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Friday Morning Instructional Courses

8:45 – 10:15 AM


View faculty financial relationship disclosures here

Instructional Course 18
Moscone West 2016

Keeping What You Earn: Estate Planning and Wealth Management for Surgeons

Target Audience: Intermediate
Keyword: Other
Category: Other
Upon completion of this course, participants will be able to:
  • Discuss the changing requirements of estate planning and wealth management at various stages of a surgeons career. Following the discussion, the attendees should realize that estate planning and wealth management is a continuous process that needs to evolve with changing circumstances.
  • Outline the key provisions of the Taxpayer Relief Act of 2012 and its far-reaching ramifications on the focus of financial planning. Following the discussion,  the audience should have a good understanding of the key elements of modern estate planning and wealth  management.
  • Analyze the wide spectrum of strategies most useful for surgeons to keep more of what they had earned.  Following the discussion, the attendee should be armed with the basic knowledge to assess the efficacy and potential traps of using some of the commonly recommended strategies.
  • Discuss the economic and political landscape that will likely affect the income potential of surgeons and make it harder for them to keep what they have earned.  Following the discussion, surgeons should understand the importance of estate planning, wealth management and asset protection strategies.
Most physicians work very hard to build their practice.  Many physicians do not pay enough attention to keep what they have already earned.  This course is intended to highlight estate planning, wealth management and asset protection strategies that are most useful for surgeons to keep more of what they have already earned. It will be presented in a manner that can easily be understood by an audience consisting of surgeons without extensive legal training. The ultimate goal of the course is to motivate the procrastinators to start paying attention to the importance of estate planning and wealth management and to arm surgeons with enough basic knowledge to become an active participant in the process.
Moderator: Frank C. Hui, MD, JD, LLM
Speakers: John M. Rayhack, MD

Instructional Course 19
Moscone West 2018

Thumb Basilar Joint Arthritis: From the Primary Case to the Management of Failed Joint Arthroplasty

Target Audience: Intermediate
Keyword: Hand
Category: Arthritis
Upon completion of this course, participants will be able to:
  • Explain the pathology of basilar thumb joint arthritis and the development of z deformity of the thumb.
  • Delineate the various treatment options for primary basilar joint arthritis and their indications and contraindications.
  • Identify algorithm for the management of failed primary surgery and have revision options within their armamentarium.
The purpose of the ICL is to present the audience with an overview as to the pathophysiology of basilar thumb joint arthritis and review the treatment options/available evidence including arthroscopic debridement, trapeziectomy alone or with interposition, trapeziectomy with suspension arthroplasty, arthrodesis and joint replacement. Areas of controversy, such as whether and how to address MCP joint hyperextension and also the management of failed primary basilar thumb joint reconstructions, will be covered and an algorthim presented. The faculty will present various cases for panel and audience discussion.
Moderator: Jeffrey Yao, MD
Speakers: A. Lee Osterman, MD, Steven L. Moran, MD, Richard A. Berger, MD, PhD

Instructional Course 20
Moscone West 2020

How Wide Awake Hand Surgery has Improved my Practice and How to Make it Work for You

Target Audience: Basic
Keyword: Hand
Category: Practice Management
Upon completion of this course, participants will be able to:
• State examples of how wide awake hand surgery can improve hand surgery practice.
• List ways that surgeon satisfaction can be increased with wide awake hand surgery.
• Identify methods of increasing patient satisfaction in their practice.
• Integrate wide awake hand surgery into their practice.
• Offer wide awake hand surgery to their patients as another option to sedation.
Wide awake hand surgery means the deletion of the tourniquet and narcotics by injection of lidocaine and epinephrine everywhere the surgeon will dissect for hemostasis and pain control. Tips on almost pain free local anesthetic injection will be provided and on how to inject local for wide awake hand surgery for most hand surgery operations.
The speakers will provide advice on how to incorporate wide awake hand surgery into practices that only offer sedation.
The speakers will also discuss how to explain this option to patients and why patients who have tried it really like and prefer it. For many patients, this means the deletion of sedation. Patient satisfaction and convenience can be enhanced because simple procedures like carpal tunnel release become more like a visit to the dentist. Surgeons get to watch comfortable patients actively move reconstructed structures such as repaired flexor tendons and tendon transfers before closing the skin. Surgeons can also work independently without anesthesia providers.
Moderator: Donald H. Lalonde, MD
Speakers: Peter C. Amadio, MD, Robert M. Szabo, MD, MPH, Andrew W. Gurman, MD

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