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Georgia Campus PCOM Sixth Annual Musculoskeletal Manipulation Workshop: Approaching Musculoskeletal Problems Using Osteopathic Manipulation


Michael P. Rowane, DO, MS, FAAFP, FAAO

December 1-2,  2012
625 Old Peachtree Rd. NW Suwanee, GA 30024


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Course Schedule

Day #1                                   
Morning Session                    Introduction / Low Back Pain

7:30 a.m. Registration & Breakfast
8:00 a.m. Welcome / Survey
8:10 a.m.  Pain Models / Research / Introductory Concepts
8:50 a.m.  Long Restrictor: Concepts
9:10 a.m. Long Restrictor: Lab
9:40 a.m. Pelvis/Sacroiliac l: Concepts / Lab
10:15 a.m. Break
10:30 a.m. Pelvis/Sacroiliac ll: Concepts / Lab
11:10 a.m. Lumbar Spine: Concepts / Lab
11:40 a.m. Model: “Putting It All Together – The 15 minute Low Back Pain Patient Visit”
12:00 p.m. Lunch (provided)

Afternoon Session              Thoracic Spine / Thoracic Cage

1:00 p.m. Thoracic Spine/Concepts – Lab 1 (Introduction/Palpation/Soft Tissue)
2:00 p.m. Thoracic Spine/Concepts – Lab 2 (Muscle Energy: Upper/Lower)
3:00 p.m.  BREAK
3:15 p.m.  Double Arm Thrust Technique: Muscle Energy & HV-LA
4:00 p.m. Thoracic Cage Diagnosis & Treatment: Inspiratory & Expiratory Dysfunction
4:15 p.m. Soft Tissue Techniques: Thoracic Cage
4:30 – 5:30 p.m. Muscle Energy Techniques: Thoracic Cage
Instructors will stay after session for questions as needed until 6:00

                                  8 Hours Category 1A CME Credits

Day #2                                   
Morning Session                    Cervicothoracic / Cervical Spine

7:45 a.m. Registration & Breakfast
8:00 a.m. Introduction / Cervicothoracic Junction – First Rib
8:20 a.m. 

Diagnosis of Cervicothoracic Junction Lab 1
  - Side-Bending Component
  - Rotational Component
  - Palpation

8:40 a.m.  Soft Tissue Techniques: Cervicothoracic Junction Lab 2
  - Cervical Flexion Stretching (X)
  - Trapezius Pinch / Inhibition
9:00 a.m. Muscle Energy: Cervicothoracic Junction Lab 3
  - Side-Bending Component
  - Rotational Component
9:40 a.m. Cervical Spine:
  - Introduction / Cervical Spine
  - Learning Objectives
  - Functional Anatomy
  - Superficial Anatomic Landmarks
10:00 a.m. BREAK
10:15 a.m. Cervical Spine Lab 1:
  - Diagnosis of Cervical Spine
  - Palpation Exercises
10:45 a.m. Cervical Spine Lab 2: Soft Tissue Techniques
11:15 a.m.

Cervical Spine Lab 3: Muscle Energy Techniques:
  - Upper Cervicals (C1 – C2)
  - Lower Cervicals (C3 – C7)

11:45 a.m. Lecture /  Lab
Model: “Putting It All Together – The 15-minute Neck & Back Pain Patient Visit.”
12:30 – 1:15 p.m. Case Review
Billing & Coding
Wrap Up / Final Comments

                                  5 Hours Category 1A CME Credits

Afternoon Session                    Faculty Development (Optional Session)

This additional section is designed for physician educators to learn about teaching manipulation skills in both DO and MD residency programs. Participants in this section will review skill teaching principles and techniques. Specific strategies for local program applications will be developed.

1:15 p.m. Working Lunch (Provided):
  -Establishing a curriculum in Osteopathic Manipulation for your training program
2:15 p.m.

Interactive Session:  Teaching
  -Effective Teaching Techniques
  -Learning effective skill stations techniques

2:45 p.m.  Interactive Session: Evaluation
  -Setting up an OSCE
  -Competency Based Evaluation
3:45 p.m.  Interactive Session: Quality Assurance with Osteopathic Manipulation
  -Quality Assurance Implementation
  -Credentialing and Supervision issues
4:15 – 4:45 p.m. Summary and Conclusion

                                  31/2 Hours Category 1A CME Credits

Course Description:
This course is an integration of formal curriculum in Osteopathic Manipulative Medicine/Musculoskeletal Medicine refined over the past 15 years by Dr. Evans and Dr. Rowane. This course has been successfully given in Family Medicine and Sports Medicine residencies and fellowships as well as at state and national conference.

This course will teach basic assessment and treatment for low back pain, thoracic and neck pain with Osteopathic Manipulative Treatment (OMT). The course, sometimes referred to as “Osteopathic Manipulation 101”, is designed for both novice MD and experienced DO physicians who may feel a bit rusty. The course is broken up into two parts. The first part is the basic OMT curriculum taught to DO and MD residents and attending physicians. The second part is an optional faculty development session to review teaching concepts and specific tips on supervising residents and students by DO and MD faculty.

Drs. Evans and Rowane will serve as primary faculty in the course.

Course Faculty:

Dr. Evans is VP and Dean, and Professor of Family Medicine at Marian University College of Osteopathic Medicine in Indianapolis, Indiana. He has extensive experience in academic and military medicine, and has served as a family medicine residency program  director, department chair, director of a multi-specialty primary care group, and as an associate dean.  Dr. Evans is the founding dean of Georgia Campus PCOM.

Michael P. Rowane, DO, MS, FAAFP, FAAO
Dr. Rowane is the Director of Medical Education of University Hospitals Regional Hospitals and Director of Osteopathic Medical Education at University Hospitals Case Medical Center in Cleveland, Ohio, where he previously served as a Family Medicine Program Director. He is an Associate Clinical Professor of Family Medicine and Psychiatry at Case Western Reserve University.
Upon completion of this program, participants will be able to:

  • Perform basic assessment and treatment techniques for common somatic dysfunction.
  • Treat musculoskeletal conditions involving low back pain, thoracic pain and neck pain using basic manipulation techniques to the following areas:
-long restrictors (piriformis and psoas),
-lumbar spine,
-sacroiliac joint,
-thoracic region,
-cervical spine, and
-special cases.
  • Demonstrate how to use all diagnostic and treatment skills in a simulated 15 minute office visit.
  • Discuss how to appropriately bill and code when using Osteopathic Manipulative Treatment.
  • Develop a curricular model to teach basic manipulation at each attendee’s individual training program.
  • Review chart and supervision strategies for MD physicians who supervise DO residents doing manipulation.

Physicians: “The Philadelphia College of Osteopathic Medicine has requested that the AOA Council on
Continuing Medical Education approve this program for sixteen and a half AOA Category 1A CME credits.
Approval is currently pending”. “ This program is anticipated to offer sixteen and a half of AAFP Category 1 CME credits, pending the approval of the AAFP. ”
Sign–in and full day attendance of program required for credit. All faculty participating in continuing
medical education programs sponsored by the GA-PCOM are expected to disclose to the audience
whether they do or do not have any real or apparent conflict(s) of interest or other relationships related
to the content of their presentation(s).
CME documentation is also available to participants from other disciplines upon request.

A block of rooms has been reserved for registrants from 11/30-12/2/12 at the Hampton Inn – Sugarloaf/Gwinnett and Homewood Suites located within walking distance or a shuttle ride of Medieval Times Dinner Theater,  Discover Mills Mall and minutes from the Gwinnett  Arena and Civic Center. Conveniently located off of  I-85 exit 108 and accessible to Highway 316.  Hampton Inn special rate: $101.00 per night and Homewood Suite special rate: $112.00 per night plus tax. 

In order to receive these special rates, reservations must be made before the room block expiration date of Friday, November 16, 2012 and participants must mention GA-PCOM MusculoskeletalManipulation Workshop. Check in time: 3:00 p.m. Check out: 12:00 p.m. Call Hampton Inn directly at 678-407-0018 and Homewood Suites at 770-277-1243. 

Included in the rates both hotels provide complimentary breakfast and shuttle transportation within a 3 mile radius (which includes GA-PCOM Campus) from 7 am – 10pm for the Hampton Inn and 7:30 am - 10 pm for Homewood Suites.

Participants must secure their own hotel accommodations. Charges for room and tax are on individual basis.

Free on-campus parking is available. 

Gwinnett Airport Shuttle services the metro area to and from the airport to hotel for $50.00 plus 15%
gratuity and $65.00 plus 15% gratuity to GA  - PCOM Campus. Car service is also available at a flat rate
of $80.00 plus 15% gratuity from airport to hotel or GA  - PCOM Campus. For advanced registration go to  www.gashuttle.com and fill out registration form  including credit card information or call  770 -638-0666.

To register for CME, please complete the attached registration form and return with your payment.  Tuition Fee of $ 625.00 for Physicians includes breakfasts, lunch, and a copy of the course textbook  “Basic Musculoskeletal Manipulation: The 15 Minute Office Visit” available from AAO Publications. The faculty development portion of the course is open to all course attendees.  Pre-registration is required and cannot be confirmed without tuition fees. Registration fees are non refundable unless cancellations are made  7 days prior to program date.

Please direct inquiries to Linda Miller, CME Coordinator, at the  Philadelphia College of Osteopathic Medicine,  215-871-6348, fax 215-871-6781 or lindam@pcom.edu. Please address inquiries about the  workshop to Esther Hewlett, Office of the Vice Dean, at 678-225-7504, fax 678-225-7509 or estherhe@pcom.edu.  

Emergency Contact Number During Workshop:  678-225-7451 ( Security Desk )