Saturday, June 18 from 9:30 am - 12:30 pm (CT)
Course Director
Mitchell Prywes, MD, FAAPM&R
Faculty
Stuart J. Glassman, MD, MBA, FAAPM&R
Ari C. Greis, DO, FAAPM&R
Misha Kogan, MD
Michael F. Saulino, MD, PhD, FAAPM&R
Dustin Sulak, DO
During the conference, Medical Cannabis experts will discuss clinical applications across a variety of practice settings. This 3-hour program will address relevant research, medicolegal issues, and provide a clear understanding of how medical cannabis can be an effective tool for PM&R physicians treating pain, spasticity, insomnia and other chronic conditions. There will also be a review of medical cannabis regulatory issues as well as its use in underserved populations. A panel discussion with live Q&A will also be provided.
Agenda
Part I. RESEARCH & EDUCATION
Cannabis Components: Synergy of the Entourage for Pain and Palliation
Ethan Russo, MD
- Overview of cannabis components (phytocannabinoids and terpenoids) and their analgesic effects
- Current status of cannabis-based medicines in pain and palliation
Cannabis Dosing to Maximize Benefits and Minimize Adverse Effects
Dustin Sulak, MD
- Describe the safe and effective dosing range of cannabis and typical dose-response trends
- Understand the role of CBD as an adjunct to THC
- Understand how to initiate and fine-tune treatment in cannabis-naïve patients
Part II. CLINICAL APPLICATIONS
Recommending Medical Cannabis for Orthopedic Pain
Ari C. Greis, DO, FAAPMR
- Identify appropriate candidates for medical cannabis treatment in orthopedic practice
- Recall chemical constituents of cannabis in order to educate patients on medically appropriate products
- Determine best practices for providing medical cannabis product recommendations to patients
Medical Cannabis for Older Adults
Mikhail Kogan, MD
- Review critical need for effective non-pharmacological treatments for variety of common illness of older adults
- Review changes in endocannabinoid system with aging
- Develop clinical plan for applying targeted exogenous cannabinoids for older adults for specific targeted conditions
Part III. MEDICO-LEGAL & EQUITY ISSUES
Medicolegal Concerns in A Medical Cannabis Practice
Michael F. Saulino, MD, PhD, FAAPMR
- Describe potential medical legal issues surrounding a medical cannabis practice
- Review policy creation and development for a medical cannabis practice
Equity Issues and Underserved Populations in a Medical Cannabis Practice
Stuart J. Glassman, MD, MBA, FAAPMR
- Describe the equity concerns of patient populations who could benefit from medical cannabis use
- Review strategies to address potential barriers to medical cannabis use for underserved populations
- Discuss unique issues in medical cannabis access for veterans
Note: A Q&A/Discussion will be provided following each of the three parts of this program.
The Kinetic Chain: The Overhead Athlete
The study of movement as a whole - THE KINETIC CHAIN - and the application of this analysis to examination and diagnosis of pathology is what makes physiatry so unique. The goal of the series is to revive understanding of the principles of kinetic chain analysis and return it to the forefront of one's practice. Each session highlights an aspect of physical motion and review typical human movement as well as patterns seen in typical impairments. Faculty will provide practical tips on how they use their respective analyses in the evaluations of their patients
During this February 12 session, faculty discussed typical components of the shoulder, scapula and overhead athletes, and the relationship to the kinetic chain. Faculty reviewed the biomechanics of the overhead and windmill pitch, scapular kinetics and how impairments in the timing of these motions as well as impairments to the distal chain (such as the hip) influences and may ultimately result in one’s assessment of specific injuries. Faculty also provided practical tips on how they use their respective analyses (biomechanical, static vs dynamic and clinical) in the evaluations of their overhead athletic patients.