IGOT San Francisco SMART Course

 

The San Francisco SMART Course includes three courses over five days and has been held annually since 2010 in San Francisco at the UCSF ZSFGH Orthopaedic Trauma Institute.  The course attracts international orthopaedic surgeons and regional providers across multiple surgical subspecialties from UCSF, Stanford, St, Mary’s, Kaiser, UC Davis and USC.  Faculty include experts in plastic reconstructive surgery, orthopaedics, vascular, podiatry and clinical research from UCSF and USC.  The San Francisco SMART Course is FREE for residents and international attendees and is the pearl of IGOT’s Global Surgical Education Initiative.

 

The course includes:

  • Limb Salvage & Complex Wound Management Symposium (Open Registration)
  • San Francisco SMART Course (Invite-Only Registration) 
  • International Research Symposium (Invite-Only Registration) 

 

Limb Salvage & Complex Wound Management Symposium

The overall goal of the Limb Salvage & Complex Wound Management Symposium is to address increased physician and resident competence through a multi-disciplinary approach to limb salvage and complex wound management. Attendees learn new and evolving concepts through didactic lectures, case presentations, and hands-on skills labs with the latest equipment from international leaders across surgical fields.

Objectives

At the conclusion of this educational activity participants should be able to:

  1. Review limb salvage principles.
  2. Improve skills and assess advancements in surgical techniques through hands-on plating, external fixation, and limb salvage methodology.
  3. Apply technological advancements that can be brought readily to the clinical setting of complex wound management including osteobiologics and in advanced wound therapy.

Given the content of the course, and that it provides essential information for the experienced and inexperienced surgeon, it has been highly interesting to the regional provider population as well as trainees. This course addresses the most important issues in limb salvage, and enables attendees to gain the most relevant and essential knowledge as they return to their practices.  In particular, surgeons who need to take call or treat complex wound injuries are able to better understand the issues that they will most frequently face. Wound care nurses who deal with limb salvage surgical treatment of the trauma patient will be addressed in this course as well.

Who should attend?
The Limb Salvage & Complex Wound Symposium is open to: regional providers and trainees across orthopaedic, plastic, vascular and podiatric surgery, wound care nurses and prosthetists who manage those at risk or with limb loss in their practice. Past symposiums have had approximately 40 residents and 40 regional providers in the departments of orthopaedic surgery, general surgery, plastic surgery, vascular surgery, podiatry, orthotics and prosthetics from UCSF, St. Mary’s, Stanford, UC Davis.

 

Click here to register for CME and attendance to the Limb Salvage & Complex Wound Management Symposium

Please note: to register, login to your account using your email address.  If this is your first course with UCSF CME, please create a new account.

2017 Limb Salvage & Complex Wound Management Symposium 
Faculty (*Tentative)

 

Dr. Monara Dini Course Chair, UCSF | Orthopaedic Surgery | Podiatry
Dr. Richard Coughlin Course Co-Chair, UCSF | Orthopaedic Surgery
Dr. Charles Parks Course Co-Chair, UCSF | Orthopaedic Surgery | Podiatry
Aarti Deshpande, CPO UCSF | Orthotics and Prosthetics
Dr. Scott Hansen UCSF | Plastic Surgery
Dr. Elizabeth Murphy  UCSF | Medicine
Alex Shimkus, CPO UCSF | Orthotics and Prosthetics
Dr. Alex Reyzelman Private Practice | Podiatric Surgery
Dr. Todd Kim Private Practice | Orthopaedic Surgery
Dr. Henry Chambers UCSF | Infectious Disease
Dr. David Shearer UCSF | Orthopaedic Surgery

 

 

2017 Symposium Schedule 

 

8:00 am Breakfast Coffee/Tea
8:30 am Intro to the Functional Limb Service (FLS)
8:50 am Basics of Wound Care
9:10 am Biology of Wound Healing: The reconstructive ladder, from FTS to Flaps, T.I.M.E. principles and what is being published
9:30 am  Vascular Perspective: Indications, treatment and fundamentals of lower extremity injuries. Peripheral arterial vascular disease and options for re-vascularization, what vascular wants every resident to know.
9:50 am BREAK
10:10 am Podiatry Perspective: When to amputate and when to be conservative? Prophylactic diabetic foot surgery, what you need to know
10:30 am Medicine Perspective: What is driving the diabetes epidemic in SF?
10:50 am Infectious Disease: Choosing the right antibiotic: the science and art
11:10 am  Prosthetic Perspective: What you should know about prosthetic options to ensure viable outcomes and improve patient mobility. Hands-on skills station
11:40 am LUNCH
12:40 pm Internal fixation vs external fixation for Charcot reconstruction
1:00 pm Should I save this foot? Challenging limb salvage case-based panel
1:30 pm TRANSITION TO WORKSHOPS
1:45 pm

 

4:00 pm

Workshops TBD

 

RECEPTION: Cocktails and Snacks

San Francisco SMART Course

The San Francisco Surgical Management and Reconstructive Training (SMART) Course is a structured curriculum designed to meet the needs of orthopaedic surgeons in developing countries.  The curriculum is a three-day course for orthopaedic surgeons from developing countries to learn limb-salvage plastic reconstructive techniques and rotational flap procedures. Expert panels for complicated pediatric, tumor, and orthopaedic cases round out the didactic curriculum.  Hands-on surgical exposure to these procedures takes place at the UCSF ZSFGH Orthopaedic Trauma Institute’s state of the art cadaver lab in small groups.

 

Who should attend?:
The San Francisco SMART Course is open to orthopaedic surgeons who practice at academic institutions in developing countries.  Registration is managed through IGOT’s partners at SIGN Fracture Care International.

IGOT accepts limited additional registration for:

    • Orthopaedic surgeons not associated with SIGN Fracture Care International from academic institutions in developing countries.
    • Surgeons who volunteer in a humanitarian capacity with established organizations (eg. Health Volunteers Overseas, ICRC, MSF).

 

If you are associated with SIGN Fracture Care International contact Chelsea Smith at: [email protected] 
If you would like to be considered for limited additional registration contact Maddy MacKechnie at: [email protected]  

 

2017 International SMART Course Faculty

*Tentative

 

FACULTY | International SMART Course 

 

Dr. Joseph Carey IGOT Director of Reconstructive Surgical Education

Course Chair, USC | Plastic & Reconstructive Surgery

Dr. Scott Hansen Co-Chair, UCSF | Plastic & Reconstructive Surgery
PLASTIC SURGERY FACULTY
Dr. Joseph Chen UCSF | Plastic & Reconstructive Surgery
Dr. Justin Gillenwater USC Plastics & Reconstructive Surgery
Dr. Burt Faibisoff Guest Faculty, Arizona School of Health Sciences
Dr. William Hoffman UCSF | Plastic & Reconstructive Surgery
Dr. Ester Kim UCSF | Plastic & Reconstructive Surgery
Dr. Bauback Safa Guest Faculty, Buncke Clinic
Dr. Mike Terry UCSF | Plastic & Reconstructive Surgery
Dr. Andrew Watt Guest Faculty, Buncke Clinic
 ORTHOPAEDIC SURGERY FACULTY
Dr. Richard Coughlin UCSF | Orthopaedic Surgery – Trauma, Foot & Ankle
Dr. Patrick Curran UCSF | Orthopaedic Surgery
Aarti Deshpande UCSF | Orthotics & Prosthetics
Dr. Richard Gosselin UCSF | Orthopaedic Surgery – Trauma
Alex Hetherington UCSF | Orthotics & Prosthetics
Dr. James Oliver Johnston UCSF | Orthopaedic Surgery – Oncology
Dr. Scott Kaiser Kaiser |Orthopaedic Surgery – Pediatrics
Dr. Jeremie Larouche UCSF | Orthopaedic Surgery – Trauma & Spine
Dr. Saam Morshed UCSF | Orthopaedic Surgery – Trauma
Dr. Lisa Pascual UCSF | Physiatry
Dr. Coleen Sabatini UCSF | Orthopaedic Surgery – Pediatrics
Dr. David Shearer UCSF | Orthopaedic Surgery – Foot & Ankle
2017 International SMART Course Schedule

*Please reference back for updates regarding 2017 Schedule

 

DAY 1 |  Sunday Sept. 17, 2017

 

8:00 am Registration
8:30 am Welcome Lecture: Overview of Course
8:45 am Biology of Wound Healing: Reconstructive Ladder/Basic Wound Management
9:15 am DIDACTIC I: Proximal/Middle 1/3 Lower Extremity
10:15 am

 

*Turnover 11:45 am

*Breakout Sessions – Attendees are divided into 2 groups and rotate through 1.5-hour breakout session.

*PANEL I: Tumor Case Management – Plenary talk on management of tumors in resource constrained settings, Tips & Tricks! Interesting and complex tumor cases are presented and discussed. (Duration 1.5 hr)

*SKILLS LAB I: Gastroc & Soleus

1:15 pm LUNCH
2:00 pm DIDACTIC II: Distal 1/3 Lower Extremity
3:00 pm

 

*Turnover 4:30 pm

*Breakout Sessions – Attendees are divided into 2 groups and rotate through 1.5-hour breakout session.

*PANEL II: Pediatric Fracture Management – Plenary talk on management of complex pediatric trauma cases in resource constrained settings, Tips & Tricks! Interesting and complex pediatric cases are presented and discussed. (Duration 1.5 hr)

*SKILLS LAB II: Reverse Sural – Cadaver based surgical skills lab

6:00 pm DINNER TO GO

 

DAY 2 |  Monday Sept. 18, 2017

 

8:00 am Coffee/Tea
8:30 am DIDACTIC III: Pressure Sores, Thigh Flaps and Full Thickness Skin Grafting (FTSG)
9:30 am

 

*Turnover 11:00 am

Breakout Session II – Attendees are divided into 2 groups and rotate through 1.5-hour breakout session.

PANEL III:

Bone Defect Management: Ortho Perspective – Lecture to discuss tips & tricks to manage complex orthopaedic cases (20 Minutes) with a multidisciplinary panel to review interesting cases (70 Minutes).

SKILLS LAB III: Posterior Flaps-VY Gluteal, TFL, Gracilis, Groin – Cadaver based surgical skills lab  

12:30 pm LUNCH
1:00 pm DIDACTIC IV:Hand & Upper Extremity
2:00 pm

 

*Turnover 3:30 pm

Breakout Session III – Attendees are divided into 2 groups and rotate through 1.5-hour breakout session.

PANEL IV: Anaesthesia Needs Assessment : Ortho Perspective – Lecture to discuss access, needs, tips & tricks to manage complex orthopaedic cases with regional anaesthesia (20 Minutes) with a multidisciplinary panel to review interesting cases (70 Minutes).

SKILLS LAB IV:

Hand & Upper Extremity: Radial Forearm, FCU, Cross Finger and Thenar – Cadaver based surgical skills lab

5:00 pm RECEPTION

International Research Symposium

A one-day symposium on the basics and fundamentals of conducting clinical research in resource depleted settings.  Attendees will include orthopaedic surgeons from developing countries whom are interested in developing a clinical research program.  The breakout workshops are intended to be hands-on and interactive, walking through the concepts reviewed during the didactic lectures in small regional groups.

 

Who should attend?
International Research Symposium is open to orthopaedic surgeons who practice at academic institutions in developing countries. Registration is managed thru IGOT’s partners at SIGN Fracture Care International.
IGOT accepts limited additional registration for:

  • Orthopaedic surgeons not associated with SIGN Fracture Care International from academic institutions in developing countries.
  • Surgeons, residents and medical students who are interested in building local capacity to answer relevant, impactful clinical questions.

If you are associated with SIGN Fracture Care International Register contact Chelsea Smith at: [email protected]
If you would like to be considered for limited additional registration contact Madeline MacKechnie at: [email protected]

2017 International Research Symposium
International Research Symposium Schedule 

 

8:00 am Breakfast Coffee/Tea
8:30 am Welcome and Introduction
PLANNING YOUR RESEARCH
8:40 am Bias in clinical research and how to avoid it
9:00 am Planning your research: Developing a hypothesis
9:20 am WORKSHOP: Planning your research
10:50 am BREAK
PLANNING YOUR RESEARCH
11:00 am Study Design
11:20 am  WORKSHOP: Planning your research – Study Design
12:50 am LUNCH
IMPLEMENTING YOUR RESEARCH
1:20 pm Practical Issues
 1:40 pm WORKSHOP: Implementing your research
3:10 pm Group report out presentations
4:40 pm Post-course evaluation and wrap up
5:00 pm Course Adjourn

FAQ's

Can I attend all three courses?
You will need to register for the Limb Salvage & Complex Wound Management Symposium and if space permits you may attend all three.

 

Is CME credit offered?

The University of California San Francisco School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.  The University of California San Francisco is currently reviewing the course and will make a decision regarding the CME for the Limb Salvage and Complex Wound Management course.

 

Is the San Francisco SMART Course free?

It is free for orthopaedic surgeons from developing countries, medical students and residents.  IGOT encourages donations from “local providers” (regional orthopaedic surgeons and practicing physicians) who may be interested in attending the Limb Salvage and Complex Wound Management course.

 

Where is the course held?
It is held annually in September at the Orthopaedic Trauma Institute (OTI) located at 2550 23rd Street, Building 9. The OTI is in the brick building adjacent to the Zuckerburg San Francisco General Hospital. Signs will be posted for where to check-in.

  • Parking is available in the adjacent parking garage ($2 USD per hour, $16 USD per day). Street parking is free on Saturday and Sunday along adjacent streets but limited by the hour during weekdays.

 

What is the dress code?
Business casual is appropriate.  For the cadaver skills workshops, scrubs are required.  We have a limited supply so if you have scrubs, please bring them for yourself.  Dressing rooms are available.

 

Are there any social events and meals provided?
IGOT provides breakfast, lunch and light snacks and beverages throughout the five-day course.  Typically IGOT hosts a social reception including food at the end of each day.

 

Are accommodations provided?  If I am coming from out of town where can I stay?
IGOT reserves a block rate for a local hotel and provides transportation to and from the hotel to the course for most days.

The 2017 International Summit Accommodations are reserved at the Best Western Grosvenor (San Francisco Airport) 380 S. Airport Blvd., Burlingame, CA 94080. The room rate is $169 (USD) plus tax per night.  Free Wi-Fi and Airport Shuttle transportation is included.  For a full list of amenities and photos please visit the Best Western Grosvenor website.

Hotel expenses will be complimentary for international attendees for three nights (the evenings of Saturday, Sunday and Monday of the San Francisco SMART Course).

  • ***Any Additional hotel nights other than the above or hotel rooms for guests, security deposit and any additional expenses will be the responsibility of the attendees***
  • ***Note that if you are not part of the international attendee group, hotel expenses will be your responsibility***

 

Which airport should I arrive at and when should I plan on arriving?

Airport Information:

The closest airport is San Francisco International Airport (SFO)

  • Located ~15 minutes by car from the Orthopaedic Trauma Institute.
  • Free hotel shuttle transportation is provided

Oakland International Airport (OAK) is also an option but please note that transportation to/from the hotel and Summit is your responsibility as this airport is ~30-40 minutes by car from the Orthopaedic Trauma Institute.  

 

Logistics:

  • For those attending the IGOT International SMART Course, you will need to arrive at San Francisco International Airport (SFO) by Saturday (September 16th) of the Summit.
  • If you arrive before or early on Saturday and would like to attend the Limb Salvage and Complex Wound Management Symposium you are welcome to but will need to arrange your own transportation from the hotel to the course.
  • You should arrange to depart (SFO) on Tuesday, September 19th, 2017.
  • If you are attending the IGOT International Research Symposium: Basics and Fundamentals of Clinical Research on Wednesday, September 20th, you should arrange to leave (SFO) late afternoon/evening on September 20th.
Things to Bring

Interesting Cases 

  • If you have complicated or interesting surgical cases related to soft tissue defects or trauma that you would like to present in the case review section or get opinions from our faculty during the panel discussions please bring images of x-rays, clinical images and plan of care ideally in a PowerPoint presentation to review at the course.

Research Proposals

  • Research proposals or ideas for research projects to present and get feedback from faculty.  We will have office hours where our faculty will be available to provide feedback on study design, protocol and feasibility as well as mentor manuscript writing.  You are encouraged to bring your research projects and ideas regardless of what status they are in.
Support the Limb Salvage & Complex Wound Management Symposium

The UCSF SFGH Orthopaedic Trauma Institute (OTI) and the Institute for Global Orthopaedics and Traumatology (IGOT) are pleased to announce the 8th Annual Limb Salvage and Complex Wound Management Symposium to be held September 16, 2017 in San Francisco, CA. We are expecting approximately 200 attendees. The course will draw from the distinguished faculty from the UCSF Departments of Orthopaedic, Plastics, Vascular, General and Podiatric Surgery.

 

The overall goal of this program is to address increased physician and resident competence, learn new and evolving concepts in wound care and limb salvage management through didactic lectures, case presentations, and hands-on practice with the latest implants from international leaders in the field of orthopaedic traumatology.
At the conclusion of this educational activity participants should be able to:

 

  1. Review limb salvage principles
  2. Improve skills and assess advancements in surgical techniques through hands-on plating, external fixation, and limb salvage methodology.
  3. Apply technological advancements that can be brought readily to the clinical setting of complex wound management including osteobiologics and in advanced wound therapy.

 

Given the content of the course, and that it provides essential information for the experienced and inexperienced surgeon, it has been highly interesting to the regional provider population as well as trainees. This course addresses the most important issues in limb salvage, and enables attendees to gain the most relevant and essential knowledge as they return to their practices.  In particular, surgeons who need to take call or treat complex wound injuries are able to better understand the issues that they will most frequently face. Wound care nurses who deal with limb salvage surgical treatment of the trauma patient will be addressed in this course as well.

 

We have marketed this course to a diverse regional and international audience resulting in 3,000 unique contacts.
We seek industry support for this activity offering the below opportunities. Supporting organizations will be acknowledged in the course syllabus distributed to each registrant.  Details regarding set-up and logistics will be sent separately. For those supporting a workshop, we request your choices for workshop topics and we include the final ones in our course brochure which we are trying to design by August 2016.

Exhibitor levels:

$2500 for a 6 foot table, two comp registrations, table is located on the main floor by the coffee/food breaks and general session room.


Grantor Levels:

$5,000, one skills workshop/lab

$10,000, two skills workshop/lab

 

To support the 2017 8th Annual Limb Salvage and Complex Wound Management Symposium please contact Maddy MacKechnie at [email protected].

Join Us As Faculty

Interested in joining IGOT’s faculty team? Let us know!

  • We seek globally-minded faculty who are dedicated to education and enjoying teaching at a volunteer capacity.
  • Plastic surgeons who sub-specialize in extremity limb salvage are needed to support our SMART Course modules for basic rotational flaps. Faculty teach didactic lectures and lead surgical simulation workshops in our cadaver lab.
  • The IGOT International Summit is held annually every September in San Francisco. We have expanded the program to offer an in-country SMART Course with at least one course abroad annually. For the in-country SMART Course, faculty are encouraged to volunteer at our SF Summit prior to committing to an abroad course.