Agenda

• Introduction – Daniel Guss, MD

• Software/mechanism for collecting data- Eric Tan, MD

• Operational aspects of collecting data: What happens in the clinic - James Meeker, MD
• How to integrate PROMs into clinical decision making - Dwayne Carney, MD & Kenneth Hunt, MD
• AAOS registry effort update – Kenneth Hunt, MD
• Individual experiences: Private practices vs AMC - Daniel Latt, MD
• Individual experiences: Private practices vs AMC - Dominic Carreira, MD
• Individual experiences: Private practices vs AMC - Damien Richardson, MD
• Individual experiences: Private practices vs AMC - David Jaffe, MD

Patient-reported outcomes measures (PROMs) have become increasingly integrated into clinical practice and even required by regulatory agencies. Making the leap to collecting PROMs, however, is often hindered by a lack of understanding of how to collect information, integrate patient questionnaires into practice flow, and integrate the data into clinical decision making.

This webinar aims to showcase AOFAS members across multiple practice environments and stages of PROMs collection evolution, allowing them to share their experiences and enabling the audience to better understand how to jump safely into the PROMs swimming pool.

Commercial Support

2023 webinars are provided free to AOFAS members and orthopaedic residents/fellows with funding from the Orthopaedic Foot & Ankle Foundation, supported by grants from: Stryker and Athrex, Inc.

Accreditation

The American Orthopaedic Foot & Ankle Society (AOFAS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians.

Credit Designation Statement

The AOFAS designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

A need for this educational activity has been determined based on previous course evaluations and the AOFAS educational curriculum. The content of this course was based on current issues and topics provided by AOFAS membership and leadership. For more information on the AOFAS CME mission, visit aofas.org/education.

AOFAS requires all instructors, planners, and other individuals in a position to control or influence the content of an educational activity to disclose all relevant financial relationships or affiliations during the past 12 months with any commercial interest (any entity producing, marketing, re-selling, or distributing healthcare goods and services consumed by, or used on patients). All identified conflicts of interest must be resolved and the education content vetted by AOFAS for fair balance, scientific objectivity, and appropriateness. AOFAS also requires faculty to disclose when off-label/unapproved uses of a product are discussed in a CME activity. AOFAS attests that the persons responsible for the development of this educational activity did so independently and were not influenced by commercial supporters. All financial disclosures will be provided to meeting attendees in the final program materials.

The material presented in this continuing medical education activity has been made available by the American Orthopaedic Foot & Ankle Society (AOFAS) for educational purposes only. This material is not intended to represent the only, nor necessarily the best, methods or procedures appropriate for the medical situation discussed, but rather is intended to present an approach, view, statement, or opinion of the authors or presenters, which may be helpful or of interest to other practitioners. Methods, techniques, and procedures demonstrated and views and opinions expressed by speakers, presenters, and faculty are their own, and do not necessarily represent those of AOFAS, nor does presentation on the program represent or constitute endorsement or promotion by AOFAS. AOFAS expressly disclaims any warranties or guarantees, expressed or implied, and shall not be liable for damages of any kind in connection with the material, methods, information, techniques, opinions, or procedures expressed, presented, or demonstrated.

FDA Statement
Some drugs or medical devices demonstrated at this meeting have not been cleared by the FDA or have been cleared by the FDA for specific purposes only. The FDA has stated that it is the responsibility of the physician to determine the FDA clearance status of each drug or medical devices he or she wishes to use in clinical practice. AOFAS policy provides that “off label” uses of a drug or medical device may be described in its CME activities so long as the “off label” use of the drug or medical device is also specifically disclosed (i.e., it must be disclosed that the FDA has not cleared the drug or device for the described purpose). Any drug or medical device is being used “off label” if the described use is not set forth on the products approval label.

Faculty/Planner Disclosure Declaration
As an Accreditation Council for Continuing Medical Education (ACCME) provider, AOFAS has the obligation to ensure the delivery of education that is balanced and free of commercial bias. To achieve this, it is the policy of the AOFAS that all CME-related board members, committee members (“planners”), faculty, and appropriate staff disclose in writing to the learners’ all financial relationships that you have had in the past 24 months with ineligible companies. An “ineligible company” are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

In addition to faculty members, commentators from the floor are charged with verbally disclosing any interests immediately prior to speaking. All disclosures are provided in this final program distributed at the meeting to all program participants.

In accordance with AOFAS policy:
Faculty participation in this educational activity will be predicated upon timely submission and review of AOFAS disclosure. An individual who refuses to disclose all financial relationships will be disqualified from being a planning committee member, a teacher, or an author of CME, and cannot have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity. Non-compliance will result in a faculty member being stricken from the program.

An indication of the participant’s disclosure appears after his or her name as well as the ineligible company that provided the support. AOFAS does not view the existence of these disclosed interests or commitments as necessarily implying bias or decreasing the value of the author’s participation in this activity. In addition to ensuring that presentations be free of bias, faculty members are required to ensure that all material presented and discussed will be based on best- available evidence.

DISCLOSURE OF CONFLICT OF INTEREST

Disclosure Statement

AOFAS mandates all instructors, planners, and other individuals in a position to control or influence the content of an educational activity to disclose all financial relationships that you have had in the past 24 months with ineligible companies. An “ineligible company” are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients

All identified conflicts must be mitigated, and the education content vetted by the AOFAS for fair balance, scientific objectivity, and appropriateness. All disclosures will be provided in this final program distributed at the meeting to all program participants.

FDA Statement

Some drugs or medical devices demonstrated at this meeting have not been cleared by the FDA or have been cleared by the FDA for specific purposes only. The FDA has stated that it is the responsibility of the physician to determine the FDA clearance status of each drug or medical devices he or she wishes to use in clinical practice. AOFAS policy provides that “off label” uses of a drug or medical device may be described in its CME activities so long as the “off label” use of the drug or medical device is also specifically disclosed (i.e., it must be disclosed that the FDA has not cleared the drug or device for the described purpose). Any drug or medical device is being used “off label” if the described use is not set forth on the products approval label.

Faculty/Planner Disclosure Declaration

As an Accreditation Council for Continuing Medical Education (ACCME) provider, AOFAS has the obligation to ensure the delivery of education that is balanced and free of commercial bias. To achieve this, it is the policy of the AOFAS that all CME-related board members, committee members (“planners”), faculty, and appropriate staff disclose in writing to the learners’ all financial relationships that you have had in the past 24 months with ineligible companies. An “ineligible company” are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients

In addition to faculty members, commentators from the floor are charged with verbally disclosing any interests immediately prior to speaking. All disclosures are provided in this final program distributed at the meeting to all program participants.

In accordance with AOFAS policy:

Faculty participation in this educational activity will be predicated upon timely submission and review of AOFAS disclosure. An individual who refuses to disclose all financial relationships will be disqualified from being a planning committee member, a teacher, or an author of CME, and cannot have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity. Non-compliance will result in a faculty member being stricken from the program.

An indication of the participant’s disclosure appears after his or her name as well as the ineligible company that provided the support. AOFAS does not view the existence of these disclosed interests or commitments as necessarily implying bias or decreasing the value of the author’s participation in this activity. In addition to ensuring that presentations be free of bias, faculty members are required to ensure that all material presented and discussed will be based on best- available evidence.

Webinar Faculty Disclosures

Daniel Guss, MD​
AAOS: Board member/Committee Member ​
Butterfly, Inc.: Grant/Research Support ​
Ossio: Paid Consultant; Stock options ​
Paragon 28: Fellowship Support ​

Dwayne Carney, MD​
Nothing to Disclose​

Dominic Carreira, MD​
Nothing to Disclose​

Kenneth Hunt, MD
JISAKOS: Editorial/Governing board ​
Panther Orthopaedics: Stock options ​
Paragon 28: Editorial/Governing board; Paid Consultant​

David Jaffe, MD​
Nothing to Disclose

Daniel Latt, MD​
Am Journal Sports Medicine: Editorial/Governing board ​
Don Joy Orthopaedics: Grant/Research Support ​
Paragon 28: Paid Consultant ​
ROM3 Rehab: Stock options ​

James Meeker, MD​
Nothing to Disclose​

Damien Richardson, MD​
Nothing to Disclose​

Eric Tan, MD​
Arthrex Inc.: Paid Consultant ​
Arthrex Inc.: Speakers' Bureau ​
Red Point Medical: Paid Consultant; Stock options ​
Stryker: Paid Consultant; Speakers' Bureau

EDUCATION COMMITTEE DISCLOSURES (Planners)

Mike Aronow, MD
AAOS: Board Member/Committee Member
American Orthopaedic Foot and Ankle Society: Board Member/Committee Member
Connecticut Orthopaedic Society: Board Member/Committee Member
CreOsso, LLC: Stock or stock options
Techniques in Foot and Ankle Surgery: Editorial/Governing board - Publications

Jonathon D. Backus, MD
American Orthopaedic Foot and Ankle Society: Board Member/Committee Member
Marrow Access Technologies: Stock or Stock Options
Medline Unite: Paid Consultant, Royalties - Publisher

Callum Clark, MD
Arthrex Inc.: Speakers' Bureau

M. Truitt Cooper, MD
GLW: Stock-privately held company
In2Bones: Paid Consultant, Royalties
Smith & Nephew: Grant/Research Support
Stryker: Educational Grant

Canon Cornelius, MD
This individual reported nothing to disclose

Cesar de Cesar Netto, MD
AAOS: Board Member/Committee Member
AOFAS: Board Member/Committee Member
Artelon: Paid Consultant, Royalties
CurveBeam: Paid Consultant, Stock or stock options
Foot & Ankle International: Editorial/Governing board – Publications
Foot and Ankle Clinics: Editorial/Governing board - Publications
International WBCT Society: Board member/Committee Member
Medartis: Paid Consultant, Royalties
Paragon 28: Grant/Research Support, Paid Consultant, Royalties
Stryker: Paid Consultant
Tayco Brace: Stock-privately held company
Zimmer-Biomet: Paid Consultant, Royalties

Daniel C Farber, MD
JMEA: Stock-privately held company
Treace Medical Concepts, Inc.: Paid Consultant

Alena Frey
Staff
This individual reported nothing to disclose

Lauren Geaney, MD
American Orthopaedic Foot and Ankle Society: Board Member/Committee Member
CT Othopedic Society: Board Member/Committee Member
FAI: Editorial/Governing board – Publications
Novastep: Paid Consultant
Paragon 28: Paid consultant, Royalties
Smith & Nephew: Paid consultant
Vilex: Paid consultant

Julie Glosson
Staff
This individual reported nothing to disclose

Daniel Guss, MD
AOFAS: Board Member/Committee Member
Butterfly, Inc.: Grant/Research Support
Ossio: Paid Consultant, Stock-privately held company
Paragon 28: Fellowship Support

Amgad M. Haleem Amin, MD
Vilex, LLC: Paid Consultant
Wright/Stryker medical: Paid Consultant

Tracy Harig, MD
This individual reported nothing to disclose

Jeannie Huh, MD
This individual reported nothing to disclose

Kenneth Hunt, MD
JISAKOS: Editorial/Governing board – Publications
Panther Orthopaedics: Stock-privately held company
Paragon 28: Editorial/Governing board – Publications, Paid Consultant

Kelly K. Hynes, MD
Acumed LLC: Paid Consultant
American Orthopaedic Foot and Ankle Society: Board Member/Committee Member
Canadian Orthopaedic Foot and Ankle Society: Board Member/Committee Member
Endo Pharmaceuticals Inc: Paid Consultant
Ortho Xcel: Paid Consultant

Brandon King, MD
Heron Therapeutics: Paid Consultant

Ashlee MacDonald, MD
This individual reported nothing to disclose

Elizabeth Martin, MD
American Orthopaedic Foot and Ankle Society: Board Member/Committee Member

Max Michalski, MD
Arthrex Inc.: Grant/Research Support
Extremity Medical: Paid Consultant, Royalties, Speakers' Bureau

Mohamed Mokhtar Abd-Ella, MD
This individual reported nothing to disclose

Jennifer Moore
Staff
This individual reported nothing to disclose

Irvin Oh, MD
Innomed: Royalties

Joseph O’Neil, MD
This individual reported nothing to disclose

Christian A. Ortiz, MD
ACUMED.: Paid Consultant
AO: Board member/Committee Member

Charles Saltzman, MD
Lima: Unpaid Consultant
Nextremity Solutions: Paid Consultant
Paragon28, Inc.: Paid Consultant
Saunders/Mosby-Elsevier: Royalties – Publisher
Vilex, LLC: Paid Consultant
Zimmer Biomet: Royalties - Publisher

Glenn Shi, MD
This individual reported nothing to disclose

Monica Volesky, MD
Arthrex: Speakers' Bureau
Canadian Orthopaedic Foot and Ankle Society: Board Member/Committee Member
Wright Medical: Other Financial or Material Support

Richard Zell, MD
This individual reported nothing to disclose

Jacob Rothschild Zide, MD
Orthofix: Paid consultant

All of the relevant financial relationships listed for these individuals have been mitigated.