2012ACFASForefootBrochure Layout 1 6/22/12 12:37 PM ......FinancialcDisclosures: Dr.fBoffeli hashnothing to disclose. SeanGT. Grambart, DPM, FACFAS CarleiClinic Association Champaign,

A partnered project between the College and four ACFAS Divisions is bringingsomething special to your area across the nation. The ACFAS will present a series of four hands-on Advances in Forefoot Surgery Workshops and Seminarsto provide practicing and in-training surgeons the opportunity to enhancelearned skills and advance their current knowledge of surgical practice.

Each program will begin on Friday evening with a presentation on “CommonForefoot Surgical Complications”, followed by case studies. Participants,please bring cases to share. Saturday will provide a full day schedule of succinct lectures followed by hands-on workshops.

Labs will include a variety of products from multiple manufacturers. Panel discussions offer opportunities to challenge the course faculty and reviewproblematic cases.

FEES

ACFAS Member: $149Non-Member: $199ACFAS Resident Member: $79

ACFAS IS COMING TO YOU! CONVENIENT—LOCAL—CUTTING EDGE TECHNIQUES—LATEST MATERIALS AND PRODUCTS—HANDS-ON (SAWBONES) LAB

� Apply technical skills in a wide variety of fixation options for treatment of Forefoot Surgery

� Identify indications and contraindi-cations for Forefoot deformities andcombination plating techniques forfractures

� Demonstrate treatment options forselect complications from forefootinjuries

� Evaluate patients with forefoot deformities or injuries and formulatea treatment plan

The ACFAS extends sincere appreciation to oursponsors for educational grants in support ofthese programs.

OBJECTIVES

12 CONTINUINGEDUCATION CONTACT HOURS

8725

Wes

t Higg

ins R

oad,

Suit

e 55

5Ch

icago

, IL 6

0631

-272

4

Non-

Prof

itUS

Pos

tage

Paid

Chica

go, I

LPe

rmit N

o. 9

711

AD

VA

NC

ES

in F

OR

EF

OO

T S

UR

GE

RY

W

OR

KS

HO

P &

SE

MIN

AR

WORKSHOP& SEMINAR

Division 4September14–15, 2012Denver, CO

Division 13September21–22, 2012Louisville, KY

Division 7October 5–6, 2012Southfield, MI

Division 14October19–20, 2012Charlotte, NC

ADVANCES IN

FOREFOOT SURGERY

2012

2012ACFASForefootBrochure_Layout 1 6/22/12 12:36 PM Page 1

WORKSHOP& SEMINAR





ADVANCES IN

FOREFOOT SURGERY

2012


Division 14October 19–20Charlotte, NC

Division 4September 14–15Denver, CO

Division 13September 21–22Louisville, KY

Division 7October 5–6Southfield, MI

Day One: Friday 3:30–7:30 pm

3:30 pm Registration

4:00 pm Common Forefoot Surgical Complications

5:00 pm Welcome Reception and Case PresentationsParticipants are encouraged to present cases for panel discussion.

7:30 pm Adjourn

Day Two: Saturday 7:00 am–6:00 pm

7:00 am Continental Breakfast

7:30 am Revisiting the Head and Shaft Procedure of the 1st Ray—New Techniques and Technology

8:30 am Proximal 1st Ray Procedures—Revisiting the Old and the New

9:00 am Panel Discussion

9:30 am Break

9:45 am Lab (Sawbones)� Youngswick� Mau (Weil of the 1st metatarsal)� Austin� Sagittal Z (scarf)� Lapidus� Open and Closed Base Wedge� Fusion

12:30 pm Lunch/Hot Topic Panel DiscussionDoes the Achilles Tendon Matter? What is the current thought on the true affect with the Diabetic Patient? Cavus?

1:30 pm Pre-Dislocation Syndrome—the Pre or Dislocated Second Toe How to deal with plantar plate and all the complications that come with it.

2:00 pm Fifth Metatarsal Fractures—Options in Surgical Repair

2:30 pm Panel Discussion

3:00 pm Break

3:15 pm Lab (Sawbones)� Hammer Toe� Metatarsal Osteotomies� Plantar Plate

6:00 pm Adjourn

ADVANCES in FOREFOOT SURGERY WORKSHOP & SEMINAR

Name: □ DPM □ Other

Address:

City: State: Zip:

Phone: ( ) Fax: ( )

E-Mail:

Seminar Site Requested

Seminar Registration FeesACFAS Member □ $149 Non-Member □ $199 ACFAS Resident Member □$79Seminar Registration fee includes: 12 hours of instruction, Welcome Reception Friday evening, continental breakfast, lunch and refreshment breaks Saturday.

Note: If you have special needs addressed by the Americans with Disabilities Act, or special dietary needs, notify ACFAS at the time you register. 800.421.2237

September 14-15, 2012Embassy Suites Denver Downtown1420 Stout StreetDenver, CO 80202

$159/night (single/double occupancy)Hotel rate cut-off date: 8/17/12(before 5:00 pm)Reservations by phone at303.592.1000 or 800.445.8667;or online at www.denverdown-town.embassysuites.com,Group Code is ACF.

September 21-22, 2012Marriott Louisville East 1903 Embassy Square BoulevardLouisville, KY 40299

$139/night (single/double occupancy)Hotel rate cut-off date: 8/29/12(before 5:00 pm)Reservations by phone at800.228.9290

October 5-6, 2012Detroit Marriott Southfield27033 Northwestern HighwaySouthfield (Detroit), MI 48034

$92/night (single/double occupancy) Hotel rate cut-off date: 9/12/12(before 6:00 pm)Reservations by phone at888.519.6568; or online atwww.marriottsouthfield.com.Group Code: AMEAMEA-Kingbed rooms; AMEAMEB-Doublebed rooms

October 19-20, 2012Charlotte Marriott Executive Park5700 Westpark DriveCharlotte, NC 28217

$99/night (Single/Double Occupancy)Hotel rate cut-off date: 9/27/12Reservations by phone at704.527.9650 or 800.228.9290

□ My check payable to American College of Foot and Ankle Surgeons is enclosed.

Charge my: □ Visa □ MC □ AMEX

Card #: Exp. Date:

Security Number (VISA/MC—last 3 digits on back; AMEX – 4 digits on front)

Card Holder Signature:

Register online: www.acfas.org.You may mail or fax completed registration form(s) to: American College of Foot and Ankle SurgeonsAttn: Maggie Hjelm, Education Manager8725 West Higgins Road, Suite 555Chicago, IL 60631-2724Phone: 800.421.2237 Fax: 800.382.8270

Office Use Only

Batch No.

Check No.

Approval No.

Amount $

□September 14-15, 2012Denver, CO

□September 21-22, 2012Louisville, KY

□October 5-6, 2012Southfield, MI

Attendee Hotel Accommodations Guestroom accommodations may be reserved by contacting the hotel directly as indicatedbelow and referencing the American College of Foot and Ankle Surgeons.

AccreditationThe American College of Foot and AnkleSurgeons is approved by the Council on Podiatric Medical Education as asponsor of continuing education in podiatric medicine. 12 continuing education contact hours.

California Radiology Credit: Every hourof lecture in scientific sessions can conferup to 0.6 hour of radiology credit.

DisclaimerACFAS workshops and seminars aremade available as an educational serviceto its members and other members ofthe podiatric profession. The ACFAS hasnot independently evaluated the contentor techniques discussed or demonstratedby any faculty member. The ACFAS doesnot warrant or endorse any content ortechnique discussed or demonstrated byany faculty member. Statements aboutcommercial products are solely the opinion(s) of the presenter(s) and do notrepresent a College endorsement or eval-uation of these products. Additionally,any instrumentation shown/demonstratedduring this program may or may not havereceived FDA approval.

Photographs/VideosAudio/video taping or recording or photographing of sessions is prohibited.

ACFAS routinely takes photos or video ofparticipants in meetings and other coursevenues for news and other purposes. Byregistering for the course, you grantACFAS permission to utilize photos of youtaken at the program for ACFAS purposes.

Tax Deduction for Education PurposesIn the United States, an income tax deduction may be allowed for educationexpenses undertaken to maintain or improve professional skills. This includesregistration, travel, meals and lodging,subject to applicable limitations (seeTreas. Reg. 1.162-5: Coughlin v Commis-sioner, 203 F.2d 307 (2d Cir.1953)).

Attendees with Special NeedsIf you have special needs addressed bythe Americans with Disabilities Act, orspecial dietary needs, notify the ACFASat the time you register. We will makeevery effort to accommodate yourneeds.

Seminar Cancellation PolicyCancellation requests must be in writing.Requests received by the ACFAS four (4) weeks prior to the course date willreceive a full refund minus a $50 administrative fee. No refunds will begiven for cancellations received less thanfour (4) weeks prior to the course.

ACFAS is unable to assume risk or responsibility for the registrant’s time orexpenses should an act of God, govern-ment action, aviation disruption, disaster,weather, or other force beyond the control of ACFAS make it inadvisable or impossible to conduct this event. The registrant may wish to consider purchasing personal travel insurance toinsure his/her expenses.

GENERAL INFORMATION

Please note: Course contentand faulty are subject tochange.

Limited

SpaceAvailable

□October 19-20, 2012Charlotte, NC

FACULTY LIST

DENVER, CO

Troy J. Boffeli, DPM, FACFAS, ChairHealthPartners Specialty CenterSaint Paul, MNFinancial Disclosures: Dr. Boffeli has nothing to disclose.

Sean T. Grambart, DPM, FACFASCarle Clinic AssociationChampaign, ILFinancial Disclosures: Dr. Grambart has nothing to disclose.

Matthew E. Williams, DPM, FACFASVirginia Mason Medical CenterLynnwood, WAFinancial Disclosures: Dr. Williams has nothing to disclose.

LOUISVILLE, KY

Scott F. Jorgensen, DPM, FACFAS, ChairFairview Health ServicesEagan, MNFinancial Disclosures: Dr. Jorgensen has nothing to disclose.

Alan R. Catanzariti, DPM, FACFASFoot & Ankle Institute of Western PennsylvaniaPittsburgh, PA Financial Disclosures: Dr. Catanzariti is a consultant forMedtronics.

Thanh L. Dinh, DPM, FACFASBeth Israel Deaconess Medical CenterBoston, MAFinancial Disclosures: Dr. Dinh has received Grant/Research funding from NIH.

SOUTHFIELD, MI

Keith L. Jacobson, DPM, FACFAS, ChairAdvanced Orthopedic & Sports Medicine SpecialistsDenver, COFinancial Disclosures: Dr. Jabobson is a consultant for DePuyOrthopaedics.

John T. Marcoux, DPM, FACFASCaritas Christi – St. Elizabeth’s Medical CenterBrighton, MAFinancial Disclosures: Dr. Marcoux has nothing to disclose.

Amber M. Shane, DPM, FACFASOrlando Foot & Ankle ClinicWinter Park, FLFinancial Disclosures: Dr. Shane is on the Stryker and Integraspeakers bureaus.

CHARLOTTE, NC

Laurence G. Rubin, DPM, FACFAS, ChairFoot & Ankle Specialists of VirginiaMechanicsville, VAFinancial Disclosures: Dr. Rubin is on the Pfizer speakers bureau, is a consultant for Wright Medical and OrthoPro, hasequity interests in OrthPro, and has intellectual property rightsin and receives other financial benefit from Wright Medical

Richard Derner, DPM, FACFASLake Ridge Foot & Ankle CenterWoodbridge, VAFinancial Disclosures: Dr. Derner is on the DePuy speakersbureau.

Daniel J. Hatch, DPM, FACASFoot & Ankle Center of Northern ColoradoGreeley, COFinancial Disclosures: Dr. Hatch is on the Osteomed speakersbureau and has intellectual property rights in Solana.










7:30 pm Adjourn






9:30 am Break






3:00 pm Break


6:00 pm Adjourn



Address:

City: State: Zip:

Phone: ( ) Fax: ( )

E-Mail:














Card #: Exp. Date:




Office Use Only

Batch No.

Check No.

Approval No.

Amount $














GENERAL INFORMATION


Limited

SpaceAvailable


FACULTY LIST

DENVER, CO




LOUISVILLE, KY




SOUTHFIELD, MI




CHARLOTTE, NC








FEES



�Apply technical skills in a wide variety of fixation options for treatment of Forefoot Surgery

�Identify indications and contraindi-cations for Forefoot deformities andcombination plating techniques forfractures

�Demonstrate treatment options forselect complications from forefootinjuries

�Evaluate patients with forefoot deformities or injuries and formulatea treatment plan


OBJECTIVES


8725 West Higgins Road, Suite 555

Chicago, IL 60631-2724

Non-ProfitUS Postage PaidChicago, ILPerm

it No. 9711

AD

VA

NC

ES

in FO

RE

FO

OT

SU

RG

ER

Y

WO

RK

SH

OP

& S

EM

INA

R

WORKSHOP& SEMINAR





ADVANCESIN

FOREFOOT SURGERY

2012










7:30 pm Adjourn






9:30 am Break






3:00 pm Break


6:00 pm Adjourn



Address:

City: State: Zip:

Phone: ( ) Fax: ( )

E-Mail:














Card #: Exp. Date:




Office Use Only

Batch No.

Check No.

Approval No.

Amount $














GENERAL INFORMATION


Limited

SpaceAvailable


FACULTY LIST

DENVER, CO




LOUISVILLE, KY




SOUTHFIELD, MI




CHARLOTTE, NC













7:30 pm Adjourn






9:30 am Break






3:00 pm Break


6:00 pm Adjourn



Address:

City: State: Zip:

Phone: ( ) Fax: ( )

E-Mail:














Card #: Exp. Date:




Office Use Only

Batch No.

Check No.

Approval No.

Amount $














GENERAL INFORMATION


Limited

SpaceAvailable


FACULTY LIST

DENVER, CO




LOUISVILLE, KY




SOUTHFIELD, MI




CHARLOTTE, NC








FEES


ACFAS IS COMING TO YOU!

CONVENIENT—LOCAL—CUTTING EDGE TECHNIQUES—

LATEST MATERIALS AND PRODUCTS—HANDS-ON (SAWBONES) LAB

Apply technical skills in a wide variety of fixation options for treatment of the forefoot

Identify indications and contraindi-cations for forefoot deformities andcombination plating techniques forfractures

Demonstrate treatment options forselect complications from forefootinjuries

Evaluate patients with forefoot deformities or injuries and formulatea treatment plan


OBJECTIVES

CONTINUINGEDUCATION CONTACT HOURS










7:30 pm Adjourn






9:30 am Break






3:00 pm Break


6:00 pm Adjourn



Address:

City: State: Zip:

Phone: ( ) Fax: ( )

E-Mail:














Card #: Exp. Date:




Office Use Only

Batch No.

Check No.

Approval No.

Amount $














GENERAL INFORMATION


Limited

SpaceAvailable


FACULTY LIST

DENVER, CO




LOUISVILLE, KY




SOUTHFIELD, MI




CHARLOTTE, NC













7:30 pm Adjourn






9:30 am Break






3:00 pm Break


6:00 pm Adjourn



Address:

City: State: Zip:

Phone: ( ) Fax: ( )

E-Mail:














Card #: Exp. Date:




Office Use Only

Batch No.

Check No.

Approval No.

Amount $














GENERAL INFORMATION


Limited

SpaceAvailable


FACULTY LIST

DENVER, CO




LOUISVILLE, KY




SOUTHFIELD, MI




CHARLOTTE, NC








FEES










OBJECTIVES











7:30 pm Adjourn






9:30 am Break






3:00 pm Break


6:00 pm Adjourn



Address:

City: State: Zip:

Phone: ( ) Fax: ( )

E-Mail:














Card #: Exp. Date:




Office Use Only

Batch No.

Check No.

Approval No.

Amount $














GENERAL INFORMATION


Limited

SpaceAvailable


FACULTY LIST

DENVER, CO




LOUISVILLE, KY




SOUTHFIELD, MI




CHARLOTTE, NC













7:30 pm Adjourn






9:30 am Break






3:00 pm Break


6:00 pm Adjourn



Address:

City: State: Zip:

Phone: ( ) Fax: ( )

E-Mail:














Card #: Exp. Date:




Office Use Only

Batch No.

Check No.

Approval No.

Amount $














GENERAL INFORMATION


Limited

SpaceAvailable


FACULTY LIST

DENVER, CO




LOUISVILLE, KY




SOUTHFIELD, MI




CHARLOTTE, NC








FEES










OBJECTIVES






FEES



� Apply technical skills in a wide variety of fixation options for treatment of Forefoot Surgery

� Identify indications and contraindi-cations for Forefoot deformities andcombination plating techniques forfractures

� Demonstrate treatment options forselect complications from forefootinjuries

� Evaluate patients with forefoot deformities or injuries and formulatea treatment plan


OBJECTIVES


8725

Wes

t Higg

ins R

oad,

Suit

e 55

5Ch

icago

, IL 6

0631

-272

4

Non-

Prof

itUS

Pos

tage

Paid

Chica

go, I

LPe

rmit N

o. 9

711

AD

VA

NC

ES

in F

OR

EF

OO

T S

UR

GE

RY

W

OR

KS

HO

P &

SE

MIN

AR

WORKSHOP& SEMINAR





ADVANCES IN

FOREFOOT SURGERY

2012


WORKSHOP& SEMINAR





ADVANCES IN

FOREFOOT SURGERY

2012










7:30 pm Adjourn






9:30 am Break






3:00 pm Break


6:00 pm Adjourn



Address:

City: State: Zip:

Phone: ( ) Fax: ( )

E-Mail:














Card #: Exp. Date:




Office Use Only

Batch No.

Check No.

Approval No.

Amount $














GENERAL INFORMATION


Limited

SpaceAvailable


FACULTY LIST

DENVER, CO




LOUISVILLE, KY




SOUTHFIELD, MI




CHARLOTTE, NC













7:30 pm Adjourn






9:30 am Break






3:00 pm Break


6:00 pm Adjourn



Address:

City: State: Zip:

Phone: ( ) Fax: ( )

E-Mail:














Card #: Exp. Date:




Office Use Only

Batch No.

Check No.

Approval No.

Amount $














GENERAL INFORMATION


Limited

SpaceAvailable


FACULTY LIST

DENVER, CO




LOUISVILLE, KY




SOUTHFIELD, MI




CHARLOTTE, NC








FEES



�Apply technical skills in a wide variety of fixation options for treatment of Forefoot Surgery

�Identify indications and contraindi-cations for Forefoot deformities andcombination plating techniques forfractures

�Demonstrate treatment options forselect complications from forefootinjuries

�Evaluate patients with forefoot deformities or injuries and formulatea treatment plan


OBJECTIVES


8725 West Higgins Road, Suite 555

Chicago, IL 60631-2724

Non-ProfitUS Postage PaidChicago, ILPerm

it No. 9711

AD

VA

NC

ES

in FO

RE

FO

OT

SU

RG

ER

Y

WO

RK

SH

OP

& S

EM

INA

R

WORKSHOP& SEMINAR





ADVANCESIN

FOREFOOT SURGERY

2012


Documents

2012ACFASForefootBrochure Layout 1 6/22/12 12:37 PM ......FinancialcDisclosures: Dr.fBoffeli hashnothing to disclose. SeanGT. Grambart, DPM, FACFAS CarleiClinic Association Champaign,