Friday Symposia

​8:00 - 8:45 AM


Moscone West 3004/3012

Health Policy:  Practicing Medicine with Increasing Governmental Regulation

Moderators: Bruce Leslie, MD and Malcolm Roth, MD
As the cost of health care approximates 20% of the GDP it has become more and more obvious that the present system is unsustainable.  As a result the federal government and the individual states are looking at many different methods of providing cost effective care.  With the passage of the Affordable Care Act (ObamaCare), states are looking at different ways to implement the federal requirements. Massachusetts implemented universal health care in 2006.  Because of rising costs, Massachusetts has now tied reimbursement to the Gross State Product (GSP) and envisions over 90% penetration of ACO’s in the next 4 years.  As a result practice patterns are starting to change. The end result is that health care providers need to be aware of State and Federal regulations.  Fortunately the situation is still fluid, and the regulations can still be influenced by physicians willing become involved in the political process.
Learning Objectives
  • Learn the status of health care legislation across the country
  • Understand the effect of Federal legislation on the individual States.
  • Learn how you can influence the impending legislation and regulations
​8:00 - 8:03 AM ​Introduction ​Malcolm Z. Roth, MD
​8:03 - 8:10 AM ​Overview of Health Care Legislation across the Country and Political Activism 102 ​Andrew W. Gurman, MD
​8:18 - 8:23 AM ​Virginia’s Response to Federal Healthcare Legislation ​Bill Hazel, MD, Secretary of Health and Human Resources, Commonwealth of Virginia
​8:23 - 8:33 AM ​What Has Happened in Massachusetts ​Bruce M. Leslie, MD
​8:33 - 8:45 AM ​Questions

Moscone West 3001/3003

Tendon Repair Research Symposium

Moderator: Tim Peltz, MD
From laboratory models for ex vivo experiments to possibilities for in vivo research: Current concepts, future possibilities, teaching and learning. A symposium for surgeons and researchers with a special interest in tendon repair research. This symposium is aiming for an interactive discussion on tendon repair concepts, teaching and research possibilities.​
Learning Objectives
• Gain deeper insight into tendon repair research and introduction of future concepts.
​The Ideal Laboratory for Tendon Repair Research ​Prof. Bill Walsh
​Tendon Repair Research Models ​Timothy Peltz, MD
​Teaching Tendon Surgery in Animal Models ​Peter Scougall, MD
​Tendon Repair Configurations Under Load. An Ex Vivo Investigation Using a Novel X-ray Technique ​Timothy Peltz, MD
New Concepts in Tendon Repair Surgery: The Knotless Barbed Suture Repair and the Modified Adelaide Repair
​Timothy Peltz, MD
Introduction of a New Tendon Repair Model: The Turkey Model
​Prof. Bill Walsh and Timothy Peltz, MD
​The Surgeons Goal: Research and Reality ​Prof Michael Tonkin

9:45 - 10:30 AM

Moscone West 3004/3012

Jeopardy: Masters vs. Young Turks

Moderators: Scott Wolfe, MD and Mark Baratz, MD
Jesse B. Jupiter, MD
Roy A. Meals, MD
Jeffrey A. Greenberg, MD, MS
Peter J. Stern, MD
A. Lee Osterman, MD

Young Turks
Theresa Wyrick, MD
Andrew Tyser, MD
Steve Kennedy, MD
Joshua Abzug, MD
Sara Guerra, MD

Similar to the enjoyable “Smackdown”, the “Masters vs Young Turks” is designed to follow the format of Jeopardy with some mild variations, pitting young versus old using Board-style questions.  ​

Moscone West 3001/3003

Pursuing Value in Hand Surgery: The Crossroads of Cost and Quality in 2014

Moderators: Daniel Nagle, MD and Scott Duncan, MD
The attendee should be able to evaluate strategies for improving the quality, efficiency, and safety of the care that they provide.
  • Learn about the different perspectives in hand care delivery and how this will change in 2014. 
  • Understand the differences between cost, quality, safety, and value; as well as how these factors interact and are interdependent.
  • Evaluate strategies for improving and maximizing the above factors to the benefit of our patients and ourselves.
Learning Objectives
  • To better understand the healthcare changes that will affect hand surgery in 2014
  • To understand the differences between cost, quality, and value
  • To better understand the political and social forces at work in changing healthcare as we know it
​9:45-9:55 AM ​What is Pursuit of “Value” in Hand Surgery? ​Scott Duncan, MD, MPH, MBA
​9:55-10:05 AM ​Where is Cost and Value Going in 2014: the Medical Perspective? ​Phil Oravetz, MD, MPH, MBA
​10:05-10:15 AM ​Where is Cost and Value Going in 2014: the Political Perspective? ​Scott Duncan, MD, MPH, MBA​ & ​Phil Oravetz, MD, MPH, MBA
​10:15-10:25 AM What We Need to do as a Profession ​​Bruce Leslie, MD
​10:25-10:30 AM ​Questions

11:10 AM - 12:00 PM


Moscone West 3004/3012

Highlighting the Achievements of the AFSH

Moderators: Frederick F. Fakharzadeh, MD, Jennifer Moriatis Wolf, MD
Highlighting the success of Foundation-supported research, four AFSH grant awardees will present their work that started with funding from the AFSH and has gone on to have greater impact in the field of hand surgery, in terms of publications and additional grants awarded.  A live BLOG will encourage audience participation and facilitate questions/discussion.
Learning Objectives
  • Identify recent innovations and emerging concepts in hand surgery that have developed from research projects funded by the American Foundation for Surgery of the Hand.
  • Illustrate the progression of projects that start with a seed grant into more extensive, impactful research studies. 
  • Discuss advances in the areas of joint contractures, distal radius fractures, nerve, and flexor tendon rehabilitation.
11:10 -11:12 AM​ ​Introduction to AFSH Symposium ​Frederick F. Fakharzadeh, MD
​11:12 – 11:20 AM

​Post-traumatic Joint contractures – An evolving journey

 This presenation will include discussion of Zaditen (generic name ketotifen), an "off-label" or other non-FDA approved, investigational pharmaceutical product or device manufactured by TEVA Canada Limited.
​Kevin A. Hildebrand, MD
​11:20 – 11:28 AM ​InVivo Studies on the Role of Rehabilitation Following Repair of Intrasynovial Flexor Tendons ​Martin I. Boyer, MD
​11:28 – 11:35 AM ​Improving Functional Outcomes of Nerve Repair ​Jonathan E. Isaacs, MD
​11:35 – 11:43 AM ​Fragility fractures of the distal radius: current controversies and future directions ​Tamara D. Rozental, MD
​11:43 AM – 12:00 PM ​Discussion/Questions and Answers with Audience Blog

Moscone West 3001/3003

Treatment Differences around the Globe for Kienbock Disease, Lateral Epicondylitis and Common Hand Conditions

Moderator: Michael Hausman, MD
Faculty Members:
Michael Solomons, MD
Filip E. Stockmans, MD, PhD
Sergio Daroda, MD
Takuro Wada, MD
Steve Tham, MD 
The case-based symposium explores differences in treatment for commonly encountered problems around the world. Clinical issues include early stage basal joint arthrosis, ulnar neutral Kienbock's disease, scapholunate ligament injuries, tendon injuries and "overuse" symptoms, among other conditions.
Learning Objectives
  • While the treatment of many conditions, such as a displaced, comminuted distal radius fracture has evolved towards a broad consensus, many other conditions (such as those listed above) lack a reliable, widely accepted treatment. A series of clinical scenarios will highlight different philosophies and managements of "problematic" conditions.
    • See Dr. Daroda manage a demanding 24 year old with early stage basal joint disease.
    • Follow Dr. Solomons' resourceful approach to peripheral nerve injuries.
    • Learn how Dr. Stockmans treats minimally symptomatic scapholunate ligament rupture or Dr. Wada approaches non-specific "overuse" pain.
Case discussions by the international faculty.

2:10 - 2:55 PM


Moscone West 3004/3012

Smackdown: Women All-Stars vs Team Australia

Moderator: Michael W. Grafe, MD
Emcee: Robert J. Strauch, MD

Women All-Stars (Dura Mater Manus)
Team Captain: Amy L. Ladd, MD
Lisa L. Lattanza, MD
Anne J. Miller, MD
Angela A. Wang, MD
Jeanne L. DelSignore, MD

Team Australia (Mike's Aussie Mates)
Team Captain: Michael A. Tonkin, MD
Chris Coombs, MBBS(Hons), FRACS
Mark Ross, FRACS
Michael J. Sandow, BMBS, FRACS, FAOrthA
Anthony C. Berger, FRACS 

The “Hand Smackdown” is a college bowl type competition between two competing groups.  This year it’s the returning Women All-Stars (Dura Mater Manus) vs. Team Australia (Mike's Aussie Mates)!   Approximately 45 minutes before the symposium, five difficult hand surgery cases in areas of Congenital, Trauma, Reconstructive, and Wrist will be exchanged in addition to one “wild card” topic.  The captains will then assign four team members each a case to discuss during the symposium.  At the beginning of the symposium, each team enters the arena and the emcee will introduce the teams.  Management of each case will be discussed for a total of 3 minutes allowing for a 60 second case introduction by Team 1, a 90 second discussion by Team 2 and a 30 second rebuttal by Team 1.  At the end of all presentations the audience will decide which team overall best managed their cases.  After voting is complete, the winner will be announced and will receive a fitting trophy.

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