Johns Hopkins University Exploring Shoulder Dystocia

From: National Brachial Plexus/Erb's Palsy (erbspalsy@usa.net)
Fri Feb 18 10:38:13 2005


Exploring Shoulder Dystocia and Brachial Plexus Injury: Multi-disciplinary Perspectives

Sunday May 22, 2005 - Monday May 23, 2005 Johns Hopkins University School of Medicine, Turner Bldg. Baltimore, MD

Sponsored by

Johns Hopkins University School of Medicine Departments of Gynecology and Obstetrics, Neurosurgery, and Biomedical Engineering

* Course Description * Course Objectives * Registration Information & Fees * Accreditation * Faculty * Program * Travel Info * Download Course Brochure and Registration Form (PDF)

Course Description:

This symposium will create an open environment for education, debate and improved communication among a diverse community of professionals impacted by the problem of shoulder dystocia and brachial plexus injury. By utilizing a combination of traditional didactics and interactive, audience-participation formats, we have chosen as a central feature of our activity, repeated facilitated panel discussions intended to critically evaluate, synthesize and refocus the issues as they are presented throughout the symposium. The course features seven sessions covering a variety of themes, including the purpose and goal of mutual dialogue and education, exploration of the mechanism of injury and standard of care, confronting management dilemmas in shoulder dystocia and obstetric brachial plexus injury, understanding the patient and family's experience and setting a course for future research and educational endeavors. We will also incorporate special interest "breakout" sessions to focus on research models, surgical approaches, bioengineering applications to injury assessment and prevention, simulation for education and improved clinician-patient communication.

Target Audience:

Obstetricians, Family Practitioners, Pediatricians, Neonatologists, Neurosurgeons, Neurologists, Plastic Surgeons, Orthopaedists, Physical Therapists, Midwives, Nurse Practitioners, Nurses and Hospital Administrators.

Following this activity, the participant should be able to:

* Review the historical understanding of neonatal brachial plexus injury and its relationship to shoulder dystocia * Identify and assess potentially critical determinants of injury, including the intrauterine environment, the birth process and obstetric manipulation * Formulate and explain the evaluation, prognostication and management of obstetric brachial plexus injury * Understand the current status of medical-legal liability of shoulder dystocia-related brachial plexus injuries * Discuss areas of consensus and controversy concerning mechanism of injury, standard of care, obstetric and pediatric management and potential for injury prevention, mitigation and risk reduction * Foster ongoing collaboration and support among the represented disciplines through establishment of a patient registry and dissemination of results

REGISTRATION:

Sunday, May 22, 2005 7:45 - 8:45 a.m.

Location:

Thomas B. Turner Building Johns Hopkins University School of Medicine 720 Rutland Avenue Baltimore, Maryland

The Turner Building is located on the northwest corner of Monument Street and Rutland Avenue. Parking for CME registrants is available on the Johns Hopkins medical campus. Directions to parking garages will be mailed along with a parking map and your confirmation notice, or visit our website, http://www.hopkinscme.net to access this information. Handicapped parking is available in the nearby Rutland Garage. Johns Hopkins is smoke-free.

REGISTRATION CUT-OFF DATE: May 16, 2005

Methods of Payment: Credit card or check - cash cannot be accepted. Please note: Payment must accompany your registration. Registrations received after 5 p.m. EST on May 16, 2005 will be subject to a $50 late fee. On-site registrations are payable only by credit card.

FEES: Physicians $450 Residents*/Fellows*/Allied Health Professionals *with verification of status $350

The registration fee includes instructional materials, refreshment breaks and luncheons. Foreign payments must be made by credit card or with a U.S. Dollar World Money Order. An enrollment confirmation will be emailed if you provide your email address. Otherwise it will be sent by mail. If you do not receive a confirmation by May 16, please call (410) 955-3169 to confirm that you are registered. A certificate of attendance will be mailed by June 28, 2005.

Cancellation policy: If you must cancel, notify the Office of Continuing Medical Education in writing by May 16, 2005. An administrative fee of $50 will be retained on all refunds. We regret that cancellation notices received after this date are non-refundable. The Johns Hopkins University reserves the right to cancel or postpone any course due to unforeseen circumstances. In the event of cancellation or postponement, the University will refund only the registration fee and is not responsible for other related travel expenses.

Emergency Calls During the days of this meeting only, May 22 -23, 2005, direct emergency calls to the registration desk, (410) 955-3673. Messages will be posted for participants.

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meeting location

Hotel Reservation Cut-Off Date: April 8, 2005

Located in the heart of historic Fells Point, this quaint inn has all the modern amenities you would expect of a recently constructed property. Call the Admiral Fell Inn directly to make your reservations and specify that you are attending the Johns Hopkins Shoulder Dystocia/Brachial Plexus meeting to receive the special room rate of $139, single or double, plus tax. Complimentary transportation will be provided to the meeting. Check-in time is 4:00 p.m. Check-out time is 12:00 p.m. Admiral Fell Inn (800) 292-4667 888 South Broadway (410) 522-7380 Baltimore, Maryland 21231 FAX (410) 522-0707

Call United Airlines at (800) 521-4041 for discounted rates and refer to Meeting ID Number 549TJ.

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course credit,accreditation ACCREDITATION STATEMENT

The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CREDIT DESIGNATION STATEMENT

The Johns Hopkins University School of Medicine designates this educational activity for a maximum of 17.5 category 1 credits toward the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity.

Other Credit The American College of Obstetricians and Gynecologists has assigned 16 cognates to this program. Application for CME credit has been filed with American Academy of Family Physicians. Determination of credit is pending. The Johns Hopkins University has approved this course for 17.5 Continuing Education Units (CEUs) (1.75 contact hours) for non-physicians. Application has been submitted for Maryland Nurses Association approval.

Americans with Disabilities Act

The Johns Hopkins University School of Medicine fully complies with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs. directors and faculty

COURSE DIRECTORS

Edith D. Gurewitsch, MD Assistant Professor of Gynecology and Obstetrics

Allan J. Belzberg, MD, FRCSC Associate Professor of Neurosurgery

Robert H. Allen, PhD Associate Research Professor of Biomedical Engineering

FACULTY

Rick Abbott, MD Associate Professor of Neurosurgery Montefiore Medical Center Bronx, New York

David B. Acker, MD Associate Professor of Obstetrics Brigham and Women's Hospital Harvard Medical School Boston, Massachusetts

P. David Adelson, MD Professor of Neurosurgery Chidren's Hospital of Pittsburgh Pittsburgh, Pennsylvania

Katharine E. Alter, MD Medical Director, Rehabilitation Programs Mount Washington Pediatric Hospital National Institutes of Health Physical Disabilities Branch Bethesda, Maryland

Thomas F. Baskett, MD, FRCOGC Professor of Obstetrics and Gynecology IWK Health Center Dalhousie University Halifax, Nova Scotia

Thomas Brushart, MD Professor of Orthopedic Surgery Johns Hopkins University School of Medicine Baltimore, Maryland

Marie H. Beall, MD Clinical Professor of Obstetrics and Gynecology UCLA Medical Center Los Angeles, California

Jose L. Borrero, MD Hand Surgeon, Brachial Plexus Surgery Consultant Kleinert, Kutz Hand Surgery Center Louisville, Kentucky

Howard M. Clarke, MD, PhD, FRCSC Professor of Surgery Hospital for Sick Children Toronto, Ontario, Canada

Thomas O. Crawford, MD Associate Professor of Neurology Johns Hopkins University School of Medicine Baltimore, Maryland

Christine Curtis, BSc, PT Physiotherapist Hospital for Sick Children Toronto, Ontario, Canada

Robert B. Gherman, MD Assistant Professor of Obstetrics and Gynecology University of Maryland Medical Center Baltimore, Maryland

Bernard Gonik, MD Professor and Fann Srere Chair of Perinatal Medicine Sinai Grace Hospital Wayne State University School of Medicine Detroit, Michigan

Ernest M. Graham, MD Assistant Professor of Gynecology and Obstetrics Johns Hopkins University School of Medicine Baltimore, Maryland

John A.I. Grossman, MD Director, Hand Surgery Miami Children's Hospital Miami, Florida

Gary D. Hankins, MD Professor of Obstetrics and Gynecology University of Texas Medical Branch Galveston, Texas

Susan MacKinnon, MD Shoenberg Professor of Plastic and Reconstructive Surgery Washington University School of Medicine St. Louis, Missouri

Christine E. Novak, PT, MS Research Associate Professor of Plastic and Reconstructive Surgery Washington University School of Medicine St. Louis, Missouri

Joseph H. Piatt, Jr., MD Professor of Neurosurgery St. Christopher's Hospital for Children Philadelphia, Pennsylvania

Sarah H. Poggi, MD Assistant Professor of Obstetrics and Gynecology INOVA Alexandria Hospital Alexandria, Virginia

Andrew E. Price, MD Clinical Associate Professor of Orthopedic Surgery New York University Medical Center New York, New York

Lorna E. Ramos, MA, ORT/L Clinical Coordinator for Brachial Plexus Program Miami Children's Hospital Miami, Florida

Richard J. Redett, MD Assistant Professor of Surgery Johns Hopkins University School of Medicine Baltimore, Maryland

Julia K. Terzis, MD, PhD Professor of Surgery Eastern Virginia Medical School Norfolk, Virginia

Peter M. Waters, MD Associate Professor of Orthopaedic Surgery Children's Hospital Boston, Massachusetts

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TOPICS Session I - Why Meet? What Can We Learn From Each Other?

Introduction to Represented Disciplines, Meeting Format and "Rules of Engagement" The Connection Between Shoulder Dystocia and Obstetric Brachial Plexus Palsy: How Strong Is It? Exploring the Evolution of Scientific Theory and Evidence Teaching Each Other: Primer for Nerve Specialists on the Obstetric Encounter with Shoulder Dystocia Teaching Each Other: Primer for Obstetricians on Nature and Classification of Birth-Related Brachial Plexus Injury Panel Discussion: Linking Birth-Related Brachial Plexus Injury to Shoulder Dystocia: Laying the Foundation for Debate Session II - Does the Nature of the Injury Reflect the Mechanism?

Stress and Strain: Mechanical Properties of Peripheral Nerves and Their Physiologic Response to Injury Pushing and Pulling: An Analysis of Forces at Delivery Thresholds for Injury: The Bioengineering Evidence Case-Based Panel Discussions: When and How Did This Nerve Damage Happen? Obstetrics Peripheral Nerve Surgery

Session III - Medical-Legal Issues in Birth-Related Brachial Plexus Injury (with Audience Participation)

Session IV - Confronting the Difficult Clinical Dilemmas: For Whom to Intervene?

Natural History of Obstetric Brachial Plexus Injury: Patterns of Recovery Diagnostic Limitations Before the Fact: Can Shoulder Dystocia Be Predicted or Prevented? Interpreting the Data After an Injury: How Accurately Do Electromyography and Neuroimaging Characterize the Injury? Panel Discussion: Informed Consent: What Should We Tell Parents?

Session V - Management of Shoulder Dystocia and Neonatal Brachial Plexus Injury: Reducing the Risk and Optimizing the Outcome

Shoulder Dystocia Maneuvers and Outcome: Is Any Maneuver Superior to Another? To Cut or Not to Cut: Management of Obstetrical Brachial Plexus Injury Panel Discussion: Can We Do Better?: Maximizing the Team Approach

Session VI - People, Policy and Politics: Can We Define a Standard of Care?

Living with Brachial Plexus Injury: A Family's Story Assessing the Injury: To Whom To Refer and When Published Statements on Shoulder Dystocia: A Critical Evaluation Panel Discussion: Establishing Standards: Objectively Defining the Severity of Shoulder Dystocia and Brachial Plexus Injury

Session VII - Where Do We Go From Here?

Summary of the Symposium: What Have We Learned? Promoting Educational and Research Objectives: Publication of Symposium Proceedings, Establishing a Patient Registry Panel Discussion: Fostering Multi-Disciplinary Support and Dialogue: Planning Future Meetings Roundtable Lunch Discussions A1. Animal Models of Obstetrical Brachial Plexus Injury A2. When Something Goes Wrong: How to Talk to Patients and Families after an Adverse Medical Outcome A3. Ethical Considerations/Challenges for the Medical Legal Expert Witness B1. Medical Simulation for Education and Research B2. Practical Applications/Considerations for Force Measurements In Vivo B3. New Modalities for Treatment of Obstetric Brachial Plexus Injury

COPYRIGHT All rights reserved. No part of this activity may be used or reproduced in any manner whatsoever without written permission. Return to top

Policy On Faculty And Provider Disclosure

It is the policy of the Johns Hopkins University School of Medicine that the faculty and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). Detailed disclosure will be made in the course handout materials.

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erbspalsy@usa.net
http://www.nbpepa.org




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