November 30-December 2, 2018The Westin Riverwalk | San Antonio, TX

Program Chair: Javier LaFontaine, DPM, MS, FACFASCME Chair: Michael VanPelt, DPM, FACFAS

#DFU2018

20.0 CME

Diverse Faculty

Exhibit Hall

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EXPLORE SAN ANTONIOFew destinations provide a sense of place like San Antonio. Here, the bell towers of Spanish colonial missions have greeted mornings for almost 300 years. Mexican, European and Western cultures blend into a unique personality, and in the heart of it all, you’ll find a downtown core with a river running through it.

Much of the city’s unforgettable landscape has grown along the banks of the River Walk where stone paths run aside the San Antonio River connecting hotels, restaurants, and shops. San Antonio recently extended the River Walk to link even more attractions including museums, public art installations, Spanish colonial missions and the Pearl, a former brewery reborn into an eclectic mix of shops, restaurants and entertainment.

Famed for Tex-Mex, San Antonio is gaining attention as the nation’s next big culinary destination. From notable restaurants to the new Culinary Institute of America, there’s something to satiate every palate. Plus, over

50 golf courses and theme parks like SeaWorld San Antonio and Six Flags Fiesta Texas, make the city a wonderful place for families to tag along.

The Alamo and River Walk are just the beginning. There’s much more to experience in San Antonio.

Every Friday, Saturday and Sunday in December: Ford Fiesta de las Luminarias. Experience the holiday serenity of the River Walk as you stroll along the lush banks of the San Antonio River guided by more than 6,000 luminarias.

Museums & Art SceneSan Antonio has captivated people from cultures around the world since the city was first established in the early 1700s. Mexican, European, Asian, African and Western traditions all blend together into a personality that’s uniquely San Antonio. You’ll find outdoor sculptures and artwork, art galleries, more than 25 museums, over 40 performing arts stages and many cultural arts festivals. Together, these artistic attractions make San Antonio one of the top 25 cities for art in the United States.

Historic San AntonioSan Antonio offers visitors a rare opportunity to catch a glimpse of early Spanish colonial life in the Southwest. As the first civilian settlement in Texas, San Antonio de Béxar was founded in 1718. And today, many of these early architectural and cultural elements remain, allowing you to see into the city’s storied past. Whether you take a guided tour or explore on your own, you’ll enjoy learning about San Antonio’s historical significance.

The San Antonio Missions - UNESCO World Heritage SiteIn the 18th century, Spanish priests established five Catholic missions along the San Antonio River. The systems instituted by the friars led to an ethnically diverse society that continues to influence our city. Today, the five missions (Mission San Antonio de Valero, Mission San José, Mission Concepción, Mission San Juan and Mission Espada) represent the largest concentration of Spanish colonial missions in North America and have been named a World Heritage Site by the United Nations Educational, Scientific and Cultural Organization (UNESCO).

Family FunPlaytime in San Antonio means one thing: Texas-sized adventure! Whether you’re young or young at heart, big thrills await you at our world-class theme parks and water park resorts.

SeaWorld® San Antonio and Six Flags® Fiesta Schlitterbahn Waterpark Resort The San Antonio ZooThe San Antonio AquariumNatural Bridge Caverns Wonder World Park

HOTEL INFORMATIONThe Westin Riverwalk, San Antonio, http://www.westinriverwalksanantonio.com, 420 W. Market Street, San Antonio, TX 78205. Call 888-627-8396 and ask for the TPMA rate of $219/night for a single/double occupancy based on availability. To make an online reservation go to http://www.txpma.org/upcoming-events/. The hotel will release all unused rooms on the CUTOFF date of November 8, 2018.

CME MISSION STATEMENTThe 2018 TPMA Diabetic Foot Update is intended for licensed DPMs to develop and improve the knowledge and competency to better serve the citizens of Texas and the surrounding states. Throughout the program, the mentioned target participants will learn about various foot and ankle pathologies as it relates to diabetes and their evidence-based treatment options via lectures and hands-on workshops. Safety, efficacy, cost effectiveness and quality improvements of multiple aspects of clinical management will be discussed.

CME ACCREDITATION STATEMENTSCPME:TPMA is approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. TPMA has approved this activity for a maximum of 20 continuing education contact hours. Program, schedule, and CE contact hours are subject to change without notice. Speakers and sponsors are required to disclose significant financial relationships and provide disclosure and written agreements to TPMA with any and all commercial products discussed during the presentation per CPME 720 guidelines.

PROGRAM OBJECTIVESThe attendees will learn current concepts on how to recognize, evaluate and manage patients with diabetes related foot and ankle conditions, complicated by peripheral neuropathy, vascular diseases, foot ulcers and infection. Podiatric medical and surgical treatments as well as an overall review of diabetes that will enhance the attendees’ knowledge to improve care in their practice.

The attendees will learn in detail how to apply advances in the management of the diabetic foot and to modify the medical and surgical outcomes.

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EDUCATIONAL GRANTS PROVIDED BY:BAKO DiagnosticsOCPM FoundationPodiatry Content Connection

PREMIUM SPONSOR

OCPM Foundation To enhance the education and practice of podiatric medicine nationally through generous giving, scholarships, and grants to support innovative causes that will improve or invent new solutions in podiatry, and nurture the community of podiatrists in particular for educational and research projects.

CONFERENCE SPONSORBAKO Diagnostics

FRIDAY, NOVEMBER 308.0 HOURS

INVITED FACULTYAlberto Omar Chavez-Velazquez, MD, MSCIAdjunct Clinical Assistant Professor, Department of Medicine, Division of Diabetes, The University of Texas Health Science Center at San Antonio, San Antonio, TX

Michael Anthony Davis, MDAssistant Professor, Department of Radiology, Section of Musculoskeletal Imaging, University of Texas Health Science Center San Antonio, San Antonio, TX

Pablo Feuillet, MDPrivate Practice in Infectious Disease, San Antonio, TX

Lawrence Harkless, DPM Founding Dean Emeritus, Professor Emeritus, Podiatric Medicine, Surgery & Biomechanics, Western University of Health Sciences, College of Podiatric Medicine, Pomona, CA

Crystal Holmes, DPM Associate Professor, Internal Medicine in the Division of Metabolism, Endocrinology, and Diabetes (MEND), University of Michigan Medical School, Ann Arbor, MI

Chetan Jindatha, MD Assistant Professor, Texas A & M Health Science Center, College Station, TX, College of Medicine, Temple, TX

Daniel Jupiter, PhDAssistant Professor, Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX

Javier La Fontaine, DPM, MS, FACFAS Professor, Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, TX

Lawrence Lavery, DPM, MPH Professor, Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, TX

George T. Liu, DPM, FACFAS Associate Professor, Department of Orthopedics Surgery, UT Southwestern Medical Center, Dallas, TX

Heather McKenzie, MDWound Care Specialist, Private Practice, San Antonio, TX

Brian Mealey, DDSProfessor, Department of Periodontics, UT Health Science Center, San Antonio, TX

Katherine Raspovic, DPMAssistant Professor, Department of Orthopedics Surgery, UT Southwestern Medical Center, Dallas, TX

Jeffrey Ross, DPM, MDAssociate Professor, Baylor College of Medicine, Department of Surgery, Division of Vascular Surgery and Endovascular Therapy, Houston, TX

Jayesh Shah, MD, CWS Adjunct Clinical Faculty, Nix Hospital, Medical Director, NE Baptist Wound Healing Center, NE Baptist Hospital, Co-Medical Director, Wound Healing and Hyperbaric Center, Mission Trail Baptist Hospital, San Antonio, TX

Naohiro Shibuya, DPM, MS, FACFAS Professor, Department of Surgery, Texas A&M Health Science Center, College of Medicine, Temple, TX

Robert Scott Smith, MD Assistant Professor & Associate Program Director, Vascular Surgery Fellowship, Texas A&M College of Medicine, Temple, TX

Carolina Solis-Herrera, MDAssistant Professor, Clinical Medicine/Diabetes, The University of Texas Health San Antonio, San Antonio, TX

Boulos Toursarkissian, MDProfessor of Surgery, University of Texas Health Science Center San Antonio, Peripheral Vascular Associates, San Antonio, TX

Michael VanPelt, DPM, FACFASAssociate Professor, Department of Orthopaedic Surgery, UT Southwestern Medical Center, Dallas, TX

Tracey Vlahovic, DPM, FFPM, RCPS Associate Professor, Temple University School of Podiatric Medicine, Philadelphia, PA James Wrobel, DPM, MSAssociate Professor, Department of Endocrinology, University of Michigan, Ann Arbor, MI

Dane Wukich, MD Professor, and Chair Department of Orthopedics, UT Southwestern Medical Center, Dallas, TX

Metin Yavuz, D.EngAssociate Professor, Department of Physical Therapy, University of North Texas Health Science Center, Fort Worth, TX

7:30am-8:00am Registration & Continental Breakfast, Visit Exhibitors

WHAT’S NEW IN DIABETES? New concepts in diagnosis and management of diabetes will be discussed. The audience will learn epidemiology, and the latest clinical studies regarding diabetes.Moderator: Javier La Fontaine, DPM, MS, FACFAS

FRIDAY, CONT.8:00am-8:20am The Growing Problem of Type 2 Diabetes Carolina Solis-Herrera, MD

8:20am-8:40am Lifestyle Modification and Optimizing the Diet for DM Control Alberto Omar Chavez Velazquez, MD, MSCI 8:40am-9:00am Oral Health and Foot Health in Diabetic Patients: How are they related? Brian Mealey, DDS

9:00am-9:20am Health Economics of DM Foot Complications Daniel Jupiter, PhD

9:20am-9:40am Identifying the Patient at Risk for Ulcers James Wrobel, DPM, MS

9:40am-10:00am The Multidisplinary Approach to Diabetic Limb Salvage Jeffrey Ross, DPM, MD

10:00am-10:10am Question and Answer

10:10am-10:40am Break and Visit Exhibitors

10:40am-11:00am Are we doing enough prevention? James Wrobel, DPM, MS 11:00am-11:20am Patient Perception of Their Disease Daniel Jupiter, PhD

11:20am -11:40am Evaluation of Diabetic Neuropathy Javier La Fontaine, DPM, MS, FACFAS

11:40am-12:30pm Dermoscopy and Biopsies: How They Work Together Tracey Vlahovic, DPM, FFPM, RCPS

12:30pm-1:30pm Lunch and Visit Exhibitors

WOUND HEALINGThe audience will learn and review the basic science of wound healing, the advances in technologies and how to apply to the process of healing, and some of their challenges.Moderator: Javier La Fontaine, DPM, MS, FACFAS

1:30pm-1:50pm Wound Healing 101: Keep It Simple Heather McKenzie, MD

1:50pm-2:10pm What it takes to make a good insert? Jeffrey Ross, DPM, MD

2:10pm-2:30pm Why do wounds fail to heal? Heather McKenzie, MD

2:30pm-2:50pm Intraoperative Assessment for Wound Healing Jeffrey Ross, DPM, MD

2:50pm-3:10pm Management of Lower Extremity Edema: Your Worst Enemy Heather McKenzie, MD

3:10pm-3:50pm The New Healthcare Era and Diabetes Lawrence Harkless, DPM

3:50pm-4:00pm Question and Answer

4:00pm-4:30pm Break and Visit Exhibitors

COMMON VASCULAR ISSUES IN DIABETESThe audience will learn about evidence-based assessment and the medical treatment of vascular diseases related to diabetes and to the foot and ankle. The audience will also learn to recognize podiatric issues related to vascular problems to better manage the patient in a timely manner.Moderator: Javier La Fontaine, DPM, MS, FACFAS

4:30pm-4:50pm Diagnosing PAD in Diabetes Robert Scott Smith, MD

4:50pm-5:10pm Distal Bypass Surgery: A Cure for Preventing the Inevitable Boulos Toursarkissian, MD

5:10pm-5:30pm Success of Endovascular Procedures for LE PAD Robert Scott Smith, MD

5:30pm-5:50pm Is reconstruction of vessels below the ankle a viable option? Boulos Toursarkissian, MD 5:50pm-6:00pm Question and Answer

6:00pm-7:00pm Welcome Reception Sponsored by BAKO Diagnostics

SATURDAY, DECEMBER 18.0 HOURSOFFLOADING, BIOMECHANICS, AND CHARCOT FOOT PART 1The attendees will learn about how the foot function affects the risk of developing a foot ulcer and how to offload the foot to heal difficult wounds.Moderator: Lawrence Harkless, DPM

7:30am-8:00am Registration, Continental Breakfast and Visit Exhibitors

8:00am-8:20am How to Evaluate Altered Biomechanics after Diabetic Foot Crystal Holmes, DPM

8:20am-8:40am The Role of Patient Activity in Ulcer Formation Metin Yavuz, D.Eng

8:40am-9:00am Offloading to Prevent and Heal Ulcerations Crystal Holmes, DPM

9:00am-9:20am Patient’s Adherence to Offloading Devices James Wrobel, DPM, MS 9:20am-9:40am Does temperature play a

role in the DM foot ulcer development?

Metin Yavuz, D.Eng

9:40am-10:00am Re-Examining Pathological Diagnosis of Osteomyelitis: A Novel Scoring Scheme Daniel Jupiter, PhD

10:00am-10:10am Question and Answer

10:10am-10:40am Break and Visit Exhibitors

OFFLOADING, BIOMECHANICS, AND CHARCOT FOOT PART 2The attendees will learn about how the foot function affects the risk of developing a foot ulcer and how to offload the foot to heal difficult wounds.Moderator: George T. Liu, DPM, FACFAS

10:40am-11:00am Comprehensive Evaluation of the Infected Diabetic Foot Katherine Raspovic, DPM

11:00am-11:20am Complications After DM Ankle Fractures Recurrence Dane Wukich, MD11:20am-11:40am Diagnosis and Conservative Management of Charcot Crystal Holmes, DPM 11:40am-12:00pm Charcot Reconstruction: Internal fixation? External fixation? Both? Or never? George Liu, DPM, FACFAS

12.00pm-12:20pm When to Decide Between Amputation vs. Limb Salvage Dane Wukich, MD 12:20pm-12:30pm Question and Answer

12:30pm-1:30pm Lunch and Visit Exhibitors

Workshop 1:30pm-3:00pm Workshop: Total Contact Casting

Objective: The participants will learn the basic skills of application of the total contact cast. The faculty will discuss indications and contraindications of the technique as well as pearls to be comfortable with the application.

Javier La Fontaine, DPM, MS, FACFAS

3:00pm-3:30pm Break and Visit Exhibitors

DIABETIC FOOT INFECTION AND OSTEOMYELITISThe audience will learn advances in the treatment of the diabetic foot soft tissue infections and osteomyelitis, specifically controversies in diagnosis, medical, and surgical management.Moderator: Michael VanPelt, DPM, FACFAS

FRIDAY, CONT.NON CME WORKSHOP7:00pm-8:15pm Educational Grant provided by Podiatry Content Connection Secrets to Attracting More New Patients from the Web Randy RoslerObjective: Eat, Drink & Learn... When your prospective patient is in pain, and goes SEARCHING online…Do they easily find you or your competition? What if your competition comes up in more searches than you do? Learn how to overcome this and much more in less than an hour. Learn secrets to using the web to: gain more visibility online, attract more new patients, and target and acquire more profitable patients. Complimentary food and beverages. Exciting raffle prizes and gifts including: Samsung HDTV’s, Amazon Echo’s, drones and more!

SATURDAY, CONT.

SUNDAY, DECEMBER 24.0 HOURS

3:30pm-3:50pm Emerging Classes of Antibiotics for Foot Infection Pablo Feuillet, MD

3:50pm-4:10pm Inflammatory Markers to Monitor the Remission of Osteomyelitis Lawrence Lavery, DPM, MPH 4:10pm-4:30pm Usage of MRI and CT to Diagnose Diabetic Foot Pathology Michael Anthony Davis, MD

4:30pm-4:50pm Medical Complications of Long Term IV Antibiotics for Osteomyelitis Chetan Jindatha, MD 4:50pm-5:10pm Nuclear Medicine Techniques or Diabetic Foot Infections Michael Anthony Davis, MD

5:10pm-5:30pm Clinical Decisions for Choice of Wound Dressings Jayesh Shah, MD, CWS

5:30pm-5:50pm Simple Treatment Protocol to Treat Osteomyelitis Chetan Jindatha, MD

5:50pm-6:00pm Question and Answer

7:30am-8:00am Registration & Continental Breakfast

ELECTIVE SURGERY TO HEAL AND PREVENT RECURRENCEThe faculty will discuss surgical approaches to the diabetic foot to heal or prevent recurrent ulcers. By understanding their thought process, the audience will learn how to address even the most difficult patients in their practice and acquire acceptable outcomes.Moderator: Naohiro Shibuya, DPM, MS, FACFAS

8:00am-8:20am When to Consider an Ostectomy for the Charcot Midfoot Ulcer Katherine Raspovic, DPM

8:20am-8:40am Should we hold antibiotics prior to bone biopsy? Lawrence Lavery, DPM, MPH

8:40am-9:00am Simple Forefoot Procedures to Heal and Prevent Ulcers Katherine Raspovic, DPM

9:00am-9:20am When the Great Toe is Amputated: Do a TMA? Naohiro Shibuya, DPM, MS, FACFAS

9:20am-9:40am When the TAL is Necessary to Heal and Prevent Ulcers Michael VanPelt, DPM, FACFAS

9:40am-10:00am Correcting Complex Foot and Ankle Deformities to Heal an Ulcer Dane Wukich, MD

10:00am-10:10am Question and Answer

10:10am-10:40am Coffee Break CLINICAL CHALLENGES IN THE DIABETIC FOOTThe faculty will discuss various approaches to address difficult pathologies in the diabetic foot. By understanding their thought process, the audience will learn how to stay flexible in their practice and be acceptable to the changes.Moderator: Javier La Fontaine, DPM, MS, FACFAS

10:40am-11:00am Hyperbaric Oxygen: Is there evidence or is the evidence based on experience? Jayesh Shah, MD, CWS

11:00am-11:20am Why chronic wounds need debridement? Lawrence Lavery, DPM, MPH

11:20am-11:40am Necessary Changes in Surgical Planning for the Diabetic Patient George T. Liu, DPM, FACFAS

11:40am-12:00pm Don’t Blame Poor Results on Diabetes Naohiro Shibuya, DPM, MS, FACFAS

12:00pm-12:20pm Tying It All Together Lawrence Harkless, DPM

12:20pm-12:30pm Question and Answer

12:30pm Adjourn

Texas Podiatric Medical Association918 Congress Ave., Suite 200Austin, TX 78701

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PAIDAustin, TX

Permit #272

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Name: _________________________________ Name to Appear on Badge: ____________________________

DPM PA NP Other________________

Address: ______________________________________ City, State, Zip: ______________________________

Phone: _________________________ Fax: ______________________ Email: _________________________

Non CME Workshop: Friday, 7:00pm-8:15pm, Secrets to Attracting More New Patients from the Web

I have special dietary needs: _________________________________________________________________

Payment Information: circle method of payment Check enclosed MasterCard VISA

AMEX Discover

Card Number: __________________________________________________Expiration: __________________

Billing Address:_________________________________________________ CVC Code: __________________

Signature: ____________________________________________________ Total: $_____________________

DPM Registration by Nov. 20 Onsite

DPM Member TPMA/APMA $490 $590

DPM Non Member $590 $690

PA, NP $490 $590

Student/Resident Free Free

Cancellation Policy: For registrations, full refund minus 10% service charge for cancellation prior to November 20, 2018. No refund or credit for cancellations between November 20th and November 30th and for no shows. No refund starting on November 20, 2018. Pre-registration for the TPMA Diabetic Foot Update ends on November 20, 2018.

Return form with payment to TPMA at 918 Congress Ave., Ste. 200, Austin, TX 78701. 800-TEX-FOOT, 512-494-1123, 512-494-1129 (fax) or register online at www.txpma.org. Confirmations will be sent via email. *One form per regis-trant*

Register online at www.txpma.org