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Digital Seminar

Unique Challenges in Orthopedic Patient Care: Extraordinary Diagnoses that Elude Quick & Common Identification


Speaker:
Mike Begg, DMSc, PA-C, AT-C
Duration:
3 Hours
Format:
Audio and Video
Copyright:
Aug 08, 2024
Product Code:
POS078824
Media Type:
Digital Seminar


Description

In the realm of orthopedics, we often navigate by the adage, "Don't go looking for zebras while you're standing in a herd of horses." This wisdom underscores the importance of relying on our clinical experience and logical reasoning when faced with familiar patterns of symptoms—most often, the common diagnoses are the correct ones. Yet, the art and science of medicine thrive not just in the routine but also in the recognition of exceptions. Every so often, a patient walks into our practice, presenting a puzzle that doesn't quite fit the picture we're accustomed to seeing. It's in these moments, when something in their story prompts a pause, a second thought, that our medical curiosity is truly tested.

Perhaps it's intuition, that subtle nudge that suggests there's more beneath the surface, or a dedicated commitment to understanding the nuances of each patient's narrative. It's the willingness to ask one more question, to seek one more test, or to consult one more chapter of the medical texts that might illuminate the path forward. This deeper dive, motivated by the feeling that the pieces don't quite align, is what can lead us to uncover the 'zebras'—the rare, the unusual, and the extraordinary diagnoses that elude quick identification.

In orthopedics, as in all branches of medicine, our ultimate goal is to provide care that acknowledges both the common path and the road less traveled. It's about ensuring that, whether they are horses or zebras, all our patients find their way to the best possible outcomes.

Credit

Planning Committee Disclosure - Relevant relationships

Mitch Hauschildt receives a speaking honorarium from RockTape USA, Trigger Point, and TRX. He is a content contributor for Titan Nutrition. All relevant financial relationships with an ineligible company have been mitigated.
 
All other members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the remaining committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 3.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 3.0 contact hours. Expires: 07/01/2027.


Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 3.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 3.0 self-study contact hours.

CE Broker


Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 3.0 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Occupational Therapists - Occupational Therapists & Occupational Therapy Assistants

 

PESI, Inc.  is an AOTA Approved Provider of professional development. Course approval ID# 09808. This Distance Learning-Independent is offered at .3  CEUs Intermediate, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

Full attendance at this Distance Learning-Independent activity qualifies for 3.0 contact hours.

 


Occupational Therapists - Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This self-study course consists of 3.0​ continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).


Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 3.0 self-study continuing education credits.

CE Broker


Physical Therapists - Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 3.0 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Physical Therapists - Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 3.0 clock hours of instruction applicable for physical therapists.


Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 3.0 continuing competency hours.


Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 3.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 3.0 CE credit hours.


Physical Therapists - Kentucky Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 3.0 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

 


Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 3.6 contact hours.


Physical Therapists - North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 3.0 continuing education hours.


Physical Therapists - Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 3.0 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 3.0 clock hours of instruction that is applicable for physical therapists.


Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2406032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional Level: Intermediate. This activity will provide 3.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 3.0 clock hours of continuing education instruction.


Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 3.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 3.0 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Physicians - Physicians

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 3.0 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 08/08/2024. It was last reviewed on 05/28/2024 and is valid until 05/28/2027.

 

Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.


Physicians Assistants - Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 3.0 hours for completing this self-study program. This activity was originally recorded on 08/08/2024. It was last reviewed on 05/28/2024 and is valid until 05/28/2027

 

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 3.0 AMA PRA Category 1 Credit(s)™.


Other Professions

This self-study activity qualifies for 3.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Mike Begg, DMSc, PA-C, AT-C's Profile

Mike Begg, DMSc, PA-C, AT-C Related seminars and products


Michael E. Begg, DMSc, PA-C, AT-C, is a highly skilled healthcare professional with a diverse background in orthopedics, sports medicine, and athletic training. He currently serves as a physician assistant specializing in sports medicine and orthopedic trauma at Vail Summit Orthopedics and Neurosurgery in Edwards, CO.

Dr. Begg is also deeply involved in academia, serving as an adjunct faculty for the Doctor of Medical Science Program at Rocky Mountain University of Health Professions and the Master of Science Physician Assistant Program at West Coast University.

With a strong commitment to advancing the field, Mike spent a majority of his career at The Steadman Clinic/Steadman Philippon Research Institute in Vail, CO, where he led clinical aspects of multiple funded trials and focused on sports medicine, orthopedic trauma, regenerative medicine, and non-operative spine. He also played a key role in education, serving as a curriculum instructor and preceptor for AT Residency and MD Sports Medicine Fellowship Programs.

Dr. Begg also worked along fellowship trained orthopedic surgeons at Animas Orthopedic Associates in Durango, CO, where he provided comprehensive orthopedic care, including sports medicine, adult reconstruction, general orthopedics, and orthopedic trauma.

In addition to his professional endeavors, Dr. Begg is actively engaged in the orthopedic community. He hosts a podcast, H2Orthopedics.com, where he discusses common orthopedic conditions for patients and providers. He is also a member of several professional organizations, including the American Academy of Physician Assistants, American Association of Surgical Physician Assistants, Physician Assistants in Orthopedic Surgery, and National Athletic Trainers Association.


Speaker Disclosures:
Financial: Michael Begg is the founder of Aspen Leaf Education, LLC., and has employment relationships with Vail Summit Orthopedics and Neurosurgery, and Rocky Mountain University of Health Professions. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Michael Begg is a member of the American Academy of Physician Assistants, the American Association of Surgical Physician Assistants, the Physician Assistants in Orthopedic Surgery, and the National Athletic Trainers Association.


Additional Info

Questions?

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Objectives

  1. Evaluate the importance of identifying and appreciating the unique nuances of meniscal root tears vs. other commonly seen meniscal tear pathology.
  2. Analyze challenging findings on examination of the skeletally immature patient with injury to ACL.
  3. Comprehend previous techniques with vertical placement of the graft leading to rotary instability issues.
  4. Plan for radiographic information associated with shoulder instability and how it factors into consulting and treatment plan formulation.
  5. Comprehend anatomic structures and injury vs. integrity with unique fracture pattern presentation.
  6. Determine critical components of history and physical exam findings with clinical presentation of patients with non-cuff origin of shoulder pain and weakness.

Outline

Knee Challenges

Continued Instability Following ACL Reconstruction
  • Historic placement of graft and impact on post-op stability
  • Impact of meniscal procedures on knee stability
  • Potential for rotational instability with concurrent injuries to the ACL insult
  • Tibial slope and the influence it may have on of rates of recurrent instability
Root Tear Meniscus: Differentiating the Significance
  • How “root tear” differ from others
  • Potential impact of “root tear” on overall health of the knee
  • Options for treatment and biomechanical influences of post-op activities
ACL Injuries in Skeletally Immature Patients: Tibial Spine Avulsion Fracture
  • Bone maturation and how it impacts ACL injuries
  • Importance of being aware of the unexpected in skeletally immature patients
  • Mechanisms of injury as they relate to avulsion injury of tibial spine
  • Work-up and critical findings to be aware of
  • Treatment options and potential outcomes for Tibial Spine Avulsion injuries
Shoulder Challenges

Recurrent Instability after Initial Glenohumeral (GH) Dislocation
  • Mechanism and potential soft tissue and bony injuries occurring with Glenohumeral dislocation
  • Importance of attention to detail on evaluation of radiographic work-up of shoulder instability patients
  • Potential associated injuries that may lead to recurrent instability post-Bankart procedure
  • Individualized treatment options focused on both soft-tissue and bony pathology
Distal Clavicular Fracture with Coracoclavicular (CC) Involvement
  • Unique considerations of far lateral (distal) clavicle fracture patterns
  • Critical evaluation of X-ray findings to determine ligamentous involvement in fracture pattern
  • Considerations of treatment options for far lateral clavicle features
Shoulder Pain and Weakness: Beyond the Rotator Cuff
  • Listening skills when taking history for upper extremity (shoulder) conditions
  • Overlapping of symptoms for shoulder and c-spine issues/presentations
  • Evaluation of physical examination findings and clues to possible origin of symptoms
  • Work-up for concurrent c-spine and shoulder findings and differential diagnosis
  • Treatment options and appropriate prioritization of where to focus first

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