MODULE 1 BASIC COMPREHENSIVE COURSE 19 June 2017 PRELIMINARY PROGRAMME TARGET AUDIENCE Senior trainees and trained surgeons, who are planning a career in spinal surgery. COURSE LEARNING OUTCOMES MODULE 1 1. Explain the impact of spinal disorders on the individual and society 2. Evaluate a spinal patient 3. Recognise serious and urgent spinal disorders QUICK FACTS WHEN: 19 June 2017 WHERE: Strasbourg, France IRCAD/EITS 1 Place de l’Hôpital 67091 Strasbourg, France MAXIMUM ATTENDEES: 40 delegates REGISTRATION FEE: EUROSPINE Member: €300 Non-member: €400 CME CREDITS: application ongoing LANGUAGE: English DRESS: Casual IMPORTANT NOTE: Attendance at every session is mandatory. A wireless Internet device (mobile phone/Ipad/computer) will be helpful to access on-line resources during the programme. Please bring one with you.
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MODULE1
BASICCOMPREHENSIVECOURSE19June2017
PRELIMINARYPROGRAMME
TARGETAUDIENCE
Seniortraineesandtrainedsurgeons,whoareplanningacareerinspinalsurgery.
COURSELEARNINGOUTCOMESMODULE1
1. Explaintheimpactofspinaldisordersontheindividualandsociety2. Evaluateaspinalpatient3. Recogniseseriousandurgentspinaldisorders
QUICKFACTSWHEN: 19June2017WHERE: Strasbourg,France IRCAD/EITS 1Placedel’Hôpital 67091Strasbourg,FranceMAXIMUMATTENDEES: 40delegatesREGISTRATIONFEE: EUROSPINEMember: €300 Non-member: €400CMECREDITS: applicationongoingLANGUAGE: EnglishDRESS: CasualIMPORTANTNOTE: Attendanceateverysessionismandatory.
AwirelessInternetdevice(mobilephone/Ipad/computer)willbehelpfultoaccesson-lineresourcesduringtheprogramme.Pleasebringonewithyou.
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4. Formulateaplanforthesafeearlymanagementofemergencyandseriousspinedisorders,basedonsoundprinciplesoftreatment.
5. Demonstratesoundclinicaljudgmentinplanningpatientmanagementaroundselectedcases
PRE-LEARNING-3½HOURSOFCONTENT
Participationintheprogrammerequiresanexcellentworkingknowledgeofspinalanatomy.ParticipantsofModule1willbeaskedtobuildfoundationknowledgeforthemodulewith3.5hoursofpre-modulework.Learningoutcomeshavebeendefined,soparticipantsandfacultyareclearaboutthestandardsexpectedandaself-testwillbeadministeredtocheckthatlearningoutcomeshavebeenachieved.Resourcestohelpparticipantsachievelearningoutcomesinclude:PowerPointpresentations,videosandreadingmaterial.Registereddelegateswillreceiveemailinstructionsonhowtoproceedwiththelearningcontent.Bytheendofthepre-courselearning,participantsshouldbeableto:1.RADIOGRAPHICMEASUREMENTSa.Definetheroleofradiographicmeasurementsinspinalpathologyb.Applythecobbangleandmeasuresofsagittalbalancetodeformityc.Assessspinalinstability2.RADIOLOGYIMAGING(x-ray,MRI&CT)a.Differentiatebetweenx-ray,MRIandCTb.Explainhoweachworksc.Anticipaterisksassociatedd.Compareradiationexposureresultingfromeach3.OUTCOMEMEASURES–(pre-learningformodule1andtaskforceresearchcourse)a.Differentiatebetweengenericandspecifichealthmeasuresb.Distinguishbetweenpatientandclinicianrelatedoutcomemeasuresc.Usecommonmeasuresforspinaldisordersd.Explainthechallengesassociatedwithmeasuringoutcomes4.IMPORTANCEOFSPINEREGISTRIESa.Explaintheirimpactonthecareofpatientsb.Planhowtomakecontributionsthemselvesc.DifferentiatebetweenanRCTandaregistry5.RECOGNISINGSERIOUSSPINEDISORDERS:REDFLAGSa. Linkclinicalscenariostoseriousspinedisordersb. Teachnon-spinespecialiststorecognizeseriousspinedisorders6. SYSTEMICDISEASE&THESPINEa. Recognisetheimportanceofteamworkandappropriateinvolvementofothersb. Anticipatecommonpitfallsindiagnosisofspinaldisordersc. Describesystemicconditionsassociatedwithspinaldisease
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FACE-TO-FACEMODULE
LEARNINGOUTCOMES:SESSION1-SPINE-THEBIGGERPICTURE
EvidenceBasedMedicine• Ranklevelsofevidence• DefinetheneedsofindividualpatientsinthecontextofEBM• Explaintheriskofbias• JustifytheroleofEBM,guidelinesandregistries
Epidemiology&Economics
• Quantifytheproblemofbackpaininsociety• Proposeastrategytoreducetheproblem• Explainresearchdefinitionsofbackpainandstudymethodology
Ergonomics&Psychosocial
• Describetheimpactofmediaandsocietyonbeliefsofpatients• Separatemythfromknowledgeintherelationshipbetweendiseaseanddisability• Anticipateobstaclestorecovery• Explaintheroleofmanualhandlingandworkplacefactorsinspinaldisability
LEARNINGOUTCOMES:SESSION2-THEFUNCTIONALSPINE
Biomechanics• Outlineloadsindifferentpositionsofthespine• Explainhowloadingchangeswithageandpathology• Describethebasicprinciplesofbiomaterialsandbiocompatibility
Radiology
• Explainrisksofexposuretoradiationandminimizerisksforpatientsandstaff• Justifytheroleoftheteaminevaluatingradiologicalrequestsandinvestigations• Selectthemostappropriateinvestigationsinspinaldisorders
TheYoungSpine
• Describegrowthofthespineandgrowthvelocity• Definespecifictraumarelatedfactorsinthechild
TheOldSpine
• Identifycommondisordersinelderlypatients• Explainthenaturalhistoryandtreatmentoffragilityfracturesofthespine• Describetheimpactofageandco-morbidityonriskassessmentandpatientsafety
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LEARNINGOUTCOMES:SESSION3-CLINICALEVALUATION
CaseDiscussion:RecognisingSeriousSpineDisorders:RedFlags
• UseclinicalinformationtoformulateadiagnosisandtreatmentplanCommunicationSkills
• Identifyactualandpotentialcommunicationproblemswithintheirownpractice• Assessownstrengthsandweaknessesincommunicatingwithpatients,theirfamilies
andotherteammembers.
TopTipsClinicalExamination• Selectappropriateclinicaltestsforaclinicalsituation• Performasafeandeffectiveclinicalexamination
Safety&Ethics
• Applyanethicalframeworktocriticalthinking• Formulateprinciplesofinformedconsent• Evaluateorganizationalandpersonalfactorsinvolvedinpatientsafety• Identifynon-technicalaspectsofsafesurgery
LEARNINGOUTCOMES:SESSION4-EMERGENCIES
Trauma.Evaluation.Transport
• Recogniseanddocumentdetailsofaspinalcordinjury(SCI)• Plantransport,investigationandtreatmentofapatientwithaspinalcordinjury• Anticipatepotentialcomplicationsandhowtoavoidthem• PlanasimplerehabilitationprogrammeforapatientwithSCI
AcuteCordCompression
• Recogniseandinvestigateaprogressiveneurologicalspinalproblem• Formulateaplanforthepresurgicalmanagementofmetastaticcordcompression• Outlinethecommoncausesandtreatmentsofacutecordcompression
CaudaEquinaSyndrome
• Explaintheimpactonthepatientofcaudaequinasyndrome(CES)• Justifythedifficultiesintimingdiagnosisandtreatment
CaseDiscussion:SystemicDiseases&TheSpine
• UseclinicalinformationtoformulateadiagnosisandtreatmentplanCaseDiscussion
• Interpretclinicalinformationtoformulateadiagnosisandtreatmentplan
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COURSECHAIRMAN:PHILSELL UNITEDKINGDOM
COURSEFACULTY:
YANN-PHILIPPECHARLES FRANCEFABIOGALBUSERA GERMANYNICKHADEN UNITEDKINGDOMIOANNISMAGRAS GREECEALBERTOZERBI ITALY
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SCIENTIFICPROGRAMME,MODULE1 CHAIRMAN:PHILSELL
COURSEATTENDANCEISMANDATORY
TIME TOPIC FACULTY08:00-08:30 CourseRegistration&WelcomeCoffee 08:30-08:40 Introduction PhilSell08:40-09:10 Pre-Learning AllFaculty
SESSION1:SPINETHEBIGGERPICTURE09:10-09:30 EvidenceBasedMedicine PhilSell09.30-09.50 Epidemiology&Economics IoannisMagras09:50-10:10 Ergonomics&PsychosocialAspects PhilSell
CoffeeBreak30mins.SESSION2:THEFUNCTIONALSPINE
10.40-11.00 RadiologyImaging AlbertoZerbi11:00-11.25 Biomechanics FabioGalbusera11.25-11.40 TheYoungSpine Yann-PhilippeCharles11.40-11.55 TheOldSpine IoannisMagras11.55-12.30 CaseDiscussion PhilSell&AllFaculty
Lunch45mins.SESSION3:CLINICALEVALUATION
13:15-13:30 CaseDiscussion:
RecognisingSeriousSpineDisorders:redFlags
NickHaden
13:30–13.50 Communicationskills PhilSell13.50–14.20 Consentingskillsexercise Allfaculty14:20-14:50 TopTipsForClinicalExamination AllFaculty14:50-15:10 Safety&Ethics PhilSell
CoffeeBreak30mins.SESSION4:EMERGENCIES
15:40-15:55 Trauma.Evaluation.Transport PhilSell15:55-16:15 AcuteCordCompression NickHaden16:15-16:30 CaudaEquinaSyndrome PhilSell16:30-16:55 CaseDiscussion:SystemicDiseases&
TheSpineNickHaden
16:55-17:15 CaseDiscussion PhilSell&AllFaculty17:15-17:30 CourseEvaluation 17:30 EndofModule1
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CONTACTSEUROSPINE,theSpineSocietyofEuropeSeefeldstrasse168610UsterSwitzerlandwww.eurospine.orgwww.eurospinemeeting.comFollowuson:facebook.com/EuroSpinetwitter.com/#!/EuroSpineSocCOURSEORGANISATIONDrJulie-LynNoëlDirectorofEducationandResearchE:[email protected]:+41764179003SCIENTIFICCONTENTProf.BernhardMeyerChairman,EducationCommitteeofEUROSPINE
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