Symposium Sessions
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Symposium Sessions

Thursday, November 10, 2011

Opening General Session:  Using Humor to Deal with Difficult Patients and Clients
Gail Hand

This interactive program covers customer service on the fly, and how to handle difficult patients, clients and coworkers during rebounding economic times. Gail Hand addresses difficult issues such as patients and clients taking their stress out on you, and how to handle stress on the job. Benefits for session attendees include learning to turn stress into an opportunity for growth by using humor in the workplace, recognizing problem people faster so you are well prepared for potential stress down the road, reducing stress levels by learning to embrace change, boosting employee morale and gaining a fresh perspective to share with coworkers.

A-1 Creating Working Relationships with Vendors
Carol Kirchner, DPM, C.Ped.

Creating a working relationship with your vendors is one of the most important responsibilities of the business owner/manager. This session explores how to best work with customers, from letting them tell you what they want and need, to how to best educate customers about what makes your store unique. You'll also hear about new systems that help complete tasks that eat your time and reduce your productivity.

A-2 21 Secrets to Working with Four Generations on the Job
Gail Hand

Participate in interactive diversity exercises helping you learn ways to celebrate, honor and explore the different generations in your office. Discuss best practices in communication tools with a focus on team-building and celebrating differences. Participants will benefit from improved communication and teamwork, increased on-the-job performance and a reduction in employee conflict.

A-3 The Anatomy of a Government Audit
George Breen, Esq.

It is critical for providers and suppliers to understand the focus of federal government enforcement activities in order to navigate the complex audit processes to which they are now subject. This session offers an overview of RAC, MIC and ZPIC audits. It explores best practices in handling the audit and provides an overview of the administrative process by which audit results and demand for repayment may be challenged. It also covers proactive steps businesses can take to implement and update a compliance program to better prevent and detect fraud, waste and abuse in order to minimize the red flags the auditors are looking for.

B-1 The Transitional Approach to Achieving Better Outcomes in the Management of Diabetic Foot Ulcers
James McGuire, DPM, PT, C.Ped., FAPWCA

This session is intended for orthotists, prosthetists or pedorthists who wish to improve outcomes when managing patients with neuropathic foot wounds or Charcot arthropathy.  It will help participants understand the various devices available to the practitioner to offload the neuropathic foot, when to apply the various off-loading devices to achieve maximum healing potential and how to apply a "transitional approach” to off-loading the diabetic foot.

B-2 Who Is the Boss? The Back or the Foot?
Patricia Pande, C.Ped., PT

This session explores the concept of biomechanical reciprocity between the back and the foot. Through a series of case studies, attendees will learn how to assess normal and abnormal biomechanics of the lower extremity. The session will also cover the choice and application of various treatment options such as support, footwear and gait modification to minimize stress through the foot, hip and knee. At the end of the session, attendees will be able to identify complex foot problems through a variety of approaches.

B-3 Succession Planning for Private Businesses: It's Never Too Early
Allan Weiner, Esq.

Whether you just started your business or are a long-term owner, knowing the basics of succession planning is crucial. Learn about the preparations you should make now to anticipate your retirement or a major life event. Using real-life case studies, examine how to decide whether your family or a trusted manager should own and run the business, or whether it is time for an outsider to come in. Gain an appreciation of the broad and varied ways that these transition events can occur and how the differences will affect the business and tax planning issues you will face.

C-1 Pedorthics for Congenital Disease: Case Study of Pachyonychia Congenita-type Condition
Michael Muncy, C.Ped.

Providing pedorthic care for congenital conditions is an often-overlooked area of our field. This session focuses on a case study of a young girl with a Pachyonychia Congenitatype condition. See how a pedorthic care plan is constructed based on a pedorthic assessment of the feet presented to the practitioner. Discussion will include casting; orthosis design and manufacture for weight balancing and pressure off-loading of extreme hyperkeratotic growths; and shoe modification techniques that must work in conjunction with the orthotic design.

C-2 Biomechanics (Part 1)
Dane LaFontsee, C.Ped., Chris Costantini, C.Ped., and Erick Janisse, CO, C.Ped.

Come prepared with questions as you observe a basic lower extremity assessment.  Afterward, attendees will participate in a hands-on demonstration and actual practice time (must attend Part 1 to attend Part 2).

C-3 PFA Member Benefits Panel
Harry Centa, PartnerShip, A representative from AON, AON Affi nity Services, Brian
Lagana, PFA Executive Director

PFA offers a wide range of benefits to its members designed to help them save money
and run their businesses better. This session will include presentations from two of PFA's most popular member programs: the shipping program with PartnerShip and the professional liability/malpractice/business insurance/surety bond program with AON. The session will also include an overview of all of PFA's member benefi ts, a highlight of upcoming benefits and services and the opportunity for attendees to provide suggestions about what they would like to see PFA add to its current lineup.

D-1 A New AFO That Is Pedorthic-Friendly
Nathan Schwartz, DPM, C.Ped.

In this session, participants will receive a comprehensive view of the goals and objectives for AFOs. Participants will first review the existing art with regard to the pros and cons of each. Then, they will learn about the details of a new AFO concept: the AFO with shoe integration and the pedorthist's role in this new device.

D-2 Biomechanics (Part 2)
Dane LaFontsee, C.Ped., Chris Costantini, C.Ped., and Erick Janisse, CO, C.Ped.

Come prepared with questions as you observe a basic lower extremity assessment.  Afterwards, attendees will participate in a hands-on demonstration and actual practice time (must have attended Part 1 to attend Part 2).

D-3 What You Need to Know About Facility Accreditation
Representatives from ABC, BOC and PFA

The regulatory world in which the pedorthist practices is changing rapidly, with one of the most dramatic requirements being facility accreditation standards for all DMEPOS suppliers and providers. This session reviews the current regulatory environment relative to facility accreditation, provides updates and compares and contrasts the ABC and BOC pedorthic facility accreditation programs.

General Session: Foot Problems in Athletes
Craig Young, MD, PFA Medical Advisor

Foot problems and injuries are common in athletes. The skills needed to excel in all sports test the foot on a daily basis and increase the risk of injury. Learn from Dr. Craig Young, PFA's medical advisor, about the most common problems he sees as a team physician for many professional athletic teams, including the Milwaukee Brewers.


Friday, November 11, 2011

General Session: Orthotic Management of the Foot with Posterior Tibial Tendon Dysfunction (PTTD)
James McGuire, DPM, PT, C.Ped., FAPWCA

This session will enhance your knowledge of and competence in managing patients with Posterior Tibial Tendon Dysfunction (PTTD). Understand the pathology that leads to dysfunction of the posterior tibial tendon and explore the various devices available to the practitioner to treat PTTD, with an emphasis on understanding the Kirby skive technique.  Know the principles necessary to apply foot and ankle-foot orthosis to gain control of the PTTD foot and prevent the need for surgery.

E-1 The Cavus Foot: Biomechanical and Postural Considerations/Orthotic Treatment
Joe Coletta, PTA, C.Ped., and Roberta Nole, MA, PT, C.Ped.

The cavus foot type is often the bane of the pedorthic clinician, as it is challenging to provide an appropriate biomechanically-sound orthosis without too much bulk. Because of the uniqueness of this foot type, there are a multitude of signs and symptoms as well as postural implications up the kinetic chain into the trunk. Careful consideration of proper orthotic posting and design is necessary to effectively treat foot and ankle symptoms, as well as to reduce abnormal postural responses. This session provides a detailed overview of the etiology of the cavus foot; gait video analysis; detailed custom orthotic design; as well as simple modifications that can be made to over-the-counter devices.

E-2 A New AFO That Is Pedorthic-Friendly (Repeat of D-1)
Nathan Schwartz, DPM, C.Ped.

In this session, participants will receive a comprehensive view of the goals and objectives for AFOs. Participants will first review the existing art with regard to the pros and cons of each. Then, they will learn about the details of a new AFO concept: the AFO with shoe integration and the pedorthist's role in this new device.

E-3 Health Care Reform:  An Overview and an Update from Washington
William H. Applegate, Senior Vice President, Bryan Cave, LLC - Health Care Practice

The Patient Protection and Affordable Care Act passed in 2010 has the potential to reshape the landscape of healthcare delivery as we know it. This session will provide an overview of the health care reform legislation and how it could impact the delivery of pedorthic services. Attendees will also hear the latest update on the status of implementation.

F-1 The Good, the Bad and the Ugly
Randal I. Merrell, C.Ped., OST, Master Bootmaker

Given his long history as a custom bootmaker, his teaching experience and visibility as a founder of The Merrell Boot Company, Randy Merrell is a "lightning rod” for extreme and complicated cases. He will present several case histories highlighting aggressive and atypical pedorthic devices that led to successful outcomes, including key bio-mechancial issues such as controlling excessive pronation, leg length discrepancy, the necessity of heel strike and capturing the foot in the correct or needed position. Learn how a pedorthist can see what direction the foot is moving inside the shoe, and how to work with the foot rather than against it.

F-2 Biomechanics: What Science Guides Your Treatments?
Stephen Albert, DPM, C.Ped.

Revisit the current state of biomechanics of the foot and the predominant paradigms of clinical relevance. Updated research of subtalar joint neutral theory and its reliability and validity will be discussed. Gain an enhanced understanding of a variety of paradigms that challenge traditional biomechanical concepts of how the lower limb and foot function.

F-3 How to Incorporate Modern Channels Within a Traditional Marketing Strategy
Seth Weiner, MAS

The explosion of social media, mobile devices and web-based forums has significantly increased the availability of modern business marketing channels. These advancements in information and technology have created a highly competitive marketplace where consumers' minds are crowded with more messages than ever before. In order to be heard above the noise, business owners and marketing managers must make smart and selective decisions about how to incorporate these opportunities within their overall marketing plan. The most effective strategy will seek to combine various channels, understanding that new technologies should be seen as an extension and supplement to tried-and-true marketing practices.

G-1 Protection from the Veins Out
Brian Lane, C.Ped.

This session will clarify the components of proper compression hosiery, socks and footwear as a total package to address the concerns of the patients in a pedorthic facility. Pathologies associated with the need for compression will be covered, including required compression amounts. Having proper footwear is important— however, socks and hosiery are an overlooked and important foot-health component.

G-2 Who Is the Boss? The Back or the Foot? (Repeat of B-2)
Patricia Pande, C.Ped., PT

This session explores the concept of biomechanical reciprocity between the back and the foot. Through a series of case studies, attendees will learn how to assess normal and abnormal biomechanics of the lower extremity. The session will also cover the choice and application of various treatment options such as support, footwear and gait modification to minimize stress through the foot, hip and knee. At the end of the session, attendees will be able to identify complex foot problems through a variety of approaches.

G-3 Retail: Business Performance Review (Part 1)
Rick Ravel, C.Ped.

The National Shoe Retailers Association (NSRA) performs a Business Performance Review (BPR) every two years. Learn what the BPR is and how it can help your business. This session explores how to set up a business plan and what makes a plan successful. Group discussions about financial health and specific issues will help you know how you compare to other stores or facilities.

H-1 Hallux Abducto Valgus: Etiology, Pathomechanics and Treatment
Justin Wernick, DPM, C.Ped.

It is estimated that $2.2 million is spent each year for the surgical correction of bunion deformities. This deformity is one of the most common problems the pedorthist faces. This session will first explore more than 100 years of the literature citing the many documented etiologies, including the first metatarsal angle, heredity, flatfoot and shoes.  The pathomechanics of the deformity will be presented and illustrated with case histories and an algorithm tracking the progress of the condition. Finally, an insight to a conservative approach to treatment will be discussed.

H-2 Pearls of Pedorthics
PFA Board and COPE Committee

Learn from PFA board and COPE Committee members as they share pearls of pedorthic wisdom in this popular and engaging session. Each two-minute mini-presentation will feature clinical, technical or business advice that you can readily apply to your day-to-day practice. Take home valuable tips and ask questions of these seasoned pedorthic professionals.

H-3 Retail: Open-to-Buy Plan (Part 2)
Rick Ravel, C.Ped.

Inventory is the largest expense of a retail pedorthic facility and usually the least planned for. Inventory turnover is the key to a successful business, but how do you figure what inventory turn is right for your business? An Open-to-Buy (O-t-B) plan can address this and other questions, and can make or break a business. Learn what an O-t-B is and how it works in this business performance review session.

I-1 Re-load and Fire Again!
Shane Hayes, BOCO, C.Ped.

The ability to off-load pressure and redistribute weight on the plantar surface of the foot is what the world should know about pedorthics. Every pedorthist has been trained and tested on such modalities. Here's an opportunity to challenge conventional thinking among various disciplines to include pedorthics in these protocols, as well as expand your personal practice.

I-2 Pedorthics for Winter Sports
Stephen A. McDonald, C.Ped.

Learn how pedorthics is affecting the winter sports world. Highly complex boot fits are now the norm for recreational to professional skiers. Learn the basic principles and biomechanics required for proper boot form, performance and comfort. Different fit approaches and popular casting techniques will be discussed. Accommodative and functional approaches to fitting will be covered in terms of how they relate to winter sports and professional skiers.

I-3 ICD-10 is Coming! Are You Prepared?
PFA Government Affairs Committee

ICD-10 codes must be used on all HIPAA transactions, including outpatient claims with dates of service and inpatient claims with dates of discharge on or after October 1, 2013. Otherwise, your claims and other transactions may be rejected, and you will need to resubmit them with ICD-10 codes. This could result in delays and may impact your reimbursements, so it is important to start now to prepare for the changeover to ICD-10 codes. This session will provide the latest information on the transition from ICD-9 to ICD-10, resources for pedorthists and more.

Saturday, November 12, 2011

General Session: Functional Anatomy of the Lower Extremity
Mark Timmerman, MD

Whether you are a seasoned pedorthist or new to the field, knowing the basic and functional anatomy of the foot is critical. Get a refresher on the basics and then go further in depth with Dr. Mark Timmerman as he discusses the functional anatomy of the lower extremity.

J-1 Pathological Gait Changes in the Older Adult
Pat Turnbull, BSc., MChS., SRCh., FRSH

Gait changes occur in older adults, often starting around age 65 and increasing by age 80. Older people slow down and shorten their stride length to reduce the fear of falling. Weak hip muscles can lead to waddling gait. A shuffling gait—the so-called "geriatric shuffle”—results from a double stance, again reducing the fear of falling and giving more security and helping balance. However, correcting body posture in older adults will maintain and improve mobility, general strength, joint movement, coordination, balance and cardiovascular function.

J-2 Pedorthic Approach to Preventing Injury and Enhancing Strength and Balance for the Active Aging Population
Donna Robertson, C.Ped., AT

Learn about lower extremity biomechanics and alignment issues of the active 50-plus population. Explore sports-specific injury, sports injury prevention and pedorthic management, including foot-specific and shoe evaluation, shoe specifics and appropriate shoe selection. Participants will leave with an understanding of the inter-relationship between foot dysfunction and upper body pathology and symptoms related to balance and athletic performance in the active aging population.

J-3 Physician/Supplier Requirements to Accurately Submit Therapeutic Shoe Claims to the DME MAC Jurisdiction C
John Shero, C.Ped.

This session explores physician/supplier requirements to accurately submit therapeutic shoe claims to the DME MAC Jurisdiction C. Learn about coverage criteria for the certifying physician and an in-person evaluation of the patient, utilization limitations of coverage, documentation requirements and more. This session includes a question-and-answer for participants to raise specific issues of concern.

K-1 The SCFO: How to Cast, Fit and Bill for a Custom Brace
Don Pierson, C.Ped., CO

The Subtalar Control Foot Orthosis (SCFO) has proven to be a valuable device for pedorthists to utilize in treating a variety of patients. There has been misinformation regarding pedorthic use of such orthoses which may have led to underutilization of the pedorthic scope of practice. Learn about the scope of practice in regards to the SCFO, casting techniques that result in the best fit possible and coding and reimbursement information. This information will enable you to offer your patients a new option to assist them in relieving painful conditions of the foot and ankle.

K-2 Pathological Gait Changes in the Older Adult (Repeat of J-1)
Pat Turnbull, BSc., MChS., SRCh., FRSH

Gait changes occur in older adults, often starting around age 65 and increasing by age 80. Older people slow down and shorten their stride length to reduce the fear of falling. Weak hip muscles can lead to waddling gait. A shuffling gait—the so-called "geriatric shuffle”—results from a double stance, again reducing the fear of falling and giving more security and helping balance. However, correcting body posture in older adults will maintain and improve mobility, general strength, joint movement, coordination, balance and cardiovascular function.

K-3 Financial Strategy
Ben Valena, C. Ped., CFo

Whether you are an employee, business owner or aspiring business owner, building a profitable business entity is critical to your success. This session takes a general approach to understanding the fundamentals in analyzing product line profitability and integrating that information into operational and marketing plans. Learn how to analyze your product lines and operational costs and set measurable goals to sustain your business and grow for the future.

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