Pre-Meeting Chair: Rebecca A. Cerrato, MD

Program
Introduction & Welcome
Rebecca A. Cerrato, MD, Pre-Meeting Chair

Symposium 1: Starting Practice Out of Fellowship: The First Five Years
Moderator: Cesar de Cesar Netto, MD, PhD

Symposium 2: Managing Your Orthopaedic Practice
Moderator: Bruce E. Cohen, MD

Symposium 3: Risk Reduction and Dealing with Complications
Moderator: Amiethab A. Aiyer, MD

Symposium 4: Surgeon Satisfaction
Moderator: Sandra E. Klein, MD

Symposium 5: Mid-Career Triumphs and Challenges
Moderator: Bryan D. Den Hartog, MD

Symposium 6: The "9th Inning" in Practice
Moderator: Thomas H. Lee, MD

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 6 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Statement of Need

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.

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.

Disclaimer

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.

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" is one 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, 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" is one 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 relevant 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 commercial company or institution 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.

Speaker Disclosures

Pre-Meeting Chair: 

Rebecca Amy Cerrato, MD 
Acumed: Speakers' Bureau 
AOFAS: Board member/Committee Member
Arthrex: Speakers' Bureau 
MIFAS: Board member/Committee Member
Stryker/Wright Medical: Paid Consultant, Royalties, Speakers' Bureau
Vilex: Paid Consultant 

Symposium 1: 

Lara Atwater, MD
Nothing to Disclose

Michelle Coleman, MD, PhD
American Orthopaedic Foot and Ankle Society: Board member/Committee Member

Cesar de Cesar Netto, MD, PhD
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 

John A. DiPreta, MD
Nothing to Disclose

Jonathan Kaplan, MD
Artelon: Paid Consultant 
Edge Surgical: Paid Consultant 
Exactech Inc.: Paid Consultant 
GLW Medical Innovation: Stock-privately held company 
Novastep: Paid Consultant, Royalties 
Surgical Fusion Technologies: Paid Consultant, Royalties

Andrew P. Thome, MD
Nothing to Disclose

Symposium 2:

Bruce Cohen, MD
Stryker: Paid Consultant, Royalties

Aaron Guyer, MD
Arthrex Inc.: Speakers' Bureau

Andrew R. Hsu, MD
Arthrex Inc.: Paid Consultant

Jason Kaplan, JD/MBA
Nothing to Disclose

Rachel Shakked, MD
Arthrex: Speakers' Bureau (terminated)

Raymond J. Sullivan, MD
Nothing to Disclose

Symposium 3:

Amiethab A. Aiyer, MD
Elsevier: Royalties - Publisher 
Enovis Foot & Ankle: Paid Consultant 
Exactech Inc.: Paid Consultant 
GLW: Unpaid Consultant 
Smith & Nephew: Paid Consultant 
Vilex: Paid Consultant 
Wolters Kluwer Health - Lippincott Williams & Wilkins: Editorial/Governing board - Publications 

Casey Humbyrd, MD, MBE
Nothing to Disclose

Anish R. Kadakia, MD
Arthrex Inc.: Speakers' Bureau

Patrick Maloney, MD
Arthrex: Paid Consultant 
Paragon28: Grant/Research Support, Paid Consultant

Ariel Palanca, MD
Enovis: Paid Consultant 
Red Point Medical: Paid Consultant 
Stryker/Wright Medical: Paid Consultant

Joseph Park, MD
AOFAS Foundation: Board member/Committee Member 
Integra LifeSciences: Grant/Research Support (Terminated)
Johnson & Johnson (DePuy): Grant/Research Support 
Saunders/Mosby-Elsevier: Royalties - Publisher

Symposium 4:

Samuel Adams, MD
Conventus: Royalties, Speakers' Bureau 
Enovis: Royalties, Speakers' Bureau 
in2bones: Royalties 
Restor3d: Stock-privately held company 
Stryker: Speakers' Bureau 

Errol J. Bailey, MD
Stryker: Paid Consultant

Kent Ellington, MD
Artelon: Paid Consultant, Royalties, Stock or stock options 
Arthrex: Paid Consultant, Royalties 
Bonesupport: Paid Consultant 
DePuy Synthes: Royalties - Publisher 
Medline Unite: Paid Consultant, Royalties 
Restor3d: Royalties, Stock or stock options 
Stryker: Paid Consultant, Royalties 
Zimmer Biomet: Grant/Research Support

Sandra Klein, MD
Nothing to Disclose

Pamela Luk, MD
Nothing to Disclose

Steven D. Steinlauf, MD
Extremity Medical: Royalties 
Smith & Nephew: Royalties 
Stryker/Wright Medical: Paid Consultant, Royalties 

Symposium 5:

Judy Baumhauer, MD MPH
AOA OMeGA Grant: Grant/Research Support 
AOFAS: Grant/Research Support 
Carbon22: Stock or stock options 
Cerapedics: Paid Consultant 
JBJS: Editorial/Governing board - Publications 
Nextremity Solutions: Stock or stock options 
Novastep: Paid Consultant 
PROMIS Health Organization PHO: Board member/Committee Member 
Stryker: Paid Consultant 
Subiomed: Paid Consultant 
Vilex: Paid Consultant 
Vivex: Paid Consultant 
Zimmer: Royalties 

Timothy Daniels, MD
Smith & Nephew: Paid Consultant, Royalties, Speakers' Bureau

Bryan D. Den Hartog, MD
FootInnovate: Owner/Co-Owner Founder/Co-Founder, Stock or stock options 
Smith & Nephew: Paid Consultant, Royalties 
Stryker: Grant/Research Support, Royalties 

Peter Mangone, MD
Artelon: Paid Consultant, Speakers' Bureau 
Arthrex, Inc: Royalties 
Osteocentric: Paid Consultant, Stock or stock options 
Stryker: Paid Consultant, Royalties, Speakers' Bureau 
Vilex, LLC: Paid Consultant 
Ziptek: Paid Consultant, Speakers' Bureau, Stock or stock options 

Steven K. Neufeld, MD
Nothing to Disclose

Selene G. Parekh, MD, MBA
Active Medical: Stock-privately held company 
Acuitive Technologies: Stock-privately held company 
Acumed: Paid Consultant, Royalties 
Addivation Medical: Stock-privately held company 
Alafair Biosciences: Stock-privately held company 
Artelon: Paid Consultant 
Arthrex: Royalties 
Carbon22: Stock-privately held company 
CurveBeam: Stock-privately held company 
Embody: Stock-privately held company 
Extremity Medical: Stock-privately held company 
GLW: Stock-privately held company 
Immersive Tech: Stock-privately held company 
In2Bones/Conmed: Paid, Royalties 
Integra: Royalties 
Lasso: Stock-privately held company 
MiRus: Stock-privately held company 
mymedicalimages.com: Stock-privately held company 
Nextremity: Royalties, Stock-privately held company 
Novastep: Paid Consultant 
Operative Armour/ Sharp fluidics: Stock-privately held company 
Ossio: Paid Consultant, Royalties, Stock-privately held company 
Paragon28/Additive Orthopaedics: Paid Consultant, Royalties 
Plantiga: Stock-privately held company 
Protect3D: Stock-privately held company 
Restor3D: Paid Consultant, Stock-privately held company 
SLACK publishers: Royalties - Publisher 
Smith-Nephew: Paid Consultant 
Smith-Nephew: Royalties 
The Fantasy Doctors: Owner/Co-Owner Founder/Co-Founder 
Tyber Medical: Paid Consultant, Stock-privately held company 
WishBone Medical: Stock-privately held company 
Wright/Stryker medical: Royalties 

Symposium 6:

Steven L. Haddad, MD
Extremity Medical: Employee, Stock-privately held company 
Stryker/Wright Medical: Paid Consultant, Royalties 

Jeffrey E. Johnson, MD
Crossroads Extremity Systems: Stock-privately held company (Terminated)
Extremity Development Company LLC: Stock-privately held company

Thomas Lee, MD
Carbon 22: Board member/Committee Member, Employee, Stock or stock options 
GLW: Editorial/Governing board - Publications, Owner/Co-Owner Founder/Co-Founder 
Novastep: Board member/Committee Member, Employee 
Stryker: Royalties 

Mark Myerson, BA. BSoc. Sc, MD
Nothing to Disclose

James A. Nunley II, MD
Breg: Grant/Research Support 
Bristol-Meyers Squibb: Stock or stock options 
Exactech, Inc.: Paid Consultant, Royalties 
Mirus: Paid Consultant, Speakers' Bureau 
Southern Orthopaedic Association: Board member/Committee Member 
Springer: Royalties 
Treace: Speakers' Bureau

Program Committee Disclosures

Mohamed Mokhtar Abd-Ella, MD
Nothing to Disclose

Jason T. Bariteau, MD
DJO: Paid Consultant, Royalties
Stryker: Paid Consultant
 
Steve Behrens, MD
Celling Biosciences: Paid Consultant
Johnson & Johnson (DePuy): Paid Consultant
Medline: Paid Consultant, Royalties
Panther Orthopedics: Paid Consultant

John T. Campbell, MD
AOFAS: Board member/Committee Member
Arthrex Inc.: Grant/Research Support
DePuy Synthes: Educational Support
Foot Ankle International: Editorial/Governing board - Publications
Johnson & Johnson: Stock or stock options
OMEGA: Educational Support
Paragon 28: Grant/Research Support
Stryker: Educational Support (Ongoing)

Rebecca Amy Cerrato, MD
Acumed: Speakers' Bureau
American Orthopaedic Foot and Ankle Society: Board member/Committee Member
Arthrex Inc.: Speakers' Bureau
curve beam: Speakers' Bureau (Terminated June 2023)
MIFAS: Board member/Committee Member
Vilex: Paid Consultant
Wright/Stryker medical: Paid Consultant, Royalties, Speakers' Bureau

Christopher Chiodo, MD
Arthrex: Royalties
Don Joy Orthopaedics: Stock-privately held company
Foot and Ankle International: Editorial/Governing board - Publications
Johnson and Johnson: Stock or stock options
Journal of Bone and Joint Surgery - American: Editorial/Governing board - Publications
Massachusetts Orthopaedic Association: Board member/Committee Member
Zimmer Biomet: Royalties

Bopha Chrea, MD
Novastep: Paid Consultant

Michael P. Clare, MD
Nothing to Disclose

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

Cesar de Cesar Netto, MD, PhD
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
Medartis: Royalties
Paragon 28: Grant/Research Support, Paid Consultant, Royalties
Stryker: Paid Consultant
Tayco Brace: Stock-privately held company
Zimmer-Biomet: Paid Consultant, Royalties

A. Samuel S Flemister, MD
Nothing to Disclose

David N. Garras, MD
AK Spine Instruments: Stock or stock options
AOFAS: Board member/Committee Member
Artelon: Paid Consultant
Arthrex Inc.: Paid Consultant, Royalties, Speakers' Bureau
Biologica: Paid Consultant, Stock or stock options
Biotissue: Paid Consultant, Speakers' Bureau
Conventus: Paid Consultant, Royalties, Speakers' Bureau
Crossroads Extremity: Paid Consultant
Extremity Medical: Paid Consultant, Royalties, Speakers' Bureau
Fusion ortho: Paid Consultant, Royalties
OrthoSolutions: Paid Consultant, Royalties, Stock or stock options
Wright/Stryker medical: Paid Consultant
WRS: Royalties

Lauren Geaney, MD
AOFAS: Board member/Committee Member
CT Orthopedic 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

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

Thomas G. Harris, MD
Arthrex Inc.: Paid Consultant, Royalties
Globus Medical: Royalties
Paragon 28: Royalties

Jeannie Huh, MD
Nothing to Disclose

Casey Humbyrd, MD, MBE
AAOS: Board member/Committee Member
Oxford university press: Royalties - Publisher

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

Kelly Hynes, MD, FRCSC
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 (Terminated)
Ortho Xcel: Paid Consultant (Terminated)

Anish R. Kadakia, MD
Acumed: Royalties
Arthrex Inc.: Paid Consultant, Royalties, Speakers' Bureau
elsevier: Royalties - Publisher
Johnson & Johnson: Royalties

Harold B. Kitaoka, MD
Nothing to Disclose

Sandra Klein, MD
Nothing to Disclose

David I Pedowitz, MD, MS
Arthrex Inc.: Paid Consultant, Royalties
MiRus: Stock or stock options
OSSIO Ltd: Stock-privately held company
Smith & Nephew: Paid Consultant, Royalties
Thermaquil: Stock-privately held company
Zimmer Biomet: Royalties

Kristina Quirolgico, MD
Nothing to Disclose

Christopher W. Reb, DO, FAOA, FAAOS, FAOAO
Foot & Ankle Specialist: Editorial/Governing board - Publications

Sudheer C. Reddy, MD
American Orthopaedic Foot and Ankle Society: Board member/Committee Member
Arthrex Inc.: Speakers' Bureau
Metric: Paid Consultant
Novastep: Grant/Research Support

Chamnanni Rungprai, MD
ACUMED. and Device Innovation: Board member/Committee Member, Paid Consultant

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

Jeremy Smith, MD
AAOS: Editorial/Governing board - Publications
AOFAS: Board member/Committee Member
Arthrex Inc.: Fellowship Support
Patient Apps: Stock-privately held company
Rogerson Orthopedic: Fellowship Support
Springer Publishing: Royalties

Gary W. Stewart, MD
Altior Trauma: Stock-privately held company
Carbon 22: Stock-privately held company
GLW: Board member/Committee Member, Stock-privately held company
Novastep: Paid Consultant

Nicholas L. Strasser, MD
Wright/Stryker medical: Grant/Research Support

Eric W. Tan, MD
Arthrex Inc.: Paid Consultant, Speakers' Bureau
Red Point Medical: Paid Consultant, Stock-privately held company
Stryker: Paid Consultant, Speakers' Bureau

Education Committee Disclosures

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

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

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

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.