Dls Meeting 9.09

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A T E A M A P P R O A C H Diabetic Limb Salvage GEORGETOWN UNIVERSITY HOSPITAL 24-26 SEPTEMBER 2009 W ASHINGTON ,DC www.DLSconference.com Conference Co-Chairmen: Christopher E. Attinger, MD Richard F. Neville, MD John S. Steinberg, DPM

description

DLS Conference held in Washington, DC September,, 2009

Transcript of Dls Meeting 9.09

Page 1: Dls Meeting 9.09

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

Diabetic Limb SalvageG 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

www.DLSconference.com

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

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ALPHAKCI ▲ Integra LifeSciences ▲ Georgetown University Hospital/MedStar Health

Diversified ClinicalServices

ev3Hollister Wound CareIntegra Foundation

Lorenz NeuroVascMedical SolutionsMedline Industries

MisonixMölnlycke Health Care

GOLDMerck & Company

Organogenesis

DIAMONDAdvanced BioHealing

PLATINUMSmith & Nephew

SILVERGore & Associates ▲ Pamlab

Sechrist Industries

ThankYou

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

Diabetic Limb SalvageG 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

NormaTecPerry Baromedical

väsamedWright Medical Technology

Abbott VascularCellerationConvaTec

Derma Sciences

Photo by Christopher E. Attinger, MD

BRONZE

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Thursday6:00 - 7:45 PM

Cocktail Reception & Dinner with Exhibitors

BALLROOM LEVEL

Thursday & Friday8:30 - 10:30 AM

T o u r sGeorgetown University

Hospital Center for Wound Healing

Bus departs at 8:30 AM from JW Marriott Penn. Ave. Leveland returns at 10:30 AM

PENNSYLVANIA AVENUE

EXHIBIT HOURS

BALLROOM LEVEL

THURSDAY

6:00 PM - 7:45 PM

FRIDAY

9:30 AM - 4:30 PM

SATURDAY

10:00 AM - 2:00 PM

REGISTRATION/INFORMATION

BALLROOM LEVEL

WEDNESDAY

3:00 PM - 6:00 PM

THURSDAY

7:00 AM - 7:00 PM

FRIDAY

6:00 AM - 6:00 PM

Saturday6:30 AM - 5:30 PM

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

Diabetic Limb SalvageG 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

Photo by Christopher E. Attinger, MDPhoto by Christopher E. Attinger, MD

CONFERENCE MANAGEMENT

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Thursday 24 September

8:30 – 10:30 AM GEORGETOWN UNIVERSITY HOSPITALCENTER FOR WOUND HEALING TOUR

Bus departs at 8:30 AM from JW Marriott and returns at 10:30 AM. ◆ PENNSYLVANIA AVENUE

This is a non-CME accredited activity.

11:30 AM – 12:15 PM LUNCH SYMPOSIUMThe Role of NPWT in the Team Approach to Limb Salvage: Case Studies

Moderators: Christopher E. Attinger, MD; Bauer E. Sumpio, MD, PhDPanel: Peter A. Blume, DPM; Vickie R. Driver, DPM, MS; Francis X. McGuigan, MD; John S. Steinberg, DPM

ADMINISTRATIVE SYMPOSIUMTHE BUSINESS OF RUNNING A HOSPITAL-BASED WOUND AND LIMB SALVAGE CENTER:

Breaking Down the Barriers and Navigating the ChallengesChair: 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 ProvidersWilliam J. Ennis, DO, MBA

8:35 - 8:55 Getting the Institution to Buy in: Running and Funding a Wound Care Center in Academic HealthDavid 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 CareKathleen D. Schaum, MS

9:35 - 9:55 Cost Effectiveness of Lower Extremity Revascularization: The Impact of Treatment Failure and ReinterventionMichael 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 ChambersMichael Rowley

10:25 - 10:40 Turn-Key Operation Wound Center: The Pluses and Minuses of Contracting with a National NetworkReese B. Walter, Jr.

10:40 - 10:55 The Hurdles of Getting a Hospital-Based Wound Care Center Started: Space, Personnel, and LogisticsMark 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

ALL THURSDAY SESSIONS ARE HELD IN THE GRAND BALLROOM -3

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Thursday 24 September

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 DiabetesDavid S. Broder, The Washington Post Columnist

1:00 - 1:25 Public Health Crisis: Diabetes 2009James 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 StatesGayle E. Reiber, MPH, PhD

2:35 - 3:00 Global Impact of Diabetic Foot ComplicationsCan 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 OsteomyelitisCan 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 inOsteomyelitis and Wound Failure Robert S. Kirsner, MD, PhD

5:20 - 5:40 The Legal Pitfalls of Mismanaged OsteomyelitisUsing Evidence-Based Medicine to Protect Yourself and Your PatientAllen M. Jacobs, DPM

5:40 - 6:00 Panel Discussion

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

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Friday 25 September

DIABETIC PERIPHERAL NEUROPATHY: SYMPTOMATIC TREATMENT AND BEYONDAllen M. Jacobs, DPM ◆ GRAND BALLROOM

This non-CME accredited activity is supported by Pamlab.

6:30 – 7:30 BREAKFAST SYMPOSIA

OPTIMIZING THE STANDARD OF CARE FOR DIABETIC FOOT ULCERSRobert S. Kirsner, MD, PhD ◆ GRAND BALLROOM, SALON I

This non-CME accredited activity is supported by Advanced BioHealing.

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 SystemAnton 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 DiseaseSurgeon: David H. Deaton, MDModerator: 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, MD10:05 -10:35 Break/Exhibits

10:35 -11:00 LIVE CASE Session II: Diabetic Foot Surgery Surgeon: John S. Steinberg, DPMModerator: Christopher E. Attinger, MDPanel: 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, DPMModerator: Christopher E. Attinger, MDPanel: Vickie R. Driver, DPM, MS; Gary W. Gibbons, MD; Lawrence B. Harkless, DPM

12:00 - 1:30 Lunch/Exhibits

12:15 - 1:15 LUNCH SYMPOSIUMAdvanced Options for Internal Fixation of the Foot & AnklePaul S. Cooper, MD; Glenn M. Weinraub, DPM ◆ GRAND BALLROOMThis non-CME accredited activity is supported by Integra LifeSciences.

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

ALL FRIDAY SESSIONS ARE HELD IN THE GRAND BALLROOM

7:00 - 8:30 Breakfast ◆ GRAND & CAPITOL FOYERS

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Friday 25 September

LOWER EXTREMITY EDEMA: UNDERAPPRECIATED ETIOLOGY FOR NON HEALING?

Moderator: John S. Steinberg, DPM

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 SalvageSurgeon: Christopher E. Attinger, MDModerator: John S. Steinberg, DPMPanel: Vickie R. Driver, DPM, MS; Gary W. Gibbons, MD; Lawrence B. Harkless, DPM

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, MDModerator: John S. Steinberg, DPMPanel: Michael S. Pinzur, MD; Glenn M. Weinraub, DPM; Dane K. Wukich, MD

3:00 - 3:30 LIVE CASE Session VI: Open RevascularizationSurgeon: Richard F. Neville, MDModerator: 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

3:30 - 4:00 Break/Exhibits

4:00 - 4:30 LIVE CASE Session VII: Diabetic Limb Salvage Surgeon: Christopher E. Attinger, MD Moderator: John S. Steinberg, DPMPanel: Vickie R. Driver, DPM, MS; Gary W. Gibbons, MD; Lawrence B. Harkless, DPM

NEUROPATHY: BEGINNING OR END POINT?Moderator: John S. Steinberg, DPM

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 TheoryIvica Ducic, MD, PhD

5:10 - 5:30 Defining the Role of Endocrinology in Neuropathy Prevention and TreatmentStephen C. Clement, MD

5:30 - 6:00 Neuropathic Bone Disease: The Effect on Reconstruction Options in the Diabetic FootFrancis X. McGuigan, MD

11:45 AM - 12:00 PMGEORGETOWN DISTINGUISHED ACHIEVEMENT AWARD IN DIABETIC LIMB SALVAGE

HONOREE - PETER SHEEHAN, MDPresented by Dr. Richard Goldberg, President, Georgetown University Hospital

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Saturday 26 September

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

7:00 - 8:00 BREAKFAST SYMPOSIUM

THE ROLE OF DERMAL MATRICES IN LIMB SALVAGE: INTERACTIVE CASE PRESENTATIONSChristopher E. Attinger, MD; William J. Ennis, DO, MBA;

Jeffrey E. Janis, MD; Peter Sheehan, MD; John S. Steinberg, DPM ◆ GRAND BALLROOM

8:00 AM - 12:30 PMBELOW THE KNEE VASCULAR SYMPOSIUM

CURRENT STATE OF THE ARTModerators: Richard F. Neville, MD; Gary W. Gibbons, MD; George Andros, MD

GRAND BALLROOM, SALON I

8:00 - 8:30 The Future of Interventions: Drug Elution, Stent Design and CharacteristicsDavid 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 AngioplastyAn 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 ExperienceProf. Heiner Wenk

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

11:00 - 11:30 Break/Exhibits

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

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

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Saturday 26 September

8:00 – 11:00 AMWorkshops begin at 8:00, 9:00 and 10:00.

HANDS - ON WORKSHOPSConcurrent 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 DebridementChristopher E. Attinger, MD; Jeffrey E. Janis, MD

RUSSELL & HART ◆ MEETING ROOM LEVEL

Outpatient Debridement: The Role of Ultrasound Technologies

Vickie R. Driver, DPM, MS; Matteo Fabbi, MDRAYBURN ◆ MEETING ROOM LEVEL

Dressings: Finding Your Way Through the Masses

Kara S. Couch, CRNP; Dorothy P. Goodman, RNGRAND BALLROOM, SALON IV ◆ BALLROOM LEVEL

Offloading: Shoes, Orthotics, and Bracing

Lawrence B. Harkless, DPM; Joseph Jones, C.Ped.GARDEN TERRACE B ◆ LOBBY LEVEL

The Basics of Vascular DiagnosticsJoseph C. Babrowicz, Jr., MD; James Laredo, MD, PhD

SENATE ◆ LOBBY LEVEL

VAC I: Instructional Course for New UsersPeter A. Blume, DPM; Margaret Kugler, NP

LONGWORTH ◆ MEETING ROOM LEVEL

VAC II: Advanced Dressing ApplicationsKaren F. Kim Evans, MD; Nancy R. Megas, NP

DIRKSEN ◆ MEETING ROOM LEVEL

Physical- and Energy-Based Wound Healing Modalities

William J. Ennis, DO, MBATREASURY ◆ MEETING ROOM LEVEL

Compression TechniquesLaura Jacobs, MD, PhD; Bernardo D. Martinez, MD;

Paul van Bemmelen, MD, PhD Moderators: Katherine J.S. Hubley, RN;

Alison Chappell, CRNPCONGRESSIONAL ◆ LOBBY LEVEL

Ask the Expert: Complicated Case Review with Infectious Disease Specialist

Mark R. Abbruzzese, MDJUSTICE ◆ MEETING ROOM LEVEL

The Role of Prosthetics and Amputee Support Groups

Charles G. Crone, BS, CPGARDEN TERRACE A ◆ LOBBY LEVEL

Bioengineered Alternative Tissues John S. Steinberg, DPM; Marie L. Williams, DPM

STATE ◆ MEETING ROOM LEVEL

Bilayered Living Cell TherapyJoseph P. Cavorsi, MD; Brian K. Phillips, CST

CANNON ◆ MEETING ROOM LEVEL

11:00 - 11:30 Break/Exhibits

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14thSt.

MAINENTRANCE

FRONT DESK

BELL STORAGE

CONCIERGE

GIFT SHOP

STARBUCKS

DRIVEWAY

GARDENTERRACE

A

GARDENTERRACE

B

GARDENTERRACE

VascularDiagnostics

Compression

ProstheticsPoster

AbstractsOffloading

CONGRESSIONAL SENATE

LOBBY LEVEL

BALLROOM LEVEL

STATE

LONGWORTH

VAC IVAC IIInfectiousDisease

OPDebridement

Bilayered LivingCell Therapy

Surgical Debridement

BioengineeredAlternative

Tissues

WoundHealing

Modalities

CANNONRUSSELL & HART RAYBURN JUSTICE DIRKSEN

TREASURY

GRAND BALLROOM, SALON IV – Dressings

MEETING ROOM LEVEL

Saturday 8:00 - 11:00 AM

D L S W O R K S H O P S-2

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Saturday 26 September

THE FOLLOWING SATURDAY SESSIONS ARE HELD IN THE GRAND BALLROOM

WOUNDS: INSIDE, OUTSIDE, AND HOW TO HEAL MORE OF THEMModerator: Christopher E. Attinger, MD

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 CHALLENGESSteven 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 ConsWilliam 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 ExpertsVickie 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

5:00 - 5:10 Panel DiscussionChristopher E. Attinger, MD; Richard F. Neville, MD; John S. Steinberg, DPM

WOUNDS: INSIDE, OUTSIDE, AND HOW TO HEAL MORE OF THEMModerator: John S. Steinberg, DPM

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, MDThis non-CME accredited activity is supported by Organogenesis.

11:00 - 11:30 Break/Exhibits

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Accreditation Statement: The Georgetown University Hospital is accredited by the Accreditation Council forContinuing Medical Education to provide continuing medical education for physicians.

Georgetown University Hospital designates this educational activity for a maximum of 25 AMA PRA Category1 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 sponsorof continuing medical education in podiatric medicine. International Conference Management, Inc. has approvedthis 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 nursingeducation by the Maryland Nurses Association, an accredited provider by the American Nurses Credentialing Center'sCommission on accreditation. Nurses will be awarded a maximum of 25 contact hours for successfully completing theprogram.

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

Conference Objectives: This course will enhance the background, knowledge and skills of attendees in the scienceof diabetic limb salvage. At the conclusion of this CME activity, participants should be able to: discuss the public healthcrisis of diabetic limb loss ▲ discuss the pain of sensory loss and non-compliance ▲ discuss the options in vascularinterventional 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 impactof diabetic limb salvage and amputation ▲ integrate into their practices the knowledge obtained through the didacticlectures, workshops and live surgical cases.

Target Audience: This program has been planned, designed, and is intended for Diabetes & Wound HealingSpecialists ▲ 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 isintended to better equip each member of the health care team with the education and resources needed to heal woundsand prevent amputations. It features a prominent multidisciplinary faculty that promotes the importance of every memberof the team. The course is designed for health care practitioners of all specialties and promotes an evidence-basedapproach. The meeting format will include didactic lectures, hands-on workshops, specialty symposia, and live surgicalcase demonstrations for the purpose of providing a live interactive learning experience.

Acknowledgment: This continuing medical education activity is supported by unrestricted educational grants fromcontributing 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 afterthis 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.

AC C R E D I TAT I O N

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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 Level. Using one of the computers, enter your LAST NAME as your User Name. Then enter your Password, which isthe 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.

HOW TO PRINT YOUR CME CERTIFICATE

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Mark R. Abbruzzese, MD

David G. Armstrong, DPM, PhD

Stephen C. Clement, MD

Paul S. Cooper, MD

Kara S. Couch, CRNP

CONFERENCE COMMITTEE

Charles G. Crone, BS, CP

David H. Deaton, MD

Ivica Ducic, MD, PhD

William J. Ennis, DO, MBA

Mark E. Pollard, MHSA

DLS 2009 FACULTY

George Andros, MDValley Presbyterian Hospital

Los Angeles Vascular SpecialistsLos Angeles, CA

David G. Armstrong, DPM, PhDUniversity of Arizona College of Medicine

Tucson, AZ

Peter A. Blume, DPMYale UniversityNew Haven, CT

David S. BroderThe Washington Post

Washington, DC

Lawrence B. Colen, MDNorfolk Plastic Surgery

Norfolk, VA

Kara S. Couch, CRNPWalter Reed Army Medical Center

Washington, DC

Charles G. Crone, BS, CPNascott Rehabilitation Services

Fairfax, VA

Vickie R. Driver, DPM, MSBoston University School of Medicine

Boston Medical CenterBoston, MA

William J. Ennis, DO, MBAUniversity of Illinois at Chicago

St. James Center for ComprehensiveWound & Disease Management

Chicago, IL

Joseph Jones, C.Ped.Nascott Orthotics and Prosthetics

Fairfax, VA

William D. Jordan, Jr., MDUniversity of Alabama at Birmingham

Birmingham, AL

Robert S. Kirsner, MD, PhDUniversity of Miami

Miller School of MedicineMiami, FL

John M. Macdonald, MDUniversity of Miami

Miller School of MedicineMiami, FL

William A. Marston, MDUniversity of North Carolina

Chapel Hill, NC

George H. Meier, III, MDUniversity of Cincinnati

Cincinnati, OH

Michael S. Pinzur, MDLoyola University Medical Center

Chicago, IL

Charles A. Reasner, II, MDUniversity of Texas Health Science Center

San Antonio, TX

Gayle E. Reiber, MPH, PhDUniversity of Washington

Seattle, WA

Michael RowleyDiversified Clinical Services

Jacksonville, FL

Karen F. Kim Evans, MDVeterans Affairs Medical Center

Washington, DC

Robert G. Frykberg, DPM, MPHCarl T. Hayden VA Medical Center

Phoenix, AZ

James R. Gavin, III, MD, PhDEmory University School of Medicine

Fairburn, GA

Gary W. Gibbons, MDBoston University School of Medicine

Quincy Medical CenterBoston, MA

Bruce H. Gray, DOInstitute of Vascular Health

Greenville, SC

Lawrence B. Harkless, DPMWestern University of Health Sciences

Pomona, CA

Allen M. Jacobs, DPMDr. Allen M. Jacobs & Associates

St. Louis, MO

Jeffrey E. Janis, MDUniversity of Texas

Southwestern Medical CenterDallas, TX

William Jeffcoate, MD, FRCPNottingham City Hospital

Nottingham, UK

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

CONFERENCE CO-CHAIRMEN

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

Faculty

Anton N. Sidawy, MD, MPH

Gail E. Thurkauf, RN, MS

Helen Turner, RN, CPHQ

Dennis A. Vitrella, MA

Linda F. Winger, MSc

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Mark R. Abbruzzese, MDJulie Andrews

Christopher E. Attinger, MDJoseph C. Babrowicz, Jr., MD

Angela M. Calvert, NPAlison Chappell, CRNP

Stephen C. Clement, MDPaul S. Cooper, MD

David H. Deaton, MD

GEORGETOWN UNIVERSITY HOSPITAL FACULTY

Ivica Ducic, MD, PhDSteven A. Epstein, MD

Dorothy P. Goodman, RNKatherine J.S. Hubley, RN

Margaret Kugler, NPJames Laredo, MD, PhD

Francis X. McGuigan, MDNancy R. Megas, NPJoseph Myers, MD

Kathleen D. Schaum, MSKathleen D. Schaum & Associates

Lake Worth, FL

Peter Sheehan, MDSheehan Health Management

New York, NY

Anton N. Sidawy, MD, MPHVeterans Affairs Medical Center

Washington, DC

David L. Steed, MDUniversity of Pittsburgh

Pittsburgh, PA

Michael C. Stoner, MDEast Carolina University

Greenville, NC

Bauer E. Sumpio, MD, PhDYale University School of Medicine

New Haven, CT

Frank J. Veith, MDNew York University

New York, NY

Reese B. Walter, Jr.Diversified Clinical Services

Raleigh, NC

Robert A. Warriner, III, MDDiversified Clinical Services

The Woodlands, TX

Glenn M. Weinraub, DPMKaiser Permanente Medical Group

Fremont, CA

Prof. Heiner WenkKlinikum Bremen Nord

Bremen, Germany

Dane K. Wukich, MDUniversity of Pittsburgh Medical CenterComprehensive Foot and Ankle Center

Pittsburgh, PA

Faculty continued

Richard F. Neville, MDBrian K. Phillips, CST

Mark E. Pollard, MHSAAndrew Putnam, MD

Amarin Sangkharat, MDJohn S. Steinberg, DPM

Helen Turner, RN, CPHQLinda F. Winger, MSc

r. Peter Sheehan is an internationally known and respected diabetes researcher andeducator, unique in his ability to bring all disciplines to bear on diabetic limbsalvage 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 andperipheral vascular disease and a thought leader in multidisciplinary limb salvage. Formerlydirector of the Diabetes Foot and Ankle Center at New York University Medical Center'sHospital for Joint Diseases Orthopaedic Institute and a senior faculty member at the MountSinai 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 hasbeen actively involved in numerous clinical trials dealing with wound healing, diabetic neuropathy and peripheralarterial disease. He has worked on both the local and national level with the American Diabetes Association andmaintains an active role with the PAD Coalition. A member of multiple editorial boards, Dr. Sheehan also is the authorof many peer-reviewed articles and book chapters. He is program chair of the annual Wound Healing: Science andIndustry meeting, now in its 10th year. Dr. Sheehan is a graduate of the SUNY-Downstate School of Medicine, wherehe also completed his residency in internal medicine. He continued his training at Yale University School of Medicinein 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.

D

P E T E R S H E E H A N , M D2009 GEORGETOWN DISTINGUISHED ACHIEVEMENT AWARD

IN DIABETIC LIMB SALVAGE

Page 16: Dls Meeting 9.09

It is the policy of Georgetown University Hospital and International Conference Management, Inc. (ICM) to insure balance, independence, objectivity, andscientific rigor in all its individually sponsored or jointly sponsored educational programs. All faculty participating in any Georgetown University Hospital orICM 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 thesubject matter of the continuing education program. This pertains to relationships with pharmaceutical companies, biomedical device manufacturers, or othercorporations 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 apotential conflict of interest from making a presentation. It is merely intended that any potential conflict should be identified openly so that the listeners mayform their own judgments about the presentation with the full disclosure of the facts. It remains for the audience to determine whether the speaker’s outsideinterests 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.

Faculty Disclosures

Name Commercial Interest Nature of Financial Relationship

Mark R. Abbruzzese, MD Cubicin ResearchSchering-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 ConsultantROX Medical, M2S ConsultantBoston 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 SpeakerRegenesis Biomedical Advisory BoardAdvanced 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 CouncilLifeCell Speaker’s Bureau

Page 17: Dls Meeting 9.09

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, ResearchDiversified 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 ConsultingBiomimmetics Research fundingAscension 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

Page 18: Dls Meeting 9.09

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

3M

Abbott Vascular

ACI Medical

Advanced BioHealing

ARANZ Medical

Arobella Medical

ArthroCare Sports Medicine

Bianco Brothers Instruments

Bio Compression Systems

BioMedix Vascular Solutions

Brican Systems

Calmoseptine

Care-Tech Laboratories

Celleration

ConvaTec

Depuy Orthopaedics

Derma Sciences

Diversified Clinical Services

DJO

Edwards Lifesciences

Elsevier/Saunders

ev3

Foot Solutions

Georgetown University HospitalMedStar Health

Gore & Associates

Hollister Wound Care

HS Pharmaceuticals

Hyperbaric America

Innovative Therapies

Integra Foundation

Integra LifeSciences

Kalypto Medical

KCI

Koven Technology

C O M M E R C I A L F U N D I N G &

Page 19: Dls Meeting 9.09

Lorenz NeuroVasc

MedEfficiency

Medical Solutions

Medline Industries

Merck & Company

Milliken & Company

Misonix

Mölnlycke Health Care

Monarch Labs

Nascott Orthotics & Prosthetics

NormaTec

novel

Ocean Aid

Organogenesis

Osborn Medical

Ossur Americas

Pamlab

Perry Baromedical

PuriCore

SciVolutions

Sechrist Industries

Shoe Care Innovations

Small Bone Innovations

Smith & Nephew

Soluble Systems

Spectranetics

Tekscan

ULURU

väsamed

Vasyli Medical

Volcano Corporation

Vomaris Innovations

Wound Care Innovations

Wound Care Technologies

Wright Medical Technology

Xenna Corporation

Zymogenetics

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

F I N A N C I A L S U P P O R T E R S

Page 20: Dls Meeting 9.09

EvaluationsPlease complete evaluations online or

on computers in the information area throughout the conference.Onsite Computers Supported by KCI

DPM Sign InRequired daily in the main education ballroom

View Poster AbstractsGARDEN TERRACE ◆ LOBBY LEVEL

Poster Abstract Area and Online Viewing Supported by KCI

Page 21: Dls Meeting 9.09

ONLINESTREAMING

VIDEOof the

DLS EDUCATIONAL PROGRAMwill be available at

www.DLSconference.com

Funding for DLS Streaming Video graciously provided by

Merck & Company and Integra LifeSciences.

Page 22: Dls Meeting 9.09

3

2

26

25

27

28 1

1522

21 16

1719

7

10

14

13

11

8

9

PLASMAPLASMA

PLASMA

AdvancedBioHealing

IntegraLifeSciences

KCI

HollisterWound Care

Merck

väsamed DermaSciences

DiversifiedClinical

Services

Smith & Nephew

Celleration

LorenzNeuroVasc

Gore &Associates

SechristIndustries

Organogenesis

Pamlab PerryBaromedical

4AbbottVascular

ConvaTec

MedicalSolutions

ev3

MedlineIndustries

CAPITOL BALLROOM

GR

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42

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49 50 51 52

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60 59 58 57

53 54 55

61 62 63 64

33

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56

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WCREGISTRATION ALCOVE 2

InnovativeTherapies

OceanAid

Xenna7074 71

72

EdwardsLifesciences

BioMedix

Tekscan

Wound CareTechnologies

Brican Systems

Vasyli Medical

3M

ArthroCare

ElsevierSaunders

CalmoseptineBio

Compressions

Zymogenetics

MedEfficiency MonarchLabs

DJO

FootSolutions

G U

HV

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ARANZ

PuriCore

Kovennovel Nascott NormaTec

HSPharmaWCI SBi

HyperbaricAmerica

Misonix Wright Medical

Milliken

ACIMedical

Ossur

Volcano DePuy

ULURU

Mölnlycke

INFORMATION

BALLROOM LEVEL

DLS CONFERENCE 2009 EXHIBITOR FLOORPLAN

-3

Page 23: Dls Meeting 9.09

3M ................................................................................39

Abbott Vascular ..............................................................4

ACI Medical ..................................................................55

Advanced BioHealing ................................................ 28

ARANZ Medical ..........................................................30

Arobella Medical ..........................................................45

ArthroCare Sports Medicine ...................................... 40

Bio Compression Systems ..........................................44

BioMedix Vascular Solutions ...................................... 36

Brican Systems ............................................................47

Calmoseptine ................................................................42

Care-Tech Laboratories ................................................61

Celleration ......................................................................9

ConvaTec ........................................................................2

Depuy Orthopaedics ....................................................54

Derma Sciences............................................................22

Diversified Clinical Services..........................................21

DJO ..............................................................................46

Edwards Lifesciences ..................................................72

Elsevier/Saunders ........................................................41

ev3 ..................................................................................1

Foot Solutions ..............................................................33

Georgetown University Hospital/ MedStar Health,Nurse Recruitment ....................................................69

Gore & Associates ........................................................14

Hollister Wound Care....................................................27

HS Pharmaceuticals......................................................63

Hyperbaric America ......................................................74

Innovative Therapies ....................................................35

Integra LifeSciences ....................................................17

Kalypto Medical ............................................................32

KCI ................................................................................11

Koven Technology ........................................................59

Lorenz NeuroVasc ........................................................10

MedEfficiency................................................................49

Medical Solutions............................................................3

Medline Industries ..........................................................7

Merck & Company ........................................................26

Milliken & Company ......................................................70

Misonix ................................................................Alcove 1

Mölnlycke Health Care..................................................56

Monarch Labs ..............................................................50

Nascott Orthotics & Prosthetics ....................................58

NormaTec......................................................................57

novel ............................................................................60

Ocean Aid ....................................................................34

Osborn Medical ............................................................73

Organogenesis..............................................................15

Ossur Americas ............................................................52

Pamlab ..........................................................................16

Perry Baromedical ..........................................................8

PuriCore ........................................................................31

SciVolutions ..................................................................65

Sechrist Industries ........................................................13

Shoe Care Innovations ................................................66

Small Bone Innovations ................................................64

Smith & Nephew ..........................................................19

Soluble Systems ..........................................................76

Spectranetics ................................................................68

Tekscan ........................................................................37

ULURU..........................................................................51

väsamed........................................................................25

Vasyli Medical ..............................................................48

Volcano Corporation ....................................................53

Vomaris Innovations......................................................67

Wound Care Innovations ..............................................62

Wound Care Technologies ............................................38

Wright Medical Technology ................................Alcove 2

Xenna Corporation........................................................71

Zymogenetics................................................................43

DLS EXHIBITOR LEGEND

Page 24: Dls Meeting 9.09

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

Diabetic Limb SalvageG 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

November 2009

December 2009

January 2010

February 2010

September 2009

October 2009

March 2010

1 2 3 4 5 6S M T W T F S

7 8 9 10 11 12 13

21 22 23 24 25 26 2728 29 30 31

1 2 3 4 5 6S M T W T F S

7 8 9 10 11 12 13

21 22 23 24 25 26 2728

1 2 3 4 5S M T W T F S

6 7 8 9 10 11 1213 14 15 16 17 18 19

27 28 29 30

June 2010

1 2 3 4 5S M T W T F S

6 7 8 9 10 11 1213 14 15 16 17 18 1920 21 22 23 24 25 2627 28 29 30

1 2 3S M T W T F S

4 5 6 7 8 9 1011 12 13 14 15 16 1718 19 20 21 22 23 2425 26 27 28 29 30 31

1 2 3 4 5S M T W T F S

6 7 8 9 10 11 1213 14 15 16 17 18 1920 21 22 23 24 25 2627 28 29 30 31

April 2010

1 2 3S M T W T F S

4 5 6 7 8 9 1011 12 13 14 15 16 1718 19 20 21 22 23 2425 26 27 28 29 30

July 2010

1 2 3S M T W T F S

4 5 6 7 8 9 1011 12 13 14 15 16 1718 19 20 21 22 23 2425 26 27 28 29 30 31

September 2010

1 2 3 4S M T W T F S

5 6 7 8 9 10 1112 13 14 15 16 17 1819 20 21 22 23 24 2526 27 28 29 30

S M T W T F S1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

May 2010

1S M T W T F S

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1 2S M T W T F S

3 4 5 6 7 8 910 11 12 13 14 15 1617 18 19 20 21 22 2324 25 26 27 28 29 3031

October 2010

1 2S M T W T F S

3 4 5 6 7 8 9

17 18 19 20 21 22 2324 25 26 27 28 29 3031

14 15 16 17 18 19 20

14-16 OCTOBER 201015 - 17 SEPTEMBER 2011

14 15 16 17 18 19 20

August 2010

1 2 3 4 5 6 7S M T W T F S

8 9 10 11 12 13 14

22 23 24 25 26 27 2829 30 31

15 16 17 18 19 20 21

JW MARRIOTT PENNSYLVANIA AVENUE

WA S H I N G T O N, DC

20 21 22 23 24 25 26

10 11 12 13 14 15 16

F U T U R E D A T E S

Page 25: Dls Meeting 9.09

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Photo by Christopher E. Attinger, MD

Page 26: Dls Meeting 9.09

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: [email protected]. AA/EOE.

www.TheNursesHospital.com

Georgetown Un ivers i ty Hosp i ta l Wash ington , DC

The next generation of wound care

is already here.