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Wednesday, November 3
|Back to top|Principles of Manual MedicineTuesday, November 2 – Wednesday, November 3
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The Academy is pleased to once again offer this course to its members. Manipulative medicine, also referred to as manual medicine, is the diagnostic approach of using palpatory methods in the treatment of injury and disease. The physical exam is a central component of PM&R physician's patient assessment. Manual medicine techniques can enhance this assessment and can also be employed in complementary ways with standard diagnostic and rehabilitation approaches.
This day and a half course can serve as an introductory session for newer clinicians as well as a helpful review for experienced physiatrists, such those with a focus in musculoskeletal, rehabilitative or sports medicine. The course includes a combination of didactic lectures, demonstrations and palpation labs.
Read what the course director said about this course in the Spring 2010 Medical Rehabilitation Council information letter. (PDF Download)
Upon the completion of this course, the participant will be able to:
Explain the central principles and terminology of manual medicine pertinent to a clinical setting
Differentiate the various methods, indications, and counter indications of various treatment techniques
Perform specific manual medicine techniques appropriate for treatment of major regions of the body
Formulate a manual medicine prescription and program for the management of a patient
Organize and employ a coordinated, efficient team approach for a patient's treatment
Registration for the course is limited and available on a first-come, first-served basis. The registration fee includes a course book, along with a copy of Principles of Manual Medicine, Greenman, P.E., 3rd edition, a continental breakfast, lunch, refreshment breaks and CME processing.
The American Academy of Physical Medicine and Rehabilitation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
AAPM&R designates this educational activity for a maximum of 15.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Participants should wear clothing that allows them to serve as “subjects.” Sweat suits, shorts, T-shirts, and tank tops would be appropriate for the hands-on portion of this course. Be prepared to wear a light jacket or sweater, as the meeting rooms can be cool.
Jerel H. Glassman, DO, MPH
Todd G. Holmes, MD
James Atchison, DO
Ralph Gay, MD
Marcy Schlinger, DO
Judy Silverman, MD
| Noon |
Registration |
| 12:30pm–1:15pm |
- Models and Mechanisms of Manual Medicine - Principles of layer palpation - Lab: Palpation |
| 1:15pm–3:15pm |
- Functional anatomy: Vertebrae, Ligaments, Muscles |
| 3:15pm–3:30pm | Break |
| 3:30pm–5:00pm | - Principles of Muscle Energy Technique - Demonstration and lab: Thoracic spine Muscle Energy technique |
| 5:00pm–6:30pm | - Cervical spine mechanics - Demonstration and lab: Muscle Energy technique for cervical spine |
| 7:00am–7:30am | Review |
| 7:30am-8:30am | - Principles of soft tissue/ Myofascal Release Technique - Demonstration and lab: Myofascal release of the pelvic girdle, shoulder |
| 8:30am–9:30am | - Principles of Indirect Technique/ functional Approach - Demonstation and Lab: Counterstrain technique hip flexors |
| 9:30am–9:45am | Break |
| 9:45am–11:45am | - Principles of Mobilization with Impulse: High velocity/ low amplitude Thrust technique - Demonstration and Lab: Lumbar spine |
| 11:45am–12:30pm | Lunch |
| 12:30pm–1:30pm | - Pelvic anatomy and principles of treatment - Demonstration and Lab: Superior inominate shear |
| 1:30pm–2:30pm | - Principles of Joint play Technique - Demonstration and Lab: Upper extremity |
| 2:30pm–3:30pm | - Principles of rib mechanics - Demonstration and Lab: Inhalation and exhalation restrictions |
| 3:30pm–3:45pm | Break |
| 3:45pm–5:00pm | - Integration with Physiatric examination: Screen, Scan and Manipulative Rx |
| 5:00pm–6:00pm | - Manual Medicine and Physiatric practice |
AAPM&R is offering a 10% discount off the preconference course registration fee if you are willing to participate in a skills assessment associated with this course. If you are interested in participating and receiving this discount, please contact the Academy at education@aapmr.org for additional information. PLEASE NOTE do not register online for the course if you are interested in participating in the skills assessment portion of the preconference.
This day and a half course geared towards a basic to intermediate level audience, will highlight the practical assessment and comprehensive treatment of spasticity and related disorders. A faculty of expert physiatrists to include Jorg Wissel, MD from the Neurological Rehabilitation Clinic in Germany, will lead discussions and interactive sessions focused on teaching and updating skills for assessment and management of spasticity. This year's preconference course has been expanded to a day and a half and includes a novel new session featuring live patients with spasticity who will be assessed and diagnosed. More hands-on time has been added, and the techniques demonstrated during the course include ultrasound-guided injection of botulinum toxins and neurolytic agents, such as anesthetics and phenol, and intrathecal baclofen management.
Upon completion of this course, participants will be able to:
Define the role of non-pharmacologic physical modalities, orthoses, and exercise in spasticity management
Describe safety and efficacy of oral spasmolytic agents
Compare and contrast various botulinum toxin stereotypes
Demonstrate ability to inject various limb and cervical muscles using a simulation model
Define the role of diagnostic nerve block in spasticity management
Apply the steps in performing neurolysis (using anesthetics, phenol and alcohol)
Differentiate between the clinical factors that determine the need for phenol/alcohol vs. botulinum toxin therapy.
Identify and locate anatomic landmarks for neurolysis of musculocutaneous, obturator, sciatic and tibial nerves
Employ the steps in performing neurolysis for spasticity management
Intrepret the effect of upper limb chemodenervation on gait
Translate the potential role of electrical stimulation and exercise in optimizing benefits from botulinum toxin injections
Explain the principles of muscular ultrasound in chemodenervation and neurolytic procedures
Describe the role of intrathecal baclofen in managing spasticity
Explain the utility of ultrasound guidance in muscle injections and perform injections using this technique
Outline steps in identifying and injecting muscles commonly involved in postural abnormalities but are not often injected
Discuss advanced management techniques for ITB therapy
Registration for the course is limited and available on a first-come, first-served basis. The registration fee includes a course book, continental breakfast, lunch, refreshment breaks, and CME processing.
The American Academy of Physical Medicine and Rehabilitation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Academy of Physical Medicine and Rehabilitation designates this education activity for a maximum of 13 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Participants should wear clothing that allows them to serve as “subjects.” Sweat suits, shorts, T-shirts, and tank tops would be appropriate for the hands-on portion of this course. Be prepared to wear a light jacket or sweater, as the meeting rooms can be cool.
Gerard E. Francisco, MD
John S. Harrell, MD
Jörg Wissel, MD
Katharine E. Alter, MD
Elie P. Elovic, MD
Alberto Esquenazi, MD
John L. Lin, MD
Nathaniel H. Mayer, MD
Elizabeth Moberg-Wolff, MD
Ib Oddersen, MD, PhD
Thomas K. Watanabe, MD
| 12 pm-1 pm | Registration |
| 1 pm–1:05 pm | Welcome |
| 1:05 pm–1:25 pm | Non-Pharmacologic Interventions for Spasticity |
| 1:25 pm–1:45 pm | Are Oral Spasmolytic Agents Still Useful and Relevant? |
| 1:45 pm–1:50 pm | Q&A |
| 1:50 pm-2:50 pm | Upper Limb Dysfunction and Abnormal Movement Patterns |
| 2:50 pm-3 pm | Break |
| 3 pm-4:30 pm | Live Clinical Assessment of Spastic Conditions |
| 4:30 pm-5:30 pm | Lecture and Demonstration: Muscle identification and injection technique of the facial and cervical regions |
| 7 am–7:30 am | Continental Breakfast |
| 7:30 am–7:35 am | Overview of Day 2 |
| 7:35 am–8:35 am | Comparative Efficacy and Safety Profiles of Botulinum Toxins |
| 8:35 am–8:45 am | Q&A |
| 8:45 am–9 am | Clinical Pearls: When is it Better to Use Phenol/Alcohol or Botulinum Toxin for Managing Spasticity? |
| 9 am–9:05 am | Q&A |
| 9:05 am–9:15 am | Break |
| 9:15 am–10 am | Nerve Blocks for Spasticity Management |
| 10 am–11:30 am | Hands-on Session: Nerve identification via surface stimulation |
| 11:30 am–12:30 pm | Lunch |
| 12:30 pm–1:10 pm | Clinical Pearls: How to Maximize Treatment Outcomes of Spasmolytic Procedures |
| 1:10 pm–1:20 pm | Q&A |
| 1:20 pm–2:10 pm | Clinical Pearls: The Role of Ultrasound in Chemodenervation |
| 2:10 pm–2:45 pm | Ultrasound-guided Nerve Blocks |
| 2:45 pm–3 pm | Break |
| 3 pm–3:45 pm | Intrathecal Baclofen Therapy: Clinical Updates in Management |
| 3:45 pm–5:45 pm | Breakout Sessions: A. Hands-on Session: Ultrasound Guided Injection - Katharine Alter, MD John Lin, MD, Jorg Wissel, MD, John Harrell, MD** B. Small Group Session: Advanced ITB Management - Elizabeth Moberg-Wolff, MD C. Small Group Session: Intensive Review of Less - Elie Elovic, MD Commonly Chemodenervated Muscles |
This is a PM&R-specific, one and one-half day workshop designed to educate physiatrists, physicians' office managers, and procedural coders about the latest coding and billing issues that have an effect on PM&R practices. The sessions will focus on correct coding of services and procedures to assist practices in securing appropriate reimbursement for physician and practice services from third-party payers and others. This will be achieved through the use of lectures, clinical vignettes, attendee participation, and question and answer sessions.
Upon completion of this course, participants will be able to:
Utilize recent changes to CPT codes in 2010 that might relate to physiatric practice
Interpret issues related to Medicare payments for physicians at teaching hospitals and for residents
Properly utilize the Evaluation and Management codes and documentation guidelines
Distinguish correct coding methods for electrodiagnostic and in-office procedures
Apply techniques for accurately coding interventional procedures
Appropriately utilize and apply ICD-9-CM codes
Effectively appeal denied insurance claims
Registration for this course is limited and available on a first-come, first-served basis. The registration fee for this course includes a course book, breaks, continental breakfast, lunch, and CME processing.
The American Academy of Physical Medicine and Rehabilitation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Academy of Physical Medicine and Rehabilitation designates this education activity for a maximum of 12 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
William Sullivan, MD
Sandra Soerries, CPC, CPC-H
William Sullivan, MD
| Noon | Registration |
| 1 pm-1:10 pm | Introduction of Speakers |
| 1:10 pm–1:45 pm | Understanding the CPT and RUC process |
| 1:45 pm–2:45 pm | ICD-9 and intro to ICD-10 |
| 2:45 pm–3 pm | Q+A |
| 3 pm–3:15 pm | Refreshment Break |
| 3:15 pm–3:35 pm | Coding in Teaching Hospitals |
| 3:35 pm–4:30 pm | Coding Electrodiagnostic Testing and In-office Procedures |
| 4:30 pm–5:30 pm | Question and Answer Session |
| 7:30 am–8 am | Continental Breakfast |
| 8 am–10:15 am | E+M Coding: Office Visits, Consults, Inpatient, Other Settings |
| 10:15 am–10:30 am | Q+A |
| 10:30 am–10:45 am | Refreshment Break |
| 10:45 am–Noon | Coding and Billing for Interventional Procedures |
| Noon–1 pm | Lunch |
| 1 pm–2:15 pm | Surviving an Audit |
| 2:15 pm–2:45 pm | Coding Therapy services, Incident-to Billing |
| 2:45 pm–3 pm | Break |
| 3 pm–4 pm | Hands-On Coding Scenarios |
| 4 pm–5 pm | Question and Answer Session |
| 5 pm–5:15 pm | Workshop Wrap Up/Course Evaluations |
CODING INCORRECTLY = LOST INCOMEDo not lose money in these challenging times because you are coding incorrectly. Get the reimbursement you deserve. The AAPM&R 2010 Coding Guide will help you avoid making costly mistakes. The 2010 Coding Guide is an educational tool intended to help physiatrists and office staff members in their daily activities. This year, our efforts were focused on providing updates on code changes for 2010 as well as the most frequently used codes in PM&R. Order forms are available here. Because our preferred method of delivery is e-mail, please be sure to include your preferred e-mail address on the order form for prompt delivery. If you have any additional questions or wish to have an order form faxed directly to you, please contact the Academy at (847) 737-6000. The AAPM&R 2010 Coding Guide will also be available outside the Coding and Billing Workshop and onsite at the Assembly for a fee. |
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