.
George Andros, MD No disclosure submitted at press time.
David G. Armstrong, DPM, PhD No relevant financial relationships with any commercial interests to disclose.
Christopher E. Attinger, MD No disclosure submitted at press time.
Joseph C. Babrowicz, Jr., MD No relevant financial relationships with any commercial interests to disclose.
Peter A. Blume, DPM KCI Consultant
David S. Broder No disclosure submitted at press time.
Angela M. Calvert, CRNP No relevant financial relationships with any commercial interests to disclose
Alison Chappell, CRNP No relevant financial relationships with any commercial interests to disclose
Stephen C. Clement, MD No relevant financial relationships with any commercial interests to disclose
Lawrence B. Colen, MD No relevant financial relationships with any commercial interests to disclose.
Paul S. Cooper, MD No disclosure submitted at press time.
Kara S. Couch, CRNP Organogenesis, Eagle Health Care Honoraria
Charles G. Crone, BS, CP No relevant financial relationships with any commercial interests to disclose.
David H. Deaton, MD Aptus Endosystems Chief Medical Consultant
ROX Medical, M2S Consultant
Boston Scientific Clinical Investigator
Vickie R. Driver, DPM, MS No disclosure submitted at press time.
Ivica Ducic, MD, PhD No relevant financial relationships with any commercial interests to disclose.
William J. Ennis, DO, MBA No disclosure submitted at press time.
Steven A. Epstein, MD No relevant financial relationships with any commercial interests to disclose.
Robert G. Frykberg, DPM, MPH SBi, KCI Speaker
Regenesis Biomedical Advisory Board
Advanced BioHealing Speaker/Research/Advisory Board
James R. Gavin, III, MD, PhD No disclosure submitted at press time.
Gary W. Gibbons, MD No disclosure submitted at press time.
Dorothy P. Goodman, RN No relevant financial relationships with any commercial interests to disclose.
Bruce H. Gray, DO No relevant financial relationships with any commercial interests to disclose
Lawrence B. Harkless, DPM Organogenesis, Sanofi Aventis Speaker Bureau
Katherine J.S. Hubley, RN No relevant financial relationships with any commercial interests to disclose.
Allen M. Jacobs, DPM No disclosure submitted at press time.
Jeffrey E. Janis, MD Ethicon, Mentor, Integra LifeSciences Advisory Council
LifeCell Speaker’s Bureau

Name Commercial Interest Nature of Financial Relationship

William Jeffcoate, MD, FRCP No relevant financial relationships with any commercial interests to disclose
Joseph Jones, C.Ped. No relevant financial relationships with any commercial interests to disclose.
William D. Jordan, Jr., MD W.L. Gore Investigator, Consultant
Karen F. Kim Evans, MD No disclosure submitted at press time.
Robert S. Kirsner, MD, PhD No disclosure submitted at press time.
Margaret Kugler, ACNP No relevant financial relationships with any commercial interests to disclose.
James Laredo, MD, PhD No disclosure submitted at press time.
John M. Macdonald, MD 3M Speaker, Consultant
William A. Marston, MD Advanced BioHealing, Healthpoint Consultant, Research
Diversified Clinical Services Advisory Board
Francis X. McGuigan, MD No disclosure submitted at press time.
Nancy R. Megas, CRNP No relevant financial relationships with any commercial interests to disclose.
George H. Meier, III, MD No relevant financial relationships with any commercial interests to disclose.
Joseph Myers, MD No disclosure submitted at press time.
Richard F. Neville, MD No disclosure submitted at press time.
Brian K. Phillips, CST No relevant financial relationships with any commercial interests to disclose.
Michael S. Pinzur, MD Small Bone Innovations, Smith & Nephew Consulting
Biomimmetics Research funding
Ascension Orthopaedics Lecture
Mark E. Pollard, MHSA No relevant financial relationships with any commercial interests to disclose.
Andrew T. Putnam, MD Wyeth Pharmaceuticals Speaker’s Bureau
Charles A. Reasner, II, MD Takeda, Novo Nordisk, Amylin/Lilly Speaker’s Bureau
Gayle E. Reiber, MPH, PhD No relevant financial relationships with any commercial interests to disclose.
Michael Rowley Diversified Clinical Services Employee and Officer
Amarin Sangkharat, MD No relevant financial relationships with any commercial interests to disclose.
Kathleen D. Schaum, MS Healthpoint Employee
Peter Sheehan, MD No disclosure submitted at press time.
Anton N. Sidawy, MD, MPH No disclosure submitted at press time.
David L. Steed, MD Stemnion Employee
John S. Steinberg, DPM Smith & Nephew, KCI, ArthroCare,
Integra, Organogenesis Consultant
Michael C. Stoner, MD W. L. Gore Consultant, Research
Bauer Sumpio, MD No disclosure submitted at press time.
Helen Turner, RN, CPHQ No disclosure submitted at press time.
Frank J. Veith, MD Vascular Innovation Major Stockholder
Reese B. Walter, Jr. No relevant financial relationships with any commercial interests to disclose.
Robert A. Warriner, III, MD Diversified Clinical Services Chief Medical Officer
Glenn M. Weinraub, DPM No relevant financial relationships with any commercial interests to disclose.
Heiner Wenk No relevant financial relationships with any commercial interests to disclose.
Linda F. Winger, MSc No disclosure submitted at press time.
Dane K. Wukich, MD Arthrex Consultant

COMMERCIAL FUNDING &

Funding for the conference has been provided by educational grants or exhibit funding from the following companies

3M Diversified Clinical Services

Abbott Vascular DJO

ACI Medical Edwards Lifesciences

Advanced BioHealing Elsevier/Saunders

ARANZ Medical ev3

Arobella Medical Foot Solutions

ArthroCare Sports Medicine Georgetown University Hospital
MedStar Health
Bianco Brothers Instruments
Gore & Associates
Bio Compression Systems
Hollister Wound Care
BioMedix Vascular Solutions
HS Pharmaceuticals
Brican Systems
Hyperbaric America
Calmoseptine
Innovative Therapies
Care-Tech Laboratories
Integra Foundation
Celleration Integra LifeSciences
ConvaTec Kalypto Medical
Depuy Orthopaedics KCI
Derma Sciences Koven Technology

FINANCIAL SUPPORTERS

Funding for the conference has been provided by educational grants or exhibit funding from the following companies

Lorenz NeuroVasc SciVolutions
MedEfficiency Sechrist Industries
Medical Solutions Shoe Care Innovations
Medline Industries Small Bone Innovations
Merck & Company Smith & Nephew
Milliken & Company
Soluble Systems
Misonix
Spectranetics
Mölnlycke Health Care
Tekscan
Monarch Labs
ULURU
Nascott Orthotics & Prosthetics
väsamed
NormaTec
Vasyli Medical
novel
Volcano Corporation
Ocean Aid
Vomaris Innovations
Organogenesis
Osborn Medical Wound Care Innovations

Ossur Americas Wound Care Technologies

Pamlab Wright Medical Technology

Perry Baromedical Xenna Corporation

PuriCore Zymogenetics

Evaluations
Please complete evaluations online or
on computers in the information area throughout the conference.
Onsite Computers Supported by KCI

DPM Sign In
Required daily in the main education ballroom

View Poster Abstracts
GARDEN TERRACE ◆ LOBBY LEVEL
Poster Abstract Area and Online Viewing Supported by KCI

O NLINE
S TREAMING
VIDEO
of the
DLS E DUCATIONAL P ROGRAM
will be available at
www.DLSconference.com

Funding for DLS Streaming Video graciously provided by
Merck & Company and Integra LifeSciences.

DLS C ONFERENCE 2009 E XHIBITOR F LOORPLAN
BALLROOM LEVEL -3

PLASMA
PLASMA

Organogenesis
väsamed Gore & Abbott 4
25 Derma 22 15 Associates 14 7 Medline
Vascular
Sciences Industries

SciVolutions Shoe Care Vomaris Spectranetics G U H
Diversified Medical

69
26 Merck Clinical 21 16 Pamlab Sechrist 13 8 Perry Solutions 3
Services Industries Baromedical

68
27 Hollister 9 Celleration ConvaTec 2
Wound Care
19 17 Integra KCI 11
Lorenz

67
Advanced LifeSciences ev3 1
28 10 NeuroVasc
BioHealing

Innovations
Smith & Nephew

66
CAPITOL BALLROOM

65
49 50 51 52
MedEfficiency Monarch ULURU Ossur
Bio Labs
Calmoseptine Compressions
42 43 44
ACI

GRAND BALLROOM - EDUCATION
Zymogenetics Volcano DePuy Medical
53 54 55
45

Arobella

56
Elsevier Mölnlycke
41

Saunders
33

60 59 58 57
46

DJO
novel Koven Nascott NormaTec
40

ArthroCare
Foot
Solutions
39

3M HS
Care-Tech WCI Pharma SBi
61 62 63 64
47

Brican Systems
31

PuriCore
38

Wound Care
48

Technologies Vasyli Medical 76 32
30

ARANZ
35 34 74 70 71 Soluble Kalypto
Systems Medical
37

Tekscan Innovative Ocean Hyperbaric Milliken Xenna
Therapies Aid America
PLASMA
36

BioMedix
Edwards
Lifesciences

Misonix Wright Medical 72

REGISTRATION ALCOVE 1 ALCOVE 2
WC INFORMATION

DLS E XHIBITOR L EGEND
3M ................................................................................39 Medical Solutions ............................................................3
Abbott Vascular ..............................................................4 Medline Industries ..........................................................7
ACI Medical ..................................................................55 Merck & Company ........................................................26
Advanced BioHealing ................................................ 28 Milliken & Company ......................................................70
ARANZ Medical ..........................................................30 Misonix ................................................................Alcove 1
Arobella Medical ..........................................................45 Mölnlycke Health Care..................................................56

ArthroCare Sports Medicine ...................................... 40 Monarch Labs ..............................................................50

Bio Compression Systems ..........................................44 Nascott Orthotics & Prosthetics ....................................58

BioMedix Vascular Solutions ...................................... 36 NormaTec......................................................................57

Brican Systems ............................................................47 novel ............................................................................60

Calmoseptine ................................................................42 Ocean Aid ....................................................................34

Care-Tech Laboratories ................................................61 Osborn Medical ............................................................73

Celleration ......................................................................9 Organogenesis..............................................................15

ConvaTec ........................................................................2 Ossur Americas ............................................................52

Depuy Orthopaedics ....................................................54 Pamlab ..........................................................................16

Derma Sciences............................................................22 Perry Baromedical ..........................................................8

Diversified Clinical Services..........................................21 PuriCore ........................................................................31

DJO ..............................................................................46 SciVolutions ..................................................................65

Edwards Lifesciences ..................................................72 Sechrist Industries ........................................................13

Elsevier/Saunders ........................................................41 Shoe Care Innovations ................................................66

ev3 ..................................................................................1 Small Bone Innovations ................................................64

Foot Solutions ..............................................................33 Smith & Nephew ..........................................................19

Georgetown University Hospital/ MedStar Health, Soluble Systems ..........................................................76
Nurse Recruitment ....................................................69 Spectranetics ................................................................68
Gore & Associates ........................................................14 Tekscan ........................................................................37
Hollister Wound Care ....................................................27 ULURU..........................................................................51
HS Pharmaceuticals......................................................63 väsamed........................................................................25
Hyperbaric America ......................................................74 Vasyli Medical ..............................................................48
Innovative Therapies ....................................................35 Volcano Corporation ....................................................53
Integra LifeSciences ....................................................17 Vomaris Innovations......................................................67
Kalypto Medical ............................................................32 Wound Care Innovations ..............................................62
KCI ................................................................................11 Wound Care Technologies ............................................38
Koven Technology ........................................................59 Wright Medical Technology ................................Alcove 2
Lorenz NeuroVasc ........................................................10 Xenna Corporation ........................................................71
MedEfficiency ................................................................49 Zymogenetics................................................................43

September 2009 April 2010 A T E A M A P P R O A C H
S M T W T F S S M T W T F S Diabetic Limb Salvage
1 2 3 4 5 1 2 3 G E O R G E T O W N U N I V E R S I T Y H O S P I TA L
6 7 8 9 10 11 12 4 5 6 7 8 9 10
13 14 15 16 17 18 19 11 12 13 14 15 16 17
20 21 22
27 28 29
23
30
24 25 26 18 19 20 21 22
25 26 27 28 29
23
30
24 F U T U R E D AT E S
October 2009 May 2010 14-16 OCTOBER 2010
S M T W T
1
F
2
S
3
S M T W T F S
1 15 - 17 SEPTEMBER 2011
4 5 6 7 8 9 10 2 3 4 5 6 7 8
11 12 13 14 15 16 17 9 10 11 12 13 14 15 JW MARRIOTT PENNSYLVANIA AVENUE
18 19 20 21 22 23 24 16 17 18 19 20 21 22
25 26 27 28 29 30 31 23
30
24
31
25 26 27 28 29 WA S H I N G T O N , D C
November 2009 June 2010
S M T W T F S S M T W T F S
1 2 3 4 5 6 7 1 2 3 4 5
8 9 10 11 12 13 14 6 7 8 9 10 11 12
15 16 17 18 19 20 21 13 14 15 16 17 18 19
22 23 24 25 26 27 28 20 21 22 23 24 25 26
29 30 27 28 29 30

December 2009 July 2010
1 2 3 4 5 1 2 3
6 7 8 9 10 11 12 4 5 6 7 8 9 10
13 14 15 16 17 18 19 11 12 13 14 15 16 17
20 21 22 23 24 25 26 18 19 20 21 22 23 24
27 28 29 30 31 25 26 27 28 29 30 31

January 2010 August 2010
1 2 1 2 3 4 5 6 7
3 4 5 6 7 8 9 8 9 10 11 12 13 14
10 11 12 13 14 15 16 15 16 17 18 19 20 21
17 18 19 20 21 22 23 22 23 24 25 26 27 28
24 25 26 27 28 29 30 29 30 31
31

February 2010 September 2010
1 2 3 4 5 6 1 2 3 4
7 8 9 10 11 12 13 5 6 7 8 9 10 11
14 15 16 17 18 19 20 12 13 14 15 16 17 18
21 22 23 24 25 26 27 19 20 21 22 23 24 25
28 26 27 28 29 30

March 2010 October 2010
1 2 3 4 5 6 1 2
7 8 9 10 11 12 13 3 4 5 6 7 8 9
14 15 16 17 18 19 20 10 11 12 13 14 15 16
21 22 23 24 25 26 27 17 18 19 20 21 22 23
28 29 30 31 24 25 26 27 28 29 30
31

A T E A M
A P P R O A C H
G E O R G E T O W N U N I V E R S I T Y H O S P I TA L Hold the Date
WA S H I N G T O N , D C ▲ J W M A R R I O T T P E N N AV E
14-16 OCTOBER 2010

Conference Co-Chairmen: C h r i s t o p h e r E . A t t i n g e r , M D ▲ R i c h a r d F. N e v i l l e , M D ▲ John S. Steinberg, DPM

Georgetown University Hospital
Washington, DC

The next generation of wound care

is already here.
At Georgetown University Hospital, one of the nation’s most respected
academic healthcare delivery networks, we’re aggressively implementing the
most advanced therapeutics and technologies to meet the phenomenal rise in
demand for wound care. Our soon-to-be-delivered hyperbaric oxygen
chambers are just one example of our leading-edge treatment of chronic and
complex wounds. Let’s talk about your options with one of the nation’s top
nursing teams: the Magnet® nurses of Georgetown.

See Us At Our Booth
Relocation assistance is available. Call Eileen Ferrell, RN, MS at (877) 486-
9676, apply online or send your resume to Georgetown University Hospital,
Attn: Eileen Ferrell, RN, MS, 3800 Reservoir Rd., NW, Washington, DC
20007, fax: (202) 444-4080, e-mail: FERRELEB@gunet.georgetown.edu.
AA/EOE.

www.TheNursesHospital.com

Dls Meeting 9.09

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