AOFAS Complete Foot Care Course

Multi-disciplinary faculty AOFAS Complete Foot Care Course Team approach to total foot and ankle care • Didactic presentations • Breakout sessions ...
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Multi-disciplinary faculty

AOFAS Complete Foot Care Course Team approach to total foot and ankle care • Didactic presentations

• Breakout sessions

September 28-29, 2012

Hyatt Fairfax at Fair Lakes • Fairfax, Virginia Course Chair: Steven K. Neufeld, MD www.aofas.org/completefoot

Faculty and Course Information FACULTY ORTHOPAEDIC SURGEONS

CLINICAL WOUND SPECIALIST

Steven K. Neufeld, MD, Course Chair Falls Church, Virginia

Constance Booker, CWS Falls Church, Virginia

Carroll P. Jones, III, MD, Co-Chair Charlotte, North Carolina

NURSES

Matthew M. Buchanan, MD Falls Church, Virginia Rebecca A. Cerrato, MD Baltimore, Maryland

Gabrielle Morgan, BSN, CMOM Falls Church, Virginia Margaret Rowell, BSN, RN Burlington, Vermont ORTHOTISTS / PEDORTHISTS

Daniel J. Cuttica, DO Falls Church, Virginia

Dennis Janisse, CPed Milwaukee, Wisconsin

Robert Dehne, MD Austin, Texas

Elliot Weintrob, CPO Falls Church, Virginia

Daniel C. Farber, MD Baltimore, Maryland

PHYSICAL THERAPISTS

Saul G. Trevino, MD Burlington, Vermont RADIOLOGIST Kevin M. Johnson, MD Fairfax, Virginia

Matthew Bernier, MPT Falls Church, Virginia Deborah Nawoczenski, PT, PhD Rochester, New York PHYSICIAN ASSISTANTS

ATHLETIC TRAINER, CERTIFIED

Josie Hyams, PA-C Falls Church, Virginia

Marcia Graddon, ATC Falls Church, Virginia

Nate Shaefer, PA-C Falls Church, Virginia Faculty subject to change

PURPOSE A comprehensive multi-disciplinary course for health care professionals, this course enables participants to enhance their skills in the management of foot and ankle problems. Topics covered include: the evaluation and office treatment of common causes of forefoot, midfoot and hindfoot pain; the assessment of foot mechanics; the aging foot; the role of shoewear and orthotic devices in treating disorders; foot and ankle injuries; and foot complications in diabetes mellitus. This course emphasizes the non-operative management of foot and ankle problems.

COURSE DESCRIPTION In general sessions, members of the faculty will discuss their roles in the integrated care of a wide variety of common foot and ankle ailments. Breakout sessions will address aspects of foot and ankle care relevant

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to each participant’s specific practice and attendees will have the opportunity to rotate through each session. Case presentations will demonstrate treatment principles and facilitate open discussion.

GOALS This course is designed to give attendees the knowledge and skills to: •

Demonstrate and apply diagnostic skills, treatments and techniques in the non-operative care of foot and ankle disorders



Identify the roles of other disciplines in the treatment of foot and ankle problems



Maximize and enhance clinical skills in the management of patients with foot and ankle disorders



Identify and apply strategies to improve patient outcomes

Course Information WHO SHOULD ATTEND

PROGRAM

This meeting is designed for physicians and other health care professionals involved in foot and ankle care including nurses, nurse practitioners, physician assistants, orthopaedic technicians, physical therapists, athletic trainers, and orthotists/pedorthists and prosthetists.

The AOFAS attests that the persons responsible for the development of this educational activity did so independently and were not influenced by commercial supporters.

STATEMENT OF NEED A need for this educational activity has been determined based on previous course evaluations and the AOFAS educational curriculum. The content of this course was based on current issues and topics provided by AOFAS membership and leadership.

CME CREDIT The AOFAS is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians.

ACCREDITATION: Physicians The AOFAS designates this live activity for a maximum of 13.5 AMA PRA Category 1 creditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Course participants are required to submit a completed evaluation form at the end of the course in order to receive CME credit. Physician Assistants The AAPS accepts Category 1 Credits from organizations accredited by the ACCME. Contact and continuing education hours pending approval*: • Certified Athletic Trainers: Board of Certification (BOC) • Nurses: National Association of Orthopaedic Nurses (NAON) • Orthotists/Pedorthists and Prosthetists: American Board of Certification (ABC) • Physical Therapists: Virginia Physical Therapy Association (VPTA)

DISCLOSURE The AOFAS requires all instructors, planners and other individuals in a position to control or influence the content of an educational activity to disclose all relevant financial relationships or affiliations during the past 12 months with any commercial interest (any entity producing, marketing, re-selling, or distributing health care goods and services consumed by, or used on patients). All identified conflicts of interest must be resolved and the education content vetted by the AOFAS for fair balance, scientific objectivity and appropriateness. The AOFAS also requires faculty to disclose when off-label/unapproved uses of a product are discussed in a CME activity. All financial disclosures will be provided to meeting attendees in the final program materials.

DISCLAIMER The methods, techniques and procedures demonstrated and views and opinions expressed by speakers, presenters and faculty during this continuing medical education program are their own, and do not represent those of the AOFAS nor does presentation on the program represent or constitute endorsement or promotion by the AOFAS. The AOFAS expressly disclaims any warranties or guarantees, expressed or implied, and shall not be liable for damages of any kind in connection with the material, methods, information, techniques, opinions, or procedures expressed, presented or demonstrated.

* Please check website for certification updates at www.aofas.org/completefoot

Daily Breakout Sessions

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CME Mission EDUCATIONAL PROGRAM MISSION CME Purpose: The American Orthopaedic Foot & Ankle Society (AOFAS) is a nonprofit professional organization committed to improving the medical and surgical care of disorders of the foot and ankle. The overall goal of the AOFAS CME program is to provide orthopaedic foot and ankle surgeons with the highest quality learning opportunities that are designed to advance physician competence, enhance practice performance, promote patient safety, and improve patient outcomes in the population served. The AOFAS CME programs are designed to respond to, and be reflective of, continuous assessment of needs as derived from scientific advances in the field of orthopaedic foot and ankle surgery and the needs and desires of AOFAS members. The AOFAS further seeks to provide orthopaedic foot and ankle surgeons as well as allied healthcare providers with educational programs and materials of the highest quality, to constantly improve the content and value of these educational activities and to promote research in all aspects of orthopaedic foot and ankle surgery and related sciences in the promotion of quality healthcare. Content areas: AOFAS CME content identifies and addresses the treatment of all clinical issues related to foot and ankle congenital and acquired disorders, and is designed to meet the educational needs of AOFAS members, orthopaedic surgeons, fellows and residents, and healthcare providers engaged in the practice of treating disorders of the foot and ankle. Additionally, the AOFAS CME program provides content for topics such as effective management of an orthopaedic foot and ankle practice and other areas deemed relevant by the needs of the membership. Target audience: The goal of the AOFAS CME program is to provide educational activities that support orthopaedic foot and ankle surgeons, general orthopaedic surgeons, physicians in related specialties,

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orthopaedic surgery fellows and residents in training, and allied healthcare professionals having an interest in the treatment of foot and ankle disorders. Types of activities provided: The types of activities that comprise the AOFAS CME program include comprehensive annual scientific meetings containing seminars, symposia, papers, courses, clinical and practice management workshops, technology tips, and electronic posters as well as regional courses on clinical topics. Expected results of the program: The expected results of the AOFAS CME program are to provide orthopaedic foot and ankle surgeons and other healthcare professionals with educational programs that address gaps in professional practice, enhance the participant’s competence and practice performance, improve patient outcomes, as well as contribute to lifelong learning among practicing orthopaedic foot and ankle surgeons. Specific expected results include: • Increase member and non-member competence in treating disorders of the foot and ankle • Promote the highest possible standards in clinical orthopaedic foot and ankle surgery practice • Provide the target audience with a forum for the exchange of ideas and methodologies in the field of orthopaedic foot and ankle surgery and related medical and basic sciences • Increase the body of knowledge existing in the field of orthopaedic foot and ankle surgery • Provide educational opportunities to members in all aspects of orthopaedic foot and ankle surgery • Provide an ongoing assessment of the impact of the AOFAS CME program and make modifications to existing activities and develop new activities as appropriate

Housing and Travel Housing Hyatt Fairfax at Fair Lakes 12777 Fair Lakes Circle Fairfax, VA 22033 Phone: 703-818-1234 Fax: 703-653-6109 Reservations: 888-421-1442 A block of guest rooms is being held at the reduced rate of $106 single or double occupancy (plus current tax of 9%) until August 30, 2012 or until the block is sold out, whichever comes first.

To / From Union Station / Washington, DC: Venturing in and out of the city is easy and affords travelers several options. Take Vienna / Metro (15 minutes from the hotel) via the hotel’s transportation department. For points west of the White House, exit at Farragut West. Change at the Metro Center to take the Red Line to Union Station (Amtrak). Union Station is approximately a 45-minute taxi ride from the hotel.

Reservations: • Phone: 888-421-1442. Identify yourself as an AOFAS Complete Foot Care Course group member. • Online: Go to www.aofas.org/completefoot and click on hotel link.

Nearby Washington Dulles International Airport (11.64 miles) Washington, DC (23 miles) Reagan Washington National Airport (24 miles) Baltimore, Maryland (60 miles) Richmond, Virginia (103 miles)

Transportation

Travel

To / From Washington Dulles International Airport / Ronald Reagan Washington National Airport: Guests departing from either airport can hail a taxi just outside the airport terminal to take them to the hotel. For departing guests, please allow the Concierge to call one of the following taxi companies for you: Red Top Taxi – 703-934-4444 (approx. $30 one way) Super Shuttle – 800-258-3826 Washington Flyer – 703-661-8230 To / From Vienna (Orange Line) Metro Stations / Area Shopping Malls / Local Business Parks: As a courtesy to guests, there is complimentary transportation to local business parks within a 2-mile radius, Vienna metro station, and area shopping malls. Reservations are required and transportation is subject to availability. Please call the Hyatt Front Desk to make your reservation at 703-818-1234.

AMERICAN AIRLINES is the preferred carrier for AOFAS meetings and offers a 5% DISCOUNT OFF ANY FARE to Dulles International, Reagan National or Baltimore/ Washington International Airport for this course. Take advantage of the savings! This discount is available on reservations using any one of the following methods: • Online at www.aa.com Enter Promotional Code 7792BG in the designated field • Attendees in North America: Call American Airlines Meeting Services at 800-433-1790 Enter Promotional Code 7792BG in the designated field • Attendees outside North America: Contact American’s Oneworld Alliance Partners directly and reference Promotional Code 7792BG • For personal, professional service, contact Tomi Gaudio, the preferred travel account manager for the AOFAS: Phone: 847-348-3600 ext 6 or 877-366-0366 (Toll Free) E-mail: [email protected] Please identify yourself as an AOFAS meeting attendee.

Take advantage of a 5% discount from American Airlines

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Program Information THURSDAY, SEPTEMBER 27 4:00 – 7:00 pm Registration FRIDAY, SEPTEMBER 28 7:00 am Registration 7:00 am  Continental Breakfast / Exhibits 7:30 am Introduction and Course Objectives Steven K. Neufeld, MD, Program Chair Symposium I – The Basics

7:40 – 8:40 am Moderator: Robert Dehne, MD 7:40 am Clinical Evaluation of the Foot Robert Dehne, MD 7:55 am Radiographic Evaluation of the Foot Kevin M. Johnson, MD 8:05 am Foot Biomechanics and Gait Analysis Deborah Nawoczenski, PT, PhD 8:20 am General Pedorthic Principles Dennis Janisse, CPed 8:30 am Questions and Panel Discussion Robert Dehne, MD Dennis Janisse, CPed Deborah Nawoczenski, PT, PhD Kevin M. Johnson, MD Symposium II – The Forefoot

8:40 – 9:40 am Moderator: Daniel C. Farber, MD 8:40 am Lesser Toe Deformities Saul G. Trevino, MD

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8:50 am Metatarsalgia / MTP Instability / Neuromas Steven K. Neufeld, MD 9:05 am Hallux Rigidus and Sesamoiditis Daniel C. Farber, MD 9:20 am Hallux Valgus Daniel J. Cuttica, DO 9:30 am Panel: Conservative Treatment for the Forefoot Daniel C. Farber, MD Daniel J. Cuttica, DO Steven K. Neufeld, MD Saul G. Trevino, MD 9:40 am Break / Visit Exhibits Symposium III – Pes Cavus / Pes Planus

10:05 – 10:50 am Moderator: Saul G. Trevino, MD 10:05 am Pes Cavus: Diagnosis and Management Rebecca A. Cerrato, MD 10:20 am Pes Planus: Diagnosis and Management Carroll P. Jones, III, MD 10:35 am Pedorthic Footwear Options and the Management of Pes Cavus / Pes Planus Rebecca A. Cerrato, MD Carroll P. Jones, III, MD Saul G. Trevino, MD Symposium IV – Foot and Ankle Trauma

10:50 am – 12:00 pm Moderator: Daniel C. Farber, MD 10:50 am Common Midfoot and Forefoot Fractures Matthew M. Buchanan, MD

Program Information 11:05 am Calcaneus and Talus Fractures Steven K. Neufeld, MD 11:20 am Ankle Fractures Carroll P. Jones, III, MD 11:35 am Rehabilitation After Foot and Ankle Trauma Matthew Bernier, MPT 11:50 am Trauma Case Presentations Moderator: Daniel C. Farber, MD Matthew M. Buchanan, MD Steven K. Neufeld, MD Carroll P. Jones, III, MD 12:05 – 1:00 pm Lunch / Visit Exhibits 1:00 – 3:45 pm Breakout Sessions

#1 – 1:00 – 1:45 pm #2 – 2:00 – 2:45 pm #3 – 3:00 – 3:45 pm

Group C – Rotation starts with: Breakout #3 from 1:00 – 1:45 pm Breakout #1 from 2:00 – 2:45 pm Breakout #2 from 3:00 – 3:45 pm #1 Anatomy, Examination and Radiology of the Foot Robert Dehne, MD, Moderator a) Foot and Ankle Examination Robert Dehne, MD Saul G. Trevino, MD Matthew Bernier, MPT Daniel J. Cuttica, DO Deborah Nawoczenski, PT, PhD b) Imaging: The Basics and Commonly Missed Fractures (including radiology for Nurses and Physical Therapists) Kevin M. Johnson, MD Josie Hyams, PA-C Nate Shaefer, PA-C #2 Understanding Footwear: Athletic & Custom. Understanding Prosthetics Matthew M. Buchanan, MD, Moderator a) Orthotics and Braces Dennis Janisse, CPed Elliot Weintrob, CPO

Refreshments in hallway in-between rooms available at time of room switch Faculty will give their breakout presentations / demonstrations 3 times each afternoon. Attendees will be assigned to a group (A, B, or C) and each group will rotate through the 3 breakout sessions.

b) Athletic Taping and Braces Marcia Graddon, ATC Daniel C. Farber, MD

Group A – Rotation starts with: Breakout #1 from 1:00 – 1:45 pm Breakout #2 from 2:00 – 2:45 pm Breakout #3 from 3:00 – 3:45 pm

b) Happy Patients = Happy Practice Gabrielle Morgan, BSN, CMOM Rebecca A. Cerrato, MD

Group B – Rotation starts with: Breakout #2 from 1:00 – 1:45 pm Breakout #3 from 2:00 – 2:45 pm Breakout #1 from 3:00 – 3:45 pm

#3 The Efficient Office Steven K. Neufeld, MD, Moderator a) Basic Foot and Ankle CPT Coding and Billing Steven K. Neufeld, MD

3:45 – 3:55 pm Complete Evaluation and return to Registration Desk 4:00 – 5:30 pm Welcome Reception with Exhibitors

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Program Information SATURDAY, SEPTEMBER 29 7:00 am Registration

9:05 – 10:15 am Moderator: Daniel J. Cuttica, DO

7:00 am Continental Breakfast / Exhibits

9:05 am The Aging Foot Saul G. Trevino, MD

7:25 am Announcements Steven K. Neufeld, MD Symposium V – Diabetes

7:30 – 9:05 am Moderator: Matthew M. Buchanan, MD 7:30 am The Diabetic Patient and the Problem Robert Dehne, MD 7:45 am Charcot Arthropathy Carroll P. Jones, III, MD 8:00 am Diabetic Ulcers Robert Dehne, MD 8:15 am Wound Care for the Diabetic Patient Margaret Rowell, BSN, RN 8:35 am Nail and Skin Care for the Insensate Foot Nate Shaefer, PA-C 8:45 am Pedorthic / Bracewear: Treatment for the Diabetic Patient – Case-based Discussion Moderator: Matthew M. Buchanan, MD Robert Dehne, MD Carroll P. Jones, III, MD Nate Shaefer, PA -C Margaret Rowell, BSN, RN

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Symposium VI – Arthritis

9:30 am Rheumatoid Arthritis: The Disease and Management Rebecca A. Cerrato, MD 9:45 am Ankle Arthritis: Fusion vs Ankle Replacement Steven K. Neufeld, MD 10:00 am Pedorthic / Bracewear: Options for the Arthritic Foot and Ankle Moderator: Daniel J. Cuttica, DO Rebecca A. Cerrato, MD Saul G. Trevino, MD 10:15 am Break / Visit Exhibitors Symposium VII – Sports Injuries 10:40 am – 12:00 pm Moderator: Rebecca A. Cerrato, MD 10:40 am Plantar Heel Pain Carroll P. Jones, III, MD 10:55 am Achilles Tendonosis: Insertional Achilles Tendonitis Matthew M. Buchanan, MD 11:10 am Achilles Repair Daniel J. Cuttica, DO

Program Information 11:25 am Peroneal Tendon Tears Steven K. Neufeld, MD 11:35 am Physical Therapy for Tendon Injuries in Athletes Matthew Bernier, MPT 11:45 am Pedorthic / Bracewear: Options for the Sports Injuries of the Foot and Ankle 12:00 – 1:00 pm Lunch/ Visit Exhibits 1:00 – 3:45 pm Breakout Sessions

#1 – 1:00 – 1:45 pm #2 – 2:00 – 2:45 pm #3 – 3:00 – 3:45 pm

Refreshments in hallway in-between rooms available at time of room switch Faculty will give their breakout presentations / demonstrations 3 times each afternoon. Attendees should continue with the group assignment (A, B, or C) from the previous day. Each group will rotate through the 3 breakout sessions. Group A – Rotation starts with: Breakout #1 from 1:00 – 1:45 pm Breakout #2 from 2:00 – 2:45 pm Breakout #3 from 3:00 – 3:45 pm Group B – Rotation starts with: Breakout #2 from 1:00 – 1:45 pm Breakout #3 from 2:00 – 2:45 pm Breakout #1 from 3:00 – 3:45 pm Group C – Rotation starts with: Breakout #3 from 1:00 – 1:45 pm Breakout #1 from 2:00 – 2:45 pm Breakout #2 from 3:00 – 3:45 pm



#1 Gait Mechanics and Systems Deborah Nawoczenski, PT, PhD, Moderator a) Foot Mechanics and Gait Analysis Deborah Nawoczenski, PT, PhD Marcia Graddon, ATC b) Pedorthics/Orthotics in a Managed Care World (including the Comprehensive Shoe Bill) Dennis Janisse, CPed Elliot Weintrob, CPO #2 Understanding Wound Care and Vital Wound Care Products Margaret Rowell, BSN, RN, Moderator

a) Total Contact Casting Demonstration; Wound Vacs Margaret Rowell, BSN, RN Gabrielle Morgan, BSN, CMOM Rebecca A. Cerrato, MD Nate Shaefer, PA-C b) Basic Wounds and Their Treatments Steven K. Neufeld, MD Daniel J. Cuttica, DO Constance Booker, CWS #3 Treatment Protocols for the Common Injury and Condition Saul G. Trevino, MD, Moderator a) Physical Therapy Protocols with Modalities Matthew Bernier, MPT b) Common Foot and Ankle Injuries •  Sprains That Won’t Heal Daniel C.Farber, MD • The Adult Foot Carroll P. Jones, III, MD • The Pediatric Foot Robert Dehne, MD • The Athletic Foot Matthew M. Buchanan, MD 3:45 – 3:55 pm Complete Evaluation and return to Registration Desk 4:00 pm Course Adjourns Program subject to change

Advance Registration ends September 7

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Course and Registration Information PROGRAM FORMAT The program will be held at the Hyatt Fairfax at Fair Lakes. The educational sessions will be held as follows: • Friday, September 28 from 7:30 am – 5:30 pm (including the Welcome Reception) • Saturday, September 29 from 7:25 am – 4:00 pm General Sessions, including case presentations demonstrating treatment principles, will take place in the mornings, and the afternoon breakout sessions will run from 1:00 pm on Friday and Saturday. Each breakout session will address aspects of foot and ankle care relevant to participants’ specific practice; attendees will have the opportunity to rotate through each session. Registration fee includes continental breakfasts, breaks, lunch, and the Welcome Reception on Friday evening. On-site registration begins Thursday, September 27 from 4:00 to 7:00 pm at the Hyatt Fairfax at Fair Lakes. Additional information will be included in your registration confirmation letter sent via e-mail within one week of the meeting.

COURSE POLICIES

Course sessions, food functions and exhibits are for course participants only. The AOFAS regrets that spouses, families and unregistered staff are not permitted in these areas. If you have not received your registration confirmation within one week of your departure for the course, please contact the AOFAS Executive Office at [email protected] or call 800-235-4855 or 847-698-4654 (outside US). The AOFAS will not be responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the course. Recording of the sessions is prohibited.

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The AOFAS may photograph you as you participate in this course and related activities. These photos may be used by the AOFAS in future promotional materials. If you do not consent to being photographed, please send an e-mail to [email protected] by September 7.

CANCELLATION / REFUNDS Requests to cancel registration and obtain a refund must be received in writing at the AOFAS Executive Office by the key deadlines shown below. Mail: 6300 North River Road, Suite 510 Rosemont, IL 60018 Fax: 847-692-3315 E-mail: [email protected]

KEY REGISTRATION DEADLINES August 31, 2012 Deadline for 100% Cancellation Refund September 14, 2012 Deadline for 50% Cancellation Refund (Less $100 processing fee) The AOFAS reserves the right to cancel the course 30 days prior to the course date. Should this occur, course registrants will be notified by e-mail or mail at the address indicated on the registration form. Persons who registered at least 30 days prior to the date of course cancellation will also be contacted by telephone. Registration fees will be refunded in full. However, costs incurred by the registrants, such as airline or hotel penalties, are the responsibility of the registrant.

Registration Form September 28-29, 2012 Fairfax, Virginia

AOFAS Complete Foot Care Course

If you are not an AOFAS or AAOS member, resident, fellow, non-member physician, or allied health professional, please contact the AOFAS Executive Office at [email protected] or 847-698-4654 to determine your registration category.

PLEASE PRINT CLEARLY. Photocopy form for additional registrants. Full Name:_________________________________________________

Degree _______________

First Name/Nickname (for badge):_____________________________________________________ Company / Facility Name_ ___________________________________________________________ Office Address_____________________________________________________________________ (NOTE: This address will be provided to attendees and exhibitors)

City _ ___________________________________________State/Province______________________ ZIP/Postal Code_ _________________________________Country_ __________________________ Office Phone _ ___________________________________Fax _______________________________ E-mail (required for confirmation)_ ____________________________________________________ ADA Compliance: Indicate below any on-site needs (i.e. dietary, audio/visual devices, etc.) or send a separate e-mail to [email protected] by September 7 to receive service(s) requested.

__________________________________________________________________________________ REGISTRATION FEES (US Dollars) One day registration is not available. All registrants must pay the full registration fee which includes course materials, admission to the sessions, exhibits, and indicated meals. On or before Sept 7 $515 AOFAS Member $550 AAOS Member $575 Non-member Attendee $375 International Attendee $350 Resident and Fellow

(fax verification to 847-692-3315)

$350

Allied Health Professional*

* Mark your Allied Health Professional title:



After Sept 7

$575 $625 $675 Payment required at time of $425 registration. Allow 2-3 days for $375 processing and e-mail receipt. $375 Credit card payments:

Online: www.aofas.org/ completefoot Login required. Please do NOT create a new record if you are an AOFAS Member or have TOTAL AMOUNT ENCLOSED $ ______________ attended an AOFAS meeting PAYMENT (Please review Cancellation/Refunds policy) within the past six years. Check enclosed (US funds payable to AOFAS) Fax: 847-692-3315 Credit Card: VISA® MasterCard® AmEx® Phone: 800-235-4855 or Number | | | | | | | | | | | | | | | | | 847-698-4654 (outside US) Exp. | | | | | Security # | | | | | Check or credit card payments: m m y y r r r r r

Athletic Trainer (ATC) Medical Assistant (MA) Nurse (RN) Nurse Practitioner (NP) Orthopaedic Technician

r r r r r

Orthotist Pedorthist (CPed) Physical Therapist (PT) Physician Assistant (PA) Prosthetist

Cardholder Name (please print) __________________________________________________ Cardholder Signature __________________________________________________

Mail:

American Orthopaedic Foot & Ankle Society 22271 Network Pl Chicago, IL 60673-1222

Credit card billing address if different than office address __________________________________________________________________________________

• • • • • • • •

Save when you register by September 7 www.aofas.org/completefoot

Nurses Nurse practitioners Medical/physician assistants Orthopaedic technicians Physical therapists Athletic trainers Orthotists/pedorthists Prosthetists

Who Should Attend?

September 28-29, 2012 Hyatt Fairfax at Fair Lakes Fairfax, Virginia Course Chair: Steven K. Neufeld, MD

COMPLETE FOOT CARE COURSE

6300 N. River Road, Suite 510 • Rosemont, IL 60018