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Pediatric Sports Medicine and Orthopedics Conference

November 10, 2017

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2017 Pediatric Sports Medicine and Orthopedics Conference

November 10, 2017For your convenience, register online at http://tinyurl.com/2017SportsMed

Registration Deadline is November 3, 2017

Please printTitle (select one) q Dr. q Mr. q Mrs. q Ms.

Name (First, Last) __________________________________________________

Organization ______________________________________________________

Address __________________________________________________________

City ____________________________________ State ______ Zip __________

County (if Ohio resident)_____________________________________________

Telephone

Work ________________ Cell________________ Fax ________________

Email Address (required for receipt confirmation) __________________________

Special Services Required: ADA- We encourage participation by all individuals. If you have a disability, advanced notification of your needs will help us serve you better. Please notify us of your needs at least two weeks in advance.

Full-day Conference: 8:00 a.m.–5:00 p.m.q $130 Physician Professional Registration Fee

q $100 Non-Physician Registration Fee

q $110 NCH Physicians

q $75 NCH Non-Physicians

q $75 Trainee Registration Fee

Type of Continuing Education Credit Desired: q Physician q Physical Therapist q Athletic Trainer q General Certificate

Conference materials will be provided electronically on a conference app.

Amount Enclosed $ __________

Payment: q Cash q Check q VISA q Master Card q AmEx q Discover

Credit Card Information:

Card # ________________________________________ Exp. Date __________

Name on Card ____________________________________________________

Please make checks payable to Nationwide Children’s Hospital and mail with registration form to:

Kelly HallbergEducation Program Administrator I 2017 Sports Medicine Conference

Nationwide Children’s Hospital 700 Children’s Dr. Columbus, OH 43205

q Sign Language Interpreter q Wheelchair Seating q Other _______________________

q Vegetarian Optionq Gluten Free

Rehabilitation Track1-1:45 p.m. Treating Shoulder Impingement with Dynamic Stabilization Herm Hundley, Jr., MS, ATC, CSCS

1:45-2:30 p.m. The Volleyball Spike: Biomechanical Breakdown & Rehabilitation Guidelines Sara Breidigan, MS, ATC, PES

2:30-2:45 p.m. Q & A

2:45-3:00 p.m. Break

3-4:30 p.m. Manual Therapy Techniques Mitchell C. Selhorst, PT, DPT, OCS

4:30-4:45 p.m. Q & A

Faculty

Faculty Disclosure of Commercial RelationshipsConsistent with ACCME guidelines, planning committee members and faculty for this conference are expected to disclose all relevant financial relationships with any commercial interests in the last 12 months that create, or may be perceived as creating, a conflict related to the material discussed. Any relationships identified will have been resolved prior to the delivery of the educational activity. Full disclosure of relationship(s) and steps taken to resolve (when relevant) will be made prior to the presentations.

Continuing EducationPhysicians Nationwide Children’s Hospital is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Nationwide Children’s Hospital designates this live activity for a maximum of 7.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Athletic Trainers Nationwide Children’s Hospital (BOC AP#: P3772) is approved by the Board of Certification, Inc. to provide continuing education to Certified Athletic Trainers. This program is eligible for a maximum of 7.0 Category A CEUs. ATs should claim only those hours actually spent in the educational program.  Nationwide Children’s Hospital has applied for EBP CEU credit for this conference.

Physical Therapists Application submitted to the OPTA for continuing education credit.

RegistrationAttendees may register online at http://tinyurl.com/2017SportsMed or by using the attached registration form. Please follow the instructions carefully. The registration fee includes educational materials, access to exhibits and continental breakfast, lunch and afternoon refreshments.

Registration Deadline: Friday, November 3, 2017

Note: Individuals utilizing a purchase order must include an original copy of the order with a signature, number and billing address in order to be registered. This issuance of a purchase order to secure a registration slot is an obligation for payment whether the participant attends, cancels or is absent from the conference. Payment for purchase orders is required within 30 days of receipt by Nationwide Children’s Hospital.

ConfirmationA confirmation letter, receipt, parking information and directions to the conference will be sent to those whose registrations are received and processed by the November 3, 2017 deadline.

Conference Planning Committee

2017 Pediatric Sports Medicine and Orthopedics ConferenceNovember 10, 2017 | 8 a.m. - 5 p.m.OCLC Conference Center | 6565 Kilgour Pl., Dublin, Ohio 43017

Agenda General Session8-8:15 a.m. Welcome and Introduction

8:15-9 a.m. Pediatric Low Back Pain Richard E. Rodenberg, MD

9-9:45 a.m. Amplified Musculoskeletal Pain Syndromes: Multidisciplinary Approach to Pain Sharon Wrona, DNP, RN-BC, PNP, PMHS, AP-PMN, Amy Hahn, PhD & Todd Degenhart, PT

9:45-10 a.m. Q&A

10-10:15 a.m. Break

10:15-11:00 a.m. Long Term Effects of Pediatric/Adolescent Injuries James MacDonald, MD, MPH

11-11:45 a.m. Osteomyelitis Laura Gill, MD

11:45-noon Q&A

noon-1 p.m. Lunch

Sports Medicine TrackMusculoskeletal Issues in Sports1-1:40 p.m. Understanding Gymnastics & Gymnastics Injuries Anastasia N. Fischer, MD, FACSM & Jenny Borda, PT, DPT

1:40-2:10 p.m. Hip/Pelvis Injuries Reno Ravindran, MD

2:10-2:30 p.m. Important Cases Not to Miss Thomas Pommering, DO

2:30-2:45 p.m. Q & A

2:45-3 p.m. Break

Medical Issues in Sports3-3:30 p.m. Exertional Collapse - Causes & Management Jonathan Napolitano, MD

3:30-4 p.m. Effect of Sleep on Sports Performance & Injury Amy E. Valasek, MD, MSc

4-4:30 p.m. Splenic Rupture in Sports Drew Duerson, MD

4:30-4:45 p.m. Q & A

Jenny Borda, PT, DPT

Anastasia N. Fischer, MD, FACSM

Herm Hundley, Jr., MS, ATC, CSCS

Thomas Pommering, DO

Jonathan Napolitano, MD

Sharon Wrona, DNP, RN-BC, PNP, PMHS, AP-PMN

Amy Hahn, PhD

Reno Ravindran, MD

Laura Gill, MD

Drew Duerson, MD

Sara Breidigan, MS, ATC, PES

Mitchell C. Selhorst, PT, DPT,

OCS

Todd Degenhart,PT

James MacDonald, MD, MPH

Amy E. Valasek, MD, MSc

Richard E. Rodenberg, MD

Steven Cuff, MD, Program ChairShaun Coffman, PT, DPT, OCSMeredith Dotson, MEd, ATC, CESKelly Hallberg

Thomas Pommering, DOAmy Randall-SorleyKate Wagener

Location and ParkingThis conference will be held at OCLC Conference Center, 6565 Kilgour Place, Dublin, Ohio 43017, (614) 764-6000

Free parking on-site.

Intended AudiencePhysicians, nurses, physical therapists, and athletic trainers who care for pediatric sports medicine and orthopedic patients.

AccommodationsThe following hotels are located near the conference location.

Embassy Suites Columbus – Dublin5100 Upper Metro Place, Dublin, Ohio, 43017 | (614) 790-9000Embassysuites3.hilton.com/en/hotels/ohio/embassy-suites-by-hilton-columbus-dublin-CMHESES/index.html

Courtyard by Marriott5175 Post Road, Dublin, Ohio  43017 | (614) 764-9393Marriott.com/hotels/travel/cmhdb-courtyard-columbus-dublin

Crowne Plaza600 Metro Place North, Dublin, Ohio 43017 | (614) 764-2200Crowneplazadublinohio.com

Marriot Northwest5605 Blazer Pkwy,  Dublin, Ohio 43017 | (614) 791-1000Marriott.com/hotels/travel/cmhnw-columbus-marriott-northwest

Cancellation PolicyA refund, minus 30% for administrative costs, will be given for cancellations received in writing before November 3, 2017. After this date, no refund will be available.

Conference SponsorsNationwide Children’s Hospital Department of Sports MedicineNationwide Children’s Hospital Department of Education

QuestionsKelly Hallberg, Professional Conference CoordinatorNationwide Children’s Hospital | Attn: Sports Medicine Conference700 Children’s Dr. | Columbus, OH 43205Phone: (614) 355-0676 | Fax: (614) 355-0670

Follow live tweets from @NCHSportsMed using the hashtag #NCHSportsConf17